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The National Hospice Care Service Development in Korea (한국형 호스피스 케어 개발을 위한 기초 조사 연구)

  • Lee, Soo-Woo;Lee, Eun-Ok;Ahn, Hyo-Seog;Heo, Dae-Seock;Kim, Dal-Sook;Kim, Hyun-Sook;Lee, Hiye-Ja
    • The Korean Nurse
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    • v.36 no.3
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    • pp.49-69
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    • 1997
  • The urgent needs to establish hospice care systems in Korea arise from the following reasons: 0) a drastic increase in chronically ill patients with the increase of aged population: (2) rapid changes in living environment from the traditional habitation (e. g., Many Koreans living in apartment complexes, which is the most popular form of modern residence in recent years, prefer to die in the hospital.): the overall increase in patients with advanced cancer: (4) recent trends in early discharge of terminally ill patients from the limited hospital facilities to accomodate other medical insurance beneficiaries; (5) easy acceptance of euthanasia owing to the recent social atmosphere that belittles the dignity of human life; (6) medical and nursing care of AIDS patient in terminal stage; (7) and the problem associated with inhumane medical care system, overtreatment, and groundless fears against narcotics. Terminally ill patients were used to be treated in the hospital in the past. In these days, however, they are forced to have home cares with little assistance from the qualified medical personnel because of insufficient hospital facilities, which are even short for the need of emergency patients and provide priority cares to medical insurance beneficiaries with other acute problems. And yet, neither are there any administrative organizations nor systematic medical studies that deal with the level of terminally ill patient's need, their family's problems and resources of hospice care systems in Korea. Thus, most patients are not able to get appropriate medical care at the terminal stage of their lives. The objective of this study is to make comprehensive database for various hospice care organization currently in operation, link them through medical information system, and develop an easily accessible hospice care model that meets the need of most Korean people. Our survey results may be summarized as follows: Nationally there are 40 organizations that provide partial or full hospice care. However, these organizations are not linked to any formal medical service network. Furthermore, the objective of hospice care, care principles, personnel with appropriate training, educational programs, standard for care, costs, consulting service to patients' family members, the extent of medical care from professional staff members, status of hospice facility, and management of those institutions are neither clearly defined nor organized compared to the international hospice care standards. The surveys on patients of terminal stage. grouped in hospice and non-hospice care patients. reveal what they want visiting nursing care to help their pain control. psychological. social and spiritual demands. While the more than 90% of hospice care patients want to reduce their pains. the non-hospice care patients. in addition to their desire for pain control. demanded more psychological. social and spiritual helps as well. The results of this research could be utilized to 0) define the standard of hospice care. (2) provide the guidance for hospice medical care costs. (3) establish the database of hospice care systems. (4) develop softwares. (5) build communication network through Medinet. and (6) provide an organized visiting home nursing care system. These information should be a valuable resource to many medical staffs who are involved in cancer therapy. nursing care. and social welfare programs.

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A Study on the Characteristics of Spatial Structure of Jiangnan Watertown(水鄕鎭) in China - Focusing on Wuzhen and Nanxun in Zhejiang Province - (중국 강남 수향진의 수변공간 특성 연구 - 절강성 오진과 남심을 사례로 -)

  • Choi, Jung-Kwon;Choi, Jung-Mean
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.34 no.4
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    • pp.98-109
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    • 2016
  • The purpose of this study is to identify characteristics of spatial structure of Jiangnan water town in China which has been developed along the water channel. Spatial structural characteristics of the water town, Wuzhen and Nanxun in Zhejiang Province are as follows. First, location of town, spatial framework, lot division, and architectural style get determined by the water channel. The water channel is constructed in cross shape, T-shape, or in combination. Secondly, public space of water town is established along main water channel. Visually and functionally alternating private buildings are established on the water channel side and they are creating unique landscape of Jiangnan water town in overall harmony. Thirdly, residential area is established on the east-west water channel side with southward sunny-faced arrangement and waterside residence is in introvert spatial structure with courtyard but the exterior space is connected with water channel intimately. Fourthly, various spatial components along the water channel enrich the sense of place in water town. The components are corridor with roof, tea house, waterside steps, waterside theater and watergate etc. Uniqueness of place is becoming the core competence in modern townscape. In this aspect, Jiangnan water town with historical and cultural accumulation is suggesting a significant implication. Major implications are as follows. First, promotion of proximity to the water is the basic value that the spatial plan of waterfront needs to pursue. Secondly, mixed use is essential for effective land use and revitalization of waterfront. Thirdly, waterfront plan based on the local uniqueness as the place asset is being required.

