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Characteristics of Disease and Assistance Required for Bed-Ridden Elderly Patients at Home in Rural Areas (일부 농촌지역 재가 와병노인의 질환 및 개호의 특성)

  • Kim, Jin-Ho;Jeong, Yong-Jun;Cho, Young-Chae
    • Journal of agricultural medicine and community health
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    • v.28 no.2
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    • pp.49-59
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    • 2003
  • Objectives: This study was intended to provide basic data available for the establishment of comprehensive and systematic public medical service for older persons about their concurrent pathology and time span for their bedridden state, and thereby, the medical service, and individual cares they have received. Methods: The study subjects included 207 elderly residents of men and women aged over 65, who were in the bedridden state at home at the time of investigation in September of 2002 at 11 'Myon' in Kongju city, Chungchongnamdo Province. They were asked to respond to the questionnaires by using interviews at their homes. Results: Of the elderly population studied, the overall rate of bedridden states was 1.61%(1.46% in men and 1.71% in women) and there was an increasing tendency with age in both sexes. The causes for bedridden states indicated that hypertension and atherosclerosis accounted for 43.6 % of them in men, and lumbago neuralgia spinal disease 40.3% in women as the most frequent cause, respectively. The mean years of bedridden states were greater in men(4.81${\pm}$2.89) than women(4.98${\pm}$2.89). By age groups, both sexes showed an increasing tendency of time span with age. The items of care required for the bedridden showed that bathing was the most frequent and it was followed by toileting, dressing and feeding in a decreasing order of frequency. The number of care per one patient was 3.4 in men and 3.5 in women with the increased tendency with decreasing age Ain both sexes. Conclusions: Though the proportion of bed-ridden patients increased according to the increasing age, there are substantial limitations in reducing the prevalence of chronic diseases. Therefore, it is required to establish the appropriate measures, such as various resources of health care services for dealing with the steadily increasing rate of bed-ridden patients.

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Analysis on Change in Korean Marriage Behaviors (한국인 혼인행태 변화분석)

  • 이삼식
    • Korea journal of population studies
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    • v.16 no.2
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    • pp.84-110
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    • 1993
  • This study aims at identifying the recent change in marriage behaviors in Korea. The data used here is the vital statistics compiled from the vital registration system of which registration form is put on one from together with the civil registration form. According to the results of this analysis, since 1970 the number of marriages has steadily increased from about 300, 000 in the former of 1970s to about 400, 000 in the latter of 1980s, appproximately coincided with the change in population size at the marriageable age span. The few exceptions that can be seen in the 1970s seem to result from the impact of social upheavals during 1950s; since the birth cohorts affected by the low fertility during the Korean war and the post-war baby-boom generations chracterized by the high fertility entered the marriage market in the 1970s. However, the marriage rate shows a little increase from around 7 in the former of 1970s to around 9 in the latter of 1980s, indicating that the marriage prevalence has been more or less inconsiderably changed during this period. It is also found that the proportion of remarriage to the total marriages has increased to around 10 per cent in 1989, while decreasing that of first marriage. This fact can be attributable to the higher prevalence of divorces and the collapsing of the Confucianism ethic which contributed to expediting the remarriage of widows. Although this proportion is insignificant compared with that of the of more developed countries, it is not difficult to say that the proportion of remarriages will continue to increase in future. The age first at first marriage(AFM) which directly affects the span exposed to the risks pregnancy has increased to the age about 28 for male and about 25 for female in recent years. However, big difference in AFM between urban and rural areas has narrowed, resultant from the increasing involuntary postponement of marriage of rural young population who have met difficulties in seeking their bride or bridegroom in rural areas characterized by the heavy out-migration of young, particularly female, population. The present study shows the reverse relationship between AFM and educational attainment; i.e, the higher the educational attainment the lower the AFM. The conditions which are taken into considerations were the class and the family in the past time but which are, educational attainment, job and personal characteristics. With regard to the age condition, in recent years the male prefers the female younger than himself on the average by 3 years and vice versa, which is reduced form 4-5 years in beginning of 1970s. The age difference bride and bridegroom tends to decrease with the educational attainment increase. This may be attributable to the fact that the persons with the higher educational attainment prefer the love marriage and hence are more likely to choose their counterparts in the about same age. The education condition is characterized by the bridegroom having the higher educational level than bride. It is also significant to note that the proportion of love marriage has increased, whereas that of traditional arranged marriage has decreased. This is true in the urban areas than the rural areas, indicating that rights as well as responsibilities for marriage have been handed over the young population from their parents. In conclusion, the change in the marriage behaviors in Korea are characterized by increasing tendency for the postponement of first marriage, higher prevalences of divorces and a result remarriages, increase of love marriages, narrowing age difference between bride and bridegroom, etc. which are the main results of rapid industrization, increase in educational and economic activity opportunities and change in the ideals of marriages during the past decades. These phenomena prevailing in Korean society would affect not only the family structure that will become less proliferiated but the population size and structure. The most important is that the changes in marriage behaviors of Koreans and their impact on the society with respect to norms, values, morals, of individual and family in the social aspect, change in population size and structure in the demograpic aspects, and economic development in the economic aspects should be integrated into the plannings towards to the future.

