• Journal of Hospice and Palliative Care
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• v.21 no.4
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• pp.124-136
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• 2018

Purpose: This descriptive study is aimed at identifying how nursing hospital workers' performance of end-of-life care is influenced by their knowledge and awareness of hospice palliative care, attitude towards end-of-life care, performance, importance, awareness of death and the factors. Methods: A self-reported questionnaire was used to collect data from 113 workers at an accredited nursing hospital in K province. Variables were their knowledge and awareness of hospice palliative care, attitude towards end-of-life care, end-of-life care performance and importance and awareness of death. An analysis was performed with the frequency, percentage, mean, standard deviation, t-test, ANOVA, Scheffe's test, Pearson's correlation coefficient and multiple regression using IBM SPSS 21.0. Results: The factors affecting the nursing hospital workers' end-of-life care performance were the importance of end-of-life care and their marital status, which showed an explanatory power of 38.2%. Conclusion: In order to improve the nursing hospital workers' end-of-life care performance, a training on the importance of end-of-life care should be provided. Therefore, we would like to propose establishing administrative measures such as 1) efficient staffing to help the caregivers better perform what they think is important, 2) development of a training program that can improve their performance of end-of-life nursing care and 3) a study to verify the effectiveness of the program.

• Journal of the Computational Structural Engineering Institute of Korea
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• v.31 no.6
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• pp.353-358
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• 2018

In this study, it is describe to an optimization analysis process for the weight reduction of the voltage converter in the electric vehicle charging systems. The optimization design is a technique that finds the optimal material distribution under a given material quantity constraint by combining the design sensitivity with the material properties and the mathematical optimization. Among the topology optimization, a lightweight design is performed by a solid isotropic material with penalization with simple formula and well-convergence. The lightweight design consists of three steps. As a first step, a finite element model for the basic design of the on-board voltage converter was constructed and static analysis was performed on the load. In the second step, the optimum shape is obtained for the lightweight by performing the topology optimization using the solid isotropic material with penalization applying the stiffness coefficient of the isotropic material to the static analysis result. As a final step, impact analysis was performed by applying a half-sinusoidal pulse shape impact load which satisfies the impact test standard of the vehicle-mounted part with respect to the optimum shape. In the topology optimization, the design domain was defined as the mounting bracket area, and the design technology was finally achieved by optimizing the mounting bracket to achieve a weight reduction of 20% over the basic design.

• Journal of Music and Human Behavior
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• v.15 no.2
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• pp.69-92
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• 2018

The purpose of this study was to investigate whether a songwriting intervention would improve self-expression of adolescents with cochlear implants (CI). In this study, the songwriting intervention was designed to incorporate previous research findings on music perception of individuals with CIs and to provide musical experiences in which adolescents with CIs could be successful in using music resources for their self-expression. Accordingly, stepwise songwriting procedures were constructed and music technology (i.e., GarageBand as an iPad application) was used. Two adolescents with CIs participated in the intervention once a week for 8 weeks. Changes in level of participation in songwriting tasks, verbal expression, self-reports about the songwriting process were examined. The results demonstrated that the participants showed increased attempts to express themselves via music making. It was also shown that their negative perception of their ability to verbally express themselves decreased. They were observed as becoming more competent in creating music by deciding how various musical elements should be played and making rhythm or melodic patterns by themselves. These results indicate that the songwriting intervention can facilitate self-expression of adolescents with CIs. Further implications in terms of the psychosocial needs of individuals with CIs are presented.

