The goal of medicine is to contribute to promoting national health by preventing diseases and providing treatment. The scope of modern medicine isn't merely confined to disease testing, treatment and prevention in accordance to that, and making experiments by using the human body is widespread. The advance in modern medicine has made a great contribution to valuing human dignity and actualizing a manly life, but there is a problem that has still nagged modern medicine: treatment and healing for terminal patients including cancer patients. In advanced countries, pain care and hospice medicine are already universal. Offering a helping hand for terminal patients to lead a less painful and more manly life from diverse angles instead of merely focusing on treatment is called the very hospice medicine. That is a comprehensive package of medical services to take care of death-facing terminal patients and their families with affection. That is providing physical, mental and social support for the patients to pass away in peace after living a dignified and decent life, and that is comforting their bereaved families. The National Hospice Organization of the United States provides terminal patients and their families with sustained hospital care and home care in a move to lend assistance to them. In our country, however, tertiary medical institutions simply provide medical care for terminal patients to extend their lives, and there are few institutional efforts to help them. Hospice medicine is offered mostly in our country by non- professionals including doctors, nurses, social workers, pastors or physical therapists. Terminal patients' needs cannot be satisfied in the same manner as those of other patients, and it's needed to take a different approach to their treatment as well. Nevertheless, the focus of medical care is still placed on treatment only, which should be taken seriously. Ministry for Health, Welfare & Family Affairs and Health Insurance Review & Assessment Service held a public hearing on May 21, 2008, on the cost of hospice care, quality control and demonstration project to gather extensive opinions from the academic community, experts and consumer groups to draw up plans about manpower supply, facilities and demonstration project, but the institutions are not going to work on hospice education, securement of facilities and relevant legislation. In 2002, Ministry for Health, Welfare & Family Affairs made an official announcement to introduce a hospice nurse system to nurture nurse specialists in this area. That ministry legislated for the qualifications of advanced nurse practitioner and a hospice nurse system(Article 24 and 2 in Enforcement Regulations for the Medical Law), but few specific plans are under way to carry out the regulations. It's well known that the medical law defines a nurse as a professional health care worker, and there is a move to draw a line between the responsibilities of doctors and those of nurses in association with medical errors. Specifically, the roles of professional hospice are increasingly expected to be accentuated in conjunction with treatment for terminal patients, and it seems that delving into possible problems with the job performance of nurses and coming up with workable countermeasures are what scholars of conscience should do in an effort to contribute to the development of medicine and the realization of a dignified and manly life.
Purpose: The purpose of this study is to understand a variety of intervention studies to prevent smoking by adolescents in U.S. and find out implications for Korea. Methods: This study reviewed articles found in the internet and analysed the data of US DHHS and CDC. Results: The School Health Policies and Programs Study (SHPPS) is a national survey periodically conducted to assess school health policies and programs of U.S. The main components of SHPPS are health education and physical education, health services, mental health and social services, school policies, and school environments. The CDC guidelines for school health programs to prevent tobacco use and addiction are composed of policy, instruction, curriculum, training, family involvement, tobacco-use cessation efforts, and evaluation. School-based interventions to prevent smoking can be classified into the categories of information-giving curricula, social competence curricula, social influence approaches, combined methods draw on social competence and social influence approaches and multi-modal programmes and Youth Empowerment study. The key programs for adolescent smoking prevention are ALERT Project, HSPP, TNT Project, MPP, NC YES. Conclusions: As smoking is often the first step of unhealthy behaviour such as alcohol drinking, illegal drugs, and violence, smoking prevention programmes for adolescents in U.S. have been comprehensive school-based health programs. In smoking prevention programs for adolescents, CDC plays a critical role by supporting survey, research, policy, and funds. The effectiveness of the programs was high when it was based on school and involved parents, community, and mass media. As the effect of each programme is not expected to last for a long time, consistent repetition of these interventions is essential. Current smoking prevention programs for adolescents are exploring the empowerment approach focused on the active involvement of participants rather than traditional approaches using order and discipline.