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Seasonal Characteristics of Eggs and Adults of Luciola lateralis (Coleoptera: Lampyridae) Reared in the Laboratory (애반딧불이 실내사육과정에서 알과 성충의 계절적 특성)

  • Kim, Kang-Hyeok;Kim, Ha-Gon;Jeong, Jae-Hun
    • Korean journal of applied entomology
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    • v.53 no.3
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    • pp.225-229
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    • 2014
  • Seasonal changes in the firefly (Luciola lateralis) were studied in the laboratory to understand biological characteristics. Fecundity varies with seasons; these were measures at $162.0{\pm}8.67$ in the winter, $226.9{\pm}15.84$ in the spring and $166.6{\pm}9.3$ in the summer. Seasonal change also influenced oviposition period ($6.9{\pm}0.59$ days in the winter, $16.1{\pm}1.10$ days in the spring and $8.2{\pm}0.61$ days in the summer). The firefly oviposited every $2.5{\pm}0.22$ days in the winter, $3.9{\pm}0.25$ days in the spring, and $2.3{\pm}0.14$ days in the summer. Oviposition occurred 3 times in the winter, and 4 times in the spring and summer. The number of eggs per cycle was $52.2{\pm}4.56$ and $55.9{\pm}4.38$ in winter and spring, respectively, and was lower in the summer ($42.2{\pm}3.76$). Egg period significantly differed among seasons. The life span of the firefly was $17.9{\pm}0.14$ days in the winter, $19.7{\pm}0.25$ days in the spring and $16.5{\pm}0.43$ days in the summer.

Comparison of Executive function in Children with ADHD, Asperger's Disorder, and Learning Disorder (주의력결핍과잉행동 장애, 아스퍼거 장애, 학습 장애 아동의 실행기능 비교)

  • Shin Min-Sup;Kim Hyun-Mi;On Shine-Geal;Hwang Jun-Won;Kim Boong-Nyun;Cho Soo-Churl
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.17 no.2
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    • pp.131-140
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    • 2006
  • Objectives : This study was conducted to investigate the deficits of executive function in children with ADHD, Asperger's Disorder(AD), and teaming disorder (LD), and to identify the differential characteristics of executive function deficits among three groups. Methods : The clinical group consisted of 46 children between the ages of 7 and 15 (16 ADHD, 16 LD, 14 AD). Neuropsychological tests for measuring cognitive function, attention and executive function were individually administered to children, and their performance scores were calculated based on the age norm for each test. Results : There was no significant difference in FSIQ, VIQ, and PIQ among the three groups. However, the AD group tended to show higher scores on the subtests of Information, Vocabulary and Digit Span, and lower score on Comprehension subtest than the ADHD and LD groups, while the LD group tended to show the lowest scores on the Information and Vocabulary subtests. On ADS, the ADHD group showed the highest omission and commission errors. All groups showed poor performances belonging to below 25 percentile ranks on executive function tests when compared to the age norms of normative group. The number of completed category on WCST was the smallest in the ADHD group, while the working memory score was the lowest in the LD group. Conclusion : These results suggest that ADHD, LD, and AD children have executive function deficit in common. However, the specific deficit areas in executive function are different for each group.

