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Subjective Attitudes towards Terminal Patients of Nursing Students with Clinical Practice Experience: Application of Q Methodology (임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도: Q방법론 적용)

  • Lee, Eun Ju;Hwang, Kyung-Hye;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.156-165
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    • 2019
  • Purpose: This study was conducted to identify subjective attitudes towards terminal patients in nursing students who had clinical practice. The types of subjective attitude were classified by applying Q methodology. According to those types, basic reference data for the development of educational programs were provided. Methods: Thirty-four final Q samples were selected, and Q classification with a nine-point scale was performed with P samples of 43 nursing students. A key factor analysis was conducted with the collected data using the PC QUANAL program. Results: Nursing students' attitudes towards terminal patients were grouped into three types. The total variable was 49.96%. Students with Type 1 ("wish for life-sustaining medical treatment") thought that terminal patients accurately understood their medical condition and wanted to prolong their lives. Others with Type 2 ("need for service and support") believed that a multidisciplinary nursing system needs to be established to help terminal patients prepare for death. Students with Type 3 ("awareness and acceptance of death") thought that terminal patients wanted to die with dignity at a hospice unit. Conclusion: This study analyzed various types of attitude towards terminal patients, as perceived by nursing students with clinical training experience. Development of educational programs for each attitude type analyzed in this study could contribute to systematic training programs for nursing students caring for terminal patients.

Comparative Analysis on Cloud and On-Premises Environments for High-Resolution Agricultural Climate Data Processing (고해상도 농업 기후 자료 처리를 위한 클라우드와 온프레미스 비교 분석)

  • Park, Joo Hyeon;Ahn, Mun Il;Kang, Wee Soo;Shim, Kyo-Moon;Park, Eun Woo
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.21 no.4
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    • pp.347-357
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    • 2019
  • The usefulness of processing and analysis systems of GIS-based agricultural climate data is affected by the reliability and availability of computing infrastructures such as cloud, on-premises, and hybrid. Cloud technology has grown in popularity. However, various reference cases accumulated over the years of operational experiences point out important features that make on-premises technology compatible with cloud technology. Both cloud and on-premises technologies have their advantages and disadvantages in terms of operational time and cost, reliability, and security depending on cases of applications. In this study, we have described characteristics of four general computing platforms including cloud, on-premises with hardware-level virtualization, on-premises with operating system-level virtualization and hybrid environments, and compared them in terms of advantages and disadvantages when a huge amount of GIS-based agricultural climate data were stored and processed to provide public services of agro-meteorological and climate information at high spatial and temporal resolutions. It was found that migrating high-resolution agricultural climate data to public cloud would not be reasonable due to high cost for storing a large amount data that may be of no use in the future. Therefore, we recommended hybrid systems that the on-premises and the cloud environments are combined for data storage and backup systems that incur a major cost, and data analysis, processing and presentation that need operational flexibility, respectively.

Neutron Dose Measurements Using TLDs in a 252Cf Neutron Field (252Cf 중성자장에서 열형광선량계(TLD)를 이용한 중성자 방사선량 측정)

  • Chang, Insu;Kim, Sang In;Lee, Jung Il;Kim, Jang Lyurl;Kim, Bong Hwan
    • Journal of Radiation Protection and Research
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    • v.38 no.1
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    • pp.37-43
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    • 2013
  • In case of neutron dose measurement using TLDs (thermo-luminescence dosimeters), because the neutron energy dependence of the TLD is very high, the calibration of the energy response according to the characteristics of the neutron spectrum of workplace is required. In the present study, the ambient dose equivalent rates inside and around the Long-Counter (neutron detector) with narrow and complex inside in the neutron field of $^{252}Cf$ were evaluated. The calibration factors to account for the neutron energy dependence of TLDs were established for both the bare and $D_2O$ modulated $^{252}Cf$ neutron beams, respectively. The values of the TLD's measurement were compared with the computational results of the MCNPX (Monte Carlo N-Particles transport code). When using the two calibration factors of the TLD than a single calibration factor, the measured and the calculated values at the point of verification outside and inside the Long-Counter were in more good agreement. This results show that TLD should be calibrated in the reference neutron field similar to workplace situation.

