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An Exploratory Study on Female Caregivers' Experiences of Aggression by Older Residents in Nursing Homes (노인요양시설 입소노인에 의한 여성요양보호사의 폭력 경험에 대한 탐색적 연구)

  • Yoo, Seong Ho;Kim, Bo Kyung;Moon, Yu Jin;Shim, Il Kwang;Cho, Hee Ju
    • 한국노년학
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    • v.36 no.4
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    • pp.1037-1058
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    • 2016
  • This study aims to investigate the female caregivers'experiences of aggression by nursing home residents, and to identify the policy strategies for violence prevention referred by the female caregivers. A total of 121 female caregivers with more than 6 months of working experiences had participated in this study. Of these, 56.2% had experienced verbal aggression, 51.2% physical aggression, and 27.3% sexual aggression, which reveals that client violence toward caregivers in nursing homes was at an alarming level. Although, physical and verbal violences were mostly caused unintentionally, about a half of the sexual aggression were caused deliberately. Aggression occurred the most when caregivers were providing the following services: changing the diapers or clothes, giving a bath, and serving meals. It was found that 'hitting' was the most common form of physical aggression and it was 'swearing' and 'touching or physical contacting' in the case of verbal and sexual aggression, respectively. Though there was a difference depending on the type of aggression, the most frequent reactions against client violence were to start a conversation or calm down the nursing home residents, and to leave the scene or ignore the incident. This means that the caregivers are coping very passively through resolving the aggressions by themselves, or overlooking the situation. The most frequently recommended strategy to prevent resident aggression was to provide educational programs on violence prevention to nursing home residents and caregivers(42.7%). Compared to the previous studies, this study indicates some differentiated strategies to prevent violence in nursing homes, which include hiring male caregivers, assuring directors to pay closer attention toward caregivers, using refined language between caregivers and residents, and keeping caregivers to wear appropriate clothes. Based on the study results, some policy recommendations on the prevention of client violence in nursing homes were suggested.

Diagnostic Value of Cyfra 21-1 in Differential Diagnosis of Pleural Effusion (흉수의 감별 전단으로 Cyfra 21-1의 진단적 가치)

  • Lee, Hak-Jun;Lee, Kwan-Ho;Shin, Kyeong-Cheol;Shin, Chang-Jin;Park, Hye-Jung;Mun, Yeung-Chul;Lee, Kyung-Hee;Chung, Jin-Hong;Hyun, Myung-Soo;Lee, Hyun-Woo
    • Tuberculosis and Respiratory Diseases
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    • v.47 no.1
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    • pp.50-56
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    • 1999
  • Background : Pleural effusion is a common clinical problem and many clinical and laboratory evaluations, such as tumor marks, have been studied to discriminate malignant pleural fluid from benign pleural fluid. However their usefulness in the diagnosis of pleural effusion is still not established fully. We studied the diagnostic value of cyfra 21-1 in diagnosis of malignant pleural effusion. Methods: Pleural fluid was obtained from 45 patients with malignant diseases(32 lung cancer patients, 13 metastatic malignant diseases) and 47 patients with benign diseases. The level of cyfra 21-1 in the pleural fluid and serum were determined using a CYFRA 21-1 enzyme immunoassay kit(Cis-Bio International Co.). The t-test was used for comparison between two diseases groups and receiver operating characteristic(ROC) curves were constructed by calculating the sensitivities and specificities of the cyfra 21-1 at several points to determine the diagnostic accuracy of the cyfra 21-1. Results: In patients with primary lung cancer, the level of cyfra 21-1 in the pleural fluid was significantly higher than those of patients with benign diseases and had positive correlations between the level of cyfra 21-1 in the pleural fluid and serum levels. In the ROC curve analysis of the pleural fluid, the curve for primary lung cancer group was located closer to the left upper comer and the cut off value, sensitivity and specificity of the cyfra 21-1 of the primary lung cancer group was determined as 22.25ng/ml, 81.8% and 78.7% respectively. Conclusions: Our data indicates that the measurement of cyfra 21-1 level in pleural effusion has useful diagnostic value to discriminate malignant pleural effusion in primary lung cancer from benign pleural effusion.

