• Journal of Hospice and Palliative Care
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• v.13 no.3
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• pp.181-189
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• 2010

Purpose: Recently, health policy making is increasingly based on evidence. Therefore, Korean Terminal Cancer Patient Information System (KTCPIS) was developed to meet such need. We aimed to report its developmental process and statistics from 6 months data. Methods: Items for KTCPIS were developed through the consultation with practitioners. E-Velos web-based clinical trial management system was used as a technical platform. Data were collected for patients who were registered to 34 inpatient palliative care services, designated by Ministry of Health, Welfare, and Family Affairs, from $1^{st}$ of January to $30^{th}$ of June in 2009. Descriptive statistics were used for the analysis. Results: From the nationally representative set of 2,940 patients, we obtained the following results. Mean age was $64.8{\pm}12.9$ years, and 56.6% were male. Lung cancer (18.0%) was most common diagnosis. Only 50.3% of patients received the confirmation of terminal diagnosis by two or more physicians, and 69.7% had an insight of terminal diagnosis at the time of admission. About half of patients were admitted to the units on their own without any formal referral. Average and worst pain scores were significantly reduced after 1 week when compared to those at the time of admission. 73.4% faced death in the units, and home-discharge comprised only 13.3%. Mean length of stay per admission was $20.2{\pm}21.2$ days, with median value of 13. Conclusion: Nationally representative data on the characteristics of patients and their caregiver, and current practice of service delivery in palliative care units were obtained through the operation of KTCPIS.

• Journal of Nutrition and Health
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• v.50 no.2
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• pp.142-157
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• 2017

Purpose: The purpose of this study was to develop a nutrition quotient for adolescents (NQ-A) to assess overall dietary quality and food behavior of Korean adolescents. Methods: Development of the NQ-A was undertaken in three steps: item generation, item reduction, and validation. Candidate items of the NQ-A checklist were selected based on literature reviews, results of the fifth Korea National Health and Nutrition Examination Survey data, dietary guidelines for Korean adolescents, expert in-depth interviews, and national nutrition policies and recommendations. A total of 213 middle and high school students participated in a one-day dietary record survey and responded to 41 items in the food behavior checklist. Pearson's correlation coefficients between the responses to the checklist items along with nutritional status of the adolescents were calculated. Item reduction was performed, and 24 items were selected for the nation-wide survey. A total of 1,547 adolescents from 17 cities completed the checklist questionnaire. Exploratory factor and confirmatory factor analyses were performed to develop a final NQ-A model. Results: Nineteen items were finalized as the checklist items for the NQ-A. Checklist items were composed of five factors (balance, diversity, moderation, environment, and practice). The five-factor structure accounted for 47.2% of the total variance. Standardized path coefficients were used as weights of the items. The NQ-A and five-factor scores were calculated based on the obtained weights of the questionnaire items. Conclusion: Nutrition Quotient for adolescents (NQ-A) would be a useful instrument for evaluating dietary quality and food behavior of Korean adolescents. Further research on NQ-A is needed to reflect changes in adolescent's food behavior and environment.

• Korean Journal of Environmental Agriculture
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• v.30 no.2
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• pp.144-152
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• 2011

