• Title/Summary/Keyword: Terminal Guidance

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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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Design and Implementation of a Web-based Public Transportation Guidance System (웹기반 대중교통 안내시스템 설계 및 구현)

  • Bae, Su-Gang;Lee, Seung-Ryong;Choe, Dae-Sun;Jeong, Tae-Chung;Seung, Hyeon-U
    • Journal of KIISE:Computing Practices and Letters
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    • v.5 no.4
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    • pp.426-439
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    • 1999
  • 본 논문에서는 웹(World Wide Web)에서 사용자가 손쉽고 편리하게 이용할 수 있는 멀티미디어 대중교통 안내시스템 개발 경험을 소개한다. 개발된 시스템은 클라이언트와 서버 시스템, 경로탐색 시스템, 교통정보 저장 시스템, 노선 및 정류장 관리 시스템으로 구성되어 있다. 클라이언트에서 작동되는 사용자 인터페이스는 직관적으로 이해가 쉽고, 사용이 편리하며 인터액티브한 멀티미디어 대중 교통안내 서비스를 제공한다. 서버 시스템은 교통정보 수집 시스템으로부터 입력되는 데이타와, 경로탐색 시스템, 교통정보 저장 시스템과 연동되어 클라이언트의 요구사항을 처리하고 그 결과를 사용자에게 돌려준다. 수정된 A* 알고리즘을 이용하는 경로탐색 시스템은 최적경로를 탐색하며, 교통정보 저장 시스템은 현재 교통상황, 정류장, 노선, 지도 등의 정보를 저장한다. 노선 및 정류장 관리시스템은 시스템 관리자가 노선 또는 정류장 관리를 서버 화면의 지도상에서 효율적으로 수행할 수 있는 도구이다. 본 논문에서 다루는 대중교통 안내시스템은 Java로 구현하였기 때문에 확장과 이식이 용이하며, 시스템 유지보수 비용이 적게 드는 장점을 가지고 있다. 그리고, 웹 브라우저가 동작되는 환경에서는 어디서나 쉽게 접근이 가능하며 향후 구축될 Intelligent Transportation Systems(ITS)의 한 모듈로써 바로 작동될 수 있을 뿐만 아니라, 현재 인터넷상에서 제공되는 다양한 서비스와도 연동이 가능하다.Abstract This paper introduces our experience for developing a public transportation guidance system, which facilitates the World-Wide Web(WWW) to provide users with easier access and use. The proposed system is composed of four subsystems: client/server system, path search system, traffic data storage system, and traffic raw-data management system. The user interface in clients utilizes Java to furnish users with multimedia data accessibility and interactivity. The server processes clients' requests based on the traffic data coming from remote sensing devices and interacts with the path search system and traffic data storage system to provide users with the results. The path search system, which uses a modified A* algorithm, produces optimal solutions based on dynamic traffic data. The traffic data storage system stores the current traffic information together with the geographical information about the b$us_way routes. The traffic raw-data management system is a graphical user interface which enables the system manager to handle the traffic information easily on the map in the terminal screen. The system has considerable benefits such as portability, scalability, and flexibility since it is implemented using Java. Also, it can be extended to an integrated Intelligent Transportation Systems(ITS) which includes a variety of information on the Internet as well as traffic information.n.

Risk Evaluation and Analysis on Simulation Model of Fire Evacuation based on CFD - Focusing on Incheon Bus Terminal Station (CFD기반 화재 대피 시뮬레이션 모델을 적용한 위험도 평가 분석 -인천터미널역 역사를 대상으로)

  • Kim, Min Gyu;Joo, Yong Jin;Park, Soo Hong
    • Spatial Information Research
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    • v.21 no.6
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    • pp.43-55
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    • 2013
  • Recently, the research to visualize and to reproduce evacuation situations such as terrorism, the disaster and fire indoor space has been come into the spotlight and designing a model for interior space and reliable analysis through safety evaluation of the life is required. Therefore, this paper aims to develop simulation model which is able to suggest evacuation route guidance and safety analysis by considering the major risk factor of fire in actual building. First of all, we designed 3D-based fire and evacuation model at a subway station building in Incheon and performed fire risk analysis through thermal parameters on the basis of interior materials supplied by Incheon Transit Corporation. In order to evaluate safety of a life, ASET (Available Safe Egress Time), which is the time for occupants to endure without damage, and RSET (Required Safe Egress Time) are calculated through evacuation simulation by Fire Dynamics Simulator. Finally, we can come to the conclusion that a more realistic safety assessment is carried out through indoor space model based on 3-dimension building information and simulation analysis applied by safety guideline for measurement of fire and evacuation risk.

