• Title/Summary/Keyword: Life Assessment Program

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Cancer Unit Nurses' End-of-Life Care-Related Stress, Understanding and Training Needs (암병동 간호사의 임종간호 스트레스와 인지 및 교육요구도)

  • Kim, Jung Hee;Lee, Hyeonkyeong
    • Journal of Hospice and Palliative Care
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    • v.15 no.4
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    • pp.205-211
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    • 2012
  • Purpose: This study was performed to identify the level of stress perceived by nurses who attend dying patients in the cancer care unit; their understanding regarding end-of-life care and related training needs. Methods: A cross-sectional descriptive study was conducted with 151 nurses stationed at the cancer care units of four general hospitals located in Seoul and Gyeonggi province in Korea. Data were collected using self-reported questionnaires and the response rate was 96%. The data were analyzed using t-test, ANOVA and Pearson's correlation analysis. SPSS 12.0 was used for data analysis. Results: Nurses experienced a high level of stress in the end-of-life care settings. Their understanding of end-of-life care was above the mid-point of the scale while their training needs for end-of-life care was relatively high. The more experienced the nurses were, the more stressed they were, particularly due to excessive workload. Nurses who served longer in the cancer unit tended to show greater needs for end-of-life care training. Conclusion: This study found nurses perform end-of-life care with a high level of stress but with insufficient understanding, and thus, showed great needs for related training. Such findings can be useful to develop an end-of-life care training program for nurses.

A Study on the Effectiveness of Dietary Education Program Based on Learning Cycle Model for Young Children's Nutrition Knowledge, Dietary Behavior, Science Process Skill and Scientific Attitude (순환학습모델에 기반한 유아 식생활 프로그램이 영양지식, 식행동, 과학과정기술, 과학적 태도에 미치는 효과)

  • Jang, Suk Hyun;Kim, Ji Hyun
    • Korean Journal of Child Education & Care
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    • v.17 no.4
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    • pp.91-119
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    • 2017
  • The purpose of this study is to determine whether using a dietary education program based on learning cycle model has any significant effect on enhancing their nutrition knowledge, dietary behavior, science-process skill and scientific attitude. The subjects of this study were children in H and G daycare center in G City. The experiment group of this study was 16 children in the class of five-year-olds and 7 children in the class of four-year-olds who passed their birthday and became five-year-olds in H daycare center. The Analysis of Covariance(ANCOVA) and Pared t-test was conducted using SPSS WINDOWS 20.0 program. The results of applying dietary education program were as follows. Experimental group indicated enhancements between pre and post test of Nutrition Achievement Test, Nutrition Quotient for Preschooler, Science Process Skill and Scientific Attitude Assessment compare to comparative group. Therefore, we can conclude that the dietary education program does have effects on enhancing of nutrition knowledge, dietary behavior, science process skill and scientific attitude. The result of this study can be used as basic data to study dietary related factors that present importance of health dietary life of young children and need to provide educational experience of healthy diet for young children.

Japanese Cancer Association Meeting UICC International Session - What is Cost-effectiveness in Cancer Treatment?

  • Akaza, Hideyuki;Kawahara, Norie;Roh, Jae Kyung;Inoue, Hajime;Park, Eun-Cheol;Lee, Kwang-Sig;Kim, Sukyeong;Hayre, Jasdeep;Naidoo, Bhash;Wilkinson, Thomas;Fukuda, Takashi;Jang, Woo Ick;Nogimori, Masafumi
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.1
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    • pp.3-10
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    • 2014
  • The Japan National Committee for the Union for International Cancer Control (UICC) and UICC-Asia Regional Office (ARO) organized an international session as part of the official program of the 72nd Annual Meeting of the Japanese Cancer Association to discuss the topic "What is cost-effectiveness in cancer treatment?" Healthcare economics are an international concern and a key issue for the UICC. The presenters and participants discussed the question of how limited medical resources can be best used to support life, which is a question that applies to both developing and industrialized countries, given that cancer treatment is putting medical systems under increasing strain. The emergence of advanced yet hugely expensive drugs has prompted discussion on methodologies for Health Technology Assessment (HTA) that seek to quantify cost and effect. The session benefited from the participation of various stakeholders, including representatives of industry, government and academia and three speakers from the Republic of Korea, an Asian country where discussion on HTA methodologies is already advanced. In addition, the session was joined by a representative of National Institute for Health and Care Excellence (NICE) of the United Kingdom, which has pioneered the concept of cost-effectiveness in a medical context. The aim of the session was to advance and deepen understanding of the issue of cost-effectiveness as viewed from medical care systems in different regions.

