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Comparison of End-of-Life Care Intensity between Cancer and Non-cancer Patients: a Single Center Experience (암환자와 비-암환자의 임종기 치료 강도 비교: 단일 연구기관 자료)

  • Kim, Jae Min;Baek, Sun Kyung;Kim, Si-Young;Maeng, Chi Hoon;Han, Jae Joon;Park, Soyoung;Park, Jae Hun
    • Journal of Hospice and Palliative Care
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    • v.18 no.4
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    • pp.322-328
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    • 2015
  • Purpose: The aging of society has rapidly progressed, especially in Korea. Therefore, the necessity of research on end-of-life (EOL) care in elderly patients has increased. However, there are few studies on EOL care intensity for non-cancer patients. This study was designed to compare the EOL care intensity between cancer and non-cancer patients. Methods: We retrospectively analyzed the EOL care intensity based on medical records of decedents of Kyung Hee University Medical Center, a tertiary referral hospital from December 2014 through March 2015. And we compared EOL care intensity between cancer patients and non-cancer patients using statistical analysis of the frequency of invasive procedures and logistic regression analysis for factors that affect the EOL care intensity. Results: Statistical analysis showed invasive procedures, such as intensive care unit admission, endotracheal intubation followed by mechanical ventilation and emergency dialysis, were performed more frequently in non-cancer patients than cancer patients (29.3% vs. 72.4%, P<0.001). And age (P=0.038) and morbidity of cancer (P<0.001) influenced the invasive procedural decision when analyzed by logistic regression analysis. Conclusion: The EOL care was more intensive in non-cancer patients, and age and morbidity of cancer were major factors for the treatment intensity.

Characteristics of Korean Coastal Fisheries (한국 연안어업의 실태)

  • Yoon, Sang Chul;Jeong, Yeon Kyu;Zhang, Chang Ik;Yang, Jae Hyeong;Choi, Kwang Ho;Lee, Dong Woo
    • Korean Journal of Fisheries and Aquatic Sciences
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    • v.47 no.6
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    • pp.1037-1054
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    • 2014
  • In this study, the status of coastal fisheries was examined based on the catch and number of fishing vessels of coastal fisheries in Korea. Comparing the status on coastal fisheries of the East Sea, Yellow Sea and South Sea in Korea, scientific evidence was made for fisheries management on coastal fisheries based on characteristics of each sea area. From 1990 to 2011, the catch of coastal fisheries in Korean waters ranged from 150,000 mt to 230,000 mt, with an average of 190,000 mt, and it accounted for 15% in average of total catch fished in adjacent waters of Korea. In order of catch by coastal fisheries, gillnet (36.7%) was the primary fishery, followed by coastal complex (24.7%), stow net (18.3%), trap (12.9%), lift net (3.9%), purse seine (3.0%) and beam trawl (0.4%) fisheries. In order of catch by species, anchovy (15.0%) had the largest proportion of total catch, followed by common squid (10.3%), akiami paste shrimp (5.2%), blue crab (3.9%) and octopus (3.7%). Of the average catch by sea area from 1990 to 2011, Yellow Sea, South Sea and East Sea were 37.4%, 34.6% and 28.0%, respectively. Since 2000s, however, the average catch of South Sea has accounted for the largest proportion. The number of permitted fishing vessels involved in 8 coastal fisheries was 55,336 vessels in average from 1997 to 2011. The number of vessels was about 47,000 vessels in 1997, and increased to 61,300 vessels until 2000, then has decreased to 44,000 vessels operating in 2011. In order of the number of permitted fishing vessels by fisheries, complex (52.4%) took the first place, followed by gillnet (31.5%), trap (13.4%), stow net (0.8%), beam trawl (0.8%), purse seine (0.6%), lift net (0.4%) and seine net (0.0%). In order of the number of permitted fishing vessels by sea area, South Sea (29,994 vessels) took the first place, followed by Yellow Sea (18,185 vessels) and East Sea (7,158 vessels). In order of the catch per unit effort (CPUE, mt/vessels) which was analyzed using catch and number of vessels in average by fishery, stow net is the highest followed by lift net, trap, purse seine, gill net, beam trawl and complex fisheries. In particular, the CPUE of complex and gill net fisheries, which accounted for the largest number of vessels were 4.0 mt/vessels and 1.6 mt/vessels, respectively. Since those are too low relative to other fisheries, it was judged to need systematical management on both fisheries.