Growth in the outsourcing market signals that firms of all sizes believe outsourcing will ultimately deliver many benefits and conveniences. But there are not many firms satisfied with the results of outsourcing. What is more, previous researches were fragmentary analyses focused on specific variables of outsourcing such as sourcing decisions, partnership rather than comprehensive analysis. Thus, they could not propose general systematic methodologies applicable to the real situation. To solve these problems, we developed an integrated theoretical framework that considered both contract with the hard side and trust with the soft side from a contingency viewpoint and tested this model using 143 data of Korean companies executing outsourcing. In addition, we examined how situational factors(outsourcing task complexity and outsourcing management competence) affects each path in the research model. The results of this study are as follows. First, it was proved the theory that trust is not a substitute for contract but its complement. Previous empirical studies on outsourcing success factors were focused on the establishment of successful partnership on the assumption that trust can replace contract in many situations. According to the results of our empirical analysis, however, contract and trust were in a mutually complementary relation with each other and their emphasis was different. Furthermore, different from previous researches, it was found effective to use trust as a supplementary tool and contract as a main means in outsourcing management strategy. Second, this study provided an integrated view that sees both contract and trust from a contingency viewpoint in theoretically reestablishing the relationship between contract and trust. Previous researches leaned to specific variables or theory-centered fragmentary analysis, but this study proposed a more practical and integrated research model and tested its effectiveness. Based on the results, with the model, decision makers are expected to scrutinize outsourcing situation more closely and to have a practical insight to the situation. Third, it was found that contract mechanism and trust building do not have a direct effect on outsourcing performance but relationship management intensity mediates the effect of contract mechanism and trust building. This is considered significantly meaningful to outsourcing partners who have believed that outsourcing would be successful if a contract is made properly or trust is built. Lastly, the path from trust building to relationship management intensity was moderated by informed buying, as the path coefficients from trust building to relationship management intensity varied by the degree of informed buying competence.
KIPS Transactions on Computer and Communication Systems
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v.5
no.10
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pp.311-318
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2016
IoT(Internet of Things areas) rich information based on the user easy access to service creation must be one of the power system of specificity due following: The IoT spread obstacle to the act be, and 'Smart Grid information of this is not easy under power plants approach the Directive on the protection measures, particularly when stringent security policies IoT technologies applied to Advanced Metering Infrastructure sector has been desired. This is a situation that occurs is limited to the application and use of IoT technologies in the power system. Power Information Network is whilst closed network operating is has a smart grid infrastructure, smart grid in an open two-way communication for review and although information security vulnerabilities increased risk of accidents increases as according to comprehensive security policies and technologies are required and can. In this paper, the IoT platform architecture design of information systems as part of the power of research and development IoT-based energy information platform aims. And to establish a standard framework for a connection to one 'Sensor-Gateway-Network-platform sensors Service' to provide power based on the IoT services and solutions. Framework is divided into "sensor-gateway" platform to link information modeling and gateways that can accommodate the interlocking standards and handling protocols variety of sensors Based on this real-time data collection, analysis and delivery platform that performs the role of the relevant and to secure technology.
