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Spirituality, Death Anxiety and Burnout Levels among Nurses Working in a Cancer Hospital (암 병원 간호사의 영성, 죽음불안 및 소진)

  • Kim, Kyungjin;Yong, Jinsun
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.264-273
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    • 2013
  • Purpose: This study is to explore the relationships among spirituality, death anxiety and burnout level of nurses caring for cancer patients. Methods: Participants were 210 nurses from a cancer hospital in Seoul. Data were collected from April until June 2012 and analyzed using t-test, one-way ANOVA, Scheffe's test, and Pearson's correlation coefficient. Results: The mean score for spirituality was 3.51 out of six. Among sub-categories, the one that scored the highest was the purpose and meaning of life, followed by unifying interconnectedness, inner resources and transcendence. The mean score for death anxiety was 3.22, and the sub-categories in the order of high score were denial of death, awareness of the shortness of time, pure death anxiety and fear of matters related to death. For the burnout, the mean was 4.10. Among sub-categories, highest mark was found with emotional exhaustion, followed by depersonalization and personal accomplishment. The spirituality level was negatively correlated with those of death anxiety and burnout. Death anxiety was positively correlated with burnout levels. Nurses with the higher spirituality level also had a higher level of education and experience of spiritual education, believed in the existence of God. In contrast, death anxiety and burnout levels were higher among those with a lower level of education, atheists, and for those who answered that religion has little influence on life. Conclusion: Thus, it is necessary to provide spiritual interventions for nurses who care for cancer patients to develop their spirituality, reduce death anxiety and prevent them from burning out easily.

A Study on Function of the Delineation System by Pattern for Safety Audit on Road Exit Ramp (국도유출부 안전진단을 위한 시선유도시설의 유형별 기능검토)

  • Kum, Ki-Jung;Kim, Hong-Sang;Min, Kyeong-Tae;Yang, Gye-Seung
    • International Journal of Highway Engineering
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    • v.8 no.4 s.30
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    • pp.1-11
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    • 2006
  • Currently, road mobility improved from the National Road Improvement. Nevertheless delineation system is facility that enhanced driver's safety, that was set up often inconsistent or nonexistent over the road exit ramp So it judged functional investigation will be necessary. This study suggested setting type of the delineation system. That was based on a field study and reviews the legal standard of it and considering driver's cognition behavior. For the study, make a 3D-simulation and so could objectively a comparative test. Comparison variable between delineation setting type is selected conspicuity and visibility. Cased that illustrated characteristics of driver's visual cognition behavior. The experiment was used Eye Marker Recorder for measure the gaze frequency more quantitatively and objectively. And used the ANOVA analysis for significance testing between delineation setting type. A significant percent of the conspicuity analyzed types(Safe mark, Obstacle Sign, Warning Light, and Tubular Maker) in road exit ramp for recognize. And gaze frequency that measure of effectiveness of visibility are measured. On the analysis result, the visibility was significance difference between delineation setting type and visibility of types was best.

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A Survey on the Perception of Agricultural Food Accreditation and Traditional Food Quality Certification (농식품 인증 및 전통식품 품질인증에 관한 인식조사)

  • Huh, Jung-In;Jin, So-Yeon
    • Journal of the Korean Society of Food Culture
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    • v.26 no.3
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    • pp.220-229
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    • 2011
  • This study attempted to understand the perception and the degree of trust that consumers had in the national agricultural food accreditation system, to inquire into and examine the consumers' perception of traditional food quality certification performed for the protection of excellent traditional food, and to propose the right direction for the policies on the traditional food quality certification system and the plans to improve consumers' perception of the system. According to the results of this survey performed in married women, based on the 'the recognition of accreditation system' and 'the recognition of certification marks' of 'the seventh national agricultural food accreditation system' presently being used by the Ministry for Food, Agriculture, Forestry and Fisheries, the household food purchasers showed high recognition for eco-friendly agricultural product accreditation, processed food KS certification, and organically processed food certification in that order. Meanwhile, it was shown that they indicated low recognition for the traditional food-related accreditation systems such as 'traditional food quality certification' and 'food grand master'. It was found that reliability of the certification mark provided by the agricultural food accreditation system gained 3.54 points (on a 5-point scale), and 68.1% of the study subjects referred to the certification marks while purchasing agricultural foods. And most of them answered to the question of 'why they referred to the certification marks' saying that it was done 'to choose safe food'. The most frequent answer to question of 'the means to recognize the traditional food quality certification system' was 'broadcasting, advertising'. 57.3% of the subjects had a previous experience of buying a product certified by the traditional food quality certification system, and 93.2% of all the subjects had the intention to buy a product certified by the traditional food quality certification system later. And most of them answered that 'strengthening government policies' would be the most ideal way to inform the public of the traditional food quality certification system. According to the results of this study, while 'relying on the traditional food quality certification system in general' was relatively high among the consumers, 'intention to buy quality certified products by visiting a distantly located store' was low; thus, from this analysis, it can be seen that there is a need for diversification of places selling these quality certified products and to establish a distribution network for these products.

