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The Administration Patterns of Analgesics and Sedatives for Patients in SICU (외과중환자를 위한 진통제와 진정제의 투여 양상)

  • 김화순
    • Journal of Korean Academy of Nursing
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    • v.31 no.2
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    • pp.304-314
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    • 2001
  • Major purposes of this study were to investigate the administration patterns of analgesics and sedatives in SICU and to identify the factors influencing the use of prn analgesics and sedatives by ICU nurses. The sample of this descriptive study was 50 adult patients in SICU and 53 ICU nurses. Patient's medical records were reviewed to investigate names, doses, the routes of administration, the interval of administration, and the type of prescription of sedatives and analgesics administered. Study medications were narcotics, hypnotics, and antipsychotics. To identify the factors influencing the use of prn analgesics and sedatives, 53 ICU nurses checked 9 items, and rank them from first to fifth. The selection of items was based on the previous studies and the experience of the investigator. The results of the study are as follows: 1. The mean age of the subjects was 53 years, 24 patients out of 50 subjects had received mechanical ventilation therapy. Most of the patients received neurosurgeries and abdominal surgeries. 2. For 4 days, 13 total study medications and combination of these were administered to the patients. Commonly prescribed drugs were Ketoprofen and Midazolam. Twenty six to fourty two percent of the patients did not receive any drugs for at least one day during the four days. 3. On the average, the study drugs were administerd 1.4 to 2.6 times per day during 4 days. 4. More than 50 percent of the prescription was as-needed (prn) except those of the POD 3. Fourteen percent of the patients did not have any prescription for sedation and pain control after surgery. 5. Examination of the frequency of sedatives and analgesics bolus administration revealed that a greater number of doses were given during daytime (from 7 am. to 7 pm.) than nighttime (from 7 pm. to 7 am.). The difference was significant at Alpha, .05. 6. First factor that most influenced nurses to administer sedatives and analgesics for intubated patients was the evaluation of patient's vital signs (51%). For non- intubated patients, the factors that nurses considered important were the patients' complaints of pain (64%) and evaluations of patients' vital signs (23%). In conclusion, the results of this study indicate that patients in SICU might not receive enough analgesics and sedatives to feel completely free from pain during the post operational period. Future study should be focused on the evaluation of the adequacy of current practice for pain and anxiety control in terms of the SICU patient's response.

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Subclinical Hypothyroidism in Patients with Bipolar Disorders Managed by Lithium or Valproic Acid (리튬 또는 발프로산으로 치료받은 양극성장애 환자의 무증상 갑상선저하증)

  • Choi, Hyeon Man;Chang, Jae Seung;Kim, Jayoun;Kim, Jeong Hyun;Choi, Jung Eun;Ha, Tae Hyon;Ha, Kyooseob
    • Korean Journal of Biological Psychiatry
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    • v.20 no.4
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    • pp.151-158
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    • 2013
  • Objectives To investigate the pattern of subclinical hypothyroidism (SCH) in patients with bipolar disorders managed by lithium or valproic acid. Methods The study participants were 106 patients with DSM-IV bipolar disorders receiving planned maintenance treatment at the Mood Disorders Clinic of Seoul National University Bundang Hospital (aged between 17 and 64, mean duration of follow-up = 875.65 days). Using the bipolar disorder registry, thyroid function data were analyzed to assess the frequency of and the risk factors for SCH in patients managed by lithium (n = 64) or valproic acid (n = 42) for more than 5 months. Results Overall frequencies of SCH were 20.3% (13/64) in the lithium group, 14.3% (6/42) in the valproic acid group, and between the two groups there is no difference (p = 0.43). No differences were observed in the potential risk factors for SCH between the two groups including age, sex, subtype of bipolar disorder, baseline TSH, and concomitant antipsychotic use. In cases with SCH, thyroid-stimulating hormone (TSH) showed a tendency to increase at 3 month after the initiation of lithium or valproic acid. A gradual increase in the number of patients showing SCH was found within the first 3 years of medication. Conclusions With regular monitoring and careful assessment, there was no difference in the risk of SCH between lithium and valproic acid maintenance. The risk of mood stabilizer-associated SCH may gradually increase within 3 years following the commencement of medication, thereby mandating close monitoring for the first 3 years of treatment. Further studies with large sample size would be needed to confirm these findings.

