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Treatment of Patients with Cancer in a Secondary Hospital in Korea (국내 일개 2차 병원의 암환자 치료 실태)

  • Son, Myoung Kyun
    • Journal of Hospice and Palliative Care
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    • v.21 no.3
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    • pp.84-91
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    • 2018
  • Purpose: This study aims to investigate treatment of cancer patients at a secondary hospital. Methods: A retrospective analysis was performed with electronic medical records of cancer patients admitted to a secondary hospital from January 1, 2009 through September 31, 2017. Results: A total of 223 patients were studied. Sixty-nine patients were hospitalized for supportive care after receiving a surgery, chemotherapy, and radiotherapy at a tertiary hospital, 58 patients for other supportive care, 53 patients for symptom control, 16 patients with a decision not to take active cancer treatment, and 27 patients for treatment of cancer that was diagnosed during their hospital stay. Among 75 patients who were discharged to other institutions, 50 were transferred to tertiary hospitals, 10 to long-term care hospitals, eight to hospice hospitals, four to nursing homes and two to secondary hospitals. Comorbidities were found in 120 patients (53.8%). For patients who consulted with more than one department, more consultations were for non-cancer diseases than cancer. Seventy-three patients had a do-not-resuscitate order. Conclusion: For treatment of cancer patients, it is needed to establish a cooperation system among medical institutions and provide comprehensive management including treatment of comorbidities.

Three-year Analysis of Patients and Treatment Experiences in the Regional Trauma Center of Gachon University Gil Hospital between 2011 and 2013 (가천대학교 길병원 권역외상센터 3개년 내원 환자 및 치료 경험 분석(2011~2013))

  • Yoon, Yong-Cheol;Lee, Jung-Nam;Chung, Min;Jeon, Yang Bin;Park, Jae Jeong;Yu, Byung Chul;Lee, Gil Jae;Cho, Hyun Jin;Ma, Dae Sung;Lee, Min A;Choi, Jung Ju;Son, Seong
    • Journal of Trauma and Injury
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    • v.27 no.4
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    • pp.170-177
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    • 2014
  • Purpose: The first regional trauma center selected in Korea was the Gachon University Gil hospital regional trauma center; expectation on its role has been high because of its location in the Seoul metropolitan region. To determine if those expectations are being met, we analyzed the patients visiting the center and their treatment experiences for the past 3 years in order to propose a standard for the operation of a trauma center. Methods: The visiting route, visiting methods, performance of emergency surgery, the ward and the length of stay, the injury mechanism, the injury severity score (ISS), the department that managed the surgery, and the cause of death were analyzed for 367 patients visiting the center from its establishment in June 2011 through December 2013. Results: The mean age of the patients was 47 years (285 male and 82 female patients). A total of 187 patients directly visited the center whereas 180 were transferred to the center. Traffic accidents comprised the majority of injury mechanisms, and 178 patients underwent emergency surgery. The mean length of stay per patient was 11 days for those in the ICU and 27 days for those in a general ward. These patients occupied 4 beds in the ICU and 10 beds in the general ward per day. A total of 1.21 surgeries were performed per patient, and the mean number of surgeries performed per day was 0.49. The mean ISS was 15.91, and 183 patients (50%) had an ISS of ${\geq}16$. Thirty-one patients died; they had a mean ISS of 28.42. The most frequent cause of death was multi-organ failure. The mean number of treatment consultations during a patient's stay was 6.32. Forty-five patients (13%) were discharged from the center, and 291 (79%) were transferred to another hospital. Conclusion: A systematic approach to establishing a treatment model for trauma patients, including injury mechanism, multidisciplinary treatment, and trauma surgeon intervention, is required for treating trauma patients.