Characterizing Compressive Strength Development in Cement Mortar Utilizing Red Mud Neutralized with Sulfuric Acid (황산 중화 레드머드를 사용한 시멘트 모르타르의 압축강도 발현특성)

  • Kang, Suk-Pyo;Hong, Seong-Uk;Kim, Sang-Jin;Park, Kyu-Eun
    • Journal of the Korea Institute of Building Construction
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    • v.23 no.3
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    • pp.231-240
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    • 2023
  • In this research, our goal was to explore the potential use of cement mortar augmented with liquid red mud. To facilitate this, we neutralized liquid red mud(LR) - exhibiting a pH of 10-12 - using sulfuric acid to yield sulfuric acid neutralized red mud(SR). We then evaluated the flow, setting time, and compressive strength of the cement mortar combined with liquid red mud, while also performing a thorough examination of its chemical properties through X-ray diffraction(XRD) and scanning electron microscopy(SEM). The flow tests indicated a decrease in flow values for both MS-LR and MS-SR in comparison to the Plain. Analogously, the setting time for MS-LR and MS-SR was found to be abbreviated when juxtaposed with the Plain. With regards to compressive strength, MS-LR demonstrated a surge in strength at the 1-day mark, while MS-SR displayed a diminution at the 1-day and 3-day timepoints compared to the Plain. XRD analysis illustrated that after 28 days, the XRD patterns of Plain and MS-SR bore significant resemblance, though a new peak was detected in MS-LR. SEM imagery highlighted that the microstructures of Plain and MS-SR were alike, but MS-LR manifested a distinct microstructure, characterized by a finely fibrous formation. Based on these observations, we infer that the replacement of cement mortar with liquid red mud neutralized with sulfuric acid contributes to a noticeable enhancement in strength, thereby verifying its suitability for this application.

Changes in interpersonal violence and utilization of trauma recovery services at an urban trauma center in the United States during the COVID-19 pandemic: a retrospective, comparative study

  • Kevin Y. Zhu;Kristie J. Sun;Mary A. Breslin;Mark Kalina Jr.;Tyler Moon;Ryan Furdock;Heather A. Vallier
    • Journal of Trauma and Injury
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    • v.37 no.1
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    • pp.60-66
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    • 2024
  • Purpose: This study investigated changes in interpersonal violence and utilization of trauma recovery services during the COVID-19 pandemic. At an urban level I trauma center, trauma recovery services (TRS) provide education, counseling, peer support, and coordination of rehabilitation and recovery to address social and mental health needs. The COVID-19 pandemic prompted considerable changes in hospital services and increases in interpersonal victimization. Methods: A retrospective analysis was conducted between September 6, 2018 and December 20, 2020 for 1,908 victim-of-crime patients, including 574 victims of interpersonal violence. Outcomes included length of stay associated with initial TRS presentation, number of subsequent emergency department visits, number of outpatient appointments, and utilization of specific specialties within the year following the initial traumatic event. Results: Patients were primarily female (59.4%), single (80.1%), non-Hispanic (86.7%), and Black (59.2%). The mean age was 33.0 years, and 247 patients (49.2%) presented due to physical assault, 132 (26.3%) due to gunshot wounds, and 76 (15.1%) due to sexual assault. The perpetrators were primarily partners (27.9%) or strangers (23.3%). During the study period, 266 patients (mean, 14.9 patients per month) presented before the declaration of COVID-19 as a national emergency on March 13, 2020, while 236 patients (mean, 25.9 patients per month) presented afterward, representing a 74.6% increase in victim-of-crime patients treated. Interactions with TRS decreased during the COVID-19 period, with an average of 3.0 interactions per patient before COVID-19 versus 1.9 after emergency declaration (P<0.01). Similarly, reductions in length of stay were noted; the pre-COVID-19 average was 3.6 days, compared to 2.1 days post-COVID-19 (P=0.01). Conclusions: While interpersonal violence increased, TRS interactions decreased during the COVID-19 pandemic, reflecting interruption of services, COVID-19 precautions, and postponement/cancellation of elective visits. Future direction of hospital policy to enable resource and service delivery to this population, despite internal and external challenges, appears warranted.

