• KSII Transactions on Internet and Information Systems (TIIS)
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• 제11권4호
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• pp.1866-1888
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• 2017

Efficient energy consumption in WSN is one of the key design issues for improving network stability period. In this paper, we propose a new Heterogeneity-aware Energy-efficient Clustering (HEC) technique which considers two types of heterogeneity - network lifetime and of sensor nodes. Selection of cluster head nodes is done based on the three network lifetime phases: only advanced nodes are allowed to become cluster heads in the initial phase; in the second active phase all nodes are allowed to participate in cluster head selection process with equal probability, and in the last dying out phase, clustering is relaxed by allowing direct transmission. Simulation-based performance analysis of the proposed technique as compared to other relevant techniques shows that HEC achieves longer stable region, improved throughput, and better energy dissipation owing to judicious consumption of additional energy of advanced nodes. On an average, the improvement observed for stability period over LEACH, SEP, FAIR and HEC- with SEP protocols is around 65%, 30%, 15% and 17% respectively. Further, the scalability of proposed technique is tested by varying the field size and number of sensing nodes. The results obtained are found to be quite optimistic. The impact of energy heterogeneity has also been assessed and it is found to improve the stability period though only upto a certain extent.

• 대한간호학회지
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• 제42권4호
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• pp.453-465
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• 2012

Purpose: The study was done to develop a shared decision-making scale for end-of-life patients in Korea. Methods: The process included construction of a conceptual framework, generation of initial items, verification of content validity, selection of secondary items, preliminary study, and extraction of final items. The participants were 388 adults who lived in one of 3 Korean metropolitan cities: Seoul, Daegu, or Busan. Item analysis, factor analysis, criterion related validity, and internal consistency were used to analyze the data. Data collection was done from July to October 2011. Results: Thirty-four items were selected for the final scale, and categorized into 7 factors explaining 61.9% of the total variance. The factors were labeled as sharing information (9 items), constructing system (7 items), explanation as a duty (5 items), autonomy (4 items), capturing time (3 items), participation of family (3 items), and human respect (3 items). The scores for the scale were significantly correlated among shared decision-making scale, terminating life support scale, and dignified dying scale. Cronbach's alpha coefficient for the 34 items was .94. Conclusion: The above findings indicate that the shared decision-making scale has a good validity and reliability when used for end-of-life patients in Korea.

• 중환자간호학회지
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• 제10권1호
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• pp.41-50
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• 2017

Purpose: The purpose of this study was to describe what critical care nurses perceived about life-sustaining treatment at end of life. Methods: A qualitative content analysis method was utilized. The unit of analysis was interview text obtained from fifty critical care nurses of a general hospital. Results: Seven categories in two content areas were abstracted. In the negative perception area, the following five categories were abstracted: patients' suffering, dying with damaged dignity, patients' isolation from family members, regret about choosing life-sustaining treatment, and family members' burden. In the positive perception area, the following two categories were abstracted: willingness to sustain life and duty as family members. Conclusions: Nurses have better competencies pertaining to understanding patients' responses and suffering than any other health care professions do. Nurses should play an important role in advocating for patients and their family in the process of end-of-life care decision making.

• Perspectives in Nursing Science
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• 제5권1호
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• pp.1-15
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• 2008

Background: Recent changes in the medical environment have increased the need for the home health care nursing in Korea. Even though the number of home health care patients is increasing, the major nursing problems have not been identified due to lack of a standardized nursing diagnosis. Aim: An investigative study was conducted to determine the frequency and appropriateness of nursing problems in hospital-based home health care patients in Korea using two internationally standardized nursing diagnosis classification systems. Methods: Nursing records of 249 hospital-based home health care patients were reviewed and nursing problems were identified using the North American Nursing Diagnosis Association Nursing Diagnosis Taxonomy I (NANDA) and the Clinical Care Classification of Nursing Diagnoses (CCC). Findings: Out of 463 nursing problems. 403 nursing problems were described using the NANDA whereas 427 nursing problems were described using the CCC. Nursing diagnoses not captured by the NANDA classification include nausea/vomiting, anorexia, risk for nutrition deficit, decreased blood pressure, dying process, blood sugar impairment. infection unspecified, and disuse syndrome. Nursing diagnoses not captured by the CCC include nausea/vomiting and anorexia. Conclusions: In describing nursing problems of home health care patients, it was found that the CCC was able to represent more diagnoses than the NANDA.