Selecting Core Areas for Conserving Riparian Habitat Using Habitat Suitability Assessment for Eurasian Otter (서식지 적합성 평가를 이용한 수변지역 핵심 보전지역 선정 - 수달을 대상으로 -)

  • Jeong, Seunggyu;Park, Chong Hwa;Woo, Donggul;Lee, Dong Kun;Seo, Changwan;Kim, Ho Gul
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.18 no.2
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    • pp.19-32
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    • 2015
  • In Korea, significant riparian areas have been developed due to river maintenance projects. Introduction of new riparian facilities can negatively affect wildlife in the riparian areas. This study focuses on selecting core conservation areas for Eurasian Otter(Lutra lutra) to support decision making process for development of riparian areas. For the study, first of all, field data of study site were collected by field surveys. Secondly, stream naturalness was assessed to understand physical environments of the study sites. Thirdly, habitat suitability was assessed using occurrence data of Eurasian Otter and environmental data. Lastly, core areas for conservation was selected by comparing and synthesizing stream naturalness map and habitat suitability map. The selected core areas showed several characteristics. The number of artificial facilities is low in the core areas. Rocks which are preferred by Eurasian Otter to eat and excrete are plentiful in the core areas. Also, the ratio of adjacent farmland is high. Based on the analyses, it is expected that this study can contribute to decision making process for environmental spatial plans to better conserve habitats of Eurasian Otter.

Introduction of Health Impact Assessment and Health Cities as a Tool for Tackling Health Inequality (외국에서의 건강불평등 개선을 위한 노력: 건강영향평가, 건강도시)

  • Yoo, Weon-Seob;Koh, Kwang-Wook;Kim, Keon-Yeop
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.6
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    • pp.439-446
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    • 2007
  • In order to reduce the health inequalities within a society changes need to be made in broad health determinants and their distribution in the population. It has been expected that the Health impact assessment(HIA) and Healthy Cities can provide opportunities and useful means for changing social policy and environment related with the broad health determinants in developed countries. HIA is any combination of procedures or methods by which a proposed 4P(policy, plan, program, project) may be judged as to the effects it may have on the health of a population. Healthy city is one that is continually creating and improving those physical and social environments and expanding those community resources which enable people to mutually support each other in performing all the functions of life and in developing to their maximum potential. In Korea, social and academic interest regarding the HIA and Healthy Cities has been growing recently but the need of HIA and Healthy Cities in the perspective of reducing health inequality was not introduced adequately. So we reviewed the basic concepts and methods of the HIA and Healthy Cities, and its possible contribution to reducing health inequalities. We concluded that though the concepts and methods of the HIA and Healthy Cities are relatively new and still in need of improvement, they will be useful in approaching the issue of health inequality in Korea.

