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검색결과 498건 처리시간 0.025초

한국형 호스피스 케어 개발을 위한 기초 조사 연구 (The National Hospice Care Service Development in Korea)

  • 이소우;이은옥;안효섭;허대석;김달숙;김현숙;이혜자
    • 대한간호
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    • 제36권3호
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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Community Care for Cancer Patients in Rural Areas: An Integrated Regional Cancer Center and Public Health Center Partnership Model

  • Kang, Jung Hun;Jung, Chang Yoon;Park, Ki-Soo;Huh, Jung Sik;Oh, Sung Yong;Kwon, Jung Hye
    • Journal of Hospice and Palliative Care
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    • 제24권4호
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    • pp.226-234
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    • 2021
  • Purpose: The accessibility of medical facilities for cancer patients affects both their comfort and survival. Patients in rural areas have a higher socioeconomic burden and are more vulnerable to emergency situations than urban dwellers. This study examined the feasibility and effectiveness of a cancer care model integrating a regional cancer center (RCC) and public health center (PHC). Methods: This study analyzed the construction of a safety care network for cancer patients that integrated an RCC and PHC. Two public health institutions (an RCC in Gyeongnam and a PHC in Geochang County) collaborated on the development of the community care model. The study lasted 13 months beginning in February 2019 to February 2020. Results: The RCC developed the protocol for evaluating and measuring 27 cancer-related symptoms, conducted education for PHC nurses, and administered case counseling. The staff at the PHC registered, evaluated, and routinely monitored patients through home visits. A smartphone application and regular video conferences were incorporated to facilitate mutual communication. In total, 177 patients (mean age: 70.9 years; men: 59%) were enrolled from February 2019 to February 2020. Patients' greatest unmet need was the presence of a nearby cancer treatment hospital (83%). In total, 28 (33%) and 44 (52%) participants answered that the care model was very helpful or helpful, respectively. Conclusion: We confirmed that a combined RCC-PHC program for cancer patients in rural areas is feasible and can bring satisfaction to patients as a safety care network. This program could mitigate health inequalities caused by accessibility issues.

에이전트 기반의 고장허용 객체그룹 모델 구축 (Construction of an Agent-based Fault-Tolerant Object Group Model)

  • 강명석;김학배
    • 한국통신학회논문지
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    • 제34권1B호
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    • pp.74-85
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    • 2009
  • 본 논문에서는 효율적인 객체 관리와 고장 회복을 위해 에이전트 기술과 중복 메커니즘을 이용한 고장허용 객체그룹(fault Tolerant Object Group, FTOG)를 기반으로 에이전트 기반의 고장허용 객체그룹 모델을 제안한다. 고장허용 객체그룹의 확장된 기능으로 다섯 가지의 에이전트 - 내부처리 에이전트, 등록 에이전트, 상태처리 에이전트 사용자인터페이스 에이전트 서비스 에이전트를 정의하였다. 제안된 모델에서 에이전트들의 역할은 분산된 객체들의 상호작용을 줄이고 보다 효과적인 서비스를 제공하는데 있다. 에이전트 기반의 고장허용 객체그룹 모델의 효율성을 검증하기 위해 홈네트워크 서비스를 제공하는 가상의 지능형 홈네트워크 시뮬레이터를 구현하였다. 시뮬레이션을 통하여 제안한 모델은 객체들 간의 상호작용을 줄이고(부하감소) 효율적인 장 회복 등 안정적이고 신뢰성 있는 서비스를 제공함을 검증하였다.

장기 보호 여성노인의 수발에 관한 연구 - 수발특성과 우울을 중심으로 - (Caregiving for the Long-Term Care Elderly Women - Focusing on Caregiving Characteristics and Depression -)

  • 김태현
    • 대한가정학회지
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    • 제41권6호
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    • pp.143-156
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    • 2003
  • The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.