Standardization of the Lease Fee Assessment System of Busan Port Container Terminals (부산항 컨테이너부두 임대료 산정체계 표준화 방안)

  • Kil, Kwang-Soo
    • Journal of Korea Port Economic Association
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    • v.27 no.3
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    • pp.65-90
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    • 2011
  • Private stevedoring companies are leasing and operating the container terminals of the Busan Port. The total amount of lease fees private stevedoring companies paid in 2010 reached 161 billion wons, an approximately 66 percent of the total revenue of the Busan Port Authority(BPA). In other words, lease fees are the most important revenue source for BPA. However, the lease fee assessment system of Busan container terminals goes against the principle of equity due to different assessment methods and criteria adopted by each container terminal. Therefore, the purpose of the study is to analyze the systematic problems of the lease fee assessment system that is used at Busan container terminals, and propose a new standardized scheme with a case study on the new system. In order to standardize the assessment system, the assessment methods need to be simplified by using the Discounted Cash Flow(DCF) method. In addition, the assessment criteria such as assessment duration, discount rates, price indexes, estimated container throughputs, sales unit price per TEU, operation costs, including labor costs, need to be standardized as well. The new standardized assessment system can be applied to estimate lease fees for new terminals. However, for existing terminals to run the new system, factors such as assessment duration, discount rates, price indexes, estimated container throughputs, investment and re-investment costs, and maintenance & repair costs of the new system should be changed slightly.

When Dose Losses of Maternal Lymphocytes Response to Trophoblast Antigen or Alloantigen Occur in Women with a History of Recurrent Spontaneous Abortion? (반복유산을 경험한 환자에서 임신중 태반항원과 동종항원에 노출된 모체 림프구면역반응은 언제부터 소실되나?)

  • Choi, Bum-Chae;Hill, Joseph A.
    • Clinical and Experimental Reproductive Medicine
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    • v.25 no.2
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    • pp.115-122
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    • 1998
  • The maintenance of a viable pregnancy has long been viewed as an immunological paradox. The deveolping embryo and trophoblast are immunologically foreign to the maternal immune system due to their maternally inherited genes products and tissue-specific differentiation antigens (Hill & Anderson, 1988). Therefore, speculation has arisen that spontaneous abortion may be caused by impaired maternal immune tolerance to the semiallogenic conceptus (Hill, 1990). Loss of recall antigen has been reported in immunosuppressed transplant recipients and is associated with graft survival (Muluk et al., 1991; Schulik et al., 1994). Progesterone $(10^{-5}M)$ has immunosuppressive capabilities (Szekeres-Bartho et al., 1985). Previous study showed that fertile women, but not women with unexplained recurrent abortion (URA), lose their immune response to recall antigens when pregnant (Bermas & Hill, 1997). Therefore, we hypothesized that immunosuppressive doses of progesterone may affect proliferative response of lymphocytes to trophoblast antigen and alloantigen. Proliferative responses using $^3H$-thymidine ($^3H$-TdR) incorporation of peripheral blood mononuclear cells (PBMCs) to the irradiated allogeneic periperal blood mononuclear cells as alloantigen, trophoblast extract and Flu as recall antigen, and PHA as mitogen were serially checked in 9 women who had experienced unexplained recurrent miscarriage. Progesterone vaginal suppositories (100mg b.i.d; Utrogestan, Organon) beginning 3 days after ovulation were given to 9 women with unexplained RSA who had prior evidence of Th1 immunity to trophoblast. We checked proliferation responses to conception cycle before and after progesterone supplementation once a week through the first 7 weeks of pregnancy. All patients of alloantigen and PHA had a positive proliferation response that occmed in the baseline phase. But 4 out of 9 patients (44.4%) of trophoblast antigen and Flu antigen had a positive proliferative response. The suppression of proliferation response to each antigen were started after proliferative phase and during pregnancy cycles. Our data demonstrated that since in vivo progesterone treated PBMCs suppressed more T-lymphocyte activation and $^3H$-TdR incorporation compare to PBMCs, which are not influenced by progesterone. This data suggested that it might be influenced by immunosuppressive effect of progesterone. In conclusion, progesterone may play an important immunological role in regulating local immune response in the fetal-placental unit. Furthermore, in the 9 women given progesterone during a conception cycle, Only two (22%) repeat pregnancy losses occured in these 9 women despite loss of antigen responsiveness (one chemical pregnancy loss and one loss at 8 weeks of growth which was karyotyped as a Trisomy 4). These finding suggested that pregnancy loss due to fetal aneuploidy is not associated with immunological phenomena.

