Purpose : The purpose of this study was to evaluate the present status of hospice palliative care programs in Korea as a basic database for standardization of hospice palliative care. Method : The data was collected from July to October, 2001. The instrument used for this study was the questionnaires which was consisted of the general characteristics of organization, recipient of service, manpower, contents of service, financial conditions and facilities. Sixty-four hospice palliative care programs answered the questionnaires, confirmed by telephone. Results : They were 40 hospital-based hospice palliative care programs and 24 nonmedical hospice palliative care programs. 11 Hospital-based hospice palliative programs have isolated unit or hospital affiliated free standing hospice. 6 Non-hospital hospice palliative programs have a free standing hospice. Major subjects of hospice palliative program were terminal cancer patients but patients with non-terminal illness were also included. Only 24 of 64 hospice palliative programs had all of the essential professionals : physicians, nurses, social workers, and clergies. Home hospice palliative care programs have a referral system in hospital based (89.7%) and nonmedical programs (73.7%). 24hr hospice are were provided in 26 hospital-based (65.0%) and 9nonmedical programs (37.5%). There were rooms for family in half of hospital-based programs. 73.9% of hospice palliative care programs have financial problems. 62.0% of Hospice palliative care programs need financial support from government. Conclusion : 64 Hospice palliative care programs provided hospice palliative services but had many problems in manpower, quality of care and facility. For improving the quality of terminal patients' life and promoting the cost effectiveness of health care resources, it is necessary to consider the standardization and institutionalization of hospice palliative care.
Kim, Ho Jae;Kang, In-Woong;Seo, Jae Hyun;Kim, Heung Mook;Kim, Hyoung-Nam
The Journal of Korean Institute of Communications and Information Sciences
/
v.41
no.11
/
pp.1364-1373
/
2016
Ultra High Definition Television (UHDTV) has attracted much attention as one of next generation broadcasting services. For the commercialization of UHD broadcasting service, standardization groups including the DVB (Digital Video Broadcasting) and the ATSC (Advanced Television Systems Committee) have decided to adopt the Orthogonal Frequency Division Multiplexing (OFDM) for signal transmission. However, when the carrier frequency is not properly synchronized at the receiver, inter-symbol interference (ISI) and inter-carrier interference (ICI) may occur. In order to avoid performance degradation resulting from ISI or ICI, receivers should synchronize the carrier frequency by using preambles and pilot symbols. However, there only few published literature dealing with the frequency offset estimation methods regarding the next generation terrestrial broadcasting. In this respect, this paper proposes a method to estimate timing and fractional frequency offset for the ATSC 3.0 system by using a preamble bootstrap symbol. The proposed detector can detect the fractional frequency offset by adding a complex conjugate product on the conventional estimator where only timing offset can be estimated.
Background: Cancer is an increasing cause of mortality and morbidity worldwide. Incidences of common cancers has been growing in different provinces of Iran in recent years but trends in Khuzestan which shares a border with Iraq and is located in south west of Iran have not been investigated. This study aimed to assess secular changes in incidences of common cancers in Khuzestan province from 2004 to 2008. Materials and Methods: Data were collected from Khuzestan cancer registry which is a branch of Iranian Ministry of Health Cancer Registry (http://ircancer.ir) for the period 2004-2008. Data were presented as incidence rates by site, sex, age, using the crude rate and age-standardized rate (ASR) per $10^5$ persons. A direct method of standardization was applied according to the WHO guideline and data analysis was performed using the SPSS package. Results: During the 2004-2008 period, 14,893 new cases of cancer were registered in Khuzestan cancer registry. The age-standardized incidence rate of all cancers was 153.7 per $10^5$ in males and 156.4 per $10^5$ in females. The incidence was increased over the period of five years. The most incident cancers among males were skin cancer ($ASR=18.7/10^5$), stomach cancer ($ASR13.8/10^5$), lung cancer ($ASR12.9/10^5$), leukemia ($ASR=12.6/10^5$) and prostate cancer ($ASR=12.4/10^5$). In females, the most incident cancers were breast cancer ($ASR=41/10^5$), skin cancer ($ASR=16.4/10^5$), colorectal cancer ($ASR=10.0/10^5$), leukemia ($ASR=8.1/10^5$) and lung cancer ($ASR=6.9/10^5$). Conclusions: Incidences of various cancers are rising in Khuzestan. It is necessary to develop and implement comprehensive cancer control programs in this region which could be monitored and evaluated by the future trend data from Khuzestan cancer registry.
