• Journal of Hospice and Palliative Care
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• v.8 no.2
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• pp.216-223
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• 2005

Purpose: The purpose of this study was to compare the need for hospice care between families of children and adults with cancer. Methods: The data was collected from 190 families of children and adult with cancer using self-rating questionnaires from December, 2004 to February, 2005. Data was analyzed using SPSS/Win program by Mean, SD and t-test. Results: The mean score of the need for hospice care in families of children with cancer was greater significantly than in families of adults with cancer (t=-2.126, P=.035). The scores of two factors among the five factors evaluated for the need for hospice care were different significantly. The mean score of control of major terminal physical symptoms' in families of children with cancer was greater significantly than the mean score of adults with cancer (t=-2.165, P=.032). The mean score of 'spiritual care to prepare for death' in families of adults with cancer was greater significantly than the mean score of children with cancer (t=-2.380, P=.018). Conclusion: For improving the quality of life for both patients and families, the hospice service program needs to consider the life cycle of patients.

• Journal of Hospice and Palliative Care
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• v.14 no.1
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• pp.8-19
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• 2011

Purpose: This study identifies research trends and provides fundamental data related to curative power of aromatherapy to relieve pain in Korea. Methods: The study analyzed 44 experimental studies on humans that were published in Korea before the end of December, 2009. The key words used for searching were: aroma, aromatherapy, hyang-yobeob, hyanggi-yobeob, hyanggichilyo, aromatherapy and pain, headache, scapulodynia, omodynia, feeling uncomfortable in the perineal region, sense of pain, labor pains, arm pain, menstrual pain, aches, and dysmenorrheal. Those words were found on websites, including those for Korea Education & Research Information Service, the National Assembly Library, KISS, KoreaMed, and NDSL. Collected data were analyzed using descriptive statistics. Results: The results showed that most of essential oils to relieve pain is composed of three to four kinds of oils, including Lavender, Roman chamomile, Rosemary, and Clarysage. Aromatherapy is applied usually by means of massage (50%), inhalation (13.6%), or a combination of the above two (13.6%). Measuring instruments as a dependent variable include VAS, questionnaire, GRS, blood pressure, pulse, and Algometer. Aromatherapy plays an important role in soothing headaches and arthralgia. However, when it comes to labor and menstrual pain, it doesn't seem to be effective. Conclusion: The study found that different kinds of oil, frequencies, and periods of time are used for the same symptoms. Further research should employ standardized oil blending, application, duration, and measuring instruments, and more systematically analyze the effects of aromatherapy to establish the effects on relieving pain.

• Journal of Hospice and Palliative Care
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• v.17 no.2
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• pp.66-74
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• 2014

Purpose: This study is aimed to investigate perceptions of caregivers and medical staff toward do not resuscitate (DNR) and advance directives (AD). Methods: Participants were 141 caregivers and 272 medical staff members from five general hospitals. A questionnaire used for the study consisted of 20 items: 14 about DNR perceptions, three about AD, one each for age, gender and employment. Results: Both medical staff and caregivers strongly recognized the need for DNR and AD, and the level of recognition was higher with medical staff than caregivers (DNR ${\chi}^2=44.56$, P=0.001; AD ${\chi}^2=16.23$, P=0.001). The main reason for the recognition was to alleviate sufferings of patients in the terminal phase. In most cases, DNR and AD were filled out when patients with terminal conditions were admitted, and patients made the decisions by consulting with their guardians. Medical staff better recognized the need and for growing demand for guidelines for the DNR and AD decision making process than caregivers (${\chi}^2=7.41$, P=0.0025). Conclusion: This study showed that patients highly rely on their caregivers when making decisions for DNR and AD. Thus, it is important that patients and caregivers are provided with objective information about the decisions. Since participants' strong support for DNR and AD was mainly aimed at alleviating patients' suffering, further study is needed in the association with hospice care. Medical staff also needs to understand the different views held by caregivers and fully consider the disparity when informing patients/caregivers to make the DNR and AD decisions.