Quantitative microbial risk assessment of Vibrio parahaemolyticus foodborne illness of sea squirt (Halocynthia roretzi) in South Korea

  • Kang, Joohyun;Lee, Yewon;Choi, Yukyung;Kim, Sejeong;Ha, Jimyeong;Oh, Hyemin;Kim, Yujin;Seo, Yeongeun;Park, Eunyoung;Rhee, Min Suk;Lee, Heeyoung;Yoon, Yohan
    • Fisheries and Aquatic Sciences
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    • v.24 no.2
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    • pp.78-88
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    • 2021
  • The annual consumption of fishery products, particularly sea squirt (Halocynthia roretzi), per person has steadily increased in South Korea. However, the quantitative risk of Vibrio parahaemolyticus following intake of sea squirt has not been analyzed. This study focuses on quantitative predictions of the probability of consuming sea squirt and getting of V. parahaemolyticus foodborne illness. The prevalence of V. parahaemolyticus in sea squirt was evaluated, and the time spent by sea squirt in transportation vehicles, market displays, and home refrigerators, in addition to the temperature of each of these, were recorded. The data were fitted to the @RISK program to obtain a probability distribution. Predictive models were developed to determine the fate of V. parahaemolyticus under distribution conditions. A simulation model was prepared based on experimental data, and a dose-response model for V. parahaemolyticus was prepared using data from literature to estimate infection risk. V. parahaemolyticus contamination was detected in 6 of 35 (17.1%) sea squirt samples. The daily consumption quantity of sea squirt was 62.14 g per person, and the consumption frequency was 0.28%. The average probability of V. parahaemolyticus foodborne illness following sea squirt consumption per person per day was 4.03 × 10-9. The objective of this study was to evaluate the risk of foodborne illness caused by Vibrio parahaemolyticus following sea squirt consumption in South Korea.

Assessment of Foodservice and Cooking Program for Children Attending Community Child Centers in Korea (지역아동센터를 이용하는 아동을 위한 급식 및 요리활동 프로그램의 적용효과 평가)

  • Kwon, Sooyoun;Yeoh, Yoonjae
    • Journal of the East Asian Society of Dietary Life
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    • v.26 no.3
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    • pp.223-229
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    • 2016
  • This study aimed to evaluate the effectiveness of a foodservice and cooking program for children attending community child centers in Korea. The foodservice and cooking program included a reference menu, nutrition and hygiene class for foodservice managers, as well as cooking classes for children during the winter or summer vacation in 2015. In order to evaluate the program, a survey was conducted before and after the program. A total of 1,120 children who participated in the program completed questionnaires regarding eating behaviors, food intake, and their opinions and levels of satisfaction with the program. The scores of children's eating behaviors increased significantly from 59.71 to 63.62 out of 85 points (p<0.001). A significant increase was detected in children's food intake. Vegetable intake, which received the lowest scores, increased significantly from 3.63 to 3.81 out of 5 points (p<0.001). The score for opinions and satisfaction concerning the program was 28.34 out of 35 points. These results suggest that the foodservice and cooking program could be helpful in promoting healthy food habits in children attending community child centers.

Accuracy Evaluation of Bi-medium Deep Body Thermometer Based on Finite Element Simulation (유한 요소 시뮬레이션을 이용한 이중 매질 심부 체온계의 정확도 평가)

  • Sim, S.Y.;Ryou, H.S.;Kim, H.B.;Jeong, J.H.;Lee, S.J.;Kim, S.M.;Park, Kwang Suk
    • Journal of Biomedical Engineering Research
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    • v.35 no.5
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    • pp.160-168
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    • 2014
  • Continuous body temperature monitoring is useful and essential in diverse medical procedures such as infection onset detection, therapeutic hypothermia, circadian rhythm monitoring, sleep disorder assessment, and gynecological research. However, the existing thermometers are too invasive or intrusive to be applied to long-term body temperature monitoring. In our previous study, we invented the bi-medium deep body thermometer which can noninvasively and continuously monitor deep tissue temperature. And the ratio of thermal resistances expressed as K-value should be obtained to estimate body temperature with the thermometer and it can be different under various measurement environments. Although the device was proven to be useful through preliminary simulation test and small group of human study, the experimental environment was restrictive in our previous approach. In this study, a finite element simulation was executed to obtain the K-value and evaluate the accuracy of bi-medium thermometer under various measurement environments. In addition, K-value estimation equation was developed by analyzing the influence of 5 measurement environmental factors (medium length, medium height, tissue depth, blood perfusion rate, and ambient temperature) on K-value. The results revealed that the estimation accuracy of bi-medium deep body thermometer based on computer simulation was very high (RMSE < $0.003^{\circ}C$) in various measurement environments. Also, bi-medium deep body thermometer based on K-value estimation equation showed relatively accurate results (RMSE < $0.3^{\circ}C$) except for one case. Although the K-value estimation technology should be improved for more accurate body temperature estimation, the results of finite element simulation showed that bi-medium deep body thermometer could accurately measure various tissue temperatures under diverse environments.

