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A Comparison of Clinical Efficacy of Weaning Method Between the Mode of Intermittent Mandatory Ventilation and Intermittent Mandatory Ventilation Plus Pressure Support (기계적 호흡 치료로부터의 이탈방법으로서 Intermittent Mandatory Ventilation 단독 사용과 Pressure Support를 병용한 Intermittent Mandatory Ventilation의 비교)

  • Choi, Jeong-Eun;Koh, Youn-Suck;Cho, Won-Kyoung;Lim, Chae-Man;Kim, Woo-Sung;Park, Pyung-Hwan;Choi, Jong-Moo;Kim, Won-Dong
    • Tuberculosis and Respiratory Diseases
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    • v.41 no.4
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    • pp.372-378
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    • 1994
  • Background: Pressure support ventilation(PSV) is a new form of mechanical ventilatory support that assists spontaneous inspiraory effort of an intubated patient with a clinician-selected amount of positive airway pressure. Low level pressure support during inspiration can overcome the resistive component of inspiratory work imposed by an endotracheal tube. However the clinical efficacy of PSV as a weaning method has not been established yet. Object: The aim of study was to evaluate the efficacy of PSV when it is added to intermittent mandatory ventilation(IMV) in facilitating weaning precess compaired to IMV mode alone. Method: When the subject patients became clinically stable with their arterial blood gas analysis in acceptable range, they underwent weaning process either by IMV alone or by IMV plus PSV. The level of pressure support was held constant throught the weaning period. For the patients who required mechanical ventilation for less than 72 hr, 2h weaning trial was performed with IMV rate starting from 6/min. For the patients who required mechanical ventilation more than 72 hr, 7 hr weaning trial was performed with IMV rate starting from 8/min. For the patients who failed three consecutive trials of weaning, retrial of weaning was attempted over 3 days with IMV rate starting from 8/min. Clinical characteristics, APACHE II score and nutritional status were compared. For all patients, heart rate, mean blood pressure and respiratory rate were mornitored for 48 hrs after weaning trial started. Results: The total number of weaning trial was 37 in 23 patients(18 by IMV, 19 by IMV+PSV). Total ventilation time, APACHE II score and nutritional status were not statistically different between the two groups. The weaning success rate were not statistically different(38.3% by IMV, 42.1% by IMV+PSV) and the changes of mean blood pressure, heart rate, respiratory rate during first 48 hours were not different between the two groups. Conclusion: Low level PSV when added to IMV for weaning trial does not seem to improve the success rate of weaning from mechanical ventilation. PSV at 10cm $H_2O$ did not induce significant physiologic changes during weaning process.

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A Exploratory Study on Multiple Trajectories of Life Satisfaction During Retirement Transition: Applied Latent Class Growth Analysis (은퇴 전후 생활만족도의 다중 변화궤적에 관한 탐색적 연구: 잠재집단성장모형을 중심으로)

  • Kang, Eun-Na
    • Korean Journal of Social Welfare Studies
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    • v.44 no.3
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    • pp.85-112
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    • 2013
  • This study aims to understand the developmental trajectories of life satisfaction among retirees and to examine what factors differentiate different trajectory classes. This study used three waves of longitudinal data from Korean Retirement and Income Study and data collected every two years(2005, 2007, and 2009). Subjects were respondents aged 50-69 who identified to be retired between wave 1 and wave 2. Finally, this study used 243 respondents for final data analysis. Life satisfaction was measured by seven items. The latent class growth model and multiple logistic regression model were used for data analysis. This study identified three distinct trajectory classes: high stable class(47.7%), high at the early stage but decreased class(42.8%), and low at the early stage and then decreased class(9.5%). This study founded that approximately 50% of the retirees experienced the decline of life satisfaction after retirement and about 10% of the sample was the most vulnerable group. This study analyzed what factors make different among the distinct trajectory groups. As a results, retirees who experienced the improvement in health change were more likely to be in 'high stable class' compared to 'hight at the early stage but decreased class'. In addition, retirees who were less educated, maintained the same health status rather than the improvement, worked as a temporary or a day laborer, and had less household income were more likely to belong to 'low at the early stage and then decreased class' relative to 'high stable class'. This study suggests that there are distinct three trajectories on life satisfaction among the retirees and finds out factors differentiating between trajectory groups. Based on these findings, the study discusses the implications for social work practice and further study.