• Korean Journal of Ecology and Environment
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• v.38 no.4 s.114
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• pp.482-493
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• 2005

The objective of this research was to evaluate an sampling effect of fish species and individual number on sampling techniques of electrofishing and conventional capture methods of cast net and kick net in 38 stream sites sampled during June - September, 2005. For the study, sampling gears were categorized as three types of electrofishing method (EM), conventional sampling technique (CM), and the combined technique (CT) of the electrofishing and the conventional method to compare statistical differences. Major differences of species composition between the CM and EM method were found in some benthic species of Misgurnus mizolepis and Iksookimia koreensis along with lithophilic species of Pungtungia herzi. These species were predominated in the EM rather than the CM, indicating that conventional sampling can underestimate the abundance of benthic or lithophilic species. In contrast ,individual number of typical water column species such as Zacco platypus and Zacco temmincki were more sampled by the CM, so that these fish populations were community overestimated. Also, t-tests on the types of sampling gear from various watersheds of Chogang Stream, Yugu Stream, Daejeon Stream, and Gap Stream showed that total individual numbers and species number in each stream were significantly (t values = 2.806-6.896, p values<0.05, n = 5-14) greater in the CT than the CM. Similar statistical significance (p<1.001, n = (10-24) on sampling seasons were observed during the monsoon and postmonsoon. These results indicate that if the electrofishing is not added to the conventional gears, the abundance of fish population and community can be underestimated and some benthic or lithophilic species may be excluded from the analysis, resulting in overall errors including sampling, fish fauna, and final judgement of community abundance. Overall our results strongly suggest that new application of electrofishing method along with the conventional sampling gears reduce sampling bias on underestimation of the real fish populations and communities.

• Korean Journal of Ecology and Environment
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• v.35 no.1 s.97
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• pp.10-20
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• 2002

Changes of seasonal and vertical water quality was analyzed with physico-chemical data from Soyang and Paldang river-reservoir system in Korea during the 1996 to 1998. In Soyang river-reservoir system, the water column was well stratified, which narrow epilimnion layer of 5 to 10 m depth in spring to summer enlarged gradually about 40 m depth in fall as going to times. In contrast, metalimnion layer tended to be narrow during the same period. Water temperature of hypolimnion was maintained about $5^{\circ}C$ continuously throughout the year. DO of the epilimnion layer was supersaturated from spring to summer, however, it was decreased to 75% at the epilimnion layer and $45{\sim}50%$ at the hypolimnion layer at the late fall. The lowest conductivity of below $50\;{\mu}S/cm$ was observed at the metalimnion layer during thesummer to fall. In Paldang river-reservoir system, the water column wag well mixed layer throughout the year, although water temperature was changed seasonally from $5^{\circ}C$ in February to $28^{\circ}C$ in July. Water temperature between upper and lower layer was different about $5^{\circ}C$ from late spring (May) to early fall (September). DO was over and less saturated in upper and lower layer during the early summer to early fall, respectively. Conductivity was decreased to $90\;{\mu}S/cm$ in lower layer of below $4{\sim}5\;m$ depth during the late spring to early fall and that of upper layer of above 10 m depth decreased to about $100\;{\mu}S/cm$ during the late fall (November) and early spring (March). Retention time of Soyang river-reservoir system was much longer than that of Paldang river-reservoir system. Chlorophyll a, T-N and T-P concentration in Paldang river-reservoir system were higher than that of Soyang river-reservoir system by a factor of 2.7, 1.2 and 2.6, respectively. Algal blooming was deeply affected by the nutrients than the retention time.