The Present of Convention on Biological Diversity Maritime Agenda (해양관련 생물다양성협약 의제 소개)

  • Back, Jinwook;Lee, Kanghyun
    • Korean Journal of Environmental Biology
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    • v.32 no.4
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    • pp.397-402
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    • 2014
  • In June 1992, Convention on Biological Diversity (CBD) was concluded by 158 countries in Rio de Janeiro. And now, 194 member nations are participating in discussions for their own profit. Recently, Nagoya Protocol regarding Access to genetic resources and Benefit-Sharing (ABS) was approved and took effect from October $12^{th}$, 2014. Thus, it is important to understand the impact of CBD and ABS functioning on researchers studying marine biodiversity. Until now, in the previous Conference of the parties to the Convention on Biological Diversity, the interest towards researching marine and marine living resources was relatively low, and accordingly, the discussions regarding marine and marine living resources were delayed. However, in the $12^{th}$ Pyeongchang Conference of the Parties to the Convention on Biological Diversity, the arguments concerning Ecologically or Biologically Significant marine Areas (EBSA) and the other marine related issues were discussed. Although, South Korea has not yet officially joined Nagoya Protocol, however the consultations in regard to Prior and Informed Consent (PIC), Mutually Agreed Terms (MAT) and Global Multilateral Benefit-Sharing Mechanism (GMBSM) were discussed. We belive that as a possessing nation of biological resources, South Korean government authorities should revise their management systems protocol and regulations concerning domestic biological resources, in order to strengthen the information system and help academia and industry to utilize the biological resources abroad easily and effectively.

Factors relating to Success to Quit Smoking among Citizens Receiving Smoking-Cessation Clinics Services in a Public Health Center (보건소 금연클리닉 이용자의 금연성공 관련요인)

  • Lim, Young-Shil;Lee, Moo-Sik;Hong, Jee-Young;Kim, Hyun-Soo;Kim, Eun-Young
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.8
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    • pp.5169-5175
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    • 2014
  • The aim of this study was to find the factors related to smoking-cessation among citizens receiving smoking-cessation clinics' services in a public health center in Daejeon metropolitan city. The study subjects were 2,125 participants registered in "smoking-cessation clinic", public health centers in 2007. Frequency analysis, chi-squared test and multiple logistic regression analysis were used to determine the relationships between the success rate of smoking-cessation and the characteristics. The success rate of smoking-cessation during 6 months was 39.8%. Males had a higher rate than females, and people over 65 years of age had a higher rate than those less than 40 years of age. High blood pressure, drinking of more 2 times per week, regular exercise, CO under 10ppm had significantly relationships with the smoking-cessation rate. The other independent variables had no statistically significance with the smoking-cessation success rate. Logistic regression analysis showed that age, number of nicotine patches used and total consultation times had significantly relationships with the smoking-cessation success rate. The total consultation times showed the highest odds ratio than the other significant factors. This study suggests that regular consultations will be the most effective intervention towards maintaining smoking cessation programs of smoking-cessation clinics in public health centers.

A Study on Actual Conditions and Patterns of Sexual Harassment in the Korean Adolescents (한국 청소년의 성희롱실태 및 유형에 관한 조사연구)

  • Kim, Young-Hae;Lee, Hwa-Za;Jung, Eun-Soon;Kim, Lee-Soon;Moon, Sun-Hwa;Jung, In-Kyung
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.196-206
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    • 2001
  • The purpose of this study was to identify Korean adolescents' sexual harassment conditions and patterns in schools as well as their psychological reactions when they are under sexual harassments or they committed sexual harassments. The subjects were 475 middle and high schoolers in Pusan and Gyeong Sang Nam-Do. The survey was executed from July 1 through Dec. 31, 2000. The collected data was analyzed by SPSS WIN 8.0 using percentage, mean. The results of this study were as follows: 1. the linguistic sexual harassment such as 'lewd jokes or dirty talks' was the major pattern(35.4%), The body touching such as 'kiss or embracing', 'internet transmission of pornography', 'sexual harassing of body characteristics', touching breast', 'grasping of hands or body touching', 'body touching in secret place', 'urging to sit in touch or on knees', 'exposing of special body areas', and 'showing pornography' followed in a row. 2. The eighteen point three percents of subjects had the experience to commit sexual harassment. The forty four point seven percent of above subjects committed it against their classmates. The first time to commit sexual harassment was their middle school period (38.4%). Their motives to commit it were as under: 'killing time'(48.8%), 'annoying', 'attracting attention from the other sex', 'expressing lovely emotions', 'urging of their friends', 'misunderstanding that the other partners felt good when they experienced sexual harassment, 'showing their strength' etc. their with committing harassments they felt as under ; 'joyful'(61.6%), 'funny,' 'desirous to try again', 'thrilling', 'breaking stress', very pleasant', 'exciting', 'regretful', 'guilty', and 'feeling fear' etc. 3. Twenty four point two percents of the population exposed to sexual harassments. The sexual harassers were almost their classmates (42.7%). And then unknown people', 'boy or girl friends and school staffs' followed in a row. The places where harassments happened were 'inside classroom'(69.8%), 'school bus and subway', 'outside school', etc. The feelings when experienced harassments were 'anger' (51.3%), 'hurting self-respect', 'embarrassing', 'rejection', 'insulting', 'shame', 'fear', 'dislike', 'anxiety', 'melancholy' etc. The reasons not to have consultations after sexual harassments were 'worrying to be well-known'(49.6%), 'believing not helpful enough', 'regarding simple mischief', 'trying to revenge directly', 'understanding their mistakes', 'worrying retaliation' etc.