BACKGROUND: Eutrophication occurs occasionally in flood control reservoirs around Juam lake in summer and early autumn. Lakeside macrophyte which is one of internal pollutants effects on water quality when it is submerged during water surface is rising after rainy season. METHODS AND RESULTS: To improve water the quality of water from water supply source and to establish the management plan of submerged plants in flood control reservoirs around Juam Lake, the removal and release velocities of nutrients by submerged plants in site 1 and 2 were investigated. Removal or release velocity constant (K) of COD by Carex dimorpholepis Steud in column was 0.07~0.18 $day^{-1}$ at 0~4 days after flooding, -0.23~-0.17 $day^{-1}$ at 5~19 days after flooding and -0.28~0.03 $day^{-1}$ at 20~33 days after flooding. Removal or release velocity constant (K) of T-N by Carex dimorpholepis Steud was 0.02 $day^{-1}$ at 0~4(8) days after flooding, -0.13~-0.10 $day^{-1}$ at 5(9)~33 days after flooding in column. Removal or release velocity constant (K) of T-P by Carex dimorpholepis Steud was 0.05~0.06 $day^{-1}$ at 0~4 days after flooding, -0.14~-0.09 $day^{-1}$ at 5~33 days after flooding. Release velocity constant (K) of nutrients by Miscanthus sacchariflorus Benth was lower than that by Carex dimorpholepis Steud. In site 1, the amount of nutrients release by Carex dimorpholepis Steud was 6,719 kg/month/area for COD, 2,397 kg/month/area for T-N and 466 kg/month/area for T-P. The amounts of nutrients release by Carex dimorpholepis Steud were higher than those by Miscanthus sacchariflorus Benth in both sites. CONCLUSION(s): The results of this study suggest that COD, T-N and T-P in water quality of Juam lake were strongly influenced by submerged plants in flood control reservoirs.

• Korean Journal of Environmental Agriculture
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• v.30 no.2
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• pp.105-110
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• 2011

BACKGROUND: In this study, 5 different treatments such as non-treatment, mixed expeller cake 1.0 N (standard nitrogen fertilizer), rice straw, rice straw+mixed expeller cake 0.5 N, rice straw+mixed expeller cake 1.0 N were performed over 4 cropping seasons over 2 years in order to identify the optimal application rate of mixture of rice straw and mixed expeller cake, organic source in organic cultivation of tomatoes. METHODS AND RESULTS: There was no difference in all treatments in case of 200 mg/kg in the nitrate nitrogen content in soil prior to the first cropping season test under the criteria for nitrogen nutrient based on yield of crops, cultivation without fertilizers seems possible. But in the second cropping season, no treatment and rice straw showed the reduction of yield and in the third cropping season, rice-straw+mixed expeller cake 0.5 N treatment showed the significant difference. The content of nitrate nitrogen in soil prior to cropping seasons was evaluated in 160 mg/kg and standard fertilization such as mixed expeller cake, source of nitrogen, are needed due to the deficiency of nitrogen. In terms of application of organic resources, rice straw showed the effects of improvements on physical properties of soil such as bulk density, cation exchange capacity and humus contents, but the mixed expeller cake did not show any significant differences in improvements on physical properties of soil. CONCLUSION(s): Fertilizer management in organic cultivation of tomatoes is thought to produce the reliable quantity of crops as well as keep the high quality of soils by using the optimal application rate of mixed expeller cake according to the contents of nitrate nitrogen in soil and rice straw which improves the physical properties of soil.

• Korean Journal of Food Science and Technology
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• v.40 no.1
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• pp.8-14
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• 2008

This study was performed to establish analysis methods, and evaluated for grayanotoxin in domestic/foreign honey and wild honey. The molecular weight of grayanotoxins I, II and III, excluding grayanotoxin III that has been commercialized, were analyzed by LC-MS/MS. Then, the molecular structure of grayanotoxins I and II were analyzed by NMR. A total 111 samples (25 Korean honey, 21 Korean wild honey, 13 Korean honeycomb honey, 44 foreign honey, 8 foreign wild honey) were examined to determined whether or not each sample contained grayanotoxins I, II, and III. The honey samples were mixed with methanol and loaded into a tC18 cartridge, the filtrate was diluted with water, and the mixture was then analyzed by ESI triple-quadrupole LC-MS/MS. Grayanotoxins were only found in the foreign wild honey and were not detected in Korean honey, Korean honeycomb honey, or Korean wild honey. Three of the samples contained grayanotoxin I, II, and III, and one sample contained only grayanotoxins I and III. The lowest level for grayanotoxin I was 3.13 ${\pm}$ 0.00 mg/kg, and the highest level was 12.93 ${\pm}$ 0.01 mg/kg. The levels of grayanotoxin II were 0.84 ${\pm}$ 0.01 mg/kg, 0.92 ${\pm}$ 0.00 mg/kg and 1.08 ${\pm}$ 0.01 mg/kg, respectively. The lowest level of grayanotoxin III was 0.25 ${\pm}$ 0.01 mg/kg and the highest level was 3.29 ${\pm}$ 0.74 mg/kg. Through this study, safety management for foreign wild honey has been enabled.