Difficulties in End-of-Life Care and Educational Needs of Intensive Care Unit Nurses: A Mixed Methods Study (중환자실 간호사의 임종간호 어려움과 임종간호 교육요구 조사: 혼합연구방법)

  • Kim, Hyun Sook;Choi, Eun Kyoung;Kim, Tae Hee;Yun, Hye Young;Kim, Eun Ji;Hong, Jin Ju;Hong, Jeong A;Kim, Geon Ah;Kim, Sung Ha
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.87-99
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    • 2019
  • Purpose: This study aimed to identify the difficulties with end-of-life care (EOLC) experienced by intensive care unit (ICU) nurses and to investigate their educational needs for EOLC. Methods: Mixed methods were used to survey ICU nurses at a university hospital. Quantitative data (N=106) were collected through a questionnaire and analyzed using an independent samples t-test, ANOVA, Mann-Whitney U test and $Scheff{\acute{e}}$ test. Qualitative data (N=19) were collected through focus group interviews and analyzed through qualitative content analysis. Results: The mean score on the difficulty of EOLC was 3.41 out of 5. The education needs derived from the qualitative analysis was categorized into four themes: 1) guidelines on professional EOLC, 2) spiritual care, 3) a program to take care of feelings of patients, families and nurses, and 4) activities to think about death. Conclusion: This study confirmed that ICU nurses were experiencing an extreme difficulty in providing EOLC. In addition, a qualitative analysis confirmed that they needed an EOL nursing program. To mitigate the difficulties experienced by nurses involved in EOLC, there is an urgent need to develop an education program for EOLC tailored to nurses' needs.

Evaluation of Greenhouse Gas Emissions for Life Cycle of Mixed Construction Waste Treatment Routes (혼합 건설폐기물 처리경로별 전과정 온실가스 발생량 평가)

  • Kim, Da-Yeon;Hwang, Yong-Woo;Kang, Hong-Yoon;Moon, Jin-Young
    • Resources Recycling
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    • v.31 no.1
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    • pp.56-64
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    • 2022
  • Construction waste is generated at a rate of approximately 221,102 tons/day in Korea. In particular, mixed construction waste generates approximately 24,582 tons/day. The other components were recycled by 98.9%. The amount of greenhouse gas emissions from the waste was 17.1 million tons of CO2 equaling 2.3% of the total greenhouse gas emissions. To reduce greenhouse gas emissions, reducing the environmental impact is becoming increasingly important. However, appropriate treatment must first be established, as mixed construction waste is also increasing. Thus, an effective plan is urgently needed because it is frequently segregated and sorted by the landfill and incinerated. In addition, there is an urgent need to prepare various effective recycling methods rather than a simple treatment. Therefore, this study analyzed the environmental impact of the treatment of mixed construction waste by calculating greenhouse gas emissions. As a result, the highest greenhouse gas generation occurred during the incineration stage. Moreover, the optimal method to reduce greenhouse gas emissions is recycling and energy recovery from waste. In addition, the amount of greenhouse gas generated during energy recovery from the waste stage was the second highest. However, greenhouse gas emissions can be reduced by using waste as energy to reduce fossil fuel consumption. In addition, for the transportation stage, the optimal reduction plan is to minimize the amount of greenhouse gas emissions by setting the optimal distance and applying biofuel and electric vehicle operations.