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The Social Psychological Meaning of Occupation-related Identities among Generations (세대에 따른 직업 관련 사회정체성의 사회심리학적 의미)

  • Choi, Yu-Jung;Choi, Set-Byol;Lee, Myoung-Jin
    • Korea journal of population studies
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    • v.34 no.3
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    • pp.55-84
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    • 2011
  • This study initiated with the intention to reveal the social consultations and fissures through a comparative analysis on generational characteristics by indicating occupation-related identities with the concept of social identity supported by theoretical resources. According to the three dimensions of social identity which are evaluation, potency and activity, there was more generational agreement rather than difference toward occupation-related identities. Among the 44 identities, only evaluation dimensions on minister, congressman, plane captain, farmer and potency dimensions on CEO of a major companies, professor, medical doctor, nurse, celebrity, shaman, unemployed person were statistically significant. For 'Leader and Professional', the respondents in their 50's gave high scores in both evaluation and potency dimensions. On the other side, the 30's had negative viewpoints while the 20's and 40's had neutral perspectives. For the potency dimension, the age groups were divided into the 20's, 30's and 40's, 50's; having the younger generations underestimate the potency dimension of such categories. Also for the 'General Occupation', 20's and the 30's relatively devaluated with more distinctive degree toward evaluation dimensions. For religion, 20's and 30's were positive toward buddhist monks while the 40's and 50's were more favorable with priests. For the non-economically active population, the lifetime cycle influenced each generations. When performing a two dimensional analysis toward the 'Leader and Professional' with evaluation and potency on each axis, the 50's highly evaluated both evaluation and potency dimension of such identities. However, for the 40's, 30's and 20's, the average value fell while the focus of the distribution deepened. The 30's had negative perspective toward the evaluation dimension while the 20's reflected critical attitude toward the potency dimension.

Study on the differences in the stress and the strategies for coping with such stress arising from clinical fieldwork in accordance with the DISC behavioral style of some of the students of occupational therapy department (일부 작업치료(학)과 학생들의 DISC 행동유형에 따른 임상실습 스트레스 및 대처방식의 차이에 관한 연구)

  • Cha, Su-Min
    • Journal of Digital Convergence
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    • v.14 no.8
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    • pp.469-478
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    • 2016
  • This Study aims to examine the differences in stress arising from clinical fieldwork of some of the students of occupational therapy department in accordance with the DISC behavioral style and the differences in the coping strategy. It is to provide basic data for the presentation of means of coping with stress that can occur at the time of clinical fieldwork in accordance with the behavioral styles of the students. As the results of the study, it was found that there are differences in the detailed items of clinical fieldwork stress in accordance with the DISC behavioral styles and differences in the strategy for copying with stress in accordance with the DISC behavioral styles. Therefore, there is a need to develop manual for fieldwork instructions and consultations in order for the students of occupational therapy department to cope with the clinical fieldwork stress at the time of clinical fieldwork by considering the behavioral styles of the students through additional researches in the future on the basis of aforementioned results of the study.