• International Journal of Computer Science & Network Security
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• 제22권10호
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• pp.171-176
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• 2022

A dramatic rise in the number of people dying from heart disease has prompted efforts to find a way to identify it sooner using efficient approaches. A variety of variables contribute to the condition and even hereditary factors. The current estimate approaches use an automated diagnostic system that fails to attain a high level of accuracy because it includes irrelevant dataset information. This paper presents an effective neural network with convolutional layers for classifying clinical data that is highly class-imbalanced. Traditional approaches rely on massive amounts of data rather than precise predictions. Data must be picked carefully in order to achieve an earlier prediction process. It's a setback for analysis if the data obtained is just partially complete. However, feature extraction is a major challenge in classification and prediction since increased data increases the training time of traditional machine learning classifiers. The work integrates the CNN-MDRP classifier (convolutional neural network (CNN)-based efficient multimodal disease risk prediction with TANFIS (tuned adaptive neuro-fuzzy inference system) for earlier accurate prediction. Perform data cleaning by transforming partial data to informative data from the dataset in this project. The recommended TANFIS tuning parameters are then improved using a Laplace Gaussian mutation-based grasshopper and moth flame optimization approach (LGM²G). The proposed approach yields a prediction accuracy of 98.40 percent when compared to current algorithms.

• 대한간호학회지
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• 제10권2호
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• pp.95-115
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• 1980

Current statistics reveal remarkable prolongation of the average longevity in this country for the past decade. Welfare of the aged is no longer sole concern of the person or/and family. but has aroused social concern on the community and national level. This study was designed to assess social, economic and emotional needs of the aged. and to identify problems they are confronting. Data were gathered through questioning 273 subjects living in Seoul from July 25, to August 31. 19 80. Frequencies and percentile scores were analysed to describe the fact. and the significance of int or-variable differences was tested by Chi-square method. Results are : 1. Majority of the subjects (male : 65.38%). (female : 62.13%)“talk about past experiences”to re-collect their past days, the difference between male and female respondents was not significant. 2. Except few who earn their pocket money (4.21%). majority were doing household errands (34.52% ) and looking after their garnd children (29.26 ％）. Main sources of their pocket money revealed to be their children (84.02%) and their own savings (24.64% ). Except few (15％）engaged with social activities directly or indirectly. leisure hours are spent in chatting with aged neighbors (44.81%). Highest in the rank order on the joyous moments for the aged revealed to be when the members of family living apart paying a visit (male : 37.5%, female : 63.72%)difference of male and female was significant ( P<0.05). Among female respondents. significant difference between age group was revealed (p<0.05). 3. Majority prefered sin91e houses (84.30% ). as residential environment. the suburban (36.26% ) area was the filet in the rank order : difference between age group and the educational status were not significant. Majority of respondents revealed to have their own room in the house. The first preference was given to live with their children (68.86%). Memory of the past (37.36% )revealed to be the highest in the rank order among the reasons why they dislike moving the house. 4. Majority favored current welfare benefts provided for the old age. however. the ideal way to live at their old age they responded was to live on their own savings (50.54%). 5. Majority revealed to be daunted occasionally (62.27%) by not being less active (34.16%) socially and by poor physical health(29.75%). Male and female differ in the causes of loneliness significantly (P <0.001) : retirement (37.89%) in ale and helpessness (43.05%) in female revealed the highest in the rank order. Majority talk over their feelings with aged neighbors to overcome the loneliness. 6 Majority were in favor of planting and looking after pet animal in the house. however. male and female differ in the kind significantly (p <0.001), 7. Majority think about death and dying occasionally or more (84.11% ). Many of the respondents believes in the life after life (53.49%) : female revealed to be significantly higher (p <0.01). and subjects with christian belief were significantly higher than non-christians (P<0.001). Attitude towards death and dying differs significantly between male and female (P <0. 001) and between christians ans and nonchristians (p <0.001). Highest preference was given to simple funeral (69.85%). Precious heritage that they would pass on to their descendants was onoscience and ethical value(57. 51%) : christian response as the first value was christian belief (52.38%).

• 문화기술의 융합
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• 제10권2호
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• pp.27-33
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• 2024

본 연구에서는 '조력존엄사'에 대한 부분을 살펴보며, 라몬이 소송을 통해서 아름답게 죽음을 맞이할 수 있는 권리는 자기에게 있다고 주장하는 모습에 대해 고찰하였다. 영화<씨 인사이드>의 주인공 라몬 삼페드로는 전신마비로 26년 이상을 침대에서 움직임도 없이 생활하고 있는 중증환자이다. 그가 할 수 있는 유일한 것은 가족들에게 말로 부탁하는 것이다. 라몬은 이러한 무가치한 삶을 더이상 지탱할 수 없기에 인간으로서 존엄하게 자신의 삶을 마치고 싶다는 열의로 '조력존엄사'를 추구하는 것이다. 라몬은 합법적인 틀안에서 조력존엄사를 허가받기 위해 소송을 제기하였지만 삶은 의무라는 이유로 기각당한다. 라몬은 결국 자신이 추구하고자 하는 조력존엄사를 자신의 친구들의 도움으로 행한다. 라몬은 자신의 죽음에 대한 과정을 기록으로 남기기 위해서 촬영을 위한 카메라를 설치하고, 조력존엄사에 사용하는 치사약인 청산가리를 소개하면서 담담하게 카메라 앞에서 청산가리를 흡입하면서 조용히 죽음을 맞이한다. 결국 라몬은 자신이 원했던 조력존엄사를 실행한 것이며 현재의 삶에서 해방된 것이다. 라몬이 비록 식물인간이나 임종을 앞둔 환자는 아니지만 자신의 결정으로 실행한 조력존엄사를 어느 누가 비난할 수 있겠는가. 우리는 라몬과 같은 중증환자들이 조력존엄사를 할 수 있도록 사회적인 공감을 얻어서 법제화할 수 있도록 노력해야 할 것이다.