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Occurrence and Distribution of Selected Veterinary Antibiotics in Soils, Sediments and Water Adjacent to a Cattle Manure Composting Facility in Korea (국내 우분 퇴비화 시설 인근 농경지 및 수계 중 Tetracycline 및 Sulfonamide 계열 항생물질의 분포특성)

  • Lim, Jung-Eun;Kim, Sung-Chul;Lee, Hyeon-Yong;Kwon, Oh-Kyung;Yang, Jae-E.;Ok, Yong-Sik
    • Journal of Korean Society of Environmental Engineers
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    • v.31 no.10
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    • pp.845-854
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    • 2009
  • There has been increased concern regarding the release of antibiotics to different environmental compartments due to the possibility of the development of antibiotic resistant bacteria. However, limited information is available regarding the occurrence, fate, and transport of antibiotics in Korea in both the aqueous phase and in solid phases such as sediment and soil. Therefore, this study was conducted to monitor the concentration of released antibiotics in surface water, sediment, and soil adjacent to a cattle manure composting facility in Korea. Specifically, the following six antibiotics were monitored: tetracycline (TC), chlortetracycline (CTC), oxytetracycline (OTC), sulfamethazine (SMT), sulfamethoxazole (SMX), and sulfathiazole (STZ). To extract and quantify the antibiotics from different environmental compartments, solid phase extraction (SPE) and high performance liquid chromatography mass spectrometry (HPLC/MS) techniques were adopted. The concentration of the six antibiotics ranged from below the detection limit (BDL) to 0.71 ${\mu}g$/L in surface water, from BDL to 27.61 ${\mu}g$/L in sediment, and from 0.12 to 157.33 ${\mu}g$/L in soil. In addition, higher concentrations of antibiotics were observed in surface water and sediment at locations closer to the composting facility indicating that composting is the source of the antibiotics found in the environment. Furthermore, higher concentrations of antibiotics were observed in the solid phase (sediment and soil) than the aqueous phase. These findings indicate that the possibility of antibiotic resistant bacteria is increased because such bacteria are more stable in the solid phase. Overall, longterm monitoring of the aqueous phase and solid phase is necessary to gain a better understanding of the impact of antibiotics from source on the environment in Korea.

Finite element analysis of peri-implant bone stress influenced by cervical module configuration of endosseous implant (임플란트 경부형상이 주위골 응력에 미치는 영향에 관한 유한요소법적 분석)

  • Chung, Jae-Min;Jo, Kwang-Heon;Lee, Cheong-Hee;Yu, Won-Jae;Lee, Kyu-Bok
    • The Journal of Korean Academy of Prosthodontics
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    • v.47 no.4
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    • pp.394-405
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    • 2009
  • Statement of problem: Crestal bone loss, a common problem associated with dental implant, has been attributed to excessive bone stresses. Design of implant's transgingival (TG) part may affect the crestal bone stresses. Purpose: To investigate if concavely designed geometry at a dental implant's TG part reduces peri-implant bone stresses. Material and methods: A total of five differently configured TG parts were compared. Base model was the ITI one piece implant (Straumann, Waldenburg, Switzerland) characterized by straight TG part. Other 4 experimental models, i.e. Model-1 to Model-4, were designed to have concave TG part. Finite element analyses were carried out using an axisymmetric assumption. A vertical load of 50 N or an oblique load of 50 N acting at $30^{\circ}$ with the implant's long axis was applied. For a systematic stress comparison, a total of 19 reference points were defined on nodal points around the implant. The peak crestal bone stress acting at the intersection of implant and crestal bone was estimated using regression analysis from the stress results obtained at 5 reference points defined along the mid plane of the crestal bone. Results: Base Model with straight configuration at the transgingival part created highest stresses on the crestal bone. Stress level was reduced when concavity was imposed. The greater the concavity and the closer the concavity to the crestal bone level, the less the crestal stresses. Conclusion: The transgingival part of dental implant affect the crestal bone stress. And that concavely designed one may be used to reduce bone stress.

