• Title/Summary/Keyword: End-of-life phase

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Notification of Terminal Status and Advance Care Planning in Patients with Cancer

  • Lee, Si Won
    • Journal of Hospice and Palliative Care
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    • v.25 no.1
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    • pp.42-49
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    • 2022
  • As population aging increases the burden of cancer, the quality of death of patients with cancer is emerging as an important issue alongside their quality of life. To improve the quality of death, it is necessary to prepare for death, allowing patients to die comfortably and with dignity at the end. Considering these issues, I aim to discuss the practical aspects of notifying the patient of the terminal phase of cancer and planning for end-of-life care (i.e., advance care planning). When cancer treatment that can extend the patent's lifespan becomes difficult, the patient enters a treatment transition period. Treatment is shifted from life-prolonging care to life-enhancing care, and end-of-life care must be well planned. Medical providers often worry too much about whether the patient will be disappointed or psychologically traumatized when notified of the terminal phase of their cancer, thus delaying plans for end-of-life care. In fact, patients can accept their condition and prepare for end-of-life care better than we expect. During the treatment transition period, notification of terminal status should be given, and a well-prepared advance care plan should be established early when the patient has decision-making ability. In addition to conveying information, it is always necessary to be sensitive to whether the patient and caregiver understand the information and respond to their emotions.

Life Cycle Assessment of Part Reuse/Recycling in the End-of-Life Stage of Personal Computers (부품 재사용 여부에 따른 폐컴퓨터에 대한 전과정평가(LCA))

  • Lim, Hyeong-Soon;Yang, Yun-Hee;Song, Jun-Il;Lee, Kun-Mo
    • Journal of Korean Society of Environmental Engineers
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    • v.28 no.5
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    • pp.494-500
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    • 2006
  • Life Cycle Assessment(LCA) is an environmental assessment tool for evaluating environmental burdens associated with products, processes and activities from the raw material acquisition stage to the end-of-life stage. End-of-life stage as well as other processes requires a reliant database in order to increase the confidence in the LCA results. In this study, the flow of Personal Computer(as PC) in the end-of-life stage was examined and the database of two scenarios has been established, i.e. one is part reuse and the other is no part reuse, in the end-of-life phase of PC. Also, key environmental issues were identified by carrying out LCA on a PC in the end-of-life phase for eight environmental impact categories. The 'ozone layer depletion' contributes the highest environmental impact due to generation of $Cl_2$ gas during the incineration of waste plastics. In addition, the scenario 1(part reuse) is more environmentally sound than the scenario 2(no part reuse) when comparing two scenarios.

The Last Phase of Life.Life Completion.Palliative Care Model (생의 마지막 단계.삶의 완결.완화간호 모델)

  • Kim, Dal-Sook
    • Journal of Hospice and Palliative Care
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    • v.12 no.3
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    • pp.115-121
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    • 2009
  • Despite a recent increased nation's attention given to improving end-life care, we professionals need to be more critical and reflective on our realities surrounding hospice palliative care. The aim of this paper is to suggest that palliative care models can be used for patients/families in the last phase of life and examine whether they are appropriate for caring them in congruence with philosophy of hospice. The hospice experience model (HEM) of Eagan & Labyak and the developmental model of Byock are introduced and examined for their congruence with philosophy of hospice in applying to clinical practice. The HEM as a patient/family value-directed end of life care model emphasizes three principles; unique experience of patient/family, interactions/relationships among multiple dimensions of personhood and between family, and personal growth and development in the face of suffering through a life-completion. The developmental model stipulates dying as the last stage of living, a stage of life cycle in which patients/family may have growth through life-completion in multidimensional relationships of personhood. The model includes the developmental landmarks and tasks for life-completion as the framework to guide a means of professionals' to recognize their opportunity to grow. The landmarks and tasks include worldly and social affair, individual relationships, intrapersonal, and transcendent dimension. The models could work as appropriate palliative care models for patients/families in the last stage of living. The professionals need to be encouraged to apply the models to end of life care setting.