• Journal of Hospice and Palliative Care
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• v.7 no.2
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• pp.221-231
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• 2004

Purpose: The purpose of this study was to analyze the need for child hospice care programs in families of children with cancer. Methods: The survey of 104 families who were taking care of children with cancer was conducted. This survey was conducted from February 2004 to July 2004 at two general hospitals in Seoul. The data were collected through a self-reporting questionnaire of 22 items. The items were classified into five areas by factor analysis to identify the construct validity. The reliability of the tool was established by Cronbach's alpha as .94 and the data collected were analyzed by descriptive statistics, t-test and ANOVA. Results: 1) The degree of need for hospice care of the subjects showed a high average of 3.40 (${\pm}3.8$). The need for 'emotional care of children' showed the highest mean (M=3.55), 'management of terminal physical symptoms'(M=3.49), 'control of secondary physical problems' (M=3.41), 'acceptance of the family's difficulty' (M=3.20), 'spiritual care for preparing for death'(M=3.17), respectively. 2) With respect to the demographic characteristics of the subjects, there were statistically significant differences in hospice care needs, according to the child's mother's age (F==4.980, P=.009), whether or not there were cancer patients among their siblings or relatives (t=2.423, P=.017). Conclusion: The family of children with cancer have a heavy burden of ambivalence, especially in relieving the anxiety and fear of their children, communicating about death, and managing physical symptoms. Child hospice care must be provided considering the needs of families of children with cancer. Thus popular needs as well as hospice nurses' higher concern and support for hospice care of children require further education and program development to meet the current demands.

• Journal of Hospice and Palliative Care
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• v.21 no.1
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• pp.23-32
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• 2018

Purpose: Little is known regarding the extent to which dying patients with chronic obstructive pulmonary disease (COPD) receive life-sustaining procedures and palliative care in U.S. hospitals. We examine hospital cost trends and the impact of palliative care utilization on the use of life-sustaining procedures in this population. Methods: Retrospective nationwide cohort analysis was performed using National Inpatient Sample (NIS) data from 2005 and 2014. We examined the receipt of both palliative care and intensive medical procedures, defined as systemic procedures, pulmonary procedures, or surgeries using the International Classification of Diseases, 9th revision (ICD-9-CM). Results: We used compound annual growth rates (CAGR) to determine temporal trends and multilevel multivariate regressions to identify factors associated with hospital cost. Among 77,394,755 hospitalizations, 79,314 patients were examined. The CAGR of hospital cost was 5.83% (P<0.001). The CAGRs of systemic procedures and palliative care were 5.98% and 19.89% respectively (each P<0.001). Systemic procedures, pulmonary procedures, and surgeries were associated with increased hospital cost by 59.04%, 72.00%, 55.26%, respectively (each P<0.001). Palliative care was associated with decreased hospital cost by 28.71% (P<0.001). Conclusion: The volume of systemic procedures is the biggest driver of cost increase although there is a cost-saving effect from greater palliative care utilization.

• Journal of Food Hygiene and Safety
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• v.27 no.3
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• pp.224-232
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• 2012

This study was performed to investigate the pesticide residue of commercial medicinal plants used for food materials in the Seoul area. Multi class pesticide multiresidue methods in Korea Food Code was used to analyze 100 pesticides. Analyzed samples were 261 cases(domestic 201, imported 60), detection rate was 19.2%(domestic 20.9%, imports 13.3%). 17 pesticides were detected in fruit(chinese matrimony vine, jujube, rubus coreanus, japanese cornlian cherry, schizandra, tangerine peel), and root(cnidium, licorice, astragalus). Pesticide over Maximum Residue Limits were detected in jujube, cnidium. Frequently detected pesticides were cypermethrin, chlorpyrifos, cyhalothrin, fenvalerate, bifenthrin. More than 50% of the sample were detected two or more pesticides at the same time. Because of the variety and increase of pesticide detection in medicinal roots and fruits, continued monitoring and safety management is required.

