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A Survey on the Performance of Surgical Hand Scrubs (의사와 간호사의 외과적 손씻기에 관한 지식, 태도 및 실천에 대한 조사 연구)

  • 윤혜상
    • Journal of Korean Academy of Nursing
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    • v.26 no.3
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    • pp.591-604
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    • 1996
  • The surgical hand scrub (SHS) is the single most important procedure in the prevention of post-operative wound infections and yet it remains the most violated of all infection control procedures. The purpose of this study was to gain an overview of SHS habits in operative th atre personnel and to determine knowledge and attitudes to identify whether there is a need for improvement. The subjects for this study included 79 doctors and 94 nurses working in the operative th atres of four hospitals in Incheon City and Kyungki Province. Related data were collected from July 25 to August 10, 1995 by the author. The data were analyzed using descriptive stat-istics and Chi-squre test. The results of the study are summarized as follows : 1. Nurses felt that they conducted SHS for a longer period of time than doctors did(X=20.1, P=.005). 2. Nurses and doctors had some knowledge of slip-ping rings off fingers and the length of nails, but they lacked knowledge on the duration of SHS, handwashing after an operation and on manicure. 3. There were many reasons given for insufficient SHS included : 1) because they were so busy (38%). 2) brushes were too harsh(19.7%). 3) operations were very simple(18.7%). 4) surgical latex gloves provide functional barrier(11.6%). 5) SHSs were troublesome(7.4%) 6) there were no clocks near the sinks(2.5%) and 7) the operative patients were administered antibiotics after operartion(2.1%). 4. Most of nurses and doctors considered SHS to be important in prevention against post operative infections. 5. Nurses were found to do a thorough SHS, but residents were found to neglect SHS. 6. Considering prevention against postoperative infections, most nurses and doctors considered aseptic techniques, environment-sanitary management and SHS more important than the use of antibiotics, the resistance of patients or the method of operation. 7. Half of the nurses and doctors(54.3%) considered surgical latex gloves to function well as a barrier. 8. Half of the nurses (56.4%) and doctors(51.9%) learned SHS as part of the curriculum in their school education and the rest(nurses : 95.7%, doctors : 74.7%) learned SHS as part of their In Service Education. In conclusion, these findings suggest a need to develop an educational program on surgical hand scrub and hospital infection control for surgical personnels, to install clocks near the hand scrub sinks, to consider a violation report for negligent surgical hand scrubs, and to develop a soft brush for hand scrubs in order to increase performance of the surgical hand scrub.

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A Forest Management Planning Method based on Integer Programming (정수계획법을 이용한 산림경영계획의 수립방안 연구)

  • Won, Hyun-kyu;Kim, Hyungho;Chong, Sekyung;Woo, Jong-choon
    • Journal of Korean Society of Forest Science
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    • v.95 no.6
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    • pp.729-734
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    • 2006
  • This paper aimed to suggest decision-making method for forest management planning using integer programming. Thus, the study examined 85 stands consisting of Korean pine, Japanese larch and oak stands-all of which were at the most suitable time for tending, selection thinning, commercial thinning and final cutting-in the experimental forest of Kangwon National University. The forest management model comprised one objective function, maximizing harvest volume in each stand according to tree species and the kinds of practices, and seven constraints: frequency and stands of practices, minimum and maximum yields, even yields, maximum production, and decision-making varialbes. Besides, the entire period intended by the study was 10 years, divided into 5 management periods. In conclusion, the forest management planning model using integer programming proved that among 85 stands, forest practices were conducted over 68 stands (202.8 ha), producing the total harveted volume of $20,000m^3$, while the rest was reserved. This case study could help make decisions on whether and when the forest practices and harvests could be done in a specific condition.

II. Effect of Pathotype of Pathogens and the Use of Infected Straw on the Development of Kresek (한국에 있어서의 'Kresek'에 관한 연구 II. 균형 및 이병짚 시용이 Kresek 미치는 영향)

  • Choi Y. C.;Cho Y. S.;Chung B. J.
    • Korean journal of applied entomology
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    • v.17 no.1 s.34
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    • pp.23-28
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    • 1978
  • The study has been carried to confirm the pathotypes of Kresek inducing isolates of X. oryzae, and its reaction to the test plants when they were inoculated by the use of various methods. Induction of Kresek symptom by 23 isolates which randomly samplified from 123 Kresek areas through the country also were examined. The specificity of Pathotypes I, II, V in causing Kresek and the potenciality of infected rice straw is a first inoculum for Kresek epidemics in nature were tested. Fifteen out of 23 isolates from kresek area belonged to pathotype group I, while the rest of 8 isolates 5 howed group II reaction, and the most of isolates were originated from infected rice plant of Milyang #23. All of five pathotype groups were abled to produce 'Kresek' symptom although they showed some differences in each group of pathotype. The varieties Milyang #21, 22 and 23 were attacked by all isolates of group I, II and V while the Gogyoku group varieties including Yushin produced kresek symptom only by pathotype group II. Infected and dried straw maintained the pathogens during the winter period, and these straw acted as a first inoculum of Kresek disease when the straw were cutted and used as a manure just before transplanting of rice seedling.