Performance and Meat Quality of Three-Crossbreed Korean Native Chickens (KNC) (한국토종닭 3원교배종의 생산성과 육질 특성)

  • Park, Mi-Na;Hong, Eui-Chul;Kang, Bo-Seok;HwangBo, Jong;Kim, Hak-Kyu
    • Korean Journal of Poultry Science
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    • v.38 no.4
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    • pp.293-304
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    • 2011
  • The current work was carried out to investigate the effect of crossbred Korean native chickens (KNC) on performance and meat quality. A total of 720 chicks (1d of age) was used in this work and were divided into groups by crossbreds (A, B, C and D) and sex (male and female). Crossbreds were A) (KNC egg-meat type C strains ${\times}$ KNC meat type S strains) ${\times}$ Ross broiler, B) (KNC egg-meat type C strains ${\times}$ KNC meat type H strains) ${\times}$ KNC meat type S strains, C) (KNC native R strains${\times}$KNC meat type S strains)${\times}$KNC meat type H strains and D(White Semibroiler Chickens). Experimental diets consisted of 3 phases such as starter (0~5 weeks; CP 20.0%, ME 3,050 kcal/kg), earlier (5~8 weeks; CP 18.0%, ME 3,100 kcal/kg) and finisher (8~12 weeks; CP 16.0%, ME 3,150 kcal/kg). They were fed the broiler diets for 12 weeks at the flat house and thirty six chickens were slaughtered at week 5 and 10. There was no significant difference on the fertility of crossbred KNCs, and the hatchability of B crossbred was low compared to other crossbreds. On body weight (BW), D crossbred resulted in a higher BW after 5 weeks (P<0.05). Body weight gain (BWG) and feed intake (FI) of A crossbred were also significant higher compared to the other crossbreds for all periods. On carcass ratio (CR), A crossbred showed higher CR at 5 weeks, there was no significant among crossbreds at 10 weeks. The partial meat ratio(ala, breast, neck, leg) of C crossbred was the lowest among other crossbreds (P<0.05), but the back meat ratio was not difference among treatments at 5 and 10 weeks. pH of meats have no difference among crossbreds at 5 week, and A crossbred was high compared to other crossbreds at 10 week (P<0.05). The moisture content of D crossbred meat and the protein content of B crossbred meat were high compared to other crossbreds at 5 week. Chemical compositions of meats have no difference among crossbreds at 10 week. Lightness and redness have not significance among crossbreds at 5 week, and redness of A crossbred was the highest among all crossbreds (P<0.05). Shear force and cooking loss of A crossbred were high at 5 week, and cooking loss of A crossbred was low compared with other crossbreds at 10 week. These results suggested the basic data that needed to develope the new strains.

A Research on the Sanitary Education, Knowledge and Management Level of Shop Employees and Workplace Employees Working at Window Bakeries in the Metropolitan Area (수도권 윈도우 베이커리 매장근무자와 공장근무자의 위생 교육, 위생 지식과 위생 관리 현황에 관한 연구)

  • Hwang, Yoon-Kyung;An, Hye-Lyung
    • Culinary science and hospitality research
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    • v.20 no.1
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    • pp.159-177
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    • 2014
  • The purpose of this study is to investigate the level of sanitary education, knowledge, and management practice of shop employees(SE) and workplace employees(WE) working at window bakeries. SE & WE were grouped according to their job titles, duration of duty, and frequency of sanitary education, and sanitary knowledge and sanitary management practice level of the groups were analyzed, divided into personal hygiene, facility & workplace hygiene, and ingredient & preparation hygiene. Frequency of hygiene education of employees working at window bakeries was less than 3 times a year. The average sanitary management practice level of WE was higher than that of SE. The sanitary knowledge of SE was low at ingredient& preparation hygiene among the general managers and the employees who had worked more than 5 years. And that of WE was low among the general managers, interns and the employees who had worked more than 5 years. The sanitary management practice level of SE was low among the interns and the employees who had worked for less than 1 year, and that of WE showed no significant difference on job titles and duration of work. The employees who had no sanitary training showed a low management practice level overall among the SE and at ingredient & preparation hygiene among the WE. Therefore, continuous hygiene education and monitoring accompanied by making a manual with hygiene education data for SE and WE working at window bakeries are needed.

Influence Factors of Online-Based Interpersonal Relationships by Developmental Level -Centered on Social Networking Service Users - (대인관계 발달 단계에 따른 온라인기반 대인관계에 미치는 영향요인 - 소셜네트워크 서비스(SNS) 사용자를 중심으로 -)

  • Heo, Song-Ji;Kim, Ja-Young;Jang, Hee-Jin;Ko, Hye-Young;Park, Su-E
    • Journal of Korea Game Society
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    • v.12 no.2
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    • pp.75-89
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    • 2012
  • In this paper, the correlation which is at work between affecting factors and interpersonal relationships' dimension depend on developmental level has been studied to search for clues about how to develop the online based interpersonal relationships -the fundamental aims of SNS related services- efficiently. People who'd ever entered into a relation through the 'online-based generated relationship' by SNS were divided into two groups on the development level. They were conducted a survey, and the results were derived using PLS statistics. As the result, 7 kinds of factors as social attraction, physical attraction, reciprocity, content quality, coexistence perception, information provision and similarity had an impact on the initial level of relationships, and 6 kinds of factors as social attraction, physical attraction, reciprocity, content quality, web appearance and coexistence perception had an impact on the developed level of relationships. This study could be utilized for the service design for facilitating interpersonal relationships efficiently by their level of development.