• Korean Journal of Ecology and Environment
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• v.41 no.3
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• pp.283-293
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• 2008

The objectives of the study were firstly to provide fundamental data for establishment of total maximum daily load (TMDL) management in Ulsan City, and secondly to make practical application of stream health assessment with tolerance range by each species when physiochemical and fish investigations were carried out together. A total of 44 sites in Taehwa River, Hoiya River, Dong Stream, and Cheongryang Stream were selected to monitor water qualities seasonally and fish investigation was performed in August 2006. Among the parameters of water quality, biological oxygen demand (BOD) and dissolved oxygen (DO) related to respiration, total nitrogen (T-N) and total phosphorus (T-P) related to nutrient and eutrophication, and total suspended solids (TSS) and $NH_4$-N were compared with vertical box plot by 8 dominant species. According to the fish investigation, 12 families 33 species were found including endangered species (Pungitius kaibarae) and introduced species (Lepomis macrochirus, Micropterus salmoides), and appearance rate of Korean endemic species was greater in Taehwa River (29.2%) than others. As the results of tolerance range by species, Zacco koreanus, Rhynchocypris oxycephalus, Iksookimia longicorpa, and Squalidus gracilis majimae had limited low range by water quality parameters indicating preference of good water quality. Whereas, Carassius auratus and Pseudorasbora parva were found downstream and urban-streams which were exposed from frequent inflow of pollutants. It concludes that the results help distinguishing sensitive, intermediate, and tolerant species when we evaluate stream health assessment with fish, and further making practical application for conservation and restoration of aquatic ecosystem.

• Korean Journal of Ecology and Environment
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• v.41 no.3
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• pp.382-394
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• 2008

The objective of this study was to analyze temporal trends of water chemistry and spatial heterogeneity between the dam site (Daecheong Reservoir, S1) and the downstream (S2$\sim$S4) using water quality dataset (obtained from the Ministry of Environment, Korea) during 2000$\sim$2007. Water quality, based on eight physical and chemical parameters, varied largely depending on the years, sampling sites, and the discharge volume. Conductivity and nutrients (TN and TP) showed a decreasing trend in the downstream (S4) rather than the dam site during the monsoon. Spatial variation increased toward downstream (S4) from Daecheong Reservoir (S1). Also, BOD and COD increased toward downstream. Because of input of nutrient and pollutant nearby S1, lentic ecosystem in monsoon, BOD and COD were slightly increased. whereas relatively decreased in S4, lotic ecosystem in monsoon, by dilution effect of nutrient and pollutant by discharge from upper dam, S1. Spatial variation of SS increased toward downstream (S4) by the side of Daecheong Reservoir (S1). Based on the dataset, efficient water quality management in the point source tributary streams is required for better water quality of downstream. Monthly characteristics of DO showed the lowest value in the monsoon that tend to increase water temperature. DO was lowest in October at S1 because turbid water, input to the Daecheong Reservoir in the monsoon affect to the postmonsoon period. In contrast, water temperature increased toward summer monsoon, in spite of some differences showed between S1 and S4 environment. Overall, the characteristics of water quality in downstream region have close correlation with discharge amount of Daecheong Reservoir. Thus, those characteristics can explain that discharge control of upper dam mainly affect to the water quality variation in downstream reach.

• Journal of Animal Environmental Science
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• v.18 no.3
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• pp.247-256
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• 2012

This study was carried out to investigate the effects of various regions of sorghum-sorghum hybrid (SSH) silage on nutritive values and qualities of SSH silage. SSH "SS405" was harvested at ripen stage and ensiled. Samples of SSH silage used in this study were collected in three regions (outside, middle and inside). The contents of crude protein (CP), neutral detergent fiber (NDF), acid detergent fiber (ADF), total digestible nutrients (TDN) and in vitro dry matter digestibility (IVDMD) in SSH silage were not influenced by SSH silage manufacture methods and lactic acid bacteria. The contents of CP in inside region of SSH silage were lower than those of outside and middle regions (p<0.05). However, the contents of NDF, ADF and TDN, and IVDMD were not different between the regions of SSH silage. The content of lactic acid in SSH round bale silage was significantly decreased (p<0.05), as compared to SSH square bale silage (SB), gunny bag silage (GB) and trench silage (TS). The contents of acetic acid and butyric acid in SSH silage were not influenced by SSH silage manufacture methods and lactic acid bacteria. The contents of lactic acid in inside region of SSH silage were lower than those of outside and middle regions (p<0.05). In addition, the contents of lactic acid, acetic acid and butyric acid were not different between the regions of SSH silage. Therefore we suggest that nutritive values and quality of SSH silage were not influenced by regions of sampling collected from these silages.