Detection of Pine Wilt Disease tree Using High Resolution Aerial Photographs - A Case Study of Kangwon National University Research Forest - (시계열 고해상도 항공영상을 이용한 소나무재선충병 감염목 탐지 - 강원대학교 학술림 일원을 대상으로 -)

  • PARK, Jeong-Mook;CHOI, In-Gyu;LEE, Jung-Soo
    • Journal of the Korean Association of Geographic Information Studies
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    • v.22 no.2
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    • pp.36-49
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    • 2019
  • The objectives of this study were to extract "Field Survey Based Infection Tree of Pine Wilt Disease(FSB_ITPWD)" and "Object Classification Based Infection Tree of Pine Wilt Disease(OCB_ITPWD)" from the Research Forest at Kangwon National University, and evaluate the spatial distribution characteristics and occurrence intensity of wood infested by pine wood nematode. It was found that the OCB optimum weights (OCB) were 11 for Scale, 0.1 for Shape, 0.9 for Color, 0.9 for Compactness, and 0.1 for Smoothness. The overall classification accuracy was approximately 94%, and the Kappa coefficient was 0.85, which was very high. OCB_ITPWD area is approximately 2.4ha, which is approximately 0.05% of the total area. When the stand structure, distribution characteristics, and topographic and geographic factors of OCB_ITPWD and those of FSB_ITPWD were compared, age class IV was the most abundant age class in FSB_ITPWD (approximately 55%) and OCB_ITPWD (approximately 44%) - the latter was 11% lower than the former. The diameter at breast heigh (DBH at 1.2m from the ground) results showed that (below 14cm) and (below 28cm) DBH trees were the majority (approximately 93%) in OCB_ITPWD, while medium and (more then 30cm) DBH trees were the majority (approximately 87%) in FSB_ITPWD, indicating different DBH distribution. On the other hand, the elevation distribution rate of OCB_ITPWD was mostly between 401 and 500m (approximately 30%), while that of FSB_ITPWD was mostly between 301 and 400m (approximately 45%). Additionally, the accessibility from the forest road was the highest at "100m or less" for both OCB_ITPWD (24%) and FSB_ITPWD (31%), indicating that more trees were infected when a stand was closer to a forest road with higher accessibility. OCB_ITPWD hotspots were 31 and 32 compartments, and it was highly distributed in areas with a higher age class and a higher DBH class.

Comparison of Microscopy and Pigment Analysis for Determination of Phytoplankton Community Composition: Application of CHEMTAX Program (식물플랑크톤 군집조성 파악을 위한 현미경관찰법과 지표색소분석법 비교 연구: CHEMTAX 프로그램 활용)

  • Kim, Dokyun;Choi, Jisoo;Oh, Hye-Ji;Chang, Kwang-Hyeon;Choi, Kwangsoon;Shin, Kyung-Hoon
    • Korean Journal of Ecology and Environment
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    • v.54 no.4
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    • pp.303-314
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    • 2021
  • To understand how to efficiently observe the biomass and community of phytoplankton, phytoplankton sampling was carried out from June to October 2019 at the Yeongju dam sediment control reservoir(YJ) and Bohyeonsan dam reservoir(BH1 and BH2). The results derived from microscopic observation, such as the conventional phytoplankton qualitative/quantitative analysis, and from the CHEMTAX method based on the pigments, were compared. The relative contribution of phytoplankton, calculated by the microscopy and CHEMTAX methods, showed a significant difference in all four classes: cryptophyta, chlorophyta, cyanobacteria, and diatoms. In addition, the correlation between the two observation methods was poor. This might be caused by methodological differences in microscopy that do not consider the varying cell sizes among phytoplankton species. In this study, by converting the cells into carbon, the slope between both carbon biomasses based on microscopy and CHEMTAX was improved close to the 1 : 1 line, and the y-intercept was closer to 0 for cryptophyta and diatoms. For cyanobacteria, the slope increased, the y-intercept decreased, and the plot approached 1 : 1 although the correlation coefficients were not improved in all classes. The present study suggests that application of CHEMTAX based on pigment analysis could be a possible approach to efficiently determine the relative carbon proportions of individual classes of phytoplankton community composition.