Preparation and Characterization of Cellulose Nano-Whiskers Extracted from Microcrystalline Cellulose by Acid Hydrolysis (산 가수분해를 이용하여 microcrystalline cellulose로부터 추출 된 cellulose nano-whisker의 특성분석)

  • Jeong, Hae-Deuk;Yoon, Chang-Rok;Lee, Jong-Hyeok;Bang, Dae-Suk
    • Elastomers and Composites
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    • v.45 no.1
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    • pp.51-57
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    • 2010
  • Cellulose nanowhiskers (CNW) gamered increasing interest for their remarkable reinforcement of polymer composites. In this work, we were to produce cellulose whiskers from commercially available microcrystalline cellulose (MCC) by acid hydrolysis with sulfuric and hydrochloric acids. Electron microscopy found that each acid produced sililar cellulose crystals of diameters ranging from 20 to 30 nm and lengths ranging from 200 to 300 nm. Moreover, all samples showed remarkable flow birefringence through crossed polarization filters. Conductometric titration of CNW suspensions revealed that the sulfuric acid treated sample had a surface charge of between 140.00 mmol/kg and 197.78 mmol/kg due to sulfate groups, while that of the hydrochloric acid treated sample was undetectable. Thermogravimetric analysis showed that the thermal decomposition temperature and apparent activation energy (evaluated by Broido's method at different stages of thermal decomposition.) of H1-CNW - prepared by hydrolysis with hydrochloric acid - was higher than those of S1-CNW and S2-CNW - prepared by hydrolyzing MCC with sulfuric acid.

The Effect of Government Officials' Cultural Bias to their Social Acceptance including a Case Study of Implementing New Air Traffic Flow Management System (공무원의 문화적 편향이 사회적 수용성에 미치는 영향 연구: 새로운 항공교통시스템 도입 사례를 중심으로)

  • Kim, Soo-Jung;Jin, Jang-Won;Park, Sung-Sik
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.22 no.4
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    • pp.493-503
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    • 2021
  • In this study aviation authority officials were classified into four cultural groups according to culture theory, and then questioned to determine the effects of cultural bias on their social acceptance of a new air traffic flow management system. Based on previous studies, cultural biases were categorized as egalitarianistic, individualistic, fatalistic, and hierarchical, and social acceptances were considered to be influenced by four variables, that is, perceptions of usefulness, work attitude, intention to use, and behavior (job absorption). Empirical analysis showed that hierarchy had a significant positive effect on social acceptance, and egalitarianism was found to have a significant positive effect on social acceptance with 95% credibility. We propose the organizational culture of Korean government be changed to accept the diverse opinions of government officials during the implementation phase of the new system recommended by ICAO.

Evaluation of Korean Native Ducks on Production Efficiency Factor, Carcass Yield, Partial Meat Ratio and Meat Quality with Weeks (토종오리 대형종의 주령별 생산지수, 도체 수율, 부분육 비율 및 육질 평가)

  • Heo, Kang-Nyeong;Kim, Hak-Kyu;Kim, Chong-Dae;Kim, Sang-Ho;Lee, Myeong-Ji;Choo, Hyo-Jun;Son, Bo-Ram;Choi, Hee-Cheol;Lee, Sang-Bae;Hong, Eui-Chul
    • Korean Journal of Poultry Science
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    • v.40 no.2
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    • pp.121-127
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    • 2013
  • This work was carried to evaluate production efficiency factor, carcass yield and meat quality with weeks of Large-type Korean native ducks. Korean native ducks (n = 90) from National Institute of Animal Science (RDA, Korea) were used in this work. Ninety ducks were divided into 6 groups (15 birds/group) and were fed with meat-type duck diets for 8 wk old. When ducks grew at specific wk (6, 7 and 8 weeks), 2 ducks per group were slaughtered at 6, 7 and 8 wk old. Production efficiency factor, carcass yield, partial meat and meat quality were researched in this work. There was no significant difference on livability with weeks, but body weight at 7 and 8 wk old was higher than that at 6 wk old (P<0.05). Feed conversion ratio at 6, 7 and 8 wk old were 2.25, 2.69 and 3.21, respectively, so there was significant difference with weeks (P<0.05). Production efficiency factor at 6, 7 and 8 wk old were 256.6, 199.8 and 153.0, respectively, so there was significant difference with weeks (P<0.05). Carcass yield at 8 wk old was higher than that at 6 and 7 wk old as 73.5% (P<0.05). Lightness at 6, 7 and 8 wk were 41.8, 39.0 and 38.1, respectively, and that at 6 wk old was the higher than other weeks (P<0.05). There was no significant difference on redness at 6, 7, and 8 wk old (P>0.05) and yellowness at 8 wk old was higher compared to other weeks (P<0.05). Cooking loss was the highest at 6 wk old as 31.6%, but water holding capacity was the highest at 8 wk old (P<0.05). There was no significant difference on shear force among weeks. pH at 6 wk old was the lower than that of other weeks as 5.84. Moisture content significantly decreased with weeks (P<0.05) and fat content at 8 wk was the highest as 1.88% (P<0.05). Protein content significantly increased with weeks until 20.9% at the age of 8 wk (P<0.05). Ash content at 7 and 8 wk old was the higher than that at 6 wk old (P<0.05). There was no significant difference on juiciness, tenderness, and flavor with weeks. Finally, these results may provide that shipping time at 7 wk old preferred to that at 6 and 7 wk old, but further research was needed because of deficiency of data.