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An Empirical Validation Study for Calibration Verification in TDM Test (검량보정 검증의 실험적 적합성에 대한 연구 -치료적 약물검사를 중심으로-)

  • Chang, Sang-Wu;Kim, Nam-Yong;Choi, Ho-Sung;Park, Yong-Won;Chu, Gyung-Bok;Yun, Keun-Young;Park, Byung-Ok
    • Korean Journal of Clinical Laboratory Science
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    • v.37 no.1
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    • pp.1-7
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    • 2005
  • The purpose of this study was to verify (i) a consistent calibration verification for the assessment of method linearity and (ii) calibration agreement with calibration settings. We validated calibration verification through method linearity with different lot number of individual calibrators that span the working range for 9 tests except salicylate with control sample in test. We evaluated that it covered broad analyte range to assay from near zero to the top of the measuring range with 5 or 6 points every three times for 10 analytes in TDM test. Target values were plotted on X-axis with assigned or observed values on the Y-axis. Working range were as follows. Calibration verification of the measuring range (maximum to minimum values) has been validated asetaminophen 0.1 to $304.6_{\mu}g/mL$, salicylate 0 to $1005_{\mu}g/mL$, valproic acid 3.2 to $154.19_{\mu}g/mL$, digoxin 0.17 to 5.65 ng/mL, vancomycine 1.3 to $80.51_{\mu}g/mL$, carbarmazepine 0.1 to $22.3_{\mu}g/mL$, phenytonin 0.6 to $40.21_{\mu}g/mL$, theophyline 0.2 to $40.21_{\mu}g/mL$, primidone 0 to $24.07_{\mu}g/mL$, phenobarbital 0.6 to $60.0_{\mu}g/mL$. Drawing a straight line through five or six points of these data showed good linearity. We are sure that it is important to assess the calibration verification of a test method to ascertain the lowest and highest test results that are reliable.

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The Analysis and Field Measurement of Longitudinal Track Forces for Long Railroad Bridges (교량상 궤도축력의 해석 및 실측결과 비교)

  • Kang, Kee Dong;Park, Jong Bang;Kim, In Jae;Park, Dae Geun
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.14 no.4
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    • pp.907-913
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    • 1994
  • The design of railroad bridges differs from road bridges because of the interface between track structure and bridge structure. The track generally consists of Continuous Welded Rail(CWR) which is fixed by fasteners to the sleepers embedded in the ballast. The ballast provides the interface between the track structure and the bridge structure. Large longitudinal forces can develop from the temperature variation in rail and bridge structure. These longitudinal forces are specially important for long bridges because the bridge layout for span length, pier dimensions and arrangement and type of bearings can be governed by these forces. This report provides a comparison of longitudinal track forces determined by analysis and actual measured track forces. In recent practice the longitudinal track force for European railways is analyzed using a finite element analysis method. This method is very time-consuming and requires the detail design of the bridge to be complete. Redesign is required if the design criteria for longitudinal track forces are not satisfied. There is a need to develop a simple analysis method considering the large number of bridge structures and a relatively short design time on the Korean High Speed Rail Project. The analysis results presented herein, based on a simplified analysis, show good agreement with those obtained by finite element analysis, as well as with those measured on an actual track. The proposed analysis method is particularly useful for the preliminary design of bridge structures.