Beacon Signal Strength Analysis for Efficient Indoor Positioning (효율적인 실내 위치 측위를 위한 비콘 신호세기 분석)

  • Hwang, Hyun-seo;Park, Jin-tae;Yun, Jun-soo;Phyo, Gyung-soo;Moon, Il-young;Lee, Jong-sung
    • Journal of Advanced Navigation Technology
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    • v.19 no.6
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    • pp.552-557
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    • 2015
  • Recent performed by recognizing a user's location, various services have been tailored focus on short-range wireless communication technology. A beacon in which is attracting attention as next-generation technology. Beacon is a terminal by utilizing the frequency of the non-audible area can not be bluetooth and human sending and receiving terminals and information, Apple recently iBeacon like a low-power Bluetooth (BLE; bluetooth low energy) based beacon showing a tendency to rise into the mainstream there. Services using a beacon is basically installs the terminal in a certain place indoor. It is characterized by providing the user the services to catch the user's position, even automatically take a separate action. Various types of location-based service provided by the target interior space began to attract attention. A variety of location-based services are provided in the interior space in order to be successfully deployed and provide guidance to the interior space, the movement route and the like are essentially required to build various types of information. In this paper, for efficient indoor positioning by varying the signal strength of the beacon in such areas were measured and analyzed.

Analysis of Primary Molar Relationship using Digital Photograph (구강 내 사진을 이용한 유구치 관계에 대한 분석)

  • Lim, Soyoung;Kang, Chung-min;Hwang, Dong hwan;Choi, Hyung-jun;Kim, Seong-Oh
    • Journal of the korean academy of Pediatric Dentistry
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    • v.47 no.1
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    • pp.36-43
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    • 2020
  • The aim of this study was to assess the occlusal relationships of primary dentition of Korean preschool children in Hwaseong city. Total 444 children of age group between 2 and 5 years were selected. One pediatric dentist took intraoral photos of children. Evaluation and categorization of the primary molar relationships were done by single examiner. Statistical analysis was performed with Pearson chi-squared test. Total 389 samples, which is consisted of 185 boys, 204 girls were satisfied with inclusion criteria. Bilateral mesial step was seen in 61.7%. Bilateral flush terminal plane was seen in 15.4%. When the primary molar relations of the right and left sides were not the same, the combination of the mesial step and flush terminal plane was 14.7%. The present study provides insight into occlusal relationships in the primary dentition of 2 - 5 years old of Korean children in Hwaseong city. Pediatric dentists should understand occlusal relationships of primary dentition for establishment of appropriate treatment strategies and occlusal guidance.

Effects of Zeolite Application on Yield and Yield Components in Rice (Zeolite 시용에 의한 벼의 증수효과 및 요인해석)

  • Kae, Bong-Myung;Sol, Kwon-Sok;Cho, Chang-Hwan
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.32 no.4
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    • pp.403-408
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    • 1987
  • The milled rice yield of the fertilized Zeolite in the sandy loam as 542 Kg/10a was increased by 11% compared with the check plat as a standard cultivation. Significant positive correlations of that were found between grain yield/plant and panicle/total weight ratio or average weight of panicle, while lower correlations between ratio of riqened grains and grain yield/ plant. But significant negative correlations were found between 1,000-grain weight of rough and 4th. 5th internode/culm length ratio. It was reavealed that there were higher direct effects for ratio of ripened grains and spikelets/panicle affecting grain yield/plant through path analysis among the yield components. Moreover, organic dry matter production at 35 days after heading were heavier by 26% in active leaves, 19% in stem + leaf sheath, and 5% in panicle, respectively. Ratio of settled spikelets on the terminal of primary rachis-branch was 47% to total spikelets, and 37% in half-upper of that, moreover many spikelets settled on the terminal of rachis. Therefore, it was recognized that there were a dominant effect of apical glumous flower by fertilized Zeolite.

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Barriers to Counseling on Advance Directives Based on Counselors' Experiences: Focus Group Interviews

  • Kim, Yejin;Yoo, Shin Hye;Choi, Wonho;Kim, Min Sun;Park, Hye Yoon;Keam, Bhumsuk
    • Journal of Hospice and Palliative Care
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    • v.23 no.3
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    • pp.126-138
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    • 2020
  • Purpose: In Korea, since the Act on Hospice and Palliative Care and Decisions on Life-Sustaining Treatment for Patients at the End of Life was implemented in February 2018, advance directives (ADs) have become legally effective and should be documented after sufficient explanation by a registered counselor. However, little is known regarding the adequacy of current AD counseling. This qualitative study aimed to explore the barriers to AD counseling based on counselors' experiences. Methods: We conducted focus group interviews using purposive sampling. Seven counselors working at hospitals, community health institutions, and non-profit organizations participated in this study. They were asked about the challenges and problems they encountered during AD counseling. Results: Three themes emerged from this study; 1) issues regarding consistency in AD counseling, 2) issues regarding AD counselors' competency and work environment, and 3) issues regarding the adequacy of the service system. The interviewees stated that the lack of a manual for standardized service made AD counseling inconsistent. The limited competency and poor work environment of counselors were pointed out as major barriers. The interviewees also stated that a proper service system considering individual circumstances is absent. Conclusion: The goals of AD counseling should be clarified and guidance should be implemented for providing standardized services. Further efforts to enhance the competency of AD counselors and to improve their working conditions are needed. Establishing an integrated framework for an adequate service system is also essential to overcome systematic barriers to AD counseling.