스마트 홈 헤이 홈 Air의 클라우드 아티팩트 원격 수집 방안 연구 (A Study on the remote acuisition of HejHome Air Cloud artifacts)

  • 김주은;서승희;차해성;김역;이창훈
    • 인터넷정보학회논문지
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    • 제23권5호
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    • pp.69-78
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    • 2022
  • IoT(Internet of Things) 디바이스의 사용이 확대됨에 따라 경찰청의 디지털 포렌식 적용 범위가 스마트 홈 영역으로 확대되었다. 이에 따라 스마트 홈 플랫폼 데이터를 수집하기 위해 진행된 기존 연구들은 대부분 모바일 기기의 로컬 데이터 분석과 네트워크 관점의 분석 등의 연구가 주로 수행되었다. 하지만 증거 분석을 위해 유의미한 데이터는 스마트 홈 플랫폼의 클라우드 스토리지에 주로 저장되어있다. 따라서 본 논문에서는 사용자가 헤이 홈 앱 기반의 "헤이 홈 스퀘어" 서비스를 이용할 때 PC에 기록되는 Microsoft Edge, Google Chrome, Mozilia Firefox, Opera와 같은 웹 브라우저들의 쿠키 데이터베이스를 통해 사용자 계정의 accessToken을 획득하여 헤이 홈 Air 환경에서 클라우드에 저장된 데이터의 수집 방안을 연구했다. 데이터는 헤이 홈의 모회사가 제공하는 OpenAPI를 활용해 클라우드로 직접 접근하여 수집하였다. 본 논문에서는 스마트 온·습도 센서, 스마트 도어 센서, 스마트 모션 센서로 환경을 구성하여 실험를 수행했고 날짜 및 장소별 온·습도 데이터, 사용한 디바이스 리스트, 방 내 모션 감지 기록 등의 아티팩트를 수집할 수 있는 것을 확인하였다. 이와 같은 아티팩트 분석 결과를 통해 알 수 있는 사건 당시의 온·습도 등의 정보는 포렌식 수사 과정에서 단서로 활용될 수 있다. 또한 본 논문에서 제안한 OpenAPI를 활용한 클라우드 데이터 수집 방안은 데이터 수집 과정에서 발생할 수 있는 변조 가능성을 배제하고, API를 이용해 결과를 호출하기 때문에 디지털 포렌식의 원칙인 무결성의 원칙과 재현성의 원칙을 따른다.

사물인터넷 기반의 상황인지 서비스를 위한 프레임워크 설계 (A Framework for Provisioning Internet of Things Context-aware Services)

  • 천두완
    • 서비스연구
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    • 제2권2호
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    • pp.91-98
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    • 2012
  • 새로운 유형의 임베디드 컴퓨팅 디바이스와 무선 랜의 발달으로 인하여 컴퓨팅의 영역이 직장, 가정부터 일반 생활까지 넓어지고 있다. 이런 트렌드는 사물 인터넷(Internet of Things, IoT) 환경의 발달을 가져오고 있다. 사물 인터넷 환경에서는 비싸지 않고 서로 연결되는 컴퓨팅 디바이스가 사용자의 다양한 작업을 자율적으로 지원한다. 이런 스마트 서비스를 개발하기 위해서는 컨텍스트 인지 컴퓨팅이 핵심 기술이다. 그러나 이런 서비스를 스마트하게 하기 위해서는 다양한 어려움이 있다. 대표적인 어려움으로는 다양한 컴퓨팅 환경, IoT 장비의 자원 제약사항, 다량의 IoT 장비로부터 생산되는 데이터, 컨텍스트 해석에 있어서의 다른 요구 사항 등이 있다. 이로 인하여 IoT 장비를 활용하여 스마트 서비스를 제공하는데에 어려움이 있다. 이런 상황을 해결하기 위하여 본 논문에서는 재사용 가능한 프레임워크를 제안한다.

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IEEE 802.11e EDCA에서 스트리밍 서비스의 QoS 보장을 위한 동적버퍼관리 기술 (An Active Buffer Management Mechanism to Guarantee the Qos of the Streaming Service in IEEE 802.11e EDCA)