Choi, Jaeyong;Lee, Sanghyuk;Lee, Sol Ae;Ji, Seung Yong;Lee, Peter Sang-Hoon
Journal of the Korean Society of Environmental Restoration Technology
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v.19
no.1
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pp.121-133
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2016
It was required to evaluate ecological restorations in a comprehensive way in order to systematically manage conservation areas such as DMZ and national parks in South Korea. In this research we developed a new approach to evaluating ecological restorations with more various indexes than vegetation covering-related indexes. By analyzing damaged areas in the vicinity of DMZ, major damaged types were identified as six classes: landform modification, surface loss, soil pollution, soil physio-chemical modification, vegetation decline and vegetation damaged. From literature review, 39 indexes were selected and were grouped into four divisions: soil property, vegetation growth & structure, habitat property and landscape structure & functions. By conducting a survey with the selected indexes targeting relevant experts, data on relative importance among the divisions and indexes by damaged type were collected. As a result, it was found that the orders and values of weighted values of the divisions were different by damaged type: for example, soil property (0.402), vegetation growth & structure (0.209), habitat property (0.225), landscape structure & function (0.163) for "landform modification"; but soil property (0.171), vegetation growth & structure (0.401), habitat property (0.270), landscape structure & function (0.158) for "vegetation decline". Similarly, evaluation indexes showed different orders and values of relative importance, easiness in field measurement and representativeness for the division by damaged type, and the values were used for calculating importance factor for each index. In the evaluation table, score1 and score2 were made by the importance factors of indexes multiplied by distribution values which present grades and by the weighted values of divisions. In conclusion, while dealing with the damaged type was considered significant for evaluating and managing restorations, further tests on this table with a range of cases were needed to improve its quality.
Journal of the Korean Society of Environmental Restoration Technology
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v.19
no.1
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pp.111-120
/
2016
This study is aimed at using the grasped problems of protected areas in Korea as the basic data for management planning and system improvement of protected areas by grasping realistic problems through the interview with the persons in charge on the basis of general problems of domestic protected areas. To this end, this study deducted major problems in urgent need of improvement, and improvement direction through the survey of the persons in charge of protected areas. This study result is as follows: The major problems, which should be preferentially improved, were found to be shortages of management infrastructure, cooperation between interested parties, and threat factors in protected areas, etc. Such problems are interconnected with each other, thus coming up complexly; therefore, it's necessary to make a comprehensive approach to the problems after confirming the causal relationship of the identified problems. In addition, for the purpose of effective management of a protected area, it's necessary to implement priority management of major problems through different management intensity from the planning phase. Also, it's important to enhance the effectiveness of planning by considering a possible potential threat factor in the outside of protected areas, and referring to the contents of the development plan for the relevant area in time of management planning. Lastly, there is the need for systematic improvement of an institution through thorough status review of the actual state of management planning fulfillment in order to increase the effectiveness of planning in a follow-up study hereafter.
Eun, Baik-Lin;Kim, Seong Woo;Kim, Young Key;Kim, Jung Wook;Moon, Jin Soo;Park, Su Kyung;Sung, In Kyung;Shin, Son Moon;Yoo, Sun Mi;Eun, So Hee;Lee, Hea Kyoung;Lim, Hyun Taek;Chung, Hee Jung
Clinical and Experimental Pediatrics
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v.51
no.3
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pp.225-232
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2008
The mission of National Health Screening Program for Infant and Children is to promote and improve the health, education, and well-being of infants, children, families, and communities. Although the term 'diagnosis' usually relates to pathology, a similar diagnostic approach applies to the child seen primarily for health supervision. In the case of health, diagnosis determines the selection of appropriate health promoting and preventive interventions, whether medical, dental, nutritional, educational, or psychosocial. Components of the diagnostic process in health supervision include the health 'interview'; assessment of physiological, emotional, cognitive, and social development (including critical developmental milestones); physical examination; screening procedures; and evaluation of strengths and issues. Open and informed communication between the health professional and the family remains the most significant component of both health diagnosis and health promotion. Families complete medical history forms at their health supervision visit. Family-friendly questionnaires, checklists, and surveys that are appropriate for the child's age are additional tools to improve and update data gathering. This type of information helps initiate and inform discussions between the family and the health professional. This article provides a comprehensive review of current National Health Screening Program for Infant and Children in Korea.
