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Effects of Wholistic Hospice Nursing Intervention Program on Pain and Anxiety for In-patient of Hospice Palliative Care Unit (전인적 호스피스간호중재 프로그램이 입원한 호스피스환자의 통증과 불안에 미치는 효과)

  • Choi, Sung-Eun;Kang, Eun-Sil;Choe, Wha-Sook
    • Korean Journal of Hospice Care
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    • v.8 no.1
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    • pp.55-67
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    • 2008
  • Purpose: This study was to test the effects of wholistic hospice nursing intervention program on pain and anxiety for in-patient of hospice palliative care unit. This study's design was one-group pre-post test quasi- experimental research. Methods: The subjects of study were 27 patients who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The experimental group subjects participated in holistic hospice nursing program took 120 minutes per session, a total of 1,200 minutes altogether for 10 sessions. The period of data collection was from April 6, 2004 to April 20, 2005. The collected data were analyzed by Paired t-test with SPSS/WIN 12.0 program. A Wholistic Hospice Nursing Intervention Program (named ‘Rainbow Program’) was used as a experimental tool in this study. This was developed by the authors. It was provided by interdisciplinary hospice team (nurses, medical doctors, social worker, pastors, art therapists, and volunteers). In addition, Korean Version of Brief Pain Inventory (BPI-K) by Young-Ho Yun(1998) was used to test degree of pain in physical aspect. And State-Anxiety Inventory was developed by Spielberger(1975) and translated by Kim, Jung-Tack & Shin, Dong-Gyun(1978) was used to test the degree of state-anxiety in emotional aspect. Results: (1) Hypothesis No. 1 "The experimental group which received Wholistic Hospice Nursing Program will have a lower degree of pain than before" was supported (t=-10.585, P= .000). (2) Hypothesis No. 2 "The experimental group which received Wholistic Hospice Nursing Program will have a lower degree of state-anxiety than before" was supported (t=-8.234, P= .000). Conclusion: Our results testified that this Wholistic Hospice Nursing Intervention Program was effective to decrease pain and state-anxiety of the in-patients of hospice palliative care unit. Therefore it can be used and applied actively in practice as a useful model of interdisciplinary team approach by hospice professionals in hospice palliative care unit.

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Calculation of Soil Moisture and Evaporation on the Korean Peninsula using NASA LIS(Land Information System) (NASA LIS(Land Information System)을 이용한 한반도의 토양수분·증발산량 산출)

  • PARK, Gwang-Ha;YU, Wan-Sik;HWANG, Eui-Ho;JUNG, Kwan-Sue
    • Journal of the Korean Association of Geographic Information Studies
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    • v.23 no.4
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    • pp.83-100
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    • 2020
  • This study evaluated the accuracy of soil moisture and evapotranspiration by calculating the hydrological parameters in Korean peninsula using Land Information System(LIS) developed by US NASA. We used Noah-MP surface model to calculate hydrological parameters, and used MERRA2(Modern-Era Retrospective analysis for Research and Applications, Version 2) for hydrological forcing data. And, International Geosphere-Biosphere Program(IGBP) and University of Maryland(UMD) land cover maps were applied to compare the output accuracy, and Automated Synoptic Observing System(ASOS) of KMA was used as ground observation data. In order to evaluate the accuracy of the output data, the correlation coefficient(CC), BIAS, and efficiency factor (NSE, Nash-Sutcliffe Efficiency) were analyzed with soil moisture and evapotranspiration by ASOS ground observation data. As a result, the correlation coefficient of soil moisture using IGBP was 0.56 on average, and evapotranspiration was about 0.71. On the other hand, soil moisture using UMD was 0.68 on average and evapotranspiration was about 0.72, and the correlation coefficient by UMD was evaluated as high accuracy compared to the results by using IGBP. The correlation coefficient of soil moisture was an average of 0.68 and evapotranspiration was an average of 0.72 when MERRA2 was used as hydrological forcing data. On the other hand, the soil moisture applied with ASOS was an average of 0.66, and evapotranspiration was an average of 0.72. It is judged that the ASOS point data was reanalyzed as 0.65°× 0.5°grids, which is the same spatial resolution with MERRA2, resulting in differences in accuracy depending on the region.