• Korean Journal of Remote Sensing
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• v.34 no.6_2
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• pp.1261-1272
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• 2018

It is important to measure the Arctic surface air temperature because it plays a key-role in the exchange of energy between the ocean, sea ice, and the atmosphere. Although in-situ observations provide accurate measurements of air temperature, they are spatially limited to show the distribution of Arctic surface air temperature. In this study, we proposed machine learning-based models to estimate the Arctic surface air temperature in summer based on buoy data and Advanced Microwave Scanning Radiometer 2 (AMSR2)satellite data. Two machine learning approaches-random forest (RF) and support vector machine (SVM)-were used to estimate the air temperature twice a day according to AMSR2 observation time. Both RF and SVM showed $R^2$ of 0.84-0.88 and RMSE of $1.31-1.53^{\circ}C$. The results were compared to the surface air temperature and spatial distribution of the ERA-Interim reanalysis data from the European Center for Medium-Range Weather Forecasts (ECMWF). They tended to underestimate the Barents Sea, the Kara Sea, and the Baffin Bay region where no IABP buoy observations exist. This study showed both possibility and limitations of the empirical estimation of Arctic surface temperature using AMSR2 data.

• Journal of the Korean Regional Science Association
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• v.35 no.1
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• pp.3-18
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• 2019

Urban sprawl has been criticized due to its negative effects, including the encroachment of farmland and open spaces, the increase in traffic congestion and air pollution, the decline of central city, the decrease in social capital, and the unfairness of tax burdens on infrastructure and public services. This study measures urban sprawl in the capital region of South Korea where the characteristics of urban sprawl have been known to be different from those identified in the U.S. metropolitan areas. In particular, the study examines whether the capital region has experienced the decline of the central city with an expansion of low density residential development in suburban areas. Three measurements, the sprawl index with population density, the ratio of changes in urbanized areas to changes in population, and the population density gradient, were employed to measure urban sprawl, and GIS mapping and descriptive analysis were used to examine the central city decline and the characteristics of development patterns in suburban areas. The results show that the capital region of South Korea is moving to the American style sprawled development with the decline of the central city and an increase of single detached homes in suburban areas, implying that policy makers need to develop growth management strategies to prevent urban sprawl and its negative effects that many U.S. metropolitan areas have suffered from.

• Journal of the Korea Convergence Society
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• v.10 no.7
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• pp.373-381
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• 2019

The purpose of this study is to investigate the factors that affect the social distance between the demented elderly and nursing college students. In this study, responses from 158 nursing college students in city D were collected using structured questionnaires and analyzed. As a result, the correlation between variables, social distance, and dementia attitude towards the demented elderly (r = .53, p<.001) showed a statistically correlated relationship, while ageism (r = -.41, p<.001) showed a negative correlation. The results of this study are as follows: first, the interactions between the elderly with dementia and the nursing college students were more frequent (${\beta}=.29$ p=.012), and second, attention to early prevention of dementia (${\beta}=.32$ p=.002) was significant. The explanatory power of these influential factors on the social distance toward the demented elderly was 41.0%.

• Journal of Hospice and Palliative Care
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• v.22 no.1
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• pp.19-29
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• 2019

Purpose: In this study, the hospice nursing research trend in 1998~2017 was investigated by analyzing research articles on hospice nursing. Methods: Literature search was performed with keywords of 'nursing' and 'hospice on an academic research information service. Also reviewed were all articles published in the Korean Journal of Nursing Science and its 8 subcategory journals, the Korean Journal of Hospice and Palliative Care and the Korean Hospice Association from 1998 through 2017, except thesis papers. Results: In 2013~2017, 79 articles (31.0%) were relevant, up over 7% from 61 articles (23.9%) in 2008~2012. The most studied field was psychology (92 papers, 36.2%) in the Korean Journal of Hospice and Palliative Care. Enrolled in most papers were patients with end-stage cancer (75, 29.5%), which is overwhelmingly high. Most studies used quantitative methods (183, 72.0%). Recognition was the most studied theme (62, 24.4%), and 16 of them focused on recognition of death (6.3%). Intervention studies totaled 34 (13.4%), and most of them (7, 2.8%) were conducted for palliative education. Conclusion: Most hospice nursing studies were quantitative studies, conducted with patients, and hospice nursing intervention programs were similar to each other. Thus, more studies with hospice patients and their families are needed. And more experimental and qualitative studies are needed to build an evidence-based nursing study environment. Considering how most studies examined psychological factors, physiological factors such as pain, a major issue in hospice care, should be analyzed in experimental studies to construct a pain intervention program for hospice patients.

