• Journal of Hospice and Palliative Care
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• v.22 no.3
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• pp.117-124
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• 2019

A resolution adopted by the World Health Assembly in 2014 stated that all nurses should be equipped with palliative care skills in order to integrate palliative care into a day-to-day healthcare system. This article introduces the palliative nursing competency that was developed for the Korean environment by the Korean Hospice Palliative Nursing Research Network based on its study of overseas cases where this competency and competency-based training were developed. This is the first step towards the development of competency-based palliative nursing education, and active efforts should be made to integrate this competency into the undergraduate nursing curriculum.

• Journal of agricultural medicine and community health
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• v.26 no.2
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• pp.59-78
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• 2001

Data on reported cancer mortality in the Gyeongsangbuk- do province from 1991 to 1998 were collected and analyzed using the existing mortality reporting system as well as the public health network to furnish accurate data on reported cancer death and to collect data to establish a high quality district health plan. The overall crude death rate in Gyeongsangbuk province in 1991 was 74.56 deaths per 100,000-person but this rate increased to 79.22 in 1998. Among the deaths, the overall death rate of cancer was 16.7% in 1991, which increased to 19.3% in 1998; specifically the death rate of men increased from 19.4% in 1991 to 22.3% in 1998 while that of women increased from 12.4% in 1991 to 15.5% in 1998, showing a more increase among women. The types of cancer and associated death rates in 1991 were gastric cancer(41.5%), followed by liver cancer (28.8%), and lung and bronchogenic carcinoma(8.7%) and in 1998, gastric cancer (24.7%), followed by liver cancer(22.7%), lung and bronchogenic carcinoma(19.3%), showing the same order. For men and women, gastric cancer(40.2% and 44.7%, respectively) was the most common cancer death, followed by liver cancer(33.7% and 16.7%, respectively), and lung and bronchogenic carcinoma(10.2% and 5.0%, respectively) in 1991. However, in 1998, gastric cancer(27.8%) was still the most common type among both men and women, followed by liver cancer (18.5%) and lung and bronchogenic carcinoma(12.7%), showing the most decrease in gastric cancer but most increase in lung and bronchogenic carcinoma. The age- adjusted mortality rates by gastric cancer, hepatoma, laryngeal carcinoma were decreased in both male and female, and also uterine cancer was decreased in female. The age- adjusted mortality rates by lung and bronchogenic carcinoma, pancreatic cancer, rectal cancer were increased in both male and female, and also breast cancer was increased in female. The calculated overall age-adjusted death rate based on the 1995 population was 84.25 in 1991, which decreased to 77.67 in 1998. Male death rate decreased significantly from 119.81 in 1991 to 101.82 in 1998 while the female death rate increased from 48.64 in 1991 to 53.80 in 1998. A census of cancer death rate using accurate death records is important for the establishment of proper and high-quality district health and medical plan and policy. The effort to improve the accuracy of death reports using the health facility network, as had been attempted by this study, can be continued. Furthermore, there must be a way for the Health and Welfare Department to use the death reports to improve the present reporting system. Lastly, additional studies need to be conducted to investigate how much the accuracy was improved by the supplemented death reports in this study.

• Journal of the Institute of Electronics Engineers of Korea SC
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• v.46 no.4
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• pp.28-38
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• 2009

In this study, a remote air quality monitoring system for underground spaces was developed by using NDIR-based CO$_2$ sensor. And the remote monitoring system based on wireless sensor networks was installed practically on the subway station platform. More than 6.5 million citizens commutate everyday by the Seoul subway transportation that is the most typical public transportation. They concern about air quality with increasing interest on public health or many workers in subway stations or underground shopping centers. Recently, the Korean Ministry of Environment has operated the air quality monitoring system in some subway stations for testing phase. However, it showed many defects which are large-scale, high-cost and maintenance of precision sensors imported from abroad. Therefore this research includes the reliability test and a theoretical study about the inexpensive commercialized CO$_2$ sensor for reliable measurement of air quality which changes rapidly by the surrounding environments. And then we develop the wireless sensor nodes and the gateway applied for remote air quality monitoring. In addition, web server program was realized to manage air quality in the subway platform. This result will be valuable for a basic research for air quality management in underground spaces for future study.

