• Journal of Hospice and Palliative Care
• /
• v.26 no.2
• /
• pp.69-79
• /
• 2023

Purpose: This study aimed to investigate the involvement of patients who died from hematologic neoplasms in the decision-making process surrounding the withdrawal of life-sustaining treatment (LST). Methods: A total of 255 patients diagnosed with hematologic neoplasms who ultimately died following decisions related to LST during their end-of-life period at a university hospital were included in the study. Data were retrospectively obtained from electronic medical records and analyzed utilizing the chi-square test, independent t-test, and logistic regression. Results: In total, 42.0% of patients participated in the decision-making process regarding LST for their hematologic neoplasms, while 58.0% of decisions were made with family involvement. Among these patients, 65.1% died in general wards and 34.9% in intensive care units (ICUs) as a result of decisions such as the suspension of LST. The period from the LST decision to death was longer when the decision was made by the patient (average, 27.15 days) than when it was made by the family (average, 7.48 days). Most decisions were made by doctors and family members in the ICU, where only 20.6% of patients exercised their right to make decisions regarding LST, a rate considerably lower than 79.4% observed in general wards. Decisions to withhold or withdraw LST were more commonly made by patients themselves than by their families. Conclusion: The key to discussing the decision to suspend hospice care and LST is respecting the patient's self