A Study to Analyse the Characteristic of New Condominium Buyers with the object of Investment and Owner-Occupation : The Case of Busan and Gyeong Nam Area (공동주택 분양시장의 투자자와 실수요자 특성 연구 - 부산·경남지역을 중심으로 -)

  • Han, Gwang-Ho;Kim, Tae-Yong;Ro, Seung-Han
    • Journal of Cadastre & Land InformatiX
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    • v.47 no.2
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    • pp.91-105
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    • 2017
  • It is important to identify new apartment buyers with the object of investment and owner-occupation because it may determine the scope of marketing and marketing strategies. Establishing an more effective marketing scope and strategies should result in maximizing profits and reducing expenses. In this study, we split the participants in the new apartment market depending on the buyers' intent - investment and owner-occupation - and then examine their characteristics. We employ condominium buyers' information from 2011 to 2016, which is provided by the one of the largest construction companies in South Korea. The sites of the condominium samples locate in Gyeongnam and Busan areas and the number of household sample is 5,549. The results show that investors are approaching at a greater distance than actual buyers. The higher the age and the lower the price, the higher the probability of participation of investors. We also find that the samples of Busan have different results from the others, which may imply that the area has more demand due to its attractiveness.

Ellipsometric study of Mn-doped $Bi_4Ti_3O_{12}$ thin films

  • Yoon, Jae-Jin;Ghong, Tae-Ho;Jung, Yong-Woo;Kim, Young-Dong;Seong, Tae-Geun;Kang, Lee-Seung;Nahm, Sahn
    • Proceedings of the Korean Vacuum Society Conference
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    • 2010.08a
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    • pp.173-173
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    • 2010
  • $Bi_4Ti_3O_{12}$ ($B_4T_3$) is a unique ferroelectric material that has a relatively high dielectric constant, high Curie temperature, high breakdown strength, and large spontaneous polarization. As a result this material has been widely studied for many applications, including nonvolatile ferroelectric random memories, microelectronic mechanical systems, and nonlinear-optical devices. Several reports have appeared on the use of Mn dopants to improve the electrical properties of $B_4T_3$ thin films. Mn ions have frequently been used for this purpose in thin films and multilayer capacitors in situations where intrinsic oxygen vacancies are the major defects. However, no systematic study of the optical properties of $B_4T_3$ films has appeared to date. Here, we report optical data for these films, determined by spectroscopic ellipsometry (SE). We also report the effects of thermal annealing and Mn doping on the optical properties. The SE data were analyzed using a multilayer model that is consistent with the original sample structure, specifically surface roughness/$B_4T_3$ film/Pt/Ti/$SiO_2$/c-Si). The data are well described by the Tauc-Lorentz dispersion function, which can therefore be used to model the optical properties of these materials. Parameters for reconstructing the dielectric functions of these films are also reported. The SE data show that thermal annealing crystallizes $B_4T_3$ films, as confirmed by the appearance of $B_4T_3$ peaks in X-ray diffraction patterns. The bandgap of $B_4T_3$ red-shifts with increasing Mn concentration. We interpret this as evidence of the existence deep levels generated by the Mn transition-metal d states. These results will be useful in a number of contexts, including more detailed studies of the optical properties of these materials for engineering high-speed devices.

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Characteristics study on fire-resistant paint used by TGA-IR (TGA-IR을 사용한 내화 도료의 특성에 관한 연구)

  • Cho, Nam-Wook;Shin, Hyun-Jun;Cho, Won-Bo;Lee, Seong-Hun;Rie, Dong-Ho;Kim, Hyo-Jin
    • Analytical Science and Technology
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    • v.24 no.3
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    • pp.168-172
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    • 2011
  • The iron frame of building could be collapsed or bent at $500^{\circ}C$. Therefore the fire-resistant paint should be applied for safety. This study performed the comparative analysis to show the characteristics of fireresistant paint. And then 12 products of fire resistant paint and 6 products of paints were used as samples. And the samples were analyzed by TGA (Thermogravimetric Analyzer) as analyzer for measuring the variation of weight on temper of weight by heating. When TGA analyzer could measure the variatiature, and FT-IR was measured for analyze gas components on variation on of weight by heating on 12 products of fire resistance, the samples showed to decrease 40% of weight to $800^{\circ}C$, and because paints had 50% to 40% of loss weight, it showed to be equal with loss weight of fire resistance paint on high temperature or was lower loss weight than it of fire resistance paints. However number 6 sample of fire resistance paints could show to decrease 20% of total weight on $800^{\circ}C$. And then in the case of FT-IR, fire resistance paints could show to have the high intensity of $CO_2$ spectrum as complete combustion. However paints could show to have the lower intensity of $CO_2$ spectrum, have the higher intensity of water spectrum. Therefore the TGA graph of result could be much different until $250^{\circ}C$. When it was burned, FT-IR spectrum could show to confirm the characteristics of fire resistance paints, and the characteristic could be confirmed on inorganic paint of fire resistance by weight loss of TGA.