Flora and Vegetation of the Southern Slope Area at Mt. Chongok and Mt. Tuta(Kangwon-do) (청옥산 - 두타산 남사면 일대의 식물상과 식생)

  • 조창구;백원기;이우철
    • Korean Journal of Plant Resources
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    • v.12 no.3
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    • pp.240-252
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    • 1999
  • Floristic composition and phytosociological studies of Mt. Chongok and Mt. Tuta were investigated, and that was compared with the previously published report in 1993. Vascular plants were composed of 100 families, 358 genera, 573 species, 95 varieties, and 18 formae, totaling 686 taxa. The vegetation was relatively well conserved based on Pteridophyta calculation (Pte-Q), 1.13. Compared with the vascular plants of the southern and northern slope area, the vascular plants of the southern slope area were composed of 87 families, 287 genera, 419 species, 73 varieties, and 11 formae, totaling 503 taxa, and those of the northern slope area consisted of 94 families, 293 genera, 427 species, 73 varieties, and 12 formae, totaling 512 taxa, respectively. Also, compared with the taxa in each side, both sides were composed of 332 species in common, southern sides, 172 species and northern sides, 182 species, respectively. The number of species of 11 families belonged to the higher level among total families taxa was composed of 328 species(47.8%). Among them, Compositae and Rosaceae were included much more species than remnant families. Korean endemic species were composed 16 families, 24 genera, 20 species, 8 varieties and 2 formae, totaling 30 species(4.4%). Compared with the Korean endemic taxa in each side, both sides were composed of 14 species in common, southern sides, 11 species and northern sides, 5 species, respectively. A naturalized plants were 20 species, correspond to 9.2% of totaling 218 species appeared in South Korea. Among them,12 species were appeared commonly in both sides, southern sides, 16 species and northern sides, 16 species, respectively. Life form spectra was H-D1-R5-e type and, useful resources plants are as follows; edible source(42.4%), medicinal source(31.5%), ornamental source(15.6%) and pasture source (13.3%) in the total region. The forest vegetation of the southern slope was classified into 1 order, 1 alliances and 5 communities; Rhododendro-Quercetalia mongolicae, Lindero-Quercion mongolicae, Quercus mongolica Typical community, Populus davidiana-Quercus mongolica community, Pinus koraiensis-Taxus cuspidata community, Pinus densiflora-Carex humilis var. nana community, Betula costata-Betula ermanii community. It is considered that the slight difference of the flora and vegetation in the northern and southern slope is mostly due to the topographical and climatic difference. Even closer investigation is required for the more accurate comparison in this area.

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Evaluation of Airborne Pb Sources in an Industrialized City by Applying Pb Isotope Ratios and Concentrations in PM10 (PM10 내 납의 동위원소와 농도를 활용한 산업도시지역 대기 중 납 오염원 평가)

  • Jo, Wan-Kuen;Lee, Heon-Chul;Kim, Mo-Keun
    • Journal of Korean Society of Environmental Engineers
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    • v.33 no.3
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    • pp.174-182
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    • 2011
  • The present study evaluated the major lead sources in a steel metallurgy industrialized city by measuring lead isotopes/lead concentrations of ambient air and potential sources in an industrial area and residential areas according to relative distance. The quality control program obtained during the measurement procedure for lead isotopes and concentrations exhibited $0.5ng/m^3$ for method detection limit, more than 90% for recoveries of standard particulate matters, and lower than 0.2% for reproducibility errors of four lead isotopes ($^{204}Pb$, $^{206}Pb$, $^{207}Pb$, $^{208}Pb$). For all three lead isotope ratios ($^{206}Pb/^{204}Pb$, $^{207}Pb/^{206}Pb$, $^{208}Pb/^{206}Pb$), the ratios were obtained in the industrial area were closer to nearby residential area than those of a residential area far away from the industrial area, thereby suggesting that lead sources were more similar each other in the industrial and nearby residential area. Furthermore, for both summer and winter seasons ambient lead concentrations were more than four times higher in the industrial area than in the residential areas and in turn, they were higher in the nearby residential area compared with the far-away residential area. As a result, it was suggested that lead emitted from the industrial area would influence more the ambient lead in the nearby residential area than the far-away residential area. Both slag and traffic emissions are likely to be major lead sources in the industrial and nearby residential areas, since their three lead isotope ratios ($^{206}Pb/^{204}Pb$, $^{207}Pb/^{206}Pb$, $^{208}Pb/^{206}Pb$) were similar to the ratios obtained from ambient air of these two areas. In addition, the lead isotope ratios revealed different pattern between seasons, and the ambient lead concentrations were higher for winter than for summer.