Effect of Temperature on T1 and T2 Relaxation Time in 3.0T MRI (3.0T MRI에서 온도변화가 T1 및 T2 이완시간에 미치는 영향)

  • Kim, Ho-Hyun;Kwon, Soon-Yong;Lim, Woo-Teak;Kang, Chung-Hwan;Kim, Kyung-Soo;Kim, Soon-Bae;Baek, Moon-Young
    • Korean Journal of Digital Imaging in Medicine
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    • v.15 no.2
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    • pp.63-68
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    • 2013
  • Purpose : The relaxation times of tissue in MRI depend on strength of magnetic field, morphology of nuclear, viscosity, size of molecules and temperature. This study intended to analyze quantitatively that materials' temperatures have effects on T1 and T2 relaxation times without changing of other conditions. Materials and Methods : The equipment was used MAGNETOM SKYRA of 3.0T(SIEMENS, Erlagen, Germany), 32 channel spine coil and Gd-DTPA water concentration phantom. To find out T1 relaxation time, Inversion Recovery Spin Echo sequences were used at 50, 400, 1100, 2500 ms of TI. To find out T2 relaxation time, Multi Echo Spin Echo sequences were used at 30, 60, 90, 120, 150, 180, 210, 240, 270 ms of TE. This experiment was scanned with 5 steps from 25 to $45^{\circ}C$. next, using MRmap(Messroghli, BMC Medical Imaging, 2012) T1 and T2 relaxation times were mapped. on the Piview STAR v5.0(Infinitt, Seoul, Korea) 5 steps were measured as the same ROI, and then mean values were calculated. Correlation between the temperatures and relaxation times were analyzed by SPSS(version 17.0, Chicago, IL, USA). Results : According to increase of temperatures, T1 relaxation times were $214.39{\pm}0.25$, $236.02{\pm}0.87$, $267.47{\pm}0.48$, $299.44{\pm}0.64$, $330.19{\pm}1.72$ ms. T2 relaxation times were $180.17{\pm}0.27$, $197.17{\pm}0.44$, $217.92{\pm}0.39$, $239.89{\pm}0.53$, $257.40{\pm}1.77$ ms. With the correlation analysis, the correlation coefficients of T1 and T2 relaxation times were statistically significant at 0.998 and 0.999 (p< 0.05). Conclusion : T1 and T2 relaxation times are increased as temperature of tissue goes up. In conclusion, we suggest to recognize errors of relaxation time caused local temperature's differences, and consider external factors as well in the quantitative analysis of relaxation time or clinical tests.

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Relations between Multidimensional Perfectionism and Eating Disorder in High School and College Students Majoring in Dance (무용전공 고등학생과 대학생들의 다차원적 완벽주의와 섭식장애의 관계)

  • Hong, Go-Eun;Kim, Dong-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.6
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    • pp.379-388
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    • 2016
  • High school and college students majoring in dance have different types of stress because of their different circumstances and goals. The purpose of this study was to investigate the relation between multidimensional perfectionism and eating disorder in high school and college students who are majoring in dance. Questionnaires for eating disorder (Eating Disorder Inventory-2(EDI-2) made by Garner (1990) and adapted by Lee (1998)) and multidimensional perfectionism (Multidimensional Perfectionism Scale(F-MPS) made by Frost (1990) and translated by Hyun (1992) were utilized after the sentences in the questionnaires were partially revised and (rendered more appropriate for?) the purpose of this study. The questionnaires were completed by all of the subjects (n=250), but 32 of them were excluded due to insincere answers. Thus, a total of 218 questionnaires were analyzed using SPSS version 21.0. The results showed that the students with a higher education level and who were more career oriented were more likely to suffer from multidimensional perfectionism and eating disorder. In addition, multidimensional perfectionism (concern about mistakes, constant personal and parental expectation) resulted in the development and maintenance of eating disorder for the students majoring in dance. In conclusion, higher education level and greater career orientation induce greater stress in dance major students and cause them to have an incorrect physical image. Thus, these factors may cause higher psychological pressure leading to multidimensional perfectionism and eating disorder. Therefore, these students need to know how to correctly manage their body weight and how to prevent eating disorder.

An Application of Remote Sensing Method for Close-to-nature Stream Evaluation : Focusing on Vegetation Index of Multi-Spectral Satellite Image (자연형 하천평가를 위한 원격탐사법 응용 : 다중파장 위성영상의 식생지수 중심)