The purpose of this study attempted to collect basic data for development of an integrated self-management program for cancer survivors who completed cancer treatment. Self-management programs are divided into symptom management and physical activity management. Symptom management includes fatigue, sleep disturbance, pain, depression and anxiety. PubMed, CINAHL and EMBASE were used for searching guidelines. Based on the guideline quality evaluation, the final 8 guidelines were analyzed. The structured table was used to extract the screening subjects, timing, contents, subjects for comprehensive assessment and contents, and summarized contents related to the physical activity and exercise in non-pharmacological approach. As a result, after the completion of cancer treatment, all cancer survivors should be screened regularly using reliable and validated tools. In the case of fatigue, physical activity was recommended as the primary intervention, but it was recommended for other symptoms as adjuvant therapy. Therefore, Cancer survivors should be encouraged to be active in their physical activity, and maintain the moderate intensity physical activity as long as they have no complication related to the cancer treatment. Motivation strategies for physical activity need to be developed and applied.
Han, Mideok;Park, Bae Kyung;Park, Ji Hyoung;Kim, Yong Seok;Rhew, Doug Hee
Journal of Korean Society of Environmental Engineers
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v.37
no.9
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pp.533-541
/
2015
We investigate the Japan's Master Plan of Comprehensive Sewerage System (JMPS) and Lake Biwa basin sewerage and suggest future development direction of the Watershed Sewerage System Maintenance Plan in Korea enforced on February 2, 2013. The JMPS is designed for compliance with the environmental standard for water quality under the Environmental Policy Act. The effluent standards applied in the master plan of Lake Biwa's Sewerage Plan for the Lake Biwa is tougher than the national standards. Therefore the Lake Biwa Baisn Sewerage System was the first in Japan to adopt facilities that perform advanced treatment for nitrogen and phosphorus removal. BOD, SS, T-N and T-P concentrations of discharge water of sewage are 0.9, 0.6, 5.5, 0.06 mg/L, respectively. Especially removal efficiency for BOD is 99.5 percent. It is necessary to study the diversification of the evaluation criteria, cost minimization approach, subsidy system improvement, economic concept of discharge load adjustment system and establishment of basin sewerage concept for the development of the basin sewerage plan in Korea.
Purpose - The Millennial Generation, which grew in the wake of the spread of the Internet and rapid changes in the media environment, is rapidly moving from the traditional broadcasting environment to the Internet-broadcasting environment in terms of content acceptance. With the emergence of UGC (User-generated content), the change in the status of single-person content creators enables the growth of multi-channel networks (MCN), a new content-distribution platform and an agency concept for single creators. Youtube-based MCN produces multiple single star producers and casts and provides its own video series through Youtube. It is also emerging as a major M&A target for global media providers in terms of providing content to a wide range of consumers with the same interests and consumption characteristics. In addition, for the Millennials generation, which are part of their lives, MCN is becoming the most suitable media for TGIF (Twitter, Google, i-phone, Facebook). Accordingly, this study defines newly emerging MCNs and analyzes the factors for accepting MCN-produced content based on the push-pull-mooring (PPM) model. Research design, data, and methodology - An empirical analysis is performed through a questionnaire survey. For this purpose, 204 people who have experience of watching MCN were studied. Collected data is processed through analysis of a structural equation model using R to test the hypothesis. Results - For the MCN service to become an alternative to existing media, it is necessary to continuously promote cultural diversity and diversity of attempts that conventional media cannot provide. It is the attractiveness of the alternative that has the greatest influence on the intention to switch to a MCN service. When we look at MCN content so far, certain patterns such as game progress, introduction, food, and chat rooms have already appeared. We need to overcome this and develop a completely new conceptual content that we have never seen before. This requires a more generous viewer perception of the topics covered. For diversity, linguistic and verbal violence should be tolerant in common sense to provide a foundation for securing cultural diversity. Conclusions - In this study, we tried to develop a comprehensive approach to the substitution effect of MCN. In terms of academic achievement, the PPM model is used to enhance the utilization of media and broadcasting. Practical implications are to provide an analytical framework for verifying alternative or complementary effects when viewers switch to MCN.
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