Affected Model of Indoor Radon Concentrations Based on Lifestyle, Greenery Ratio, and Radon Levels in Groundwater (생활 습관, 주거지 주변 녹지 비율 및 지하수 내 라돈 농도 따른 실내 라돈 농도 영향 모델)

  • Lee, Hyun Young;Park, Ji Hyun;Lee, Cheol-Min;Kang, Dae Ryong
    • Journal of health informatics and statistics
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    • v.42 no.4
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    • pp.309-316
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    • 2017
  • Objectives: Radon and its progeny pose environmental risks as a carcinogen, especially to the lungs. Investigating factors affecting indoor radon concentrations and models thereof are needed to prevent exposure to radon and to reduce indoor radon concentrations. The purpose of this study was to identify factors affecting indoor radon concentration and to construct a comprehensive model thereof. Methods: Questionnaires were administered to obtain data on residential environments, including building materials and life style. Decision tree and structural equation modeling were applied to predict residences at risk for higher radon concentrations and to develop the comprehensive model. Results: Greenery ratio, impermeable layer ratio, residence at ground level, daily ventilation, long-term heating, crack around the measuring device, and bedroom were significantly shown to be predictive factors of higher indoor radon concentrations. Daily ventilation reduced the probability of homes having indoor radon concentrations ${\geq}200Bq/m^3$ by 11.6%. Meanwhile, a greenery ratio ${\geq}65%$ without daily ventilation increased this probability by 15.3% compared to daily ventilation. The constructed model indicated greenery ratio and ventilation rate directly affecting indoor radon concentrations. Conclusions: Our model highlights the combined influences of geographical properties, groundwater, and lifestyle factors of an individual resident on indoor radon concentrations in Korea.

A Study of Providing Care to Grandchildren Effects on Grandparents' Perception on Old-Age Support: Focusing on Expectations for Residence with Adult Children (손자녀 돌봄이 조부모의 노후부양관에 미치는 영향에 관한 연구 - 노후의 자녀동거 기대를 중심으로 -)

  • Ha, Seok Cheol;Hong, Kyung Zoon
    • Korean Journal of Social Welfare Studies
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    • v.45 no.2
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    • pp.99-122
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    • 2014
  • The purpose of this study is to examine how providing care to grandchildren and the continuity of care affects the grandparents' perception on old-age support. Specifically, in this study, providing care is divided into three continuous types: did not provide care, provided care at one point in time and provided care at two points in time. This is done to investigate how the duration of providing care influences the perception on old-age support. The results show that grandparents providing care to their grandchildren prefer to reside with their own children in the future more often than those who do not provide care to their grandchildren. Furthermore, grandparents providing care to their grandchildren during two-time points and grandparents providing care during one-time point prefer to reside with their adult children in the future more than grandparents providing care not once during two-time points. Interestingly, grandparents who provide care to grandchildren during two-time points prefer to reside with their children in the future more frequently than grandparents providing care during just one-time point. These results suggest it is likely that grandparents recognize providing care to their grandchildren as an insurance in care and support for themselves in the future. Additionally, these results suggest that the family plays an efficient and flexible role to meet needs of family members through a reciprocal relationship in Korean society where the public sector is weak. These findings have suggested theoretical implications.

A Study on Dong-mu's 'Knowing and Acting' (동무공(東武公)의 지행(知行)에 관한 고찰(考察))