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Studies on the Varietal resistance to the rice stripe virus disease (줄무늬잎마름병(호엽고병)에 대한 벼품종의 저항성에 관한 연구)

  • Lee S. H.;Kim C. H.
    • Korean journal of applied entomology
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    • v.5_6
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    • pp.47-54
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    • 1968
  • In order to develop an effective control measure for the rice stripe disease, methods of testing for resistance and selection of resistant varieties among the leading varieties were investigated. For use as a parent in breeding for resistant variety to the disease, total of 410 rice varieties were tested. 1. Disease occurrence was higher at group inoculation than that of individual inoculation in comparing the inoculation methods. 2. In both methods, Lacrose responded susceptible; Zenith and St. No. 1 resistant, and the rest moderate. 3. Suseptible symptom type A was prevalant among the susceptible varieties, while resistant symptom type C was abundant among the resistant varieties, There was no difference between the inoculation methods. 4. 410 rice varieties tested could he divided into 3 groups as susceptible (21 varieties), moderate (377 varieties) and resistant (12 varieties). Resistant varieties wers St. No. 1 and 2, Shin-2, Gulfrose Bonnet, Arkrose, Sun Bonnet, Zenith, Yeechunchilichal, Norm-24, Opaikjoke, Yangchubatchal and Nonglimana-1, Nams-97,-149, -159, -216. -265, Iri-243, -265, Kanchuk -5, -7, -8, -10, -41, -43, -47, -50, Suwon-56, -77, Norin-22, Cod-4. Lacrose and Chukna were susceptible. 5. There was slight differance in the disease occurrence in regard to maturing period. However late varieties seem to be more resistant than early or medium varieties. The medium varieties seem to be susceptible. Most of the introduced varieties from foreign countries and the upland cultivated varieties were resistant. 6 Among the leading varieties, Shin-2 in Kangwon-Do was resistant, Kosi in Choongchung-Do, was susceptible, aad the others were moderate.

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Evaluation of Citizens' Perception on the Utilization of Children's Parks for the Elderly (고령층을 위한 어린이공원의 활용방안에 대한 시민의식평가)

  • Lee, Kyong-bok;Hong, Kwang-Pyo;LEE, Hyukjae
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.4
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    • pp.507-515
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    • 2020
  • The children's park, which was created uniformly during the industrialization period, is less utilized and is mainly used by the elderly during the day. In addition, sports facilities and rest facilities for the elderly are being installed, damaging the essence of children's parks. The main purpose of this study was to present the creation of a children's park that was appropriate to its essence and the utilization plan for the elderly. In this study, we conduct a survey to identify citizens' perception of children's parks and found that the opinions of children and the elderly were generally different. Children want to change and enjoy various games, while older people want to enjoy various programs while maintaining the status quo. As above, children do not dislike using the park with the elderly, but hope to create a separate park if possible. Meanwhile, the elderly want to renovate the current children's park and continue to use it. Therefore, in the future, some areas of children's parks will be created for the elderly or the entire area will be changed into small parks for the elderly, considering the location characteristics and population distribution of children's parks. In addition, the government should prepare measures for the introduction of programs for the elderly or maintenance using the elderly.

A Study of Musculotendinous Problems of Students Majoring in Musical Instruments in Korea (기악과 학생들의 근육과 건 증상에 대한 조사연구)