• Journal of Internet of Things and Convergence
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• v.8 no.6
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• pp.55-63
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• 2022

In recent years, with the rapid development of large and medium-sized urban rail transit in China, the total operating mileage of high-speed railway and the total number of EMUs(Electric Multiple Units) are rising. The system complexity of high-speed EMU is constantly increasing, which puts forward higher requirements for the safety of equipment and the efficiency of maintenance.At present, the maintenance mode of high-speed EMU in China still adopts the post maintenance method based on planned maintenance and fault maintenance, which leads to insufficient or excessive maintenance, reduces the efficiency of equipment fault handling, and increases the maintenance cost. Based on the intelligent operation and maintenance technology of PHM(prognostics and health management). This thesis builds an integrated PHM platform of "vehicle system-communication system-ground system" by integrating multi-source heterogeneous data of different scenarios of high-speed EMU, and combines the equipment fault mechanism with artificial intelligence algorithms to build a fault prediction model for traction motors of high-speed EMU.Reliable fault prediction and accurate maintenance shall be carried out in advance to ensure safe and efficient operation of high-speed EMU.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.16 no.5
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• pp.137-142
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• 2016

A two-step open system(TOS) was proposed to relay between a healing platform and a repository of personal health documents. TOS was designed by taking into consideration the pubsub service based on large scale connections to monitor a provider's access/request process for health documents in real time. TOS, however, uses WebSocket as a communication protocol in case of pubsub. Given the operational environment of low quality wireless networks for mobile devices that are user terminals in a healing platform, there is a need to add a messaging protocol to support QoS as well as a transmission protocol. As a light messaging protocol optimized for mobile devices, MQTT defines reliable messaging QoS to consider a wireless network situation of low speed/low quality. This study designed an MQTT protocol-based message broker to support QoS in case of large scale connections and pubsub by taking into consideration mobile devices that are user terminals in a healing platform. After designing a model between TOS and MQTT message broker, the study implemented a prototype based on the proposed design and compared it with its counterparts from previous studies based on the performance indicators in a load-test with the MQTT client tool.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• v.27 no.4
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• pp.258-265
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• 2024

Purpose: To date, there is no region-specific guideline for pediatric endoscopy training. This study aimed to illustrate the current status of pediatric endoscopy training in Asia-Pacific region and identify opportunities for improvement. Methods: A cross-sectional survey, using a standardized electronic questionnaire, was conducted among medical schools in the Asia-Pacific region in January 2024. Results: A total of 57 medical centers in 12 countries offering formal Pediatric Gastroenterology training programs participated in this regional survey. More than 75% of the centers had an average case load of <10 cases per week for both diagnostic and therapeutic endoscopies. Only 36% of the study programs employed competency-based outcomes for program development, whereas nearly half (48%) used volume-based curricula. Foreign body retrieval, polypectomy, percutaneous endoscopic gastrostomy, and esophageal variceal hemostasis, that is, sclerotherapy or band ligation (endoscopic variceal sclerotherapy and endoscopic variceal ligation), comprised the top four priorities that the trainees should acquire in the autonomous stage (unconscious) of competence. Regarding the learning environment, only 31.5% provided formal hands-on workshops/simulation training. The direct observation of procedural skills was the most commonly used assessment method. The application of a quality assurance (QA) system in both educational and patient care (Pediatric Endoscopy Quality Improvement Network) aspects was present in only 28% and 17% of the centers, respectively. Conclusion: Compared with Western academic societies, the limited availability of cases remains a major concern. To close this gap, simulation and adult endoscopy training are essential. The implementation of reliable and valid assessment tools and QA systems can lead to significant development in future programs.

• Korean Journal of Community Nutrition
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• v.19 no.5
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• pp.459-467
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• 2014