• 대한간호학회지
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• 제38권2호
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• pp.298-309
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• 2008

Purpose: The purpose of the study was to describe the experiences of do-not-resuscitate (DNR) among nurses. Methods: Data were collected by in-depth interviews with 8 nurses in 8 different hospitals. Conventional qualitative content analysis was used to analyze the data. Results: Eight major themes emerged from the analysis: DNR decision-making bypassing the patient, inefficiency in the decision-making process of DNR, negative connotation of DNR, predominance of verbal DNR over written DNR, doubts and confusion about DNR, least amount of intervention in the decision for DNR change of focus in the care of the patient after a DNR order, and care burden of patients with DNR. Decision-making of DNR occurred between physicians and family members, not the patients themselves. Often high medical expenses were involved in choosing DNR, thus if choosing DNR it was implied the family members and health professionals as well did not try their best to help the patient. Verbal DNR permission was more popular in clinical settings. Most nurses felt guilty and depressed about the dying/death of patients with DNR. Conclusion: Clearer guidelines on DNR, which reflect a family-oriented culture, need to be established to reduce confusion and to promote involvement in the decision-making process of DNR among nurses.

• 한국의류산업학회지
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• 제14권5호
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• pp.730-738
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• 2012

This study proposes a process to design and analyze stage costumes by design elements for the costumes of the Korean traditional music cantata 'I Will Rise'. This study states fundamental references to make costumes of similar performances in the future and develop costume designs based on the format of a play. The findings are as follows. First, the costume production process of 'I Will Rise' is conducted in the order of directing intentions and script analysis, costume design, miniature production, costume production, costume modification, run, and post-production. Second, an overall Korean silhouette is expressed through the creation of costumes based on the construction of Korean traditional clothing (hanbok); however, from a detail perspective, a modernistic sensitivity is expressed through the use of modern elements (wing shoulders attached to shoulders, narrow ribbons made in a string form, and wristlets and belts) not found in hanboks. Third, tie-dying is applied to the costume colors of each character to highlight the traditional and unique feeling of dye and symbolic colors that effectively represent each role used to communicate the storyline and character emotions to the audience. Fourth, materials for costumes are cotton and linen (frequently used to create the texture of a Hanbok) as the costume of each character is emphasized to the use of additional and detailed materials such as artificial leather, hemp, and silk.

• 수산해양교육연구
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• 제11권1호
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• pp.24-42
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• 1999

I have studied historical transition process of fisheries industries, fisheries Institute in abreast of developing fisheries industries of west coast of Korea since 1910 year with regard to the Gogunsan Is. The results were summarized as follows. In 1910 year, fishery industry has been carried out shifting fishing gear e.g set-net in shallow waters, small stow net, small seine net adapting to the tophorgrapical feature, shape of coast, oceanic condition, however, the fishing gear and fishing method were undeveloped, so that, Japanese fishermen had been exploited fisheries resources penetrating the fishing ground. Most important species were lot of captured croaker, cod, spanish mackeral, sea abream, herring in coastal sea. nowaday, squid, anchovy, shrimp, crab, pompret were much captured. The species were captured in 18 century were not captured. It is rarely than that period. Fishereis aquatic culture had been not farmed till 1960 year, but sea laver, shrimp, crab, had been breeded 1970 year also, the fresh water fish e.g. eel, cat-fish had been breeded activately. The fisheries processing industry were composed of salt. icing, dry, method. the salted fish industry had been prevailed at Gangyng, Kwangchon, Kunsan, Julpo comparatively. The fisheries institute had been established at Kunsan at first, but institute established in other region had been abolished in a short time. This phenomenon was related with development of fisheries resources. The western coast fisheries industries had been wasted of decreasing of fisheries resources, variation of environment. Accordingly, the study of preserving the marine resources. educated man power who engaged in fisheries field have to accomplish. Sea was dying with reason of loss of mud in west coast factory waste, waste of life the increase of accident of sea polluted, each illegal fishing industry physical and chemical reason etc. in this respect, Kusan maritime college, fisheries developing agency, institute have to take important role for developing fishing industry.