The Development of a Standardized Work Process for Planning of Plant Project - Focus on Excavating and Investing Participation Plan - (플랜트 프로젝트 사업기획단계 표준 업무 프로세스 개발 - 사업발굴 및 사업참여 결정을 중심으로 -)

  • Lee, Do-yun;Choi, Chang-Hoon;Won, Seo-kyung;Cho, Moon-Young;Han, Choong-Hee;Lee, Junbok
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.4
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    • pp.3-11
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    • 2016
  • Recently, overseas plant orders of domestic enterprises are steadily increased, and the amount of orders in the first half of 2014 were 93% increased compared to the previous year. In addition, now which is the third quarter of 2015, overseas plant orders are already over 249.8 billion dollars so the interests of plant industry research has been increased. In the life cycle of the plant project, CM before the construction stage is to complement the uncertainties that are inherent in the early stages of the project, and from the viewpoint of supporting the rational decision-making, the importance of its role is on the rise. Among them, excavating and investing participation plan in the planning stage is an important work that has a large impact force to influence the success and failure of future project. However, the work has become a problem with frequent consultations due to decision-making, continuous modification, and inefficient repetitive tasks. Therefore, it is needed that work process should be changed to effectively accommodate. The purpose of this paper is to derive the major work items for excavating and investing participation plan in the planning stage of the plant project, and establish a standardized work process through the Delphi analysis. The result of this study is expected to be utilized for EPC companies in ensuring the technical competitiveness in planning on overseas markets, and improve the efficiency of work.

GIS 데이터구축 감리와 검수 프로그램

  • 조윤숙;박인만;정필구
    • Proceedings of the Korean Association of Geographic Inforamtion Studies Conference
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    • 2002.03b
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    • pp.11-24
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    • 2002
  • Many GIS systems are not to be trusted becuase many GIS project managers often fail to notice importance of GIS data Construction. With this reason, it is a lively discussion on GIS administration system's adaption. The definition of GIS administration system is not clear, but GIS administration system generally is devided information system administration, audit guideline for the data construction of GIS. Audit guideline for the data construction of GIS. GIS data construction's goals are logical and reasonable action policy of GIS data construction in widespread filed, the other goal is creation of product to the purpose exactly. Audit guideline for the data construction of GIS is composed of optimum of GIS data construction's planning, optimum of GIS data construction's activity, optimum of GIS data quality management, optimum of consultations of GIS data construction, GIS data audit. GIS data audit is the phase of detection product's potential error in each level. GIS data audit is composed of filed examination or filed verification, examination with the naked eye, screen verification, program verification, auto verification. GIS information system's efficiency is linked with auto verification system's function variety, accuracy. this paper offer introduction of Audit guideline for the data construction of GIS, efficient auto verification program

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MAXILLARY FLOATING TEETH IN A CHIARI MALFORMATION PATIENT (Chiari malformation 환아에서 상악 구치부의 부유치)

  • Shin, Eun-Young;Choi, Byung-Jai;Lee, Jae-Ho;Son, Heung-Kyu
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.649-653
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    • 2001
  • The Chiari malformation is a deformation within the central nervous system which the lower brain stem and the cerebellum migrate into the foramen magnum causing herniation. In 1891, Arnold Chiari classified such symptoms into 3 categories. This case report is of a 8-year-old female with the complaint of a slight facial swelling and pain on the upper right molar during tooth brushing since 10 days before. Clinical examination showed gingival pocket formation on distal of the upper right first molar with pain and mobility of the tooth. Radiographic examination showed generalized low bone density in the upper molar area, and especially no bone support above the upper right and left first molars were noted. With a temporary diagnosis of Early-onset periodontitis, consultations with medical doctors for the possibility of an underlying systemic disease were made during periodontal treatment. 3D CT was taken with after a final diagnosis of Chiari malformation. Generalized thinning and defect of the cranial bone was noted and the foramen magnum was slightly enlarged. The occipital and maxillary bone was low in density, and the alveolar bone of maxillary posterior teeth was especially almost non-existing causing the upper right and left first molar to be floating. For this, the patient went under consultation with the department of neurosurgery and is still under observation. Periodontitis in childreren is very rare. When symptoms of periodontitis appear in a child, due to the possibility of an underlying systemic disease such as leukemia, histiocytosis X, and hypophosphatasia, proper examinations should be carried out so that the primary factor the symptoms can be treated.

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