A Study on the Landscape-Oriented Persuasive Language from Naming the Apartment Brand in Korea - Focus on the Analysis of Category and Lexeme - (국내 아파트브랜드 명명(命名)에 담긴 조경지향적 설득언어 - 유형 및 어휘소 분석을 중심으로 -)

  • Rho, Jae-Hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.38 no.1
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    • pp.49-63
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    • 2010
  • This study was intended to analyze and interpret the pattern of naming the domestic apartment brand from a semiologic viewpoint in a bid to review the meaning and value of apartment brand, while on the other hand, evaluating the characteristics of persuasive message pursued by current apartment brand in 2010, and consequently, the conclusion of the study is outlined as follows. 1. As a result of analyzing the coinage of branding naming, the words such as combination, joint and blending pattern tended to dominate, which seemed to attempt to represent the variety of values of the housing culture. Brand ideation tends to stress the character symbolism and polysemic message using syllepsis, and the experimental attempt to revive the traditional dwelling concept in a modern sense in a way of combining the archaic word with the Chinese character was found as well. 2. As a result of analyzing the frequency of verbal identity and lexeme of domestic apartments, those frequently used are in order of ville, nature, beauty(美), park, hi, green, palace(宮), nobility and center(tra), which are the lexemes representing the landscape, view, nature and dignity. 3. As a result of identifying the pattern of lexeme using analysis frame based on existing researches such as apartment brand positioning, the most important external core concepts controlling the direction and value of apartment brand are 'environment-orientated' and 'emotion-orientated', and internally, 'function-oriented'. Given the persuasive language expressing the 'environment-oriented' feature and the priority of brand lexeme are garden, park, view and the nature, a landscape-oriented persuasive message is seen to be surging in brand naming. 4. An emotion-oriented persuasive language such as dignity axis having major lexeme represented by palace, nobility, class and a pride axis having major semantic elements represented by human, I and you are used as major value concepts and persuasive language that lead domestic apartment brands to differentiation and upgradation. 5. Among the lexemes focusing on view from environment-oriented standpoint, hi, hill, tower, view, mark, heights are the trend pursued by high-rise apartment aiming at the view such as residential-commercial apartment, and thus the persuasive language focusing on high-rise concept is expected to become the element dominating the trend of apartment brand for the time being.

Relation to the Burden and Function of Family Care-givers Caring for Home Care Clients (가정간호 대상자 가족의 부담감과 가족기능과의 관계)

  • Oh, Seung-Eun;Kim, Soon-Lae
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.14 no.2
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    • pp.91-97
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    • 2007
  • Purpose: This thesis focuses on researching the burden of the Home Health Care that the Family Care-givers have. Method: This study had been conducted for the duration of 3 consecutive months from January 2006 to March 2006 and had investigated 120 person registered as the Home Health Care Clients to a University Hospital located in Incheon City. The thesis adopted the 'feeling of burden' measuring method jointly developed by Seo, Mi-Hye and Oh, Ga-Sil(1993), and FACES-III(Family Adaptability Cohesion Evaluation) developed by Olson(1985) etc. translated by Kim, Yun-Hee(1989) as the measuring method for Family Function. Result: The overall Health Status of the Home Health Care Clients was 2.18 point of average out of 3 point, where as 1.83 for Activities of Daily living and 1.98 for Vital sign, which are below the average. In the mean time, the Competence for Modified Barthel Index marked 30.88 point out of the full mark. The analyzed result of the burden that the family members have was 3.43 point of average out of 5 point which shows that the interviewee feel that they are considerable burden to their families. When it comes to 'the Burden to the family members' and 'the Function of the family' according to the characteristics of the patient, the result shows statistically significant differences, which are varied according to gender, the relationship between the care-givers and the patients. When it comes to the Family Cohesion, the difference was examined as 'statistically significant' according to the Academic background of the patients and the relationship between the patients and the interviewee.(p<0.05). The result also suggests that there exists 'Negative correlation' among the level of patients' health status, the Family Cohesion and the Family Burden. Conclusion: From the result of this study stated above, this thesis is strongly insisting that there is an urgent need for us to develop a health care mediation program, which could eventually reduce the burden of home health care that the patients' family have. At the same time, a follow-up research to prove the effect of the program is imminent.