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Rapamycin Rescues the Poor Developmental Capacity of Aged Porcine Oocytes

  • Lee, Seung Eun;Kim, Eun Young;Choi, Hyun Yong;Moon, Jeremiah Jiman;Park, Min Jee;Lee, Jun Beom;Jeong, Chang Jin;Park, Se Pill
    • Asian-Australasian Journal of Animal Sciences
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    • v.27 no.5
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    • pp.635-647
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    • 2014
  • Unfertilized oocytes age inevitably after ovulation, which limits their fertilizable life span and embryonic development. Rapamycin affects mammalian target of rapamycin (mTOR) expression and cytoskeleton reorganization during oocyte meiotic maturation. The goal of this study was to examine the effects of rapamycin treatment on aged porcine oocytes and their in vitro development. Rapamycin treatment of aged oocytes for 24 h (68 h in vitro maturation [IVM]; $44h+10{\mu}M$ rapamycin/24 h, $47.52{\pm}5.68$) or control oocytes (44 h IVM; $42.14{\pm}4.40$) significantly increased the development rate and total cell number compared with untreated aged oocytes (68 h IVM, $22.04{\pm}5.68$) (p<0.05). Rapamycin treatment of aged IVM oocytes for 24 h also rescued aberrant spindle organization and chromosomal misalignment, blocked the decrease in the level of phosphorylated-p44/42 mitogen-activated protein kinase (MAPK), and increased the mRNA expression of cytoplasmic maturation factor genes (MOS, BMP15, GDF9, and CCNB1) compared with untreated, 24 h-aged IVM oocytes (p<0.05). Furthermore, rapamycin treatment of aged oocytes decreased reactive oxygen species (ROS) activity and DNA fragmentation (p<0.05), and downregulated the mRNA expression of mTOR compared with control or untreated aged oocytes. By contrast, rapamycin treatment of aged oocytes increased mitochondrial localization (p<0.05) and upregulated the mRNA expression of autophagy (BECN1, ATG7, MAP1LC3B, ATG12, GABARAP, and GABARAPL1), anti-apoptosis (BCL2L1 and BIRC5; p<0.05), and development (NANOG and SOX2; p<0.05) genes, but it did not affect the mRNA expression of pro-apoptosis genes (FAS and CASP3) compared with the control. This study demonstrates that rapamycin treatment can rescue the poor developmental capacity of aged porcine oocytes.

Host ranges and Temperature effects on the development of Liriomyza trifolii Burgess(Diptera: Agromyzidae) (아메리카잎굴파리의 기주범위 및 충태별 발육에 미치는 온도의 영향)

  • 박종대
    • Korean journal of applied entomology
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    • v.35 no.4
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    • pp.302-308
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    • 1996
  • This study was conducted to investigate occurrence and host ranges of Liriomyza trifolii Burgess, American serpentineleafminer, in Chonnam province. Also, temperature effects on the development along with morphologicalcharacteristics in each instar of L. trifolii were studied. L. hifolii was observed from 22 species inthe 7 families. Gerbera, chrysanthemum and tomato were the most damaged host plants. Egg was transparentwhite with lengthlwidth of 0.27 mm10.25 mm while matured larva was yellow with that of 2.03 mm10.80 mmrevealing serpentine gallary under leaf cuticle. Pupa was light brown with that of 1.75 mrn10.74 mm and pupatedon the soil and/or leaf surface. Lengthlwing span of adult was 1.78 mm/3.43 mm. Number of oviposition/sucking punches by L. bifolii adult was 26.1% and 13.3% in tomato and gerbera leaves respectively. Feedingactivity of larval stage was highest at 2OoC. Developmental~threshold (DT) and effective accumulative temperatures(ET) on gerbera leaves were 11.2"C, 33.9DD in egg, 10.3'C, 38.6DD in larva, 10.7"C, 152.3DD inpupa, and 10.8"C, 222.8DD from egg to pupa. On tomato leaves, DT and ET were 13.6"C, 20.2DD in egg, 9.3"C, 43.7DD in larva, ll.O$^{\circ}$C, 114.3DD in pupa, and 11.6"C 178.2DD from egg to pupaDD in pupa, and 11.6"C 178.2DD from egg to pupa pupa.