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Effects of medium chain triglycerides with organic acids on growth performance, fecal score, blood profiles, intestinal morphology, and nutrient digestibility in weaning pigs

  • Goh, Tae Wook;Hong, Jinsu;You, Dong Hyun;Han, Yeong Geol;Nam, Seung Ok;Kim, Yoo Yong
    • Animal Bioscience
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    • v.35 no.6
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    • pp.916-926
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    • 2022
  • Objective: This study was conducted to evaluate the effects of medium chain triglycerides (MCT) with organic acids (OA) on growth performance, fecal score, blood profiles, intestinal morphology, and nutrient digestibility in weaning pigs. Methods: A total of 120 weaning pigs ([Yorkshire×Landrace]×Duroc) with an average body weight (BW) of 8.00±0.87 kg were assigned in five treatments considering sex and initial BW in 3 replications with 8 pigs per pen in a randomized complete block design. The experimental diets included a corn-soybean meal based basal diet with or without 0.1% or 0.2% MCT and 0.1% OA. The pigs were fed the diets for 5 weeks (phase 1, 0 to 2 weeks; phase 2, 3 to 5 weeks). A total of 15 barrows with an average BW of 12.48±0.37 kg were used to evaluate the nutrient digestibility by total collection method. The BW and feed intake were measured at the end of each phase. Blood samples and small intestine samples were collected at the end of each phase, too. Results: Supplementing 0.1% MCT with 0.1% OA showed greater BW for week 5 and average daily gain (ADG) for overall period than control diet. Supplementing 0.1% MCT increased (p<0.05) ADG and improved (p<0.05) gain:feed ratio for phase 1. Dietary MCT and OA did not affect the fecal score and blood concentration of cortisol, immunoglobulin G, tumor necrosis factor-α, interleukin-1β (IL-1β), IL-6, and IL-10 in weaning pigs. Pigs fed the diets with 0.1% MCT had greater (p<0.05) villus height of duodenum and ileum for phase 1. Also, pigs fed the diet with 0.1% OA showed greater (p<0.05) villus height and villus height to crypt depth ratio of duodenum for phase 2. There was no significant difference in nutrient digestibility and nitrogen retention of pigs. Conclusion: Addition of 0.1% MCT with 0.1% OA in weaning pig's diet improved growth performance partly by enhancing intestinal morphology in weaning pigs.

A Whole LCA of the Sustainable Aspects of Structural Systems in Tall Buildings

  • Trabucco, Dario;Wood, Antony;Vassart, Olivier;Popa, Nicoletta
    • International Journal of High-Rise Buildings
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    • v.5 no.2
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    • pp.71-86
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    • 2016
  • This paper summarizes the results of a two-year-long research project conducted by the CTBUH on the life cycle assessment (LCA) of tall building structural systems. The research project was made possible thanks to a $300,000 contribution from ArcelorMittal and the support of some of the most important structural engineering firms and players in the tall building industry. The research analyzed all life phases of a tall building's structural system: the extraction and production of its materials, transportation to the site, construction operations, final demolition of the building, and the end-of-life of the materials. The impact of the building structure during the operational phase (i.e., impact on daily energy consumption, maintenance, and suitability to changes) was also investigated, but no significant impacts were identified during this phase.

A Low Phase Noise Design of Voltage Controlled Dielectric Resonator Oscillator and Reliability Analysis (전압제어 유전체 공진 발진기의 저위상잡음 설계 및 신뢰도 분석)

  • Ryu Keun-Kwan
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.9 no.2
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    • pp.408-414
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    • 2005
  • The VCDRO(Voltage Controlled Dielectric Resonate. Oscillator) with low phase noise is designed using nonlinear analysis, and its phase noise characteristics are compared with that of Lesson's equation. The microstripline coupled with dielectric resonator is realized as a high impedance inverter to improve the phase noise performance, and the quality factor of resonator circuit can be transferred to active device with the enhanced the loaded quality factor. The worst case and part stress analyses are achieved to obtain the high reliability of VCDRO and the reliability analysis is accomplished to estimate the probability of operation at the end of life. The developed VCDRO has the oscillating tuning factor of 0.56MHZ1V for the control voltage range of 0-l2V. This VCDRO requires the DC power of 136mW. The phase noise characteristics exhibit good performances of -94.18dBc/Hz (a)10KHz and -116.3dBc/Hz (a)100KHz. And, the output power over 7.33dBm is measured.

