• Korean Journal of Adult Nursing
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• v.28 no.3
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• pp.334-342
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• 2016

Purpose: This study was conducted to identify factors that influence on self-determination for withdrawal of life-sustaining treatment in the community dwelling elderly. Methods: This study used a descriptive correlational design. A convenience sample of 201 elderly were recruited from a welfare center located in Seoul, Korea. Data collection was done from September 1 to September 18, 2015. Four survey questionnaires were used: Multidimensional Scale of Perceived Social Support (MSPSS), Life Satisfaction Index-Z (LSI-Z), Attitude on Do Not Resuscitate (DNR), and Self-determination for Withdrawing Life-sustaining Treatment. Data analysis was done by t-test, ANOVA, Pearson's correlation, and hierrarchical multiple regression. Results: Hierarchial multiple regression showed that the factors predicting the level of self-determination for withdrawing life-sustaining treatment were educational level, DNR experience in family, life satisfaction, and DNR attitude. These factors explained 44% of the self-determination for withdrawing life-sustaining treatment in community dwelling elderly. Conclusion: The results of this study suggest developing educational programs aiming at changing elderly's DNR attitude positive ways so that they can enhance self-determination for withdrawing life-sustaining treatment. Further study is needed with more elderly population in extended areas.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.11
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• pp.76-84
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• 2019

This study was a descriptive study to investigate the influence of moral self-concept and ethical values on attitude toward withdrawal of life-sustaining treatment among nursing students. The study subjects were 296 nursing students from 2 nursing colleges in G city. The data were collected from June 12 to June 23, 2017 and analyzed using the SPSS 23.0 program. The mean score of the moral self-concept was 3.48±0.33, of ethical values was 3.50±0.37 and of attitude toward withdrawal of life-sustaining treatment was 3.13±0.43. In attitude toward withdrawal of life-sustaining treatment, there were significant differences in grade(F=3.21, p=.024), practice(t=2.06, p=.040) and nursing ethics education(t=2.98, p=.003). There was a significant negative correlation between attitude toward withdrawal of life-sustaining treatment and moral self-concept(r=-.14, p=.017) and ethical values(r=-.42, p<.001). The significant predictors that influence the attitude toward withdrawal of life-sustaining treatment were ethical values and nursing ethics education. The explanatory power was 22.5%. Based on the above results, additional studies to determine the various factors affecting attitude toward withdrawal of life-sustaining treatment of nursing students should be conducted and systematic education programs need to be developed to foster utilitarian values in order to form a positive attitude toward withdrawal of life-sustaining treatment.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.5
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• pp.275-284
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• 2018

This study was a descriptive study to investigate the effects of nursing students' consciousness of biomedical ethics, good death recognition, and self-esteem on attitudes toward withdrawal of life-sustaining treatment. The subjects of this study were 204 nursing students attending university. The data were collected from October 24 to October 31, 2017 and analyzed using the SPSS Win. 22.0 program. Attitudes toward withdrawal of life-sustaining treatment scored $2.97{\pm}0.29$ out of 4, $3.01{\pm}0.31$ for biomedical ethics, $3.24{\pm}0.38$ for good death recognition and $3.23{\pm}0.41$ for self-esteem. There was a significant positive correlation between attitudes toward withdrawal of life-sustaining treatment and good death recognition, and there was a significant positive correlation between attitudes toward withdrawal of life-sustaining treatment and self-esteem. As a result of multiple regression analysis, it was found that good death perception affected nursing students' attitudes toward the withdrawal of life-sustaining treatment. In other words, elevated perception of good death was associated with more positives attitudes toward withdrawal of life-sustaining treatment. Based on the above results, it is necessary to develop a systematic education program for nursing college students. In addition, this researcher proposes an in-depth study to explore the variables that influence nursing students' attitudes toward withdrawal of life-sustaining treatment.

• Journal of Family Resource Management and Policy Review
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• v.9 no.1
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• pp.41-58
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• 2005

The purpose of this study was to analyze the effect of the influencing factors on the continuity and the willingness of continuing self-employment. The sample of 321 was selected from self-employed workers living in Daegu. For data analysis, t-test, multiple regression, and logistic analysis were used. The major findings were as follows : 1. The sustaining period of self-employment were affected by gender, age, and educational attainment of self-employed workers, as well as the amount of starting capital, couple's partnership in business or not, and the type of industry in business. 2. Willingness to continue self-employment is more likely for those who without other income source, have positive vision with future economic prospects, have more satisfied with their self-employed work.

• Computers and Concrete
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• v.32 no.3
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• pp.339-349
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• 2023

Fast-built construction is a key feature for successful applications of precast concrete (PC) moment frame system in recent construction practices. To this end, by introducing some unique splicing details in precast connections, especially between PC columns including panel zones, use of temporary supports and bracings can be minimized based on their self-sustaining nature. In addition, precast wide beams are commonly adopted for better economic feasibility. In this study, three self-sustaining precast concrete (PC) wide beam-column connection specimens were fabricated and tested under reversed cyclic loadings, and their seismic performances were quantitatively evaluated in terms of strength, ductility, failure modes, energy dissipation and stiffness degradation. Test results were compared with ASCE 41-17 nonlinear modeling curves and its corresponding acceptance criteria. On this basis, an improved macro modeling method was explored for a more accurate simulation. It appeared that all the test specimens fully satisfy the acceptance criteria, but the implicit joint model recommended in ASCE 41-17 tends to underestimate the joint shear stiffness of PC wide beam-column connection. While, the explicit joint model along with concentrated plastic hinge modeling technique is able to present better accuracy in simulating the cyclic responses of PC wide beam-column connections.

