• Journal of Hospice and Palliative Care
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• v.20 no.2
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• pp.111-121
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• 2017

Purpose: This study was performed to explore the current state of end-of-life (EoL) care education provided to new interns at two university hospitals. Methods: A questionnaire was given to incoming interns (N=64). The levels of acquired knowledge and experience of clinical observation were measured. Seven areas for self-assessment questions were identified and used to analyze the interns' attitudes towards EoL-related education and practice. Results: On average, participants learned five elements (nine in total) from EoL-related classes and two (seven in total) from clinical observation. The most frequently educated element was how to deliver bad news (96.9%) in the classroom setting and how to control physical symptoms (56.5%) in clinical observation. Less than 20% received training on EoL care communication, including discussion of advanced directives. Compared with participants who had no EoL training, those who had EoL training showed positive attitudes in all seven categories regarding overall satisfaction, interest and preparedness in relation to EoL-care classes and practice. Conclusion: Although interns are responsible for caring of dying patients, their EoL training in classroom and clinical settings was very insufficient. Further research should be conducted to establish an education system that provides sufficient knowledge and training on EoL care.

• Resources Recycling
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• v.29 no.4
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• pp.15-30
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• 2020

Recently, it is increasing a amount of installed solar-cell rapidly, and end-of-life photovoltaic(ELP) modules are generated in according to the reduction of cell efficiency largely. Recycling of ELP modules are begun at an advanced nation already, but there are bring about environmental contamination and resource recovery problems owing to not treated ELP modules because of economic cost completely. First of all, there were researched basic study for treatment conditions of used solar cell inspection, dismantling of aluminum frame, crushing / grinding & separation of tempered glass, removal of back sheet & EVA film, leaching & precipitation recovery of valuable metals and treatment of waste water. Therefore, we establish optimum conditions through carried out of designed apparatus, installation of equipment, test operation & trouble shooting in scale of 1ton/day pilot plant test. Following to economic review, it does have the economic efficiency until to the case of tempered glass recovery, but does not have the economic value in case of total processes until to recover the valuable metals. However, there are guaranteed economic value if we are gained a large amount of the expenses through EPR supported system. It was confirmed the commercialized possibility of ELP modules recycling if there were established on the collecting ELP modules, reusing criteria, economical technology, enactment of directives and enforcement of EPR supported system efficiently.

• 한국사회정책
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• v.25 no.1
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• pp.99-123
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• 2018

Purpose: This study empirically investigates the utilization and expenditure of health care and long-term care at the last year of life for long-term care beneficiaries in Korea. Methods: This study used National Health Insurance and Long-term Care Insurance claims data of 271,474 LTCI beneficiaries, who died from July 2008 to December 2012. Their cause of death, place of death, health care costs, and the provision of aggressive care were analyzed. Results: Cardio-vascular disease(29.8%) and cancer(15.3%) were reported as their major cause of death, and hospital(64.4%), home(22.0%), social care facility(9.2%) were analyzed as the place of death. 99.3% of subjects used both health care and long-term care during the last 1 year of life. The average survival period were 516.2 days after they were LTCI beneficiaries. The health care expenditure gradually increased near the death, and the last month were three times more rather than the first month. Furthermore, 31.8% experienced some aggressive cares(CPR, blood transfusion, hemo-dialysis, etc.) at the last month of life. Conclusion: The results of this study suggest that it is important to develop the end of life care policies(for example, hospice, advanced care directives) for the LTCI beneficiaries. They might contribute to the improvement of quality of life and the reduction of health care expenditure of the elderly at the end-of-life.