Effect of Dietary Phytase on the Excreta Excretion of Laying Hens (사료 내 Phytase 첨가가 산란계의 분뇨 배설량에 미치는 영향)

  • Hong, E.C.;Na, S.H.;Yu, D.C.;Kim, H.K.;Park, M.N.;Jung, K.C.;Choo, H.J.;Park, H.D.;Chung, W.T.;HwangBo, J.
    • Korean Journal of Poultry Science
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    • v.36 no.3
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    • pp.257-264
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    • 2009
  • This work was conducted to investigate the effects of phytase on N and P excretion of laying hens excreta. Three hundred sixty ISA Brown layers were selected to investigate excreta excretion for 65 weeks and to investigate the effect of phytase on total excretion and N and P excretion of layers from 55 weeks. The experimental diets were fed the starter (0~5 wk), grower (5~12 wk), developer (12~16 wk), prelay diets (16 wk~first egg), layer diets for starting period (first egg~32 wk), middle (32~45 wk), finishing diets (45~55 wk, 55 wk~). Thirty ISA Brown layers were selected to investigate the effect of phytase supplementation on total N and P excretion of layers at 55 weeks and assigned randomly to 3 treatments groups (10 birds/treatment) and phytase was added to basal diets at 300 and 600 FTU/kg. Average body weight, feed intake, water intake, and excreta excretion were 1,622, 105.7, 187.2 and 124.7 g/bird/day, respectively. Excreta of birds fed phytase were DM (33.2, 31.2, 30.5 g/day), N (0.46, 0.42, 0.40 g/day) and P (0.51, 0.49, 0.48 g/day) and reduced as dietary phytase increased, Finally, dietary phyase can reduce the N and P excretion, but the amount of excreta was not different depending from the phytase addition in layers. This work investigated the N and P excretion of laying hens excreta and were considered that dietary phytase can reduce the N and P excretion for short period.

Factors Affecting Sleep Quality of Firefighters (소방공무원의 수면의 질에 대한 영향요인)

  • Oh, Jinuk;Ko, Miae;Song, Hoo Rim;Hong, Min Ha;Kim, Hyun Soo;Kim, Woo Jung
    • Korean Journal of Psychosomatic Medicine
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    • v.26 no.1
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    • pp.19-25
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    • 2018
  • Objectives : Firefighters frequently experience traumatic events, high-tension situations and shift work. Therefore, the prevalence of insomnia of firefighters is higher than one of general population. Not only does the quality of sleep affect the satisfaction of personal life, but it also influences their performance for the public's safety. We investigated which factors affect the quality of sleep of firefighters. Methods : After personally delivering 120 questionnaires to 3 fire stations, the survey was conducted when the consents were signed. It inquired about alcohol use, smoking, shift work, sleep quality, depression, anxiety, and experience of traumatic events. We then divided the firefighting officers in two groups according to the quality of sleep and compared the variables examined to conduct the logistic regression analyses according to the results. Results : The poor sleeper group reported a higher level of current alcohol consumption, depression, anxiety and experience of traumatic events. Logistic regression analyses showed that the current alcohol intake (Crude odds ratio=3.707, 95% confidence interval=1.288-10.672, p=0.015 ; Adjusted odds ratio=3.288, 95% confidence interval=1.011-10.694, p=0.048) has a significant effect on sleep quality. Conclusions : Current alcohol consumption, depression, anxiety and experience of traumatic events were respectively associated with sleep quality of firefighters. When all significant factors considered, the current alcohol use was the only statistically significant. To improve the quality of sleep for firefighters, it will be necessary to evaluate alcohol intake, educate the poor sleep quality caused by alcohol, and provide specific interventions to reduce consumption.