Decomposition Characteristics and Seedling Growth of Common Reed (Phragmites australis) by Salt Concentration in Saemangeum Reclaimed Land (새만금 간척지에서 염농도에 따른 갈대(Phragmites australis) 유묘 생장 및 분해 특성)

  • Oh, Yang-Yeol;Kim, Sun;Ryu, Jin-Hee;Lee, Su-Hwan;Lee, Jung-Tae;Bae, Hui-Su;Kim, Young-Joo;Kim, Kil-Young
    • Journal of Environmental Science International
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    • v.28 no.12
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    • pp.1061-1069
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    • 2019
  • Common reed (Phragmites australis) is widespread in reclaimed land and wetland habitats. Every year, the common reed produces extensive colonies by means of underground rhizomes and ground-surface stolons. From an agricultural point of view, the common reed's large biomass is a good material for supplying organic matter. However, it has not yet been studied in terms of seedling production, transplanting conditions, and decomposition characteristics in reclaimed land. Seeds were harvested from the native common reed in Saemangeum, South Korea, the previous year and stored on an open field. The seeds were sowed in the greenhouse at the beginning of April. Common reed decomposition was studied from June to September, with the use of coarse mesh (5 mm) stem litterbags, on three samping dates and with five replicate packs per sample. These packs were dug in five soil condition (low-salinity topsoil, subsoil, high-salinity topsoil, subsoil, paddy topsoil) to 0.2 m and 0.4 m depth. The highest germination rate of common reed seeds was observed in non-salt solution, but the exhibited germination rate was 70% at 9.38 dS m-1. The plant height of young reed decreased steadily with increasing salinity, but leaf number did not decrease by 9.38 dS m-1. The survival rate of the two-year-old reed was 83.3%, which was 35% higher than that of the one-year reed. The transplant success rate was 0% in the no vinyl mulching in the soil, but the first year and second year seedlings survived rates were 63% and 83.3%, respectively, in vinyl mulching. Common reed decomposition rates were faster low salinity than high salinity. All nutrient contents were found to fluctuate significantly with time by soil conditions. We also need to study the growth rate of reed transplanting seedlings by soil moisture contents and the comparison of degradation in common reed tissues.

Platelet Rich Plasma Injection: Evidence Based Analysis (혈소판 풍부 혈장 주사 요법: 근거 중심의 분석)

  • Oh, Joo Han;Chung, Seok Won
    • The Journal of Korean Orthopaedic Ultrasound Society
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    • v.4 no.2
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    • pp.111-122
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    • 2011
  • Platelet rich plasma (PRP) has been widely used nowadays for several common orthopaedic-related sports medicine conditions with the theoretical basis that PRP supplies numerous autologous growth factors from concentrated platelets needed to promote the healing process of injured tissue. Even though there are many basic sciences, animal studies and some clinical studies regarding PRP injections for musculoskeletal injuries which suggested good results, it is difficult to compare these various studies due to marked methodological differences such as PRP preparation method, the timing, volume and number of injection, and the outcome measurement tool. In addition, many studies have no control groups or a limited sample size, and there are few prospective randomized controlled trials assessing the efficacy of PRP injections. Therefore, well designed high-quality randomized studies are required to confirm the preliminary results until now and provide scientific evidence to support its use, and the paucity of scientific clinical evidence suggest that the administration of PRP on humans for musculoskeletal injuries should be performed with caution.

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A Nationwide Survey on the Prevalence of Intestinal Parasitic Infections in the Republic of Korea, 2004