Marginal Adaptation of Zirconium Dioxide Core according to the Abutment Teeth (지대치 형태에 따른 지르코니아 코어의 변연 적합도)

  • Kim, Ki-Baek;Kim, Seok-Hwan;Kim, Jae-Hong
    • Journal of dental hygiene science
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    • v.15 no.1
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    • pp.54-59
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    • 2015
  • The present study investigated the influences of various abutment teeth shapes (maxillary right canine, pre-molar, molar) on the marginal adaptation of computer aided design/computer aided manufacturing-fabricated zirconia core. In vitro adaptation of zirconia cores manufactured by three different abutments were evaluated. Thirty zirconia cores were made per each models and the adaptation was evaluated through a silicone replica technique. The measurement of the adaptation was carried out using digital microscope. The mean and standard deviation of each reference point were analyzed using the one-way (ANOVA) and Tukey's honestly significant difference tests (${\alpha}=0.05$). The overall marginal fits of the zirconia cores were as follows: canine: $47.59{\mu}m$, pre-molar: $43.74{\mu}m$, molar: $40.36{\mu}m$. They were no statistically significant differences between groups for adaptation (p>0.05). This confirmed that the type of abutment teeth used does not determine the precision of fit of zirconia core.

Evaluation of EGM2008 earth geopotential model using GPS/leveling data (GPS/leveling 데이터에 의한 EGM2008 지구중력장모델의 평가)

  • Lee, Suk-Bae;Kim, Jin-Soo;Kim, Cheol-Young
    • Journal of Korean Society for Geospatial Information Science
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    • v.16 no.3
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    • pp.117-126
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    • 2008
  • Earth geopotential models were used to determine the reference surface in geoid modelling and many global geopotential models were developed after 1980's. Nowadays, EGM96 and EIGEN-GL04C geopotential models have been most widely used in the world, but what so called EGM2008 earth geopotential model were developed in 2008 by NGA. In this paper, we intended to compare the results of spherical harmonic analyses using the three geopotential model, EGM96, EIGEN-GL04C and EGM2008. So, the spherical harmonic analyses were performed up to degree and order 360(in case of EGM2008, up to degree and order 720, 1440, 2190 in addition), on each $1'{\times}1'$grid point in and around Korean peninsula. Geometric geoid were calculated at 464 GPS/leveling points for accuracy evaluation and then the results of three geopotential models were compared to geometric geoid. The results show that the accuracy of EGM2008 is improved considerablely compared to EGM96 and EIGEN-GL04C and it is possible to calculate geoidal heights within 14cm standard deviation and 5.5cm standard deviation after LSC fitting in and around Korean peninsula using EGM2008 geopotential model.

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A Developmont of Numerical Mo del on the Estimation of the Log-term Run-off for the Design of Riverheads Works -With Special Reference to Small and Medium Sijed Catchment Areas- (제수원공 설계를 위한 장기간 연속수수량 추정모형의 개발 - 중심유역을 중심으로)

  • 엄병현
    • Magazine of the Korean Society of Agricultural Engineers
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    • v.29 no.4
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    • pp.59-72
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    • 1987
  • Although long-term runoff analysis is important as much as flood analysis in the design of water works, the technological level of the former is relatively lower than that of the latter. In this respect, the precise estimation model for the volume of successive runoff should he developed as soon as possible. Up to now, in Korea, Gajiyama's formula has been widely used in long-term runoff analysis, which has many problems in applying in real situation. On the other hand, in flood analysis, unit hydrograph method has been exclusively used. Therefore, this study aims at trying to apply unit hydrograph method in long-term runoff analysis for the betterment of its estimation. Four test catchment areas were selected ; Maesan area in Namlum river as a representative area of Han river system, Cheongju area in Musim river as one of Geum river system, Hwasun area in Hwasun river as one of Yongsan river system, and Supyung area in Geum river as one of Nakdong river system. In the analysis of unit hydrograph, seperation of effective rainfall was carried out firstly. Considering that effective rainfall and moisture condition of catchrnent area are inside and outside of a phenomenon respectively and the latter is not considered in the analysis, Initial base flow(qb)was selected as an index of moisture condition. At the same time, basic equation(Eq.7) was established, in which qb can take a role as a parameter in relating between cumulative rainfall(P) and cumulative loss of rainfall(Ld). Based on the above equation, computer program for estimation model of qbwas seperately developed according to the range of qb, Developed model was applied to measured hydrographs and hyetographs for total 10 years in 4 test areas and effective rainfall was estimated. Estimation precision of model was checked as shown in Tab- 6 and Fig.8. In the next stage, based on the estimated effective rainfall(R) and runoff(Qd), a runoff distribution ratio was calculated for each teat area using by computerised least square method and used in making unit hydrographs in each test area. Significance of induced hydrographs was tested by checking the relative errors between estimated and measured runoff volume(Tab-9, 10). According to the results, runoff estimation error by unit hydrograph itself was merely 2 or 3 %, but other 2 or 3 % of error proved to be transferred error in the seperation of effective rainfall. In this study, special attentioning point is that, in spite of different river systems and forest conditions of test areas, standardized unit hydrographs for them have very similar curve shape, which can be explained by having similar catchinent characteristics such as stream length, catchinent area, slope, and vegetation intensity. That fact should be treated as important factor ingeneralization of unit hydrograph method.

