• Title/Summary/Keyword: The last phase of life

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The Last Phase of Life.Life Completion.Palliative Care Model (생의 마지막 단계.삶의 완결.완화간호 모델)

  • Kim, Dal-Sook
    • Journal of Hospice and Palliative Care
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    • v.12 no.3
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    • pp.115-121
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    • 2009
  • Despite a recent increased nation's attention given to improving end-life care, we professionals need to be more critical and reflective on our realities surrounding hospice palliative care. The aim of this paper is to suggest that palliative care models can be used for patients/families in the last phase of life and examine whether they are appropriate for caring them in congruence with philosophy of hospice. The hospice experience model (HEM) of Eagan & Labyak and the developmental model of Byock are introduced and examined for their congruence with philosophy of hospice in applying to clinical practice. The HEM as a patient/family value-directed end of life care model emphasizes three principles; unique experience of patient/family, interactions/relationships among multiple dimensions of personhood and between family, and personal growth and development in the face of suffering through a life-completion. The developmental model stipulates dying as the last stage of living, a stage of life cycle in which patients/family may have growth through life-completion in multidimensional relationships of personhood. The model includes the developmental landmarks and tasks for life-completion as the framework to guide a means of professionals' to recognize their opportunity to grow. The landmarks and tasks include worldly and social affair, individual relationships, intrapersonal, and transcendent dimension. The models could work as appropriate palliative care models for patients/families in the last stage of living. The professionals need to be encouraged to apply the models to end of life care setting.

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Inquisition of Meaning in Life for Logotherapy Application in Hospice Nursing (호스피스 간호에서 의미요법 적용을 위한 생의 의미 고찰)

  • Choi, Soon-Ock;Kim, Sook-Nam
    • The Journal of Korean Academic Society of Nursing Education
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    • v.9 no.2
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    • pp.329-339
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    • 2003
  • The purpose of this study is to consider of meaning in life based on Frankl's theory and to propose of hospice nursing according to conceptual framework of meaning in life. The conceptual framework of meaning in life is composed of 4 phases. According to the first phase, acceptance & awareness of self and life, hospice nurse should helps dying patient to accept limitedness of human existence and death. and according to the second phase, actualization of creative value, hospice nurse can helps dying patient to discover meaning in life through doing a deed for last time before his death. According to the third phase, actualization of experiential value, hospice nurse can helps them to discovery of meaning by experiencing of love through meetings with other people, nature, and god. According to the forth phase, actualization of attitudinal value, hospice nurse can helps them to discovery of meaning by realizing meaning in suffering and death through exercising of the inner freedom to choose bravery and acceptance in the face of death and misfortune. As mentioned above, the Frankl's theory accords with the core of hospice nursing that helps people to accomplish human essence in suffering and death. therefore we accepted Frankl's point of view, asserted that one of the most important roles of a hospice nurse as a supporter and sustainer for dying patients is to help patients to find meaning in life even in the course of death. To achieve the goal, hospice nurses should try to have a firm faith through philosophical introspection about life, death, human existence and meaning in life what the most important goal of life is to discover meaning in life and human have the duty and responsibility of recognizing and pursuing meaning up to the last moment of life.

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재미 한국 유배우 부인의 재생산주기 (초경-재경)에 관한 연구

  • 박선화;김응익;최명희;서경만
    • Korea journal of population studies
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    • v.14 no.1
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    • pp.55-69
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    • 1991
  • The objective of the study is to figure out the status of reproductive health and general characteristics related to maternal health for Korean-Americans living in Los Angeles. We collected data from the married women who wanted no more additional child birth and were attending the Family Planning Clinic of Koryo Health Foundation in Los Angeles during 1988. There were 494 women met the eligibility requirement for this study. The results are summarized below. 1. In the age distribution of the women who desired no more additional child birth, women 30-34 age group constituted the largest proportion at 36.6 percent ; the mean age of women was 35.1915.55. The mean number of child birth was 1.77, and the proportion of the women by number of child birth were 35.2 percent for one children, 50.1 percent for two children 10.5 percent for three children, and 2.6 percent for four children. All of the women experienced pregnancy at least once, and mean number of pregnancy was 3.42. The mean number of total experience of induced abortion was 1.56. and 76.7 percent of these women had experience with induced abortions. To prevent further pregnancies, 90.1 percent of the women were utilizing the contraceptive methods, and the highest proportion by the contraceptive methods was condoms(53.7%), 9.3 percent in spermicides, 8.7 percent in IUDs, 8.7 percent in rhythm method, and 6.9 percent in oral pills. 2. The mean age of women at each stage of reproductive life cycle were 14.74 years at time of menarche, 24.55 years at time of marriage, 26.60 years at time of the first child birth, and 28.75 years at time of the last child birth. In age distribution of the women by birth cohort (Group I : birth cohort 1940-1954, Group H : birth cohort 1955-1970), the mean menar-cheal age of the women was 14.96 years in group I , and 14.53 years in group H . Mean age at time of marriage was 25.01 years in group I and 24.08 years in group H . Mean child birth age of the women by birth cohort was 27.19 years In group I and 26.01 years in Group II for the first child birth and 30.07 years in group I and 27.45 years in group II for the last child birth. The total length of reproductive life cycle from menarche to menopause (presumed to be at 49 of age years) was 34.26 years. The len-gth of phase I (from menarche to marriage) was 9.81 years, while phase H (marriage to first birth) was 2.05 years, and phase Ill (first birth to last birth) was 2. 15 years, and the last phase of reproductive life cycle, phase IV (last birth to menopause) was 20.25 years. The proportion of each phase 10 total length of reproductive life cycle was 28.6 percent, 6.0 percent 6.3 percent, and 59.t percent respectively. In the tendency of each phase in reproductive life cycle by birth cohort (group I , U ), the length of phase I, II , III of birth cohort group II was diminished in comparison with those of birth cohort group I , but the length of phase IV was extended by 2.38 years. 3. Among the women, the mean number of total pregnancy by birth cohort group was 2.01 in group I and 1.10 in Group II, and mean number of child birth was 1.97 in group I and 1.58 in group II. In terms of pregnancy was-tage rate by birth cohort group, among the total pregnancy of birth cohort group I , 51.8 percent of the cases resulted in induced abortions or spontaneous abortions whils 48.2 percent resulted in live births, and 42.2 percent or total pregnancy in group II resulted in pregnancy wastage and 57.8 percent of the cases resulted in live births.