The purpose of this study was to evaluate the viability of periodontal ligament cells in rat teeth using slow cryo-preservation method under pressure by means of MTT assay and WST-1 assay. Eighteen teeth of Sprague-Dawley white female rats of 4 week-old were used for each group. Both sides of the first and second maxillary molars were extracted as atraumatically as possible under Tiletamine anesthesia. The experimental groups were group 1 (Immediate control), group 2 (Cold preservation at $4^{\circ}C$for 1 week), group 3 (Slow freezing), group 4 (Slow freezing under pressure of 3 MPa). F-medium and 10% DMSO were used as preservation medium and cryo-protectant. For cryo-preservation groups, thawing was performed in $37^{\circ}C$water bath, then MTT assay and WST-1 assay were processed. One way ANOVA and Tukey method were performed at the 95% level of confidence. The values of optical density obtained by MTT assay and WST-1 were divided by the values of eosin staining for tissue volume standardization. In both MTT and WST-1 assay, group 4 showed significantly higher viability of periodontal ligament cells than group 2 and 3 (p < 0.05), but showed lower viability than immediate control group. By the results of this study, slow cryo-preservation method under pressure suggests the possibility for long term cryo-preservation of the teeth.
Kim, Hyuk;Yang, Sang-Muk;Shim, Gyu-Heoun;Kim, Dal-Rae;Yoo, Jun-Sang
Journal of Sasang Constitutional Medicine
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v.18
no.2
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pp.55-67
/
2006
1. Objective & Method The purpose of this study was to objectify the diagnosis of Sasang constitution. 163 children's voices were analyzed with 74 factors using PSSC-2004. 2. Results (1) In male children group, Taeumin's APQ4 was significantly low compared with the others. (2) In male children group, Taeumin's octave 5 & octave 6 were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (3) In male children group, Taeumin's Time Domain Total Sum / Time Domain Count & Frequency Domain Total Sum / count(0) were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (4) In male children group, Taeumin's 0k-2k total sum & 2k-4k total sum were significantly low compared with the others. It was significant for distinction between Taeumin and Soeumin at the result of post hoc. (5) In male children group, Taeumin's 2k-4k deviation was significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (6) In male children group, Taeumin's D# Total Energy & F# Total Energy were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (7) In male children group, Taeumin's D# deviation & F# deviation were significantly low compared with the others. It was significant distinction between Taeumin and Soeumin at the result of post hoc. (8) In female children group, Soyangin's center frequency (7) was significantly high compared with the others. It was significant distinction between Taeumin and Soyangin at the result of post hoc. 3. Coclusion With these results, we got some information for standardization of the clinical diagnosis guideline of Sasang constitutional type classification using PSSC-2004 in the Korean children
Objectives: To examine the regional mortality differences in The Republic of Korea according to geographic location. Methods: All 232 administrative districts of the Republic of Korea in 1998 were studied according to their geographic locations by dividing each district into three categories; "metropolis," "urban," and "rural". Crude mortality rates for doth sexes from total deaths as well as the three major causes of death in Korea (cardiovascular disease, cancer, and external causes) were calculated with raw data from the "1998 report on the causes of death statistics" and resident registration data. Standardized mortality ratios (SMR) were calculated using the indirect standardization method. Poisson regression analyses were performed to examine the effects of geographic locations on the risk of death. To correct for the socioeconomic differences of each region, the percentage of old ($\geq$ 65 years old) population, the number of privately owned cars per 100 population, and per capita manufacturing production industries were included in the model. Results: Most SMRs were the lowest in the metropolis and the highest in the rural areas. These differences were more prominent in men and in deaths from external causes. In deaths from cancer in women, the rural region showed the lowest SMR. In Poisson regression analysis after correcting for regional socioeconomic differences, the risk of death from all causes significantly increased in both urban (OR=1.111) and rural (OR=1.100) regions, except for rural women, compared to the metropolis region. In men, the rural region showed higher risk (OR=1.180) than the urban region (OR=1.l51). For cardiovascular disease and cancer, significant differences were not found between geographic locations, except in urban women for cardiovascular disease (OR=1.151) and in rural women for cancer (OR=0.887), compared to metropolis women. In deaths from external causes, the risk ratios significantly increased in both urban and rural regions and an increasing tendency from the metropolis to the rural region was clearly observed in both sexes. Conclusions: Regional mortality differences according to geographic location exist in The Republic of Korea and further research and policy approaches to reduce these differences are needed. to reduce these differences are needed.
To construct the standard methods for evaluation of physicochemical characteristics of tailings in Korea, specific gravity, paste pH, grain size, mineral compositions and heavy metal concentrations of total 26 tailings from 21 metallic mines were analyzed. Specific gravity of tailings ranged from 2.61 to 4.31 (avg. 3.04), and sand and silt grain were dominant in the tailings. Ranges of paste pH were 2.1-9.5 in tailings (7.1-9.2 at magmatic, skarn and hydrothermal replacement deposits and 2.1-9.5 at hydrothermal vein deposits). Additionally, hydrothermal vein deposits could be reclassified into three categories: (1) paste pH>7.0, (2) 4.0
To provide the data necessary to determine exposure coefficients used for calculating the snow load acting on a greenhouse, we compared the exposure coefficients in the greenhouse structure design standards for various countries. We determined the exposure coefficient for each region and tried to improve on the method used to decide it. Our results are as follows: After comparing the exposure coefficients in the standards of various countries, we could determine that the main factors affecting the exposure coefficient were terrain roughness, wind speed, and whether a windbreak was present. On comparing national standards, the exposure coefficients could be divided into three groups: exposure coefficients of 0.8(0.9) for areas with strong winds, 1.0(1.1) for partially exposed areas, and 1.2 for areas with dense windbreaks. After analyzing the exposure coefficients for 94 areas in South Korea according to the ISO4355 standard, all of the areas had two coefficients (1.0 and 0.8), except Daegwallyeong (0.5) and Yeosu (0.6), which had one coefficient each. In South Korea, the probability of snow is greater inland than in coastal areas and there are fewer days with a maximum wind velocity > $5m{\cdot}s^{-1}$ inland. When determining the exposure coefficients in South Korea, we can subdivide the country into three regions: coastal areas with strong winds have an exposure coefficient of 0.8; inland areas have a coefficient of 1.0; and areas with dense windbreaks have an exposure coefficient of 1.2. Further research that considers the number of days with a wind velocity > $5m{\cdot}s^{-1}$ as the threshold wind speed is needed before we can make specific recommendations for the exposure coefficient for different regions.