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Developing Future Oriented Curriculum for Bring - Up of the Hospital Management Experts ; An Exploratory Investigation - (병원경영 전문가 양성을 위한 교과과정 개발 - 탐색적 접근방법을 중심으로 -)

  • Lee, Jung-Woo;Kim, Young-Bae;Park, Won-Peel
    • The Journal of the Korea Contents Association
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    • v.9 no.12
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    • pp.699-709
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    • 2009
  • The most important property for coming up to the global change and leading the knowledge-based future is human resources who has capacity to make a high value-added knowledge. For whom teaching knowledge and experiences related to the managing medical organization, it is very important and significant to make efforts to reflect educational goal, contents and teaching methods satisfying the new era's demands in the curriculum quickly. To develop a hospital management curriculum which is receptive to the change of medical industry and educational circumstances, analysing syllabuses of 19 departments of the year 2007 and surveying of professors, students and persons in charges of hospital administration are used. The syllabuses of 19 departments of 22 colleges were opened for this study. The medical record and other subjects take the most part of curriculums, while the number of subjects related to management or administrational practice are relatively small. The short of these subjects are obstacles to cultivate capacity and quality of students medical organizations look for. As the result of satisfaction measurement, hospital-management professors gave 3.41 points, students gave 3.29 points to the current curriculum and administrators who has been experienced to employ graduates majored in medical management gave 3.06 points.(5 points = full mark) Alternative ways are suggested to complement these problems as below: Strengthening and deepening study such subjects as strategy planning, management, marketing, managing medical disputes, quality improvement, PR, advertisement; changing informations and establishing cooperative programs between school and industry.

A Study of the Establishment of BIM Design Environment based on Virtual Desktop Infrastructure(VDI) of Cloud Computing Technology (클라우드 컴퓨팅 기술을 활용한 데스크탑 가상화 기반의 BIM 설계 환경 구축에 관한 연구)

  • Shin, Joonghwan;Lee, Kyuhyup;Kwon, Soonwook;Choi, Gyuseong;Ko, Hyunglyu
    • Korean Journal of Construction Engineering and Management
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    • v.16 no.4
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    • pp.118-128
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    • 2015
  • Recently BIM technology has been expanded for using in construction project. Due to the high-cost of BIM infrastructure development, lack of regulations, lack of process and so forth, usage of BIM has been delayed than initial expectations. In design phase, especially, collaboration based on BIM system has been a key factor for successful next generation building project. Through the analysis of current research trends about IT technologies, virtualization and BIM service, data exchange such as drawings, 3D model, object data, properties using cloud computing and virtual server system is defined as a most successful solution. The purpose of this study is to enable the cloud computing BIM server to provide several main functions such as editing models, 3D model viewing and checking, mark-up and snapshot in high-performance quality by proper design of VDI system. Concurrent client connection performance is a main technical index of VDI. Through testing of test-bed server client, developed VDI system's multi-connect control is evaluated. Performance-test result of BIM server VDI effect to development direction of cloud computing BIM service for commercialization.

The three dimensional measuring system for ELF magnetic fields with the multiturn loop-type sensors (멀티턴 루우프형 센서를 이용한 3차원 ELF 자장측정계)

  • Lee, Bok-Hee;Lee, Jeong-Gee;Kil, Gyung-Suk;Ahn, Chang-Hwan;Park, Dong-Hwa
    • Journal of Sensor Science and Technology
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    • v.5 no.2
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    • pp.29-36
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    • 1996
  • With the three dimensional magnetic field measuring system dealt with in this paper, accurate measurements and analyses of extremely low frequency(ELF) magnetic fields caused by starting and/or operating electric devices and power installations can be conducted. To obtain high performance for lower frequency and spatial components without any distortion, the measuring system is designed as three dimensionally including the multiturn loop-type magnetic field sensors, differential amplifiers and active integrators. As the results of calibration experiments, the frequency response characteristics of the measuring system range from 8[Hz] to about 53[kHz] for each direction of x, y, z axes, and the response sensitivities are 9.54, 9.21, $10.89[mV/{\mu}T]$, respectively. The actual survey experiments by using an oscillating impulse current generator confirm a reliability of the proposed measuring system. Also, through the other experiments by using small-sized induction motors, the magnetic field intensities when starting and steady-state operating mark 15.8, $8.61[{\mu}T]$ as maximum value, respectively. And those intensities decrease steeply according as the measuring distance increases.

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