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Study of Appropriate Meal Duration at an Italian Restaurant (이탈리안 레스토랑의 적절한 Meal Duration 선정에 관한 연구)

  • Cho, Hee-Hee;Kim, Hyun-A;Lee, Kyung-Hee
    • Journal of the East Asian Society of Dietary Life
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    • v.20 no.3
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    • pp.473-480
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    • 2010
  • This study examined the different meal duration expectations and dining characteristics of customers each stage of service (order, cook, check), and investigated the impact of perceived meal duration on customers' satisfaction. The procedures consisted of four phases. During the first phase, the different meal duration expectations and dining characteristics of customers of an Italian restaurant in Seoul were examined by survey at each stage of service. The second phase investigated the impact of perceived meal duration on customer' satisfaction. The third phase compared perceived meal duration and actual meal duration. The last phase suggested appropriate meal duration for maximization of customer' satisfaction. We also examined the effects of meal time (lunch or dinner) on meal duration preferences. Customer satisfaction was decreased with longer perceived meal duration for the order and check stages and too short perceived meal duration for the cook stage. To determine appropriate meal duration for each service stage, the relationship between perceived and actual meal durations was examined. This study confirms that customers dining at restaurants preferred a longer cook time and that a shorter meal duration at dinner decreased satisfaction ratings more when compared to lunch.

Expression Analysis of phbC Coding for Poly-3-hydroxybutyrate (PHB) Synthase of Rhodobacter sphaeroides

  • Kho, Dhong-Hyo;Yang, Jai-Myung;Kim, Kun-Soo;Lee, Jeong-Kug
    • Journal of Microbiology and Biotechnology
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    • v.11 no.2
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    • pp.310-316
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    • 2001
  • Poly-3-hydroxybutyrate (PHB) synthase catalyzed the last enzymic step to synthesize the intracellular PHB of Rhodobacter sphaeroides. No PHB was detected when the phbC coding for PhB synthase was interrupted, and its expression was regulated at the level of transcription. The cellular PHB content increased about four- to six-fold during the growth transition from the exponential to the early stationary phase under both aerobic and photoheterotrophic conditions. The PHB content during the aerobic growth seemed to be determined by the PhB synthase activity. However, the PHB synthase activity of photoheterotrophically grown cells did not correlate with the PhB content, suggesting a photoheterotrophic regulation different from the aerobic control. Thus, the PHB content of R. sphaeroides was regulated at the transcription level only under aerobic conditions.

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Exploratory Study of International Sports Event Life Cycle (복합종목 국제스포츠이벤트 생애주기에 대한 탐색적 연구)

  • Kwon, Kisung;Oh, Taeyeon
    • Journal of Sport and Applied Science
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    • v.3 no.1
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    • pp.1-14
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    • 2019
  • Numerous types of sporting events have been hosted in Korea during the last decades. Sport events produce various types of data, and there is a clear necessity of storing and utilizing this information. From this background, the purpose of this study is to draw complex sports categories from international sport events life cycles in order to categorize standards of knowledges management system. This study utilized qualitative methods: expert groups discussion for overall life cycle steps and in-depth interviews for detail life cycle steps. The results show that there are several life cycle steps: bidding, preparation, operation, evaluation, post management steps. To be more specific, for the bidding step, there are check, plan, implementing detail phase; and the preparation step is based on event preparation Basis Build, event preparation implementation, test and supplementation phases. For the operation step, event operation system switch, event operation during the period, finish operation phases are deducted. Evaluation and post management step do not have detail phases. Efforts to store and utilize knowledge can be one of the starting points to make the operation of sport events efficiently.