  • Yoon, Yeong-Bae;Cho, Hong-Je;Kim, Geun-Young
    • Proceedings of the Korea Water Resources Association Conference
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    • 2006.05a
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    • pp.462-466
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    • 2006
  • Close-to-nature stream evaluation is one of the processing to make the streams over in order to keep them natural. It is integral to evaluate and make an accurate analysis of them on the purpose of maintaining streams healthy. For many instances, there are, stream organization evaluation for restoration by German government, evaluation for ecosystem protection in natural preserves by New Zealand government, and stream-view evaluation for restoration by Britain government so on. In case of the country there are analysis and evaluation of stream physical organization by Cho, Yong-hyun, Close-to-nature stream evaluation for restoration by Kim, Dong-chan, evaluation of stream properties in korea by Park, Bong-jin. Close-to-nature evaluation by Lim, Chan-uk, that is advanced version of Park, Bong-jin's, shows form of stream including waterway curve, sand bar, diversity of flow, river bed material, diversity of minor bed, minor bed bank protection works, bank protection material. It also does environment of stream including side of minor bed vegetation, width of surface of the water/width of the river etc.. By the way, this evaluation does not have free access to apply those details above in the field, it often happens that you get various outcome from the one spot. so you must need more realistic testing method to obtain more accurate data. Remote sensing method is highly recommended because this is very useful for collecting realistic data of vegetation index. what is more, it can not only scan even the minimum area within its resolving power but also do obtain data anytime. Vegetation index indicates Ratio vegetation index, Normalized difference vegetation index, Soil adjusted vegetation index, Atmospherically resistant vegetation index etc.. The research is focusing on Cheokgwa stream which is the branch of Taehwa river and shows 19 sectioned Close-to-nature stream performed according to the method by Lim, chan-uk. Besides let you know vegetation index came from image data of satellite landsat 7 with the variation of buffering area, of the day 9. may. 2003. Of all, the outcome 0.758 at 200m buffer-zone of NDVI was the best we have got so far.

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An Improvement of Stochastic Feature Extraction for Robust Speech Recognition (강인한 음성인식을 위한 통계적 특징벡터 추출방법의 개선)

  • 김회린;고진석
    • The Journal of the Acoustical Society of Korea
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    • v.23 no.2
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    • pp.180-186
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    • 2004
  • The presence of noise in speech signals degrades the performance of recognition systems in which there are mismatches between the training and test environments. To make a speech recognizer robust, it is necessary to compensate these mismatches. In this paper, we studied about an improvement of stochastic feature extraction based on band-SNR for robust speech recognition. At first, we proposed a modified version of the multi-band spectral subtraction (MSS) method which adjusts the subtraction level of noise spectrum according to band-SNR. In the proposed method referred as M-MSS, a noise normalization factor was newly introduced to finely control the over-estimation factor depending on the band-SNR. Also, we modified the architecture of the stochastic feature extraction (SFE) method. We could get a better performance when the spectral subtraction was applied in the power spectrum domain than in the mel-scale domain. This method is denoted as M-SFE. Last, we applied the M-MSS method to the modified stochastic feature extraction structure, which is denoted as the MMSS-MSFE method. The proposed methods were evaluated on isolated word recognition under various noise environments. The average error rates of the M-MSS, M-SFE, and MMSS-MSFE methods over the ordinary spectral subtraction (SS) method were reduced by 18.6%, 15.1%, and 33.9%, respectively. From these results, we can conclude that the proposed methods provide good candidates for robust feature extraction in the noisy speech recognition.

Multiculturalism and Glocal Citizenship: In Reference to Japanese Concept of 'Multicultural Coexistence' (다문화사회와 지구.지방적 시민성: 일본의 다문화공생 개념과 관련하여)

  • Choi, Byung-Doo
    • Journal of the Korean association of regional geographers
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    • v.17 no.2
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    • pp.181-203
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    • 2011
  • Transformation towards multicultural society requires discussion on new concepts of citizenship which would overcome some limits of national citizenship developed on the basis of the nation-state. Citizenship can be defined as a relationship between individuals and their community, and conceptualized in a relation with identity. Citizenship also includes its spatial elements such as site and movement, place and public/private space, boundary and territory, flow and network, level and scale, etc. and in particular implies a multi-scalability of local, national, and global level. A new discussion on citizenship has emerged in Japan in shift to multicultural society, especially focusing on activities of local governments and grassroots social movements to support and ensure welfare services to and human rights of foreign immigrants in local communities, hence develops a concept of local citizenship. This concept seems to be highly significant for both foreign immigrants and Japanese dwellers for multicultural coexistence, but raises serious problems of separating local citizenship from formal national citizenship and from universal global citizenship. In order to resolve these problems, a new multiscalar concept of glocal citizenship which links interrelationally local, national and global citizenship. The concept of glocal citizenship is suggested to lead academically a new version of cosmopolitanism which embraces the universal and the particular in a dialectic manner, and to give strategically an alternative to multicultural coexistence policy and discourse and local citizenship discussion in Japan.