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Impact of Transplanting on Tree Growth and Compartmentalization of Pruning Wounds in Acer palmatum Thunb

  • Lee, Kyu Hwa;Lee, Kyung Joon;Gwak, Ki-Seob;Choi, In-Gyu
    • Journal of Korean Society of Forest Science
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    • v.98 no.5
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    • pp.618-629
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    • 2009
  • The objective of this study was to examine the impact of pruning (P treatment) and transplanting (T treatment) of Acer palmatum on cambial growth and compartmentalization of pruning wounds for one year after treatments. Changes of cambial electrical resistance (CER), sizes of pruning wounds, cambial growth of trunks and stems near the wounds, and total phenols at branch unions during the period were examined using a total of 49 trees. After harvesting, areas of discolored wood behind the wounds, relative proportions of extractives, holocellulose and lignin at branch unions were also determined. CER and the cambial growth of trunk at 30 cm above the ground (TGR) were inversely correlated, and differences of CER and TGR among three treatments were significant. TGRs of control, P treatment and P+T treatment after the treatments were 112.2%, 72.4% and 52.5% of the annual growth for the year before the treatments, respectively. The cambial growth rate of stem (SGR) at 1.5 cm above the branch bark ridge and the closure rate of pruning wound (WCR) for one year after treatments were positively correlated, and WCR of P treatment of 39.8% was significantly higher than that of P+T treatment of 31.8%. Wounds of P+T treatment formed greater discolored area per unit area of pruning wound (D/W Ratio) than those of P treatment significantly. Lower WCR and higher D/W Ratio of P+T treatment suggested less ability of compartmentalizing the wounds than P treatment. Total phenols at branch core of pruning wound for both treatments heightened a month after treatment, and then lowered. The contents at below core of the wound were higher than those at control ones continuously, while they became similar each other at above core. Relatively high phenol contents of the extractives at P+T treatment implied that trees with P+T treatment allocated more energy to compartmentalize their wounds. Holocellulose and lignin contents at the branch core of treated branch unions of both treatments were lower and higher, respectively, than at the same part of the union with living branch, as results of the tree reaction to protection from wounding and microbial invasion.

Family Volunteering and the Family Health (가족자원봉사경험과 가족의 건강성에 관한 연구)

  • Lee, Keung-Eun
    • Korean Journal of Social Welfare
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    • v.52
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    • pp.63-87
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    • 2003
  • Our society has had a growing interest in a family volunteering activity which has been proposed to be helpful to strengthen the health of the families. Thus this could be a new alternative strategy for motivating a family life as well as activating a volunteering activity which takes a major portion in the source for social welfare, as a precautionary measure against various social problems. This research therefore studied the effects of the family volunteering activity on the status of family health on the purpose for providing social work implications to activate family volunteering and to enhance the degree of family health. The study subjects were whole family members in Korea (n=494) who had participated in a family volunteering program more than 6 months (experimental group). The control subjects (n=534) were from family members without having an experience in a family volunteering program (control group). The results demonstrated that experimental group experiencing family volunteering activities represents significantly higher status of family health regarding all the study fields, e.g., family values in common, autonomy or flexibility for family, family commitment, communication within a family, family oriented problem-solving ability, compared with control group. Even the cases of control group which were regularly engaged in the social activities together, showed the lower status of family health, as compared with families having experiences in the family volunteering activity. Accordingly, family volunteering experiences has taken more favorable influences upon the status of family health than any other family activities. Therefore, the present study suggests as follows for activating family volunteering activities: 1) the development and management of programs suitable for the voluntary activities of a family unit; 2) the flexible application of the concept of family volunteering; 3) the necessity of connection between various institutions which perform family volunteering services; 4) flexible work system based on individuality getting ready for the time for the family volunteering activity; and 5) the development of the circumstances for family members who need to be taken care of.

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The Effect of e-Learning Application to the Unit of Making Short Trousers in Technology-Home Economics of Middle School (중학교 기술.가정교과의 반바지 만들기 단원에 대한 e-Learning 적용 효과)