The Effects of a Community Psychiatric Nursing Program on the Rehabilitation of Home-based Long-term Psychiatric Patients

  • Lee, Sook
    • Journal of Korean Academy of Nursing
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    • v.29 no.5
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    • pp.1103-1112
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    • 1999
  • In the last few years, psychiatric nurse practitioners have shown a growing an interest in community psychosocial rehabilitation, caring for chronic psychiatric patients as case manager in South Korea. The purpose of this study was to evaluate the effectiveness of a community psychiatric rehabilitation nursing program on self-care activity and quality of life and to suggest this program as an effective nursing intervention in a group of chronic home-based psychiatric patients in a poor town. A nonequivalent control group, pretest-posttest design was used. Of the twenty women that started the program, sixteen finished it. The data were analyzed by the Wilcoxon Rank Sum Test. The program included the process of case management which consisted of four phases: the first was an active case finding and pre-test, the second was home visiting and contacted by phone. the third was group activity therapy of 12 sessions, and the fourth phase was terminal and post-test. The effects of the program were assessed by quality of life and self-care activity. The quality of life and the self-care activity, especially, area of nutrition. elimination, dressing. leisure activity, and follow-up clinic visiting showed greater improvement than those of the control group. The results of this study suggest that this program was effective in improving the quality of life of chronic home-based psychiatric patients.

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A Study on Acquisition Cost of Weapon System by Sensitivity Analysis (민감도 분석을 통한 무기체계 획득 비용분석에 관한 연구: 함대공유도탄 비용분석을 중심으로)

  • Oh, Yeong-Min;Kwon, O-Sung
    • Journal of the military operations research society of Korea
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    • v.36 no.2
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    • pp.107-124
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    • 2010
  • In order to estimate the life cycle expense of the weapon system acquisition from the first demand planning phase until the last disuse phase, we apply the reliable expense analysis method to the current situation in Korea by using the sensitivity analysis. We estimate the total cost of the weapon system acquisition by focusing on the most important variables such as exchange rate, and hence by strengthening the function of the existing expense analysis method, which is used to be simply recognized as a tool of cost reduction. Therefore, this study could make a contribution to the literature in this area, in terms of deriving the most cost-efficient method of acquisition by comparing the various estimated costs that result from the different alternatives of the weapon system acquisition.

The Jumping Performance Strategy over 8 meters in National Long Jumpers through the Kinematic Variable Researches (멀리뛰기 8m 선수들의 운동학적 변인 조사를 통한 국내 멀리뛰기 선수들의 8m 뛰기 전략)

  • Ryu, Jae-Kyun
    • Korean Journal of Applied Biomechanics
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    • v.15 no.2
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    • pp.129-138
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    • 2005
  • The purpose of this study was to investigate the techniques used by long jumpers who recorded over 8meters in 2002 Busan Asian Game and 2003 Daegu Universiade. The kinematic characteristics from the last three stride to takeoff at the takeoff board were analyzed such as velocities, heights and angles. The real-life three-dimensional coordinates of 20 body landmarks during each trial were collected using a Direct Linear Transformation procedure. The conclusion were as follows; 1. The height variation who recorded over 8 meters of center of gravity of the jumpers at the last stride was under 8cm. In order to record over 8meters the national long jumpers should have under 10cm height variation. 2. In the approach phase the horizontal velocity of the jumpers should reach to 10.5m/s in last three strides and 9.79m/s in touch down at take off board. 3. The horizontal velocity at take off board must have over 8.51m/s and the vertical velocity must have 3.75m/s simultaneously in order to record 8meters. 4. The forward body lean angle should have over 20degrees with pushing the take off board in forwarding movement. The appropriate body variation range ratio between take off and touch down should be 1.2 vs 1 and the trunk angle at touch down on the board should be close to the erect posture for higher body flight.

A Long Way from Transfer to Transition: Challenges for Pediatric and Adult Nephrologists

  • Lemke, Johanna;Pape, Lars;Oh, Jun
    • Childhood Kidney Diseases
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    • v.22 no.1
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    • pp.7-11
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    • 2018
  • Significant advances in the diagnosis and medical care of children with chronic kidney disease (CKD) are major reasons for the better survival rates of children and adolescents with CKD than the survival rates reported in previous decades. These patients are reaching adulthood, and therefore require a transition to adult medical care. This transition phase is well-recognized to be associated with considerably increased morbidities and medical problems, such as non-adherence, graft loss after transplantation, and loss to follow-up. Low adherence increases morbidity and medical complications and contributes to poorer qualities of life and an overuse of the health care system. However, these tragic outcomes may be avoidable through a structured and well-defined transition program. In the last decade, there has been increasing interest to resolve these medical and psychological problems that occur during the transfer of young adult patients from pediatric to adult renal units. The aims of a successful transition from pediatric to adult medical care include enhancing the individual development of better health-competence and stabilizing, or even improving, the state of health. This review will focus on various aspects of the transition phase of adolescents who have CKD or who underwent kidney transplantation from pediatric to adult nephrology care.