  • Lee, Eun-Nam;Lee, Eun-Ok;Lee, In-Sook;Park, In-Hyae;Park, Jeong-Sook;Bae, Sung-Cheol;So, Hee-Young
    • Journal of muscle and joint health
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    • v.4 no.1
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    • pp.48-60
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    • 1997
  • This study was undertaken to identify the musculotendinous problems and contributing factors to those problems In students majoring in musical instruments in Korea. The data were collected from March 2, 1996 to March 31, 1996 from 261 music students in various geographical areas. The data were analyzed for descriptive statistics, t-test, chi-square using SPSS $PC^+$ program. The results of this study were as follows : 1. In a questionnaire survey of 261 music students, one hundred twenty five(47.9%) reported having had various musculotendinous symptoms. Twenty seven students among the those who had previous symptoms(21.9%) reported the present symptoms. 2. The experience rates of musculotendinous problems in keyboard players, string players and woodwind players were 50.3%, 48.2%, 33.3% respectively. 3. Most of the students practiced most intensively during their high school years and the musculotendinous symptoms began at the same period. 4. Pain, tenderness and stiffness were the most common symptoms, while paresthesia and motor dysfunction were rare. This indicates that most players had muscle tendinous overuse, while small number had nerve entrapment and motor dysfunction. 5. In past and present symptoms, string players experienced musculotendinous symptoms mainly in both sides of shoulders, lumbar area, left finger, and left wrist, while keyboard players experienced more symptoms in the right wrist, shoulder, fingers than left side. 6. The major contributing factors to the symptoms were weight of instrument, types of instruments, types of daily activities, duration of practice, and playing technique. 7 The most frequent treatment modalities for the symptoms were acupuncture or moxibustion, other alternative therapy such as heat compress and massage. Through this study it was found that the musculotendinous problems might be increased along with their career, due to lack of knowledge about preventive measures and patterns of health behavior seeking alternative modalities rather than professional consultation. Therefore, preventive measures that focus on playing habits such as duration of practice, frequency of rest and position while playing should be developed and taught to the students, their parents, and music educators. Doctors who are interested in this area should attempt to correct the position and posture while playing of the posture. And measures for reduction of loading of instrument weight should also be developed.

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The Effect of Thermotherapy on High School Girls' Dysmenorrhea (온요법이 여고생의 월경곤란증 경감에 미치는 효과)

  • Kang, In-Sun;Cha, Kyoul-Ja
    • Research in Community and Public Health Nursing
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    • v.12 no.3
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    • pp.773-784
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    • 2001
  • The study was conducted to test the effectiveness of thermotherapy for high school girls who suffered from disruption in school activities through dysmenorrhea, and to study the extent of its availability in school infirmaries as one of the nursing methods. The test for the study was designed to make a contrast between half of the subjects (20) who did not receive the thermotherapy, and the rest (20) who did during the period from February 15th to April 14th, 2001. Measurements were taken of the subjects who complained of painful menstruation by a set of variables. The variables that were established and complemented by Hur, Mung-heang (1985) consist of 29 items that assess the dysmenorrhea and vitality through the symptoms of primary menstruation visually. Spsswin was used to analyze the data. The Cronbach-${\alpha}$ method was used for statistic confidence, and the test effect of both the subjects and the contrary ones was analyzed by way of T-test. The conclusions are as follow. (1) The hypothesis 1 states that the subjects with themotherapy have a lower degree of dysmenorrhea rather than the contrary ones without it. By the above assessment, there was a quantitative difference between the subjects at 39.40, and the contrary ones at 22.0. After the themotherapy, the degree of dysmenorrhea in the subjects was low indicating that there is a still 5% chance of statistic meaningful difference (t= 2.651. P= .012). As a result, the first hypothesis was accepted. (2) The hypothesis 2 states that the subjects with themotherapy have a different primary menstruation than those without. Data indicate that there was a difference of -5.95 and -4.80. The subjects showed low degrees. Since it was statistically insignificant (t=-1.398, P=.170), the second hypothesis was rejected. (3) The hypothesis 3 states that the subjects with themotherapy have a different vitality. The vitality was measured in three aspects. (1) pulse rate (/min) The hypothesis 3' states that the subjects with themotherapy have the different pulse rate from those without. Data indicate that there was no statistically meaningful difference between the two groups (t=.237, P=. 814). Therefore, the third 1st hypothesis was rejected. (2) Respiration rate The hypothesis 3' states that the subjects with themotherapy have a different respiration rate between pre-thermotherapy and post-thermotherapy. in contrast with the ones without it. The data show that there was no statistically meaningful difference (t=.133. P=.895). A little respiration rate difference was shown between pre-and post-. Likewise. the third 2nd hypothesis was rejected. (3) Blood pressure In the 3rd sub-hypothesis that there would be a difference between experimental and controlled groups was also rejected. because there was no statistically significant difference between the contracting blood pressure and the relaxing blood pressure. In terms of vitality. the pulse rate, respiration rate and blood pressure have no statistical meaning but the first two ones show the decreasing in the rate. In short, though exclusive studies focused on thermo therapy have not been conducted and the comparison can not be made, this study shows not only that the thermotherapy is very effective to dysmenorrhea, but also that it can be available in school infirmaries as one of the nursing methods.