• Proceedings of the Korean Society for Rock Mechanics Conference
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• 2000.09a
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• pp.201-210
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• 2000

Rock bridge in rock masses can be considered as one of several types of opening-mode fractures, and also it has been known to have a great influence on the stability of structures in rock mats. In the beginning of researching a rock bridge it used to be studied only in characteristics of its behavior, as considering resistance of material itself. However the distribution pattern of rock bridges, which can affect the stability of rock structures, is currently researched with a fracture mechanical approach in numerical studies. For investigating the effect of rock bridges on the development pattern of hydraulic fractures, the author analyzed numerically the stress state transition in rock bridges and their phenomena with a different pattern of the rock bridge distributons. From the numerical studies, a two-crack configuration could be defined to be representative of the most critical conditions for rock bridges, only when cracks are systematic and same in their length and angle. Moreover, coalescence stresses and onset of propagation stresses could be known to increase with decreasing s/L ratio or increasing d/L ratio. The effect of pre-existing crack on hydraulic fracturing was studied also in numerical models. Different to the simple hydraulic fracturing modeling in which the fractures propagated exactly parallel to the maximum remote stress, the hydraulic fractures with pre-existing cracks dial not propagate parallel to the maximum remote stress direction. These are representative of the tendency to change the hydraulic fractures direction because of the existence of pre-existing crack. Therefore s/L, d/L ratios will be identical as a function effective on hydraulic fractures propagation, that is, the $K_{I}$ vague increase with decreasing s/L ratio or increasing d/L ratio and its magnification from onset to propagation increases with decreasing s/L ratio. The scanline is a commonly used method to estimate the fracture distribution on outcrops. The data obtained from the scanline method can be applied to the evaluation of stress field in rock mass.s.

• The Korean Journal of Nuclear Medicine Technology
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• v.14 no.1
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• pp.61-66
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• 2010

Purpose: Recently, Department of Nuclear Medicine have an interest in Video Display Terminals (VDT) syndrome including musculoskeletal disorders, ophthalmologic disorders, trouble of electromagnetic waves and stress disorders occur to VDT workers as the growing number of users and rapid pace of service period supply in large amount. This study research on the actual condition for VDT syndrome in Nuclear Medicine, Seoul National University Hospital (SNUH), discover the problem and draw a plan of upcoming improvement. The aim of this study establish awareness about VDT syndrome and is to prevent for it in the long run. Materials and Methods: Department of Nuclear Medicine, SNUH is composed Principle part, Pediatric part and PET center. We estimated risk factors visit in each part directly. Estimation method use "Check list for VDT work" of Wonjin working environment health laboratory and check list is condition of VDT work, condition of work tables, condition of chairs, condition of keyboards, condition of monitors, working position, character of health management and other working environment. Analysis result is verified in Department of Occupational and Environment, Hallym University Sacred Heard Hospital. Results: As a result of analysis, VDT condition of Department of Nuclear Medicine, SNUH is rule good. In case of work tables, recent of things are suitable to users upon the ergonomical planning, but 15% of existing work tables are below the standard value. In case of chairs are suitable, but 5% of theirs lost optimum capacity become superannuated. The keyboards are suitable for 98% of standard value. In case of monitors, angle control of screen is possible of all, but positioning control is impossible for 38%. In case of working position, 10% is fixed positioning for long time and some of the items researched unsuitable things for standard. At health management point, needed capable of improvement. Also, other working condition as lighting, temperature, noise and ventilation, discovered the problem, but is sufficient to advice value. Conclusion: VDT syndrome is occurrences of possibility continuously, come economical expensive about improvement, is inherent in various causes and originate without your knowledge. So, there is need systematic management system. In Nuclear Medicine, VDT syndrome make it better that constant interest and effort as improvement of ergonomical working environment, improvement of working procedure, regular exercise and steady stretching, and can be prevented fairly. This promote physical and mental condition of worker in top form in comfortable working environment, so this is judged by enlargement of operations efficiency and rising of satisfaction ratings of the inside client.