  • Lee, Eui-Ju;Koh, Byung-Hee;Song, Il-Byung;Lim, Jinny-Hee
    • Journal of Sasang Constitutional Medicine
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    • v.14 no.2
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    • pp.10-17
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    • 2002
  • 1. Objects of Research This research is purposed to find Dong-mu's thought on 'Knowing-Airing(知行), through summarizing sentences related to 'Knowing-Acting(知行)'proposed in his writings. 2. Methods of Research It was researched bibliologically with Dong-mu's chief medical writings such as ${\ulcorner}$Gyukchigo(格致業)${\lrcorner}$, ${\ulcorner}$Dongyi Soose Bowon(東醫壽世保元)${\lrcorner}$ , ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷${\lrcorner}$, ${\ulcorner}$Dong-mu's posthumos work(東武遺葉)${\lrcorner}$. 3. Results and Conclusions 1.'Knowing(知)'is related to recognition of 'Mind(心)' and 'Acting(行)' is related to practice of 'Body(身)' in ${\ulcorner}$Gyukchigo(格致藁)${\lrcorner}$ . 'Knowing-Acting(知行)' in ${\ulcorner}$Gyukchigo(格致藁)${\lrcorner}$ is regard as a important factor to reach the state of 'Golden mean(中庸)' by 'Perception of Man(知人)' 2. 'Knowing-Acting(知行)' in ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷${\lrcorner}$ is thought to recognize and practice marals such as 'Humanity Justice propriety Wisdom(仁義禮智)' and 'Loyality Filialpiety Friendahip Fraternity(忠孝友悌)'. It was proposed that people are classified into Sasang Constition by 'Knowing-Acting(知行)' in ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun(東醫壽世保元四象草本卷${\lrcorner}$ 3. 'Knowing-Acting(知行)' in ${\ulcorner}$Dongyi Soose Bowon(東醫壽世保元四象草本卷)${\lrcorner}$ is difffrent from 'Knowing-Acting(知行)' in ${\ulcorner}$Dongyi Soose Bowon Sasang Chobongyun(束醫壽世保元圖象草本卷${\lrcorner}$ 'Knowing(知)'is conception of marals such as 'Humanity Jusrire propriety Wisdom(仁義禮智)' and Loyality Filialpiety Friendship Fraternity(忠孝友悌)'. 'Acting(行)' is conception of productivity such as 'Scholar Farm Engineer Merchannt(士農工商)' and 'Field Residence District Nation (田業邦國). 4. 'Knowing-Acting(知行)' in ${\ulcorner}$Dong-mu's posthumos work(東武遺葉)${\ulcorner}$ was c1assified into large and small one. The large one is private and the small one is public. It is imponant to become sincere and respectful for achieve 'Ideal medium of Knowing-Acting.'.

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Historical Contemplation on the Korean Landscape Characteristics as Affected by Religious Environment (시대 및 종교적 환경과 한국의 조경 경관형성 소고)

  • Shim, Jai-Sung;Bae, Jeong-Kwan;Seo, Byung-Key;Choi, Jong-Myung
    • The Journal of Natural Sciences
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    • v.12 no.1
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    • pp.85-101
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    • 2002
  • Landscape civilization in Korea originated in Cochosun(Ancient Chosun) era, this again succeeding to the period of the Three States - Koguryo, Baekje and Silla. The distribution of this culture showed great progress with the association of two particular religions - Buddhism and Confucianism.. Landscape development in Korea has greatly changed during specific times of both cultural and political upheaval in various societies. Religion has had a great deal of influence on landscape development. Traditionally Korean people have had a tendency to favor more natural landscape than man-made structures in landscape : This trend was a quite different concept from that of other oriental countries, not to mention of western countries. In particular, Buddhism influenced natural landscape, far from artificial craftsmanship in landscape. Oriental garden is a typical 'tabloid edition' of natural landscape which consists lakes, islands, ponds, stone monuments, and fruit trees, quite often raising animal in parks and courtyard style house. This style of garden influenced in Chosun Dynasty landscape. Landscaping was usually for royal gardens, cemetery parks or high level of officer's residence. However, landscaping in Chosun Dynasty which had established Confucianism as a state religion gave us a specific designation. It was neither ethnic imitation of the garden style of both China and Japan : People were used to enjoy nature-friendly landscape or sink into the ecstasy of natural scenery itself. The trend that landscape or establishing garden had been aimed at royal family- or bureaucrat-centered formatives was to become an obstacle to the development of landscape techniques in Korea. An example represented in a beautiful garden with fabulous decoration which established in places. This was completely not fit for the nation's feeling.

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The Study on the Environmental Factors of Atopic Dermatitis in Oriental-Western Medicine (아토피 피부염의 환경적 요인에 대한 동서의학적 고찰)

  • Park, Sung-gu;Noh, Hyeon-Min;Kweon, So-Hyoun;Jo, Eun-Hee;Jang, Hyun-Chul;Kim, Ho-kyoung;Park, Hi-Joon;Kim, Won-Jeong;Park, Min-Cheol
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.31 no.1
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    • pp.52-70
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    • 2018
  • Objectives : Atopic dermatitis(AD) and environmental factors are closely related, but there is lack of oriental medical examination. So we compared the relationship between AD and various environmental factors in Oriental medicine and Western medicine. Methods : We described the relationship between AD and environmental factors through the latest papers and a review of the oriental medicine literature. Results : The regional diversity of AD incidence implies a close relationship between climate factors and AD, and high altitude and low pH springs also have an effect on AD. Air pollutants from industrialization and urbanization aggravate AD. The increase in indoor residence time and the increase in room temperature and humidity have also increased the sensitization to allergens such as house dust mite. In oriental medicine, wind(風) is one of the environmental factors and is an inflammatory state due to external irritation. Wind-Humidity(風濕) refers to erythematous wetting dermatitis with itching and exudation, Wind-Fever(風熱) refers to acute inflammatory reaction with erythematous papules and plague, and Blood-Weakness(血虛) refers to aggravation and chronicization of inflammation due to persistence of skin barrier impairment. Conclusions : We examined the relationship between AD and various environmental factors. We also described the oriental medical viewpoints of the environmental factors in the occurrence of AD and skin barrier impairment.