• Korean Journal of Environmental Agriculture
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• v.24 no.3
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• pp.222-231
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• 2005

Most of the tailings have been left without any management in abandoned metalliferous mines and have become the main source of heavy metal contamination of agricultural soils and crops in the these areas. To compare of environmental assessment of heavy metals in tailings derived from various 25-metalliferous mines in Korea, 3 different analysis methods such as water soluble, 0.1 M-HCl extractable, and total acid digestion method (aqua regia) were used. The chemical composition of water soluble in mine tailing were in the order ${SO_4}^{2-}>Ca^{2+}>Mn^{2+},\;Na^+,\;Al^{3+}>Mg^{2+},\;Fe^{3+}>Cl^-$. Specially, pH, EC, ${SO_4}^{2-},\;and\;Ca^{2+}$ concentrations in tailing varied considerably among the different mines. The average total concentrations of Cd, Cu, Pb, Zn, and As in tailing were 31.8, 708, 4,961, 2,275 and 3,235 mg/kg, respectively. Specially, the contents of Cd, Zn and As were higher than those of countermeasure values for soil contamination (Cd : 4, Zn : 700 and As : 15 mg/kg in soil) by Soil Environmental Conservation Act in Korea. The rates of water soluble heavy metals to total contents in tailings were in the order Cd > Zn > Cu > Pb > As. The rates of 0.1M-HCl extractable Cd, Cu, Pb, Zn, and As (1M-HCl) to total content were 17.4, 10.2, 6.5, 6.8 and 11.4% respectively. The enrichment factor of heavy metals in tailings were in the order As > Pb > Cd > Cu > Zn. The pollution index in tailing Au-Ag mine tailing were higher than those of other mine tailing. As a results of enrichment factor and pollution index for heavy metal contaminations in mine tailing of metalliferous mines, the main contaminants are mine waste materials including tailings.

• Journal of the Korean Society for Library and Information Science
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• v.34 no.1
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• pp.265-295
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• 2000

Education of library and information science must focus on practical education acted upon as a laboratory room in the characteristics of learning, because it cultivates a librarian as an information expert who can conduct professional affairs and services, applying traditional theory to the practical business of library and information. This dissertation suggested a new paradigm of an instructional media center as an advanced laboratory room which faithfully can run the curriculum of a library and information science for cultivating librarians, information experts who can satisfy the 21C information society. To carry out this purpose, I considered the various opinions of professors and librarians, after investigating and analyzing facilities and furnishings of laboratory rooms and teaching and learning data related to departments of library and information science in 32 universities. These contents can be summarized as follows : 1) Constructional media centers connected to education of library and information science sets laboratory rooms for practical classification and cataloging classes; laboratory rooms for film media which can utilize advanced media, listening tools, and practical materials; information management laboratory rooms which can experience the various information research methods through the Internet, cultivate the ability of information application, and teach the curriculum of library and information science related to computers. 2) Arrangement plans linked to laboratory rooms for classification and cataloging, one for film media, and one for information proceedings are as follows: , , and . 3) The size of each room is $162m^2$ (49.1pying); the number of persons to be admitted is about 40 to 50; each room has one media expert and one assistant as operating manager of exclusive responsibility. 4) Instructional & learning data which must be contained as instructional media of library and information science include computers, marginal tools related to it, listening materials, supplies for ordering books, teaching aids containing various equipment and tools, textbooks for practice, books connected to classification and cataloging for practice, and textbooks related to practical subjects and reference books. 5) Industrial media centers belonging to library and information science require for practice, general furnishings like bookshelves, and various material depository boxes.