• The Korean Publising Journal, Monthly
• /
• s.80
• /
• pp.6-7
• /
• 1991

학습지 시장은 인원으로 볼 때 유치원 240만, 국민학교 480만, 중학교 250만, 고등학교 200만 등 대체로 1200만명 정도가 총수요 대상자인데, 그중 작년 한해 구입학생은 170만명에 이른다. 금액은 대체로 1부당 일년 기준 6만원선으로 전체 시장규모는 1500억원 정도로 잡고 있는데, 대개 선불이어서 출판사로서는 꽤 매려있는 분야라 할 수 있다.

• Journal of Hospice and Palliative Care
• /
• v.11 no.2
• /
• pp.99-105
• /
• 2008

Purpose: In terminally ill cancer patients, accurate prediction of survival is necessary for clinical and ethical reasons, especially in helping to avoid harm, discomfort and inappropriate therapies and in planning specific care strategies. The aim of the study was to investigate prognostic factor of dying patients. Methods: We enrolled the terminal cancer patients from Kangnam St. Mary's Hospital from 2004 until their death. We observed symptoms shown in dying patients and assess 17 common symptoms shown in terminally ill cancer patients, performance status, pain and analgesic use. Results: Average period from hospitalization to death was 11.7 days. The most important prognostic factor is performance status (KPS), average KPS at enrollment is 48% and at last 48 hours is 25%. Physical symptoms that have significant prognostic importance are poor oral intake, weakness, constipation, decreased Karnofsky performance status, bed sore, edema, jaundice, dry mouth, dyspnea. Dying patients showed markedly decreased systolic blood pressure, cyanosis, drowsiness, abnormal respiration, death rattle frequently at 48 hours before death. Conclusion: If we assess the symptoms more carefully, we can predict the more accurate prognosis. The communication about the prognostic information will influence the personal therapeutic decision and specific care planning.

• Journal of Hospice and Palliative Care
• /
• v.17 no.3
• /
• pp.179-184
• /
• 2014

Purpose: We investigated the safety and efficacy of peripherally inserted central catheters (PICCs) in terminally ill cancer patients. Methods: A retrospective review was conducted on patients who underwent PICC at the hospice-palliative division of KEPCO (Korea Electric Power Corporation) Medical Center between January 2013 and December 2013. All PICCs were inserted by an interventional radiologist. Results: A total of 30 terminally ill cancer patients received the PICC procedure during the study period. Including one patient who had had two PICC insertions during the period, we analyzed a total of 31 episodes of catheterization and 571 PICC days. The median catheter life span was 14.0 days (range, 1~90 days). In 25 cases, catheters were maintained until the intended time (discharge, transfer, or death), while they were removed prematurely in six other cases (19%; 10.5/1000 PICC days). Thus, the catheter maintenance success rate was 81%. Of those six premature PICC removal cases, self-removal due to delirium occurred in four cases (13%; 7.0/1000 PICC days), and catheter-related blood stream infection and thrombosis were reported in one case, each (3%; 1.8/1000 PICC days). Complication cases totaled eight (26%; 14.1/1000 PICC days). The time to complication development ranged from two to 14 days and the median was seven days. There was no PICC complication-related death. Conclusion: Considering characteristics of terminally ill cancer patients, such as a poor general condition, vulnerability to trivial damage, and a limited period of survival, PICC could be a safe intravenous procedure.

• The Journal of the Korea Contents Association
• /
• v.22 no.5
• /
• pp.503-517
• /
• 2022

This study was to investigate the social workers' psycho·social experiences and roles during the end-of-life care process in elderly long-term care facilities. As a result of data analysis through in-depth interviews, social workers experienced great exhaustion and burnout due to frequent death experiences during the end-of-life care process, and expressed regret for not being able to provide better service for the deceased and longing for loved ones. And in the event of a sudden death, social workers would undergo criticism and complaints. The main roles of social workers during end-of-life care were to contact and communicate with family members when signs of death appeared and support them after the death. The necessity of standardized manuals and education for end-of-life care, a recharging program and support group to prevent burnout of social workers, and a legal safety net for emergency preparedness and emergency measures were suggested. The necessity of death preparation education, hospice care, and advance medical directive was also emphasized for the dignified death of the elderly.

• Defense and Technology
• /
• no.10 s.224
• /
• pp.68-75
• /
• 1997

F-22기는 지난 4월 9일 출고되어 전세계의 시선을 받은바 있으며 5월 최초의 시험비행을 하였다. 미 공군은 2010년까지 438대의 F-22 전투기를 구매하여 F-15기를 대체할 계획이었으나, 국방예산의 제약때문에 국방현대화 계획의 조정이 불가피할 것으로 보여 F-22기도 350대 이하로 감소될 가능성이 크다.

• Journal of KSNVE
• /
• v.16 no.4 s.82
• /
• pp.23-32
• /
• 2006

• 한국관개배수회지
• /
• no.38
• /
• pp.14-17
• /
• 2007

• Proceedings of the Korean Institute of Communication Sciences Conference
• /
• 1996.06a
• /
• pp.222-225
• /
• 1996

• Proceedings of the Korea Air Pollution Research Association Conference
• /
• 2010.04a
• /
• pp.534-535
• /
• 2010

• Journal of Hospice and Palliative Care
• /
• v.22 no.2
• /
• pp.87-99
• /
• 2019

Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC. Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and $Scheff{\acute{e}}$ test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis. Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death. Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses' needs.