Objectives: The purpose of this study was to suggest the strategies for improvement of home-delivered meal services for the elderly, to identify reasons for recipients to get started with the services and to evaluate the attitude, acceptability and adaptation of recipients to the services from the perspective of life context. Methods: The data was collected through face-to-face in-depth interviews with eighteen low-income elderly recipients of home-delivered meals and analyzed using a qualitative research method. Results: The results were deduced as four themes which comprised of long-term vulnerable socioeconomic contexts resulted in entry to the services, conflicting acceptability to the services, passive adaptation to taking the services, and positive practices to cope with supplement free meals or other services. The service participation was initiated because of a combination of prolonged, vulnerable socioeconomic contexts, including poverty and unexpected life events such as diseases, disability, living alone, aging and unemployment. With regard to taking the services, conflicting acceptability was observed: positive aspects including saving living cost and good quality of meals, and negative aspects including lack of a tailored service and feeling of stigma. Although the recipients needed an individualized service, they did not express their needs and demands for the services and they accepted the unavailability as an accustomed, prolonged vulnerable socioeconomic context. With regard to lack of tailored services, either self-solution such as modification of eating patterns or community-based network and services were used. Conclusions: We suggest that a system to concretely identify recipients' attitude, acceptability and adaptation for home-delivered meal services should be developed in the establishment of a tailored nutrition support system for the low-income elderly.

• Korean Security Journal
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• no.21
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• pp.75-94
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• 2009

Since mechanical security systems are mostly composed of electronic, information and communication devices, they have effects in the aspects of overall social environment and crime-oriented environment. Also, the importance is increasing for wireless recognition of RFID and tracing function, which will be usefully utilized in controlling the incomings and outgoings of people/vehicles or allowance, surveillance and control. This is resulting from the increase in the care for the elderly according to the overall social environment, namely, the aging society, and the number of women entering, as well as the increase in the number of heinous crimes. The purpose of this study is to examine the theoretical considerations on ubiquitous sensor network and present a direction for securities companies for their development by focusing on the technological and application areas. To present strategies of response to a new environment for security companies, First, a diversification strategy is needed for security companies. The survival of only high level of security companies in accordance with the principle of liberal market competition will bring forth qualitative growth and competitiveness of security market. Second, active promotion by security companies is needed. It is no exaggeration to say that we are living in the modern society in the sea of advertisements and propaganda. The promotional activities that emphasize the areas of activity or importance of security need to be actively carried out using the mass media to change the aware of people regarding security companies, and they need to come up with a plan to simultaneously carry out the promotional activities that emphasize the public aspect of security by well utilizing the recent trend that the activities of security agents are being used as a topic in movies or TV dramas. Third, technically complementary establishment of ubiquitous sensor network and electronic tag is needed. Since they are used in mobile electronic tag services such as U-Home and U-Health Care, they are used throughout our lives by forming electronic tag environment within safe ubiquitous sensor network based on the existing privacy guideline for the support of mobile electronic tag terminal commercialization, reduction in communication and information usage costs, continuous technical development and strengthening of privacy protection, and the system of cooperation of academic-industrial-research needs to be established among the academic world and private research institutes for these parts.

• Journal of the Korea Society of Computer and Information
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• v.16 no.11
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• pp.45-56
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• 2011

WBAN is short range wireless communication technology which is consists of several small devices close to, attached to or implanted into the human body. WBAN is classified into between medical and non-medical by applications based on technology and medical data with periodic characteristics is used the GTS method for transmitting data to guarantee the QoS. In this paper we proposed algorithm that resolve lack of GTSs while data transmit GTS method in superframe structure of WBAN. Coordinator dynamically allocates GTSs according to the data rate of devices and make devices share GTSs when lack of GTSs. We compared delay bounds, throughput for performance evaluation of the proposed algorithm. In other words, we proposed algorithm adaptive WFQ scheduling that GTS allocation support differential data rate in environments of WBAN. The experiment results show the throughput increased and the maximum delay decreased compared with Round Robin scheduling.

• The KIPS Transactions:PartC
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• v.13C no.7 s.110
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• pp.859-864
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• 2006

The openness of the Web allows any user to access almost any type of information easily at any time and anywhere. However, with function of easy access for useful information, internet has dysfunctions of providing users with harmful contents indiscriminately. Some information, such as adult content, is not appropriate for all users, notably children. Additionally for adults, some contents included in abnormal porn sites can do ordinary people's mental health harm. In the meantime, since Internet is a worldwide open network it has a limit to regulate users providing harmful contents through each countrie's national laws or systems. Additionally it is not a desirable way of developing a certain system-specific classification technology for harmful contents, because internet users can contact with them in diverse way, for example, porn sites, harmful spams, or peer-to-peer networks, etc. Therefore, it is being emphasized to research and develop context-based core technologies for classifying harmful contents. In this paper, we propose an efficient text filter for blocking harmful texts of web documents using context-based technologies.