• 유체기계공업학회:학술대회논문집
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• 2002.12a
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• pp.307-313
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• 2002

In the paper, the prototype development of a 75kW class microturbine for the distributed generation market is partly presented which has continued with the government funding. In the introduction, an overview of the development of microturbines in the world is presented. A series of development procedures are shown with design, manufacture and self-sustaining tests. During the first year, aerodynamic and structural design/analysis, mechanical design are performed for the compressor, the turbine and the combustor. A premixed lean burn combustor technology is used fur the low emission requirements. Foil air bearings and high-speed motors are employed for higher reliability. The self-sustaining conditions have been successfully achieved with the prototype manufactured engine as a preceding operation.

• Journal of The Institute of Information and Telecommunication Facilities Engineering
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• v.8 no.1
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• pp.40-46
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• 2009

This paper presents a self-sustaining system, and an effective method in enhancing overall energy efficiency. The proposed system consists of the two major nodes: a slave node, which contains the environment information (e.g., temperature, humidity, etc.); and a master node, which communicates with the slave nodes, and transmit the slave node's information to users. All slave nodes are under control of the master node. Each slave node uses two power sources: the piezoelectric power generator (PPG); and the continuous wave from the master node. The paper highlights the basic operational principle, each node's specifications, and experimental data for performance verification. The two nodes successfully communicate each other in a range of 3.3m (maximal range), where the user's computer is wired the master node.

• Journal of Hospice and Palliative Care
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• v.23 no.2
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• pp.93-102
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• 2020

Purpose: The Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life came into force in February 2018 in Korea. This study reviews the practices of end-of-life care for patients who withdrew or withheld life-sustaining treatment at a tertiary care hospital, addresses the limitations of the law, and discusses necessary steps to promote patient-centered self-determination. Methods: We retrospectively analyzed the medical records of patients who died after agreeing to withhold life-sustaining treatment in 2018 at our university hospital. The cause of death, the intensity of end-of-life care, and other characteristics were reviewed and statistically analyzed. Results: Of a total of 334 patients, 231 (69%) died from cancer. The decision to stop life-sustaining treatment was made by family members for 178 patients overall (53.3%) and for 101 (43.7%) cancer patients, regardless of the patient's wishes. When the patient decided to stop life-sustaining treatment, the time from the authorization to withhold life-sustaining treatment to death was longer than when the decision was made by family members (28.7±41.3 vs 10.5±23.2 days, P<0.001). Conclusion: In many cases, the decision to discontinue life-sustaining treatment was made by the family, not by the patient. In order to protect human dignity based on the patients' self-determination, it is necessary for patients to understand their disease based on careful explanations from physicians. Ongoing survey-based research will be necessary in the future.

• Journal of the Korean Ceramic Society
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• v.36 no.2
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• pp.203-209
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• 1999

LaAlO3d single phase used as the butter layer on Si wafer for YBa2Cu3O7-$\delta$ superconductor application were prepared by solid state reaction method and by self-sustaining combustion process. The microstructure and crystallity of synthesiszed LaAlO3 powder studied using scanning electron microscope (SEM) and X-ray diffractometer(XRD), specific surface area and sintering characteristics fo powder were investigated by Brunauer-Emmett-Teller (BET) method and dilatometer respectively. In solid state reaction method, it is difficult to obtain LaAlO3 single phase up to 150$0^{\circ}C$ period. However, in self-sustaining combustion process, it is to easy to do it only $650^{\circ}C$. Based on the results of analysis of dilatometer it is easier to obtain high sintering density (98.87%) in self-sustaining combustion process than in the solid state reaction method. This reason is that the average particle size prepared by self-sustaining combustion process is nano crystal size and has high specific surface are value(56.54 $m^2$/g) compared with that by solid state reaction method. Also, LaAlO3 layer on the Si wafer has been achieved by screen printing and sintering method. Even though the sintering temperature is 130$0^{\circ}C$, the phenomena of silicon out diffusion in LaAlO3/Si interphase are not observed.

• Journal of Hospice and Palliative Care
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• v.13 no.2
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• pp.81-88
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• 2010

Purpose: This study was conducted to study the attitude of Korean lawyers toward withdrawal of life sustaining treatment, and compare and analyze different types of their attitudes. Methods: Research design of this project was Q methodology approach. The study population was 24 lawyers, aged from 32 to 69 years. Q sample to investigate the attitude of the lawyers toward withdrawal of life sustaining treatment included 34 statements obtained from literatures, TV debate, and depth interviews of 5 lawyers among the lawyers included. After listening to the purpose and method of the study, the 24 lawyers agreed to fill out a survey asking sociodemographic information, and the information was distributed in 9 scale Q-sample. Results: The collected data were processed through QUANL PC program and sorted into 5 types as follows: The first type was 'Choosing to withdraw life sustaining treatment', the second 'Withholding life sustaining treatment' regardless of the cost, the third is neutral type that claims that humans have the right to decide the death and life, and demands the proper legalization to protect such rights, the fourth type agrees to withdrawal of life sustaining treatment, nevertheless, admits that one has a rigt to withhold one's own life treatment, categorized as self contradiction type. The fifth type believed that 'Life and death are providential' with the faith, therefore, such authority to decide life and death belongs to God, but not human beings. Conclusion: In conclusion, the lawyer's attitudes toward withdrawal of life sustaining treatment were grouped into five different types as follows: 'Choosing to withdraw life sustaining treatment', 'Withholding life sustaining treatment', 'Demanding legalization', 'Self contradiction type', and 'Life and death are providential'.