• Proceedings of the Korean Institute of Information and Commucation Sciences Conference
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• 2014.05a
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• pp.299-302
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• 2014

Due to the convergence between digital devices and the development of wireless communication technology, bit-signal sensor miniaturization, building an Electronic Medical Record (EMR) which is a digital version of a paper chart that contains all of a patient's medical history and the information of Electronic Health Record (EHR), Ubiquitous healthcare (u-Healthcare) that can monitor their health status and provide personal healthcare service anytime and anywhere. Also, the appearance of cloud computing technology is one of the factors that accelerate the development of u-healthcare service. However, if the individual information to be used maliciously during the u-healthcare service utilization, leads to serious problems directly related to the individual's life because if it goes beyond the level of simple health screening and treatment, it may not provide accurate and reliable healthcare services. For this reason, we analyzed a variety of security issues related to u-healthcare service in cloud computing environment and described about directions of secure health information sharing system construction. In addition, we suggest the future developmental direction for th activation of u-healthcare industry.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.167-174
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• 2019

The propose od this study was to examine the extent of using physical restraint on elderly patients (over 65 years old) and who were patients in long-term care hospitals. The data was collected, from March 3 2018 to March 29 2018, from the electronic nursing records by using a recording tool, and clinical observation was also used for assessing the use of physical restraint and the related factors. Descriptive statistics, Pearson correlation coefficients and logistic regression were then performed. The usage rate for physical restraints in long-term care hospital was 83.7%, and the most common type of physical restraint was side rails. The use of physical restraints showed a positive correlation with the fall risk scores and a negative correlation with the MMSE. Logistic regression analysis showed that the Fall Risk Score (OR=1.02, 95% CI=1.01~1.03), MMSE (OR=0.94, CI=0.88~0.99) and the use of medical devices (OR=0.80, 95% CI=0.65~0.98) were related with using physical restraints. Therefore, it was confirmed that physical restraint was used in cases of a high risk of falling, severe cognitive impairment and the use of complex and fragile medical devices to treat the patient. Clinical nursing practice should be changed so that treatment alternatives can be applied for elderly patients rather than using too many physical restraints.

• Journal of Life Science
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• v.29 no.9
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• pp.1034-1046
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• 2019

The mitochondria is the major cellular organelle of energy metabolism for the supply of cellular energy; it also plays an important role in controlling calcium regulation, reactive oxygen species (ROS) production, and apoptosis. Mitochondrial dysfunction causes various diseases, such as neurodegenerative diseases, Lou Gehrig's disease, cardiovascular disease, mental disorders, diabetes, and cancer. Most of the diseases are age-related diseases. In this review, we focus on the roles of mitochondrial dysfunction in cancer. Mitochondrial dysfunction induces carcinogenesis and is found in many cancers. The factors that cause mitochondrial dysfunction differ depending on the types of carcinoma, and those factors could cause cancer malignancy, such as resistance to therapy and metastasis. Mitochondrial dysfunction is caused by a lack of mitochondria, an inability to provide key substances, or a dysfunction in the ATP synthesis machinery. The main factor associated with cancer malignancy is mtDNA depletion. Mitochondrial dysfunction would leads to malignancy through changes in molecular activity or expression, but it is not known in detail which changes lead to cancer malignancy. In order to explore the relationship between mitochondrial dysfunction and cancer malignancy in detail, mitochondria dysfunctional cell lines are constructed using chemical methods such as EtBr treatment or gene editing methods, including shRNA and CRISPR/Cas9. Those mitochondria dysfunctional cell lines are used in the study of various diseases caused by mitochondrial dysfunction, including cancer.