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Development of the Korean Practice Parameter for Adult Attention-Deficit/Hyperactivity Disorder

  • Bahn, Geon Ho;Lee, Young Sik;Yoo, Hanik K.;Kim, Eui-Jung;Park, Subin;Han, Doug Hyun;Hong, Minha;Kim, Bongseog;Lee, Soyoung Irene;Bhang, Soo Young;Lee, Seung Yup;Hong, Jin Pyo;Joung, Yoo-Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.31 no.1
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    • pp.5-25
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    • 2020
  • Objectives: Adult attention-deficit/hyperactivity disorder (ADHD) is an important mental health problem that needs resolution, especially considering the high rates of ADHD continuation from childhood to adolescence/adulthood and the high prevalence of ADHD in adults. Adults with ADHD have lifelong negative impacts and require close monitoring with long-term follow-up. Hence, the establishment of a Korean practice parameter for adult ADHD is necessary to minimize discontinuation of treatment and enable information sharing among Korean mental health professionals. Methods: The Korean practice parameter was developed using an evidence-based approach consisting of expert consensus survey coupled with literature review. Results: According to the expert consensus survey, the most commonly used diagnostic methods were clinical psychiatric interview (20.66%) and self-report scales (19.25%) followed by attention (14.71%) and psychological tests (14.24%). Key evaluation instruments currently available in Korea are the World Health Organization Adult ADHD Self-Report Rating Scale, Korean Adult ADHD Rating Scale, Diagnostic Interview for ADHD in Adults, Barkley Deficits in Executive Functioning Scale for adults, Comprehensive Attention Test, Conners' Continuous Performance Test, and the subtests of Wechsler Adult Intelligence Scale, Digit Span and Letter-Number Sequencing. Although pharmacotherapy is recommended as the first-line of treatment for adult ADHD, we recommend that it be followed by a multimodal and multidisciplinary approach including psychoeducation, pharmacotherapy, cognitive behavior therapy and coaching. Conclusion: The Korean practice parameter introduces not only general information for the diagnosis and treatment of adult ADHD on a global scale, but also the process of diagnosis and treatment options tailored to the Korean population.

Seismic Behavior of Bridges Considering Ground Motion Spatial Variation (공간적으로 변화하는 입력지진으로 인한 교량의 지진거동특성)

  • Bae, Byung Ho;Choi, Kwang Kyu;Kang, Seung Woo;Song, Si Young
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.4
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    • pp.759-768
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    • 2015
  • The ground motions of large dimensional structures such as long span bridges at different stations during an earthquake, are inevitably different, which is known as the ground motion spatial variation effect. There are many causes that may result in the spatial variability in seismic ground motion, e.g., the wave passage effect due to the different arrival times of waves at different locations; the loss of coherency due to seismic waves scattering in the heterogeneous medium of the ground; the site amplification effect owing to different local soil properties. In previous researches, the site amplification effects have not been considered or considered by a single-layered soil model only. In this study, however, the ground motion amplification and filtering effects are evaluated by multi-layered soil model. Spatially varying ground motion at the sites with different number of layers, depths, and soil characteristics are generated and the variation characteristics of ground motion time histories according to the correlation of coherency loss function and soil conditions are evaluated. For the bridge system composed of two unit bridges, seismic behavior characteristics are analyzed using the generated seismic waves as input ground motion. Especially, relative displacement due to coherency loss and site effect which can cause the unseating and pounding between girders are evaluated. As a result, considering the soil conditions of each site are always important and should not be neglected for an accurate structural response analysis.