  • Jeong, Bok-Hee;Son, Won-Kyo
    • Journal of Korean Home Economics Education Association
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    • v.20 no.2
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    • pp.1-14
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    • 2008
  • This study was performed to evaluate the effect of the e-Learning application on the teaching learning method in Technology-Home Economics of Middle School. For e-Learning of clothing part, diverse teaching programs and contents were reconstructed and provided in cyber-space. Among the uploaded diverse materials including advanced and supplementary materials, students could make a choice which depends on their own levels. Since the results of assignments could be uploaded in cyber-space and easily accessible to all students, the reliablity of estimation was increased and self-directed learning ability was improved. Also, more effective teaching learning activity could be expected through the mutual exchange of opinion between students and teacher, and among students. Besides, counselling and advices on overall aspect of student's life were also possible. The students were generally satisfied to e-Learning instruction. The interest and understanding about clothing part were increased, and the academic attitude and habit were positively changed. Also they responded that e-Learning instruction were very helpful because learning was possible even after school, diverse materials for learning were available, and submitting the results of assignments was very convenient. In conclusion, the application of e-Learning on the teaching learning method was very effective and should be encouraged. The development and supplement of diverse programs and contents will be necessary for more successful e-Learning instructions.

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The Development and Its Application of Teaching and Learning Plan for Making Class of Natural Dyeing and Jogakbo (천연염색과 조각보 만들기 수업을 위한 교수-학습 지도안 개발 및 적용)

  • Park, Hee-Soon;Lee, Hye-Ja
    • Journal of Korean Home Economics Education Association
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    • v.20 no.2
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    • pp.61-73
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    • 2008
  • The purpose of this study was to improve interest and attitude of student's Technology-Home Economics Curriculum and to recognize the change of recognition on Traditional image through Natural Dyeing and Jogakbo making on the unit of making living goods with fabrics in Technology-Home Economics curriculum on first year high school. The abridged result of study following this: First, in Natural Dyeing and Jogakbo making, teaching-learning plan applying LT cooperative studying and learning materials have been developed. Second, after applying the developed lesson plan, the result showed that the change in learning interest and attitude about Technology-Home Economics curriculum was positively improved. After executing the class on Natural Dyeing and Jogakbo making, the interest and concern about tradition were very positively upgraded through the result analyzing the change of recognition on traditional image. Through these results, The Teaching-learning plan and learning materials would show high possibility of application as educational contents about traditional culture in the field of education. After executing the class on making of Natural dyeing and Jogakbo, the learning interest degree and attitude was very positively upgraded, and the recognition on traditional image had been changed to the active and positive recognition.

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Planting Design in Green Open Space, Urban Area : Planting Evaluation of Buffer Green Space in Housing Complex (도시지역 녹화공간의 배식기법 : 공동주택단지 완충녹지의 배식)

  • Cho, Woo
    • Korean Journal of Environment and Ecology
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    • v.12 no.1
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    • pp.78-90
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    • 1998
  • An objective of this study was to provide database for the planting disign of buffer green space. Types, planting structure, and effect of vuffer green space were investigated in five housing complexes of newtown of metropolitan area, Korea. Buffer green space in the study sites were constructed as mounding, slope, and plate. The number of species was found 20 tree and sub-tree species(10 evergreen and 20 deciduous species ) and 13 shrub species. These species were planted in one-storyed planting structure and there was no difference with ornamental species in the urban parks. Effect of sound proof by the buffer green space was recognized but sound level in four types among the seven types was observed above standard sound level for housing complex(65dB). Effect of sound proof was especially most effective in the mounding type. It was found that planting density and index of plant crown volume were mot satisfied to the function of buffer green space because of lower density and crown volume than natural vegetation per unit. Based on these results, this study suggested that buffer green space is desirable to be developed in the mounding type over two meters height with multi-layer planting model. In addition, there is needed to consider vegetation structure of natural forest around the developing site.

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Design and manufacture of mini loop coil probe style magnetic curer for peripheral nervous system treatment (말초신경계 치료를 위한 초미니 Loop-코일프로브 삽입형 자기치료기의 설계 및 제작)

  • Kim, Whi-Young;Choi, Jin-Young;Park, Sung-Jun;Kim, Hee-Je
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.2 no.1
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    • pp.153-169
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    • 2007
  • It is as result that study to apply mini magnet nerve curer in peripheral nervous system disease treatment. Design and embodied action power and Control Unit in cylinder form of magnet roof object firstly. Yielded service area about special quality of probe of roof object cylinder style and treatment area dimension and distance of treatment pulse secondly. Embody pulse forming course energy value by Probe's form by third, could embody treatment pulse by disease. Specially, through a special quality experiment, saved Damping pulse form and treatment pulse form etc. variously. Lately, embodied this to aid a little in disease treatment that follow that there is no invasion that there is no stimulation by medicine development. Go amplitude treatment pulse (traditional magneto-therapy of greatly great that strong) does curative effect greatest at short time and becomes thought that demand is magnified greatly at the future in this research.

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