  • 이규환;이현진;김재현;노병희
    • 한국통신학회논문지
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    • 제34권8B호
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    • pp.751-759
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    • 2009
  • WLAN 기술의 진보로 댁내 망에서 비디오 스트리밍 서비스 같은 멀티미디어 서비스의 사용이 증가하고 있다. 하지만 비디오 스트리밍 서비스의 QoS를 제공하기 위해서는 전송 지연 및 프레임 손실률을 감소시키는 기술 연구가 필요하다. 그러므로 본 논문에서는 이러한 문제를 해결하기 위하여 IEEE 802.11e EDCA에서 스트리밍 서비스의 QoS 보장을 위한 동적버퍼 관리기술을 제안한다. 제안하는 동적버퍼관리기술은 프레임의 중요도와 버퍼에 새롭게 도착한 프레임의 가상전송지연을 고려하여 버퍼 내 HoL(Head of Line)의 프레임을 제거한다. 시뮬레이션 결과, 제안하는 버퍼관리기술은 중요도가 높은 I, P 프레임의 손실률을 감소시키고 전송지연 시간을 안정화시키므로 비디오 스트리밍 서비스의 QoS를 보장할 수 있음을 살펴볼 수 있었다.

Highly Utilized Fiber Plant with Extended Reach and High Splitting Ratio Based on AWG and EDFA Characteristics

  • Syuhaimi, Mohammad;Mohamed, Ibrahim
    • ETRI Journal
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    • 제35권5호
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    • pp.786-796
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    • 2013
  • In this paper, we propose a hybrid time-division multiplexing and dense wavelength-division multiplexing scheme to implement a cost-effective and scalable long-reach optical access network (LR-OAN). Our main objectives are to increase fiber plant utilization, handle upstream and downstream flow through the same input/output port, extend the reach, and increase the splitting ratio. To this end, we propose the use of an arrayed waveguide grating (AWG) and an erbium-doped fiber amplifier (EDFA) in one configuration. AWG is employed to achieve the first and second objectives, while EDFA is used to achieve the third and fourth objectives. The performance of the proposed LR-OAN is verified using the Optisystem and Matlab software packages under bit error rate constraints and two different approaches (multifiber and single-fiber). Although the single-fiber approach offers a more cost-effective solution because service is provided to each zone via a common fiber, it imposes additional losses, which leads to a reduction in the length of the feeder fiber from 20 km to 10 km.

Developing Intelligent Control Modules with LonTalk Protocol for Intelligent Building System & Home Automation

  • Hong, Won-Pyo;Kim, Dong-Hwa;Lee, Sung-Hak
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2002년도 학술대회논문집
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    • pp.355-361
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    • 2002
  • There are many economic and operational reasons to integrate fire alarm signaling system with other building automation system. Integration of this requires open network with for the standard communication protocol and careful design practices. The important point for this is also the development of intelligent control modules for replacing the conventional zone adapter in fire system. Therefore, this paper proposes an new conceptual design of the open distributed fire alarm signaling system for the integration of BAS, a new intelligent control modules with LonTalk protocol and a new control modules for power line communication. Newly proposed additions to LonWorks network make it very well suited for integrating fire systems with other building automation sub-systems and another BAS with low cost. Additionally, it is very important that best design practices, test procedures and building codes need to be modernized to accommodate integrated building systems.

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Dynamic Reservation Scheme of Physical Cell Identity for 3GPP LTE Femtocell Systems

  • Lee, Poong-Up;Jeong, Jang-Keun;Saxena, Navrati;Shin, Ji-Tae
    • Journal of Information Processing Systems
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    • 제5권4호
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    • pp.207-220
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    • 2009
  • A large number of phone calls and data services will take place in indoor environments. In Long Term Evolution (LTE), femtocell, as a home base station for indoor coverage extension and wideband data service, has recently gained significant interests from operators and consumers. Since femtocell is frequently turned on and off by a personal owner, not by a network operator, one of the key issues is that femtocell should be identified autonomously without system information to support handover from macrocell to femtocell. In this paper, we propose a dynamic reservation scheme of Physical Cell Identities (PCI) for 3GPP LTE femtocell systems. There are several reserving types, and each type reserves a different number of PCIs for femtocell. The transition among the types depends on the deployed number of femtocells, or the number of PCI confusion events. Accordingly, flexible use of PCIs can decrease PCI confusion. This reduces searching time for femtocell, and it is helpful for the quick handover from macrocell to femtocell. Simulation results show that our proposed scheme reduces average delay for identifying detected cells, and increases network capacity within equal delay constraints.