  • Kim, Tong-Soo;Cho, Shin-Hyeong;Huh, Sun;Kong, Yoon;Sohn, Woon-Mok;Hwang, Seung-Sik;Chai, Jong-Yil;Lee, Soon-Hyung;Park, Yun-Kyu;Oh, Dae-Kyu;Lee, Jong-Koo;Working Groups in National Institute of Health, Working Groups in National Institute of Health;Korea Association of Health Promotion, Korea Association of Health Promotion
    • Parasites, Hosts and Diseases
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    • v.47 no.1
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    • pp.37-47
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    • 2009
  • National surveys on the prevalence of intestinal parasitic infections have been carried out every 5-7 years since 1971 in the Republic of Korea in order to establish control measures. The present nationwide survey was conducted from June to December 2004. The 10% population sampling data of Population and Housing Census by the Korean government in 2000 was used as the survey population. One sample was selected randomly from each of the 22,858 registered subjects, and a total of 20,541 people were ultimately included in this survey. Fecal examinations were performed by the cellophane thick smear and saturated brine flotation techniques. Pinworm infection was examined by cello-tape anal swab method. This survey also included a questionnaire study for a socioeconomic analysis. The total helminth egg positive rate was 3.7%, and the estimated total positive number among nationwide people was 1,780,000. The rates in urban and rural areas were 3.1% and 6.8%, respectively. As the total egg positive rate in the 6th survey in 1997 was 2.4%, the present survey showed that there was a considerable degree of increase in the prevalence rate of intestinal parasitic infections over the 7-year period following the 6th survey. The largest increases occurred in the egg positive rates of Clonorchis sinensis and heterophyids including Metagonimus yokogawai.

Investigation into the Actual State of Sanitary Management and Recognition Degree and Infection Level of Ultrasonographic Probes (초음파 탐촉자(Probes)의 위생관리 실태와 감염 인식도 조사 및 세균 오염도 측정)

  • Lee, Chang-Bok;Lee, Yang-Sub;Lee, Won-Hong;Cho, Cheong-Chan;Yoon, Hyang-Yi;Lee, Yong-Moon;Kim, Young-Keun;Lee, Kyung-Sup
    • Journal of radiological science and technology
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    • v.27 no.3
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    • pp.51-58
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    • 2004
  • The gel, which is stained on probe after ultrasonography, is a good circumstances for proliferation of microbe. This study is to investigate into the actual state of sanitary management, recognition degree and infection level of ultrasonographic probes. We had performed a question with telephone to 42 hospitals in Seoul area from December in 2003. We also cultured to obtained a sample from three ultrasonographic units to investigate infection level of the probes. Sanitary management of the probes was performed in 21 hospitals with alcohol cotton. Sanitary management was performed daily in 14 hospitals. Most hospitals used cotton towel for clearing of gel stained on probes. Preventive management against infection was performed in 32 hospitals with vinyl cover, surgical glove, or alcohol sterilization etc. In the recognition degree on infection, the response that using method of ultrasonographic probes is insanitary were in 78.6%(33 hospitals), and 54.8%(23 hospitals) responded that bacteria can be infected through the probes. In the results of germiculture, bacteria and fungi were detected too number of to count, but escherichia coli was not detected. In conclusion, The gel stained on probe after ultrasonography must be cleared completely, and it is necessary that change of recognition on sanitary management.

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Control of Microalgae Using a Porous Silicate Material, CellCaSi (규산질다공체 (CellCaSi)에 의한 미세조류 제어)

  • Lee, Seog-June;Yoon, Byung-Dae;Lee, Wook-Jae;Lee, Seung-Kyou;Choi, Long;Oh, Hee-Mock
    • Korean Journal of Ecology and Environment
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    • v.33 no.2 s.90
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    • pp.145-151
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    • 2000
  • A porous silicate material named as CellCaSi was tested for the removal of microalgae in the water sample from a eutrophic pond. The effects of the CellCaSi on water qualities were investigated on the basis of both the particle size (under 1, 2,and 4 mm) and the added amount (0, 1, 5, and 10 g/l) of the CellCaSi. The removal efficiency of chlorophyll-a was highest at 79% by the addition of 10 g/l of the CellCaSi (under 1 mm) at day 3 after treatment. That is, the removal efficiency of chlorophyll-a by the CellCaSi increased with smaller particle size and more added amount. The dominant species, Chlorella ellipsoidea, was not changed by the addition of the CellCaSi, but the species number and standing crop of the algae diminished. Total nitrogen concentration was not changed much by the addition of the CellCaSi, whereas total phosphorus concentration was reduced. pH and turbidity were not changed by the addition of the CellCaSi, whereas conductivity showed a high correlation with the amount of added CellCaSi ($Y\;=\;29.2 {\cdot}X+306$, $r^2\;=0.984$). Therefore, it seems to be necessary to limit the amount of the CellCaSi under 6.6 g/1 in consideration of a registered maximum conductivity of $500\;{\mu}mhos/cm$ for raw and potable waters.

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