A Software Manpower Profile for Software Development Life Cycle (소프트웨어 개발 라이프사이클 인력 프로파일)

  • Lee, Sang-Un
    • The KIPS Transactions:PartD
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    • v.11D no.5
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    • pp.1123-1132
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    • 2004
  • Successful project planning relies on a good estimation of the manpower required to complete a project. The good estimation can be derived from Rutnam's Rayleigh Model or Phillai et al.'s Gamma Model. These models only can be applied for the projects which the need of manpower is increased exponentially and the highest of manpower is required at the end of development phase. However, in a practical project, most manpower is required during development phase and a small amount of manpower is assigned during maintenance phase. In addition, the Waterfall Model and Unified Process only can be adopted for development phase. So the current development environments cannot be adopted into the existing manpower distribution models which the highest manpower is required at the end of development phase. This paper suggests an appropriate model for development phase to solve this problem. First, the appropriate manpower distribution for development phase of the Waterfall model was derived from Putnam's manpower distribution and then manpower distribution of development phase was derived for Unified Process. After comparing the required manpower of two Processes, total manpower distribution is similar each other even though the required manpower and task is different for each point of development phase. From this result, a unified model is derived and it can be applied for both development processes.

Research on the Methode of Construction Information Management Considering the Nuclear Power Plant Life Cycle (원자력발전소 생애주기를 고려한 시공정보 관리방안 연구)

  • Byon, Su-jin;Lee, Sang-Hyun
    • Proceedings of the Korean Institute of Building Construction Conference
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    • 2016.05a
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    • pp.229-230
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    • 2016
  • The Nuclear Power Plant construction industry has the related to Information-integration field. In this study, the end user developed an Information Management System early in the project, and developed a management structure that systematically integrates and interfaces with information in each life-cycle phase. Particularly this paper related to the construction information of component.

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Digital Broadcast : Preparations and Effect Prospect (긴급제언 - 디지털 TV방송의 준비와 파급전망)

  • Park, Byeong-Ryeol
    • Journal of the Korean Professional Engineers Association
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    • v.43 no.2
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    • pp.39-44
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    • 2010
  • Digital broadcast in Korea being under way for almost 10 years and due by the end of 2012 is greatly changing the style of life. Having such a potential impact on life means it hardly permits any mistake in cooperated works of viewers, broadcasters, manufacturers and government for smooth transition. Now the early phase of digital transition is capturing the viewers with unseen features like HDTV, interactive data broadcasting, and multimedia service. But what will really thrill us is still to come with its capability far beyond high definition and interactivity.

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Effects of β-glucan with vitamin E supplementation on the growth performance, blood profiles, immune response, pork quality, pork flavor, and economic benefit in growing and finishing pigs

  • Tae Wook Goh;Hong Jun Kim;Kunyong Moon;Yoo Yong Kim
    • Animal Bioscience
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    • v.36 no.6
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    • pp.929-942
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    • 2023
  • Objective: This study was conducted to evaluate the effects of β-glucan with vitamin E supplementation on the growth performance, blood profiles, immune response, pork quality, pork flavor, and economic benefit in growing and finishing pigs. Methods: A total of 140 growing pigs ([Yorkshire×Landrace]×Duroc) were assigned to five treatments considering sex and initial body weight (BW) in 4 replications with 7 pigs per pen in a randomized complete block design. The experimental diets included a corn-soybean meal-based basal diet with or without 0.05% or 0.1% β-glucan and 0.02% vitamin E. The pigs were fed the diets for 12 weeks (phase I, 0 to 3; phase II, 3 to 6; phase III, 6 to 9; phase IV, 9 to 12). The BW and feed intake were measured at the end of each phase. Blood samples were collected at the end of each phase. Four pigs from each treatment were selected and slaughtered for meat quality. Economic benefit was calculated considering the total feed intake and feed price. Pork flavor was analyzed through inosine monophosphate analysis. Results: The average daily gain and feed efficiency were improved compared to the control when β-glucan or vitamin E was added. Supplementing 0.05% β-glucan significantly increased the lymphocyte concentration compared to the addition of 0.1% β-glucan and the content of vitamin E in the blood increased when 0.02% vitamin E was added. The treatment with 0.1% β-glucan and 0.02% vitamin E showed the most economic effect because it had the shortest days to market weight and the lowest total feed cost. The addition of β-glucan or vitamin E had a positive role in improving the flavor of pork when considering that the content of inosine monophosphate was increased. However, carcass traits and meat quality were not affected by β-glucan or vitamin E. Conclusion: The addition of 0.1% β-glucan with 0.02% vitamin E in growing and finishing pig diets showed great growth performance and economic effects by supplying vitamin E efficiently and by improving the health condition of pigs due to β-glucan.