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A Study on Rehabilitation Treatment Using Radiofrequency Treatment (고주파 통증치료기를 이용한 재활 치료에 대한 연구)

  • Jo, Jae-Hyun;Lee, Sang-Yong;Lee, Geun-Yong;Yoon, Se-Jin;Cheong, Ha-Young;Lee, Sang-Sik
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.3
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    • pp.212-218
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    • 2020
  • When Radiofrequency energy is applied to the human body, the vibration width is very short. Therefore, the electrolyte burn generated when using the direct current does not occur. Ion molecules, polarized molecules, etc., vibrate more than 40,000 times per second, converting them into frictional heat to generate deep heat. The blood flow of capillaries increases 4-5 times more than at rest, increasing the supply of oxygen, nutrients, antibodies, and white blood cells. In addition, the electrochemical reaction does not occur because the vibration width and the pulsation period are very short. It is a physical factor treatment method that does not stimulate the sensory nerves and motor nerves. In this study, an isotonic exercise is performed in a young normal adult using a Radiofrequency pain treatment device. The purpose of this study is to integrate rehabilitation therapy by measuring electromyography data during isotonic exercise and confirming the effect on changes in motor neuron response. The EMG data generated when isotonic exercise of the forearm biceps muscle and the EMG data measured after the use of a Radiofrequency pain treatment device after exercise were RMS, respectively, and verified through t-test. It was confirmed that there was a significant difference in both men and women because the t-value was smaller than the significance level p (<.05).

A study of distribution characteristics of unidentified particulate components in an urban area (도시환경의 총부유먼지 중 미지성분의 분포 특성에 대한 연구)

  • Kim, Yong-Hyun;Kim, Ki-Hyun;Park, Chan-Koo;Shon, Zang-Ho;Song, Sang-Keun
    • Analytical Science and Technology
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    • v.25 no.2
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    • pp.133-145
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    • 2012
  • The quantitative composition of total suspended particulates (TSP) in the atmosphere is identified to consist mainly of ions, organic carbon (OC), element carbon (EC), and metals. In terms of environmental analysis, the rest of the TSP composition may be defined as unknown fraction (${\Sigma}X$) which is yet difficult to analyze both quantitatively and qualitatively. In this study, the major components of TSP were measured at an urban residential area (Gang Seo) in Seoul, Korea from February to December 2009. These TSP data were analyzed in various respects to explain the relationship between known and unknown constituents. During this study period, TSP was comprised mainly of unknown compounds (48.6%) followed by ions, OC, EC, and metals. The results of this study indicate that the distribution of ${\Sigma}X$ exhibits a strong similarity with ${\Sigma}Anions$, as they both increase with increasing TSP levels. However, if the concentrations of ${\Sigma}X$ and ${\Sigma}Anion$ are normalized against TSP, they exhibit a strong inverse correlation with each other due probably to larges differences in solubility. To establish a better strategy for air quality control in urban atmosphere, more efforts are needed to characterize unidentified proportion of particulate matters.

Group-based Random Access Using Variable Preamble in NB-IoT System (NB-IoT 시스템에서 가변 프리앰블을 이용한 그룹 랜덤 액세스)

  • Kim, Nam-Sun
    • The Journal of Korea Institute of Information, Electronics, and Communication Technology
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    • v.13 no.5
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    • pp.370-376
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    • 2020
  • In this study, we consider a group-based random access method for group connection and delivery by grouping devices when H2H devices and large-scale M2M devices coexist in a cell in NB-IoT environment. H2H devices perform individual random access, but M2M devices are grouped according to a NPRACH transmission period, and a leader of each group performs random access. The preamble is allocated using the variable preamble allocation algorithm of the Disjoint Allocation(DA) method. The proposed preamble allocation algorithm is an algorithm that preferentially allocates preambles that maximizes throughput of H2H to H2H devices and allocates the rest to M2M devices. The access distribution of H2H and M2M devices was set as Poisson distribution and Beta distribution, respectively, and throughput, collision probability and resource utilization were analyzed. As the random access transmission slot is repeated, the proposed preamble allocation algorithm decreases the collision probability from 0.93 to 0.83 and 0.79 when the number M2M device groups are 150. In addition, it was found that the amount of increase decreased to 33.7[%], 44.9[%], and 48.6[%] of resource used.