The purpose of this study was to evaluate the viability of periodontal ligament cells of rat teeth after low-temperature preservation under high pressure by means of MTT assay, WST-1 assay. 12 teeth of Sprague-Dawley white female rats of 4 week-old were used for each group. Both side of the first and second maxillary molars were extracted as atraumatically as possible under tiletamine anesthesia. The experimental groups were group 1 (Immediate extraction), group 2 (Slow freezing under pressure of 3 MPa), group 3 (Slow freezing under pressure of 2 MPa), group 4 (Slow freezing under no additional pressure), group 5 (Rapid freezing in liquid nitrogen under pressure of 2 MPa), group 6 (Rapid freezing in liquid nitrogen under no additional pressure), group 7 (low-temperature preservation at $0^{\circ}C$ under pressure of 2 MPa), group 8 (low-temperature preservation at $0^{\circ}C$ under no additional pressure), group 9 (low-temperature preservation at $-5^{\circ}C$ under pressure of 90 MPa). F-medium and 10% DMSO were used as preservation medium and cryo-protectant. For cryo-preservation groups, thawing was performed in $37^{\circ}C$ water bath, then MTT assay, WST-1 assay were processed. One way ANOVA and Tukey HSD method were performed at the 95% level of confidence. The values of optical density obtained by MTT assay and WST-1 were divided by the values of eosin staining for tissue volume standardization. In both MTT and WST-1 assay, group 7 ($0^{\circ}C$/2 MPa) showed higher viability of periodontal ligament cells than other group (2-6, 8) and this was statistically significant (p < 0.05), but showed lower viability than group 1, immediate extraction group (no statistical significance). By the results of this study, low-temperature preservation at $0^{\circ}C$ under pressure of 2 MPa suggest the possibility for long term preservation of teeth.
Objectives: Several pattern diagnosis questionnaires have been developed to objectify the process of pattern diagnosis in Korean medicine. In this context, this study aimed to develop a food retention questionnaire for functional dyspepsia (FRQ-FD) by modifying the previously developed food retention questionnaire (FRQ) and to verify its reliability and validity. Furthermore, this study aimed to identify the optimal cut-off value of the FRQ-FD for standardization and use in clinical situations. Methods: To develop the FRQ-FD, we extracted the major symptoms of food retention pattern for functional dyspepsia from Chinese/Korean medicine textbooks and requested an importance survey from experts using the Delphi method. The first draft of the FRQ-FD was composed of 25 questions comprising 8 questions from the textbooks and the Delphi method and 17 questions from the FRQ already developed in 2013. To analyze its reliability, validity, and optimal cut-off value, 60 subjects were enrolled in this study from June 25 to August 13, 2018. Thirty patients were diagnosed as both functional dyspepsia and food retention pattern, and 30 healthy participants were not. All participants were requested to fill up the FRQ-FD, Stomach Qi Deficiency Questionnaire (SQDQ), Scale for Stomach Qi Deficiency pattern (SSQD), visual analog scale (VAS) for dyspepsia, Nepean Dyspepsia Index-Korean version (NDI-K), and functional dyspepsia-related quality of life (FD-QoL). Results: No statistically significant differences were found in sex distribution, age, and body mass index between the patient group and the control group. As five questions affected the reliability negatively and three questions affected the clinical validity negatively, we decided to exclude the eight questions upon further investigation. The Cronbach's ${\alpha}$ coefficient of the revised FRQ-FD (17 items) was 0.899, and its clinical validity was verified. Construct validity was analyzed by factor analysis and produced five factors. Statistically significant positive correlations were found between the revised FRQ-FD and the other dyspepsia scales, namely, SQDQ, SSQD, VAS, NDI-K, and FD-QoL. VAS and NDI-K especially had strong positive correlations with FRQ-FD. Conclusions: The FRQ-FD developed in this study can provide fundamental reliability and validity for a pattern diagnosis questionnaire. FRQ-FD can help to diagnose food retention pattern in functional dyspepsia patients. Further studies are required to inspect several statistical factors.
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