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A Study on Medical Laws and External Evaluation Criteria with Reference to the Essential Forms consisting Medical Records and to the Items for Each Medical Record (의료기관 종별 의무기록 중요서식 항목별 작성 실태 및 의무기록 완결점검표 분석)

  • Seo, Sun Won;Kim, Kwang Hwan;Hwang, Yong-Hwa;Kang, Sunny;Kang, Jin Kyung;Cho, Woo Hyun;Hong, Joon Hyun;Pu, Yoo Kyung;Rhee, Hyun Sill
    • Quality Improvement in Health Care
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    • v.9 no.2
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    • pp.176-197
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    • 2002
  • Backgound : This study is to suggest the standardized format of the clinical sheets and the standardized items of every clinical sheet. The standardization of the medical records will increase the faithfullnes of the contents in them and it will contribute to construct the good health information system. Method : From Jan. 1st. 2001 to March 31st 2001, we gathered as many paper clinical sheets as possible by every class of institutions to review the faithfulness of the clinical contents in them. Clinical sheets of 9 tertiary care hospitals, 6 general hospitals and 56 clinics were gathered. Two experienced medical record administrators reviewed them. The review focus was to check whether the items recommend by the hospital standardization review criteria and hospital service evaluation organization were appeared in the clinical sheets and whether the contents of every item were written. Results : Tertiary care hospitals; In case of administrative data, the contents were filled well if the items were fixed. The clinical data like C.C, history,physical examiniation were filled well, but if the items were not fixed, some items were omitted. The result is that more items are to be filled if they are fixed. General hospitals Administrative data were filled more than 50%. Final diagnosis was filled about 66.7%.But other clinical data were not filled well and not many clinical related items were appeared in the sheets.In the legal point of view, the reason for visiting hosptals or the right diagnosis, patient condition at discharge could not be confirmed well.In surgery cases, surgical procedures could not be confirmed well as many surgical related information(surgery time, fluids and blood, number of sponges, biopsy, etc) were omitted. Clinics More than 70% administrative data were filled and fixed as items. Among the clinical related data, laboratory result was the most credible data. But without the right diagnosis, drug orders were given and doctors' written signatures were not appeared over 96.4%. So the clinical sheets cannot be used as a legal document. Conculusion : There was a tendency that the contents were filled well if the items were fixed in the documents, We also suggest a clinical check list to review the completeness and faithfulness of the clinical sheets. If many hospitals use the suggested clincal check list and if they make the necessary items fixed in the clinical sheets, the quality of the medical record will increase dramatically.

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Health Risk Assessment of Disinfection By-products by Chlorination in Tap Water Ingestion (수도수중 염소 소독부산물로 인한 건강위해성 평가에 관한 연구 - 서울시 수도수중 Trihalomethanes 및 Haloaceticnitriles을 중심으로 -)