A Study on the Landscape Cognition through Paintings of Viewing Falls (『관폭도(觀爆圖)』를 통해 본 경관인식에 관한 기초 연구)

  • Lee, Won-Ho;Ahn, Hye-In;Kim, Jae-Ung;Kim, Dong-Hyun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.33 no.1
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    • pp.65-75
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    • 2015
  • The findings of basic study on the awareness of falls in terms of Gwanpokdo(Paintings of Viewing Falls) were drawn as follows. First, there is a difference in an esthetic sense that water brings depending on the ratio of falls, and Gwanpokdo(Fall Landscape) in which falls take up more than 20% of the canvas focuses more on falls so that it brings about the awareness of landscape through direct communication with nature. Second, the diagonal composition of the canvas has symmetry between falls and a person viewing the falls, which makes view point even clear. In addition, margins of the canvas were missing due to the effect of True-View Landscape Painting during the late Joseon Dynasty, and overall composition of using the entire canvas became popular. This overall composition is stable and disposed with lopsided composition, so this heightens sense of balance and the meaning of falls. Third, Gwanpokdo(Paintings of Viewing Falls) of Josoen Dynasty showed various types of viewing falls in distant view, but as the distance between falls and persons got closer in the latter part of Joseon Dynasty, falls were no longer utopia but it expressed a sense of beauty and aesthetic contemplation through direct communication with real nature. Fourth, Gwanpokdo(Paintings of Viewing Falls) of Joseon Dynast had many drawings of a person viewing falls and viewing behaviors such as Supyeong gyeong(level landscape), Amgang gyeong(lower landscape), Bugam Gyeong(higher landscape), and glimpse viewing. Fifth, rocks out of landscape elements make falls vivid and are so expressed as yin and yang that falls and rocks are well contrasted with each other, maximizing beautiful scenery of falls. Sixth, woody plant of Gwanpokdo(Paintings of Viewing Falls) was mostly pine trees which symbolized the literati's fidelity and integrity at that time and emphasized the firm meaning of transcending the nature, matching with symbolization of falls.

Comparisons in Volumes of Irrigation and Drainage, Plant Growth and Fruit Yield under FDR Sensor-, Integrated Solar Radiation-, and Timer-Automated Irrigation Systems for Production of Tomato in a Coir Substrate Hydroponic System (토마토 코이어 수경재배에서 FDR센서, 적산일사량센서 및 타이머 급액방식에 따른 급배액량, 생육 및 과실수량 비교)

  • Choi, Eun-Young;Kim, Hee-Yong;Choi, Ki-Young;Lee, Yong-Beom
    • Journal of Bio-Environment Control
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    • v.25 no.1
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    • pp.63-70
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    • 2016
  • Water drainage from the open hydroponics often causes significant environmental pollution due to agrochemicals and loss of water and nutrients. The objectives of this study were to show the potential application of an irrigation schedule based on threshold values of volumetric substrate water content for tomato (Solanum lycopersicum L. 'Samsamgu') cultivation in a commercial hydroponic farm during spring to summer cultivation. This study was performed for minimizing effluent from coir substrate hydroponics using a frequency domain reflectometry (FDR) sensor-automated irrigation, as compared with an integrated solar-radiation (IR) and conventional timer-irrigation (TIMER) after transplanting. In results, no significant difference in daily irrigation volume was found among the treatments until 88 days after transplant (DAT). However, during the 88 to 107 DAT, the daily irrigation volume was in the order of IR (2125 mL) > TIMER (2063 mL) > FDR (1983 mL), and during the 108 to 120 DAT, it was in the order of IR (2000 mL) > TIMER (1664 mL) > FDR (1500 mL). The lowest drainage volume was observed in the FDR treatment with the order of IR (12~19%) > TIMER (4~12%) > FDR (0~7%) during the entire growing period. A lower irrigation volume in the FDR treatment after 88 DAT may be due to the sensor's detecting capacity for less water absorption by plant after completing fruit maturity with apical pruning and removal of lower leaves, while a higher irrigation volume in the IR treatment may be due to gradual increase in integrated solar-radiation amount as closer to summer season. There was no significant difference in plant growth and fruit yield among the treatments; however, a 11% and 18% of higher soluble sugar content was observed in the FDR than that of TIMER and IR treatment. respectively.