Full Scale Testing of the Effect of Stairwell Pressurization on Pressure Differential and Flow Velocity

  • Son, Bong-Sae;Park, Kyung-Hwan;Chang, Young-Bae
    • Journal of the Korean Society of Hazard Mitigation
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    • v.11 no.3
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    • pp.83-89
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    • 2011
  • A series of full-scale testing was conducted to examine the effect of stairwell pressurization on the pressure differential between the stairwell and the auxiliary room and between the auxiliary room and the residence. Also, flow velocity profiles at open doors were measured. The building tested was a condominium that had twenty floors above the ground and two floors underground. For pressurization of the stairs, a blower was used to supply air into the stairwell at one location underground. Thirteen different cases were tested, and test variables included the number of floors with open doors and the flow rate of the air supply. When the doors on the first floor were open, the pressure differential between the stairwell and the auxiliary room was distributed almost uniformly except for locations near the first floor. When the flow rate was in the range of 180~270 CMM and the doors of one floor were open, the flow velocity could satisfy the requirement of fire safety standards and the stairwell pressure was positive at all levels. However, the minimum pressure requirement (10 Pa) could not always be satisfied. When doors on two floors were open, the flow velocity requirement could be satisfied by increasing the flow rate, but it was found impractical to satisfy the minimum pressure requirement without causing excessive pressure differential in the area near the blower.

A Study on the Prevalence and Risk of Family History for Chronic Diseases: Findings from the Korea National Health and Nutrition Examination Survey 2019 (만성질환에 대한 가족력의 유병률과 위험도에 관한 연구: 국민건강영양조사(2019)를 중심으로)

  • Lee, Nan-Cho;Kim, Min-Ju;Choi, Hee-Jin;Lee, Jongseok;Jung, Deuk
    • Journal of Convergence for Information Technology
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    • v.11 no.8
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    • pp.160-167
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    • 2021
  • This study was conducted to empirically analyze the prevalence and risk of chronic diseases in the family history of chronic diseases using data from the Korea National Health and Nutrition Examination Survey 2019. Based on 5,691 people, after controlling for socio-demographic variables that were related to family history of chronic diseases, logistic regression analysis was performed to verify the odds ratio, which was the risk of family history of chronic diseases for the prevalence of chronic diseases. The main results were founded that Odds ratio, which was the risk of chronic diseases in groups with a family history compared to those without a family history, was statistically significant at hypertension(2.623), dyslipidemia(1.868), diabetes(1.964), and arthritis(1.435) when gender, age, income status, education level and residence were controlled. These results suggest that it is not only necessary to develop a standardization tool for family history tests, but also a health and disease management system for members with a family history in terms of preventive medicine in health care. This study is significant in that it proposed a practical plan in terms of health care by controlling variables that affect the prevalence of chronic diseases and empirically identifying the risk of family history of chronic diseases.

Factors Affecting Changes in Forest Recreational Activities During the COVID-19 Pandemic (코로나19 팬데믹 이후 산림 휴양 활동의 변화 요인)

  • Chang, Chuyoun;Park, So-Hee;Seol, Ara
    • Journal of Korean Society of Forest Science
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    • v.110 no.4
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    • pp.711-723
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    • 2021
  • During the COVID-19 pandemic, social distancing affected daily life and leisure activities, including forest recreational activities. This study identified changes in people's participation in forest recreational activities and factors affecting their participation. It collected data from 1,000 samples through an online survey and analyzed it using a binary logit model with interaction terms. It was observed that there were decreases in the participation in visits to urban parks and green areas, outdoor activities in forests and mountains, and trips to mountain villages after the COVID-19 outbreak. People in their 40s, 50s, and 60s were more likely to decrease their participation in all kinds of forest recreational activities than those in their 20s. Moreover, higher household income earners were more likely to decrease their involvement in outdoor activities in forests and mountains. With respect to the place of residence, the residents in the Seoul metropolitan area were less likely to decrease their participation in trips to mountain villages than those outside this area. Thus, this study suggests that online forest recreation information services and forest management are needed to meet the demands of forest recreation for young generations and diversify the function of forests and rural areas as a safe leisurely space.