  • Chung, Yong;Shin, Dong-Chun;Yang, Ji-Yeon;Park, Yeon-Shin;Kim, Jun-Sung
    • Environmental Analysis Health and Toxicology
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    • v.12 no.3_4
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    • pp.31-41
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    • 1997
  • Public concerns about hazardous health effect from the exposure to organic by-products of the chlorination have been increased. There are numerous studies reporting that chlorination of drinking water produces numerous chlorinated organic by-products including THMs, HAAs, HANs. Some of these products are known to be animal carcinogens. The purpose of this study was to estimate health risk of DBPs by chlorinated drinking water ingestion in Seoul based on methodologies that have been developed for conducting risk assessment of complex-chemical-mixture. The drinking water sample was collected seperately at six water treatment plant in Seoul at March, April, 1996. In tap water of households in Seoul, DBPs were measured wilfh the mean value of 36.6 $\mu$g/L. Risk assessment processes,. which include processes for the estimation of human cancer potency using animal bioassay data and calculation of human exposure, entail uncertainties. In the exposure assessment process, exposure scenarios with various assumptions could affect the exposure amount and excess cancer risk. The reference dose of haloacetonitriles was estimated to be 0.0023 mg/kg/day by applying dibromoacetonitrile NOAEL and uncertainty factor to the mean concentration. In the first case, human excess cancer risk was estimated by the US EPA method used to set the MCL (maximum contaminant level). In the second and third case, the risk was estimated for multi-route exposure with and without adopting Monte-Carlo simulation, respectively. In the second case, exposure input parameters and cancer potencies used probability distributions, and in the third case, those values used point estimates (mean, and maximum or 95% upper-bound value). As a result, while the excess cancer risk estimated by US EPA method considering only direct ingestion tended to be underestimated, the risk which was estimated by considering multi-route exposure without Monte-Carlo simulation and then using the maximum or 95% upper-bound value as input parameters tended to be overestimated. In risk assessment for Trihalomethanes, considering multi-route exposure with adopting Monte-Carlo analysis seems to provide the most reasonable estimations.

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Secondary Compression Characteristics Caused by Particles Crushing of Sabkha Soil (입자파쇄 특성에 따른 Sabkha층의 이차압축 특성)

  • Kim, Seok-Ju;Bae, Kyung-Tae;Yi, Chang-Tok;Han, Heui-Soo
    • Journal of the Korean Geotechnical Society
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    • v.29 no.11
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    • pp.61-72
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    • 2013
  • The consolidation tests are conducted to investigate the soil particle crushing stress for understanding the secondary compression characteristics of carbonate sandy sabkha soil caused by particle crushing under a high confining stress. The rate of secondary crushing compression ($C_{{\alpha}{\epsilon}}{^*}$) is introduced instead of the rate of secondary compression to define the characteristic of the particle crushing compression settlement ($S_s{^*}$). Void ratio ($e_p{^*}$) and settlement ($H_p{^*}$) in particle crushing are used as a reference point of secondary behavior, and the ratio of primary compression index ($C_c$) to secondary crushing compression ($C_{{\alpha}{\epsilon}}{^*}$), $C_{{\alpha}{\epsilon}}{^*}/C_c$ value was changed from 0.0105 to 0.0187. When comparing with quartz sands, secondary compression settlement of sabkha is very large due to particle crushing which is not usually observed in quartz sand. It is observed that as the depth of sabkha layer becomes deep, the $S_s{^*}$ and $C_{{\alpha}{\epsilon}}{^*}$ increase under the same stress level.

Evaluating Monitoring Condition for Forest Carbon Offset Project to Demonstrate CSR in North Korea (대북 사회공헌형 산림탄소상쇄사업 모니터링 여건평가)

  • Joo, Seung-Min;Heo, ManHo;Kim, Jong-Dall;Um, Jung-Sup
    • Spatial Information Research
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    • v.23 no.2
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    • pp.11-20
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    • 2015
  • Abstract Monitoring is the most critical element in implementing "forest carbon offset project" to enhance the visibility of CSR (Corporate Social Responsibility) in North Korea. This study is intended to explore monitoring potential in terms of forest carbon offset project using satellite image for Baekdu mountain of North Korea. The permanent record of standard satellite remote sensing system demonstrated its capability of presenting area-wide visual evidences of monitoring conditions in Mt. Baekdu mountain of North Korea (site suitability, carbon stock by forest biomass growth, carbon emission by forest biomass loss, deforestation and degradation, environmental, social and economic impact specified in the Carbon Sequestration Law). It doesn't seem very difficult to comply with monitoring requirements for "the forest carbon offset project" due to the probative value of satellite data. Therefore, it could be considerable or realistic approach to utilize CSR based forest carbon offset project as a point of reform and open-door in North Korea. It is anticipated that this research output could be used as a valuable reference for Korea-based enterprises to ensure monitoring potentials using satellite image in exploring forest carbon offset project sites in North Korea.