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Study on the Physique Status and Eating Disorder Behavior among High School Students in Daejeon (대전시에 거주하는 남ㆍ녀 고등학생의 체격지수 평가 및 섭식 장애 행동 분석)

  • Kim Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.16 no.3
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    • pp.115-129
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    • 2004
  • We investigated the prevalence of eating disorder risk group and its relationship with Physique status and eating behavior among high school students in Daejeon. In May - June 2002, 350 students were sampled from 6 high schools in Daejeon by multi-stage cluster sampling and assessed with self-completing questionnaires. We used the Korean version of Eating Attitude test(EAT-26) to screen eating disorder risk group. and other instruments to screen physique status and eating behavior. The response rate was 91%(total 320) and numbers of female students were 167(52.2%) and male students were 153(47.8%). Average age was 16.0${\pm}$0.35 years, and average body-mass index(BMI) and PIBW(Percent Ideal Body Weight) were 20.9${\pm}$3.3 Kg/m2 and 102${\pm}$4.2% in male students, 20.2${\pm}$3.7 Kg/m2 and 98${\pm}$7.2% in female students(p<0.0001). Over 50% of the subjects were dissatisfied with their body shape; the degree of dissatisfaction with body shape was higher in those who believed themselves to be fat. Mean score of EAT-26 was higher in female students (10.78${\pm}$7.36) than male students(6.07${\pm}$4.39)(p<0.0001). The prevalence of high risk eating disorder group was 2.6% in male students, 11.4% in female students(p<0.0001). Eating behavior was better in female students than male(p<0.0001). Eating behavior was significantly higher in eating disorder risk group in both sex. Therefore eating disorder symptomatology was highly prevalent among high school students in Daejeon. And this symptomatology has a more close relationship with physique status and eating behavior in female students.

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Atrial Fibrillation Waveform Extraction Algorithm for Holter Systems (홀터 심전계를 위한 심방세동 신호 추출 알고리즘)

  • Lee, Jeon;Song, Mi-Hye;Lee, Kyoung-Joung
    • Journal of the Institute of Electronics Engineers of Korea SC
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    • v.49 no.3
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    • pp.38-46
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    • 2012
  • Atrial fibrillation is needed to be detected at paroxysmal stage and to be treated. But, paroxysmal atrial fibrillation ECG is hardly obtained with 12-lead electrocardiographs but Holter systems. Presently, the averaged beat subtraction(ABS) method is solely used to estimate atrial fibrillatory waves even with somewhat large residual error. As an alternative, in this study, we suggested an ESAF(event-synchronous adaptive filter) based algorithm, in which the AF ECG was treated as a primary input and event-synchronous impulse train(ESIT) as a reference. And, ESIT was generated so to be synchronized with the ventricular activity by detecting QRS complex. We tested proposed algorithm with simulated AF ECGs and real AF ECGs. As results, even with low computational cost, this ESAF based algorithm showed better performance than the ABS method and comparable performance to algorithm based on PCA(principal component analysis) or SVD(singular value decomposition). We also proposed an expanded version of ESAF for some AF ECGs with multi-morphologic ventricular activities and this also showed reasonable performance. Ultimately, with Holter systems including our proposed algorithm, atrial activity signal can be precisely estimated in real-time so that it will be possible to calculate atrial fibrillatory rate and to evaluate the effect of anti-arrhythmic drugs.

Improvement of the Checklist for Residential Housing's Crime Prevention Accreditation Assessment (주거시설에 대한 CPTED 평가인증 기준 개선방안 연구)

  • Park, Hyeon-Ho;Kim, Kang-Il;Cho, Joon-Tag
    • Korean Security Journal
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    • no.55
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    • pp.117-141
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    • 2018
  • Police crime statistics report that residential housing such as apartment, low rise, detached houses is the second most vulnerable to crime, which is closely followed by the number of street crimes. Also residential houses are often exposed to quality-of-life crime, e.g burglary. It threatens the basic human rights of house residents in terms of safety and comfort within the urban living environment. This study examines related precedent studies regarding the vulnerability of residential housing including studios, multi-family housing from the viewpoint of crime prevention through environment design(CPTED), extracted the elements and items suitable for the safety of residential facilities and the certification evaluation indicators and check items to be the basis for the checklist are derived. Based on these evaluation indicators and inspection items, we conducted on-site surveys of residential facilities in three areas of Seoul, Yongin and Asan, and the final draft of the checklist was revised based on the results of the field survey. There are 43 items on the 7 fields of evaluation in the final version of checklist, 11 items in the management and operation, 20 items in the surveillance, 7 items in the access control, 1 item in the territoriality, 2 items in the activity support, and 2 items in the security and safety facilities. In addition, various points of interest were added to allow the administrator of the residential facility to earn points for special measures taken for safety. This checklist can be appropriately modified and utilized in consideration of the characteristics of each facility. Korean national police agency has CPOs to check the residential facilities in their jurisdiction using checklists and to certify excellent facilities with high level of safety.