The Comparison of the Coping Patterns of Cancer Patients and Their Caregivers According to the Phases of Illness (암환자와 가족원의 질병단계에 따른 대처 방법의 비교)

  • 양영희
    • Journal of Korean Academy of Nursing
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    • v.28 no.4
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    • pp.970-979
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    • 1998
  • Cancer has been considered a life-threatening disease and coping patterns could have a strong impact the physical and psychological health of patients and their family. The purpose of this study was to identify the change of coping patterns according to the phases of illness in the patients with cancer and their family caregivers and to compare the coping patterns of patients with those of their caregivers. The phases of illness consisted of 1st(initial) stage, 2nd(metastatic or recurred) stage and 3rd (terminal) stage based on literature. The coping methods were measured using the modified Ways of Coping Questionnaire by Lazarus & Folkman(1984). Seventy-nine patients(35 in stage 1, 31 in stage 2, and 13 in stage 3) and ninety-two caregivers (38 in stage 1, 30 in stage 2 and 24) agreed to participate from two general hospitals in Seoul and Choongnam. No significant changes were found in the coping patterns according to the phases of illness in both groups. Patients in stage 2 and caregivers in stages 2 and 3 problem-focused coping methods were significantly used more than emotion-focused coping methods. Patients in stage 1 significantly used two coping strategies that were cognitive reconstruction and emotion expression more than caregivers. Patients in stage 2 significantly used emotion-focused coping methods including minimizing threat, blame, and emotion expression excepting wishful thinking more than caregivers. We need more research to identify the relationship between the coping methods and their efficiencies through longterm observation and attempt to develope the nursing interventions that could have an improvement on positive coping methods and provide guidance on the problems the patients experience.

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Aerodynamic Study on Pneumatic Separation of Grains(I) -An Experimental Study on The Vertical Wind Tunnel- (곡물(穀物)의 공기선별(空氣選別)에 관(關)한 공기동력학적(空氣動力學的) 연구(硏究)(I) -수직풍동(垂直風胴)의 설계(設計)에 관(關)한 실험적(實驗的) 연구(硏究)-)

  • Lee, C.H.;Cho, Y.J.;Kim, M.S.
    • Journal of Biosystems Engineering
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    • v.14 no.4
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    • pp.272-281
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    • 1989
  • It is desirable for the vertical wind tunnel which can build uniform air flow across the vertical duct to be used for the purpose of the investigation of the aerodynamic properties of grains. This study was conducted to examine how the air velocity profile in the vertical duct is influenced by the various alternations of the elements of the wind tunnel, and to prepare design guidance of the vertical wind tunnel which can be used for investigating aerodynamic properties of grains. In addition, several tests were conducted to locate the test section which can be applicable for determining the terminal velocity of grain. The following conclusions were obtained from the study: 1. The size and the location of the outlet of the plenum chamber should be determined such that the outlet air flow is less affected by the air flow and the back pressure by the side wall of the chamber. 2. The honeycomb was not helpful for attaining uniform air flow in case that the air flow profile at the bottom of the vertical duct is serverely different from the ideal one. 3. Even though considerable pressure drop was resulted from the screens installed within the vertical duct, the screens were helpful for attaining uniform air flow in the duct. 4. It is desirable for the test section to be located at the position that not only the air flow of the duct is not disturbed by the distorted back pressure in the plenum chamber, but also less boundary layer is developed.

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Effects of Slump Sitting Posture on the Masticatory, Neck, Shoulder, and Trunk Muscles Associated With Work-Related Musculoskeletal Disorders

  • Yoo, Won-Gyu;Yi, Chung-Hwi;Kim, Han-Sung;Kim, Min-Hee;Myeong, Seong-Shik;Choi, Hyun-Ho
    • Physical Therapy Korea
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    • v.13 no.4
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    • pp.39-46
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    • 2006
  • The purpose of this study was to determine the effects of slump sitting postures on the masticatory, neck, shoulder, and trunk muscles associated with work-related musculoskeletal disorders (WRMD). Eleven healthy adults (age, $23.3{\pm}2.7$ yrs; height, $174.0{\pm}4.1$ cm; weight, $61.4{\pm}6.6$ kg) participated in this study. The participants were free of injury history and neurologic deficits in the masticatory, neck muscles and upper extremities at the time of participation. The subjects were asked to perform erect and slump sitting postures under the guidance of physical therapists. The surface electromyography (EMG) was recorded from the anterior temporalis, masseter, upper trapezius, serratus anterior, middle trapezius, L3 paraspinal, external abdominal oblique, gluteus maximus muscles of 11 adults as they performed visual terminal display work, which are known as the weakened and tightened muscles owing to WRMD. The recorded signals were averaged and normalized to the mean amplitude of the EMG signal obtained during submaximal reference voluntary contractions. The results of study were as follows: The masseter, upper trapezius, serratus anterior, middle trapezius, L3 paraspinal, external abdominal oblique muscles significantly differed in the slump sitting posture (p<.05). The muscle activities of the serratus anterior, middle trapezius muscle, and external abdominal oblique were significantly lower and that of the masseter, upper trapezius, L3 paraspinal muscles were significantly higher. Further research is needed to assess the motor control problems and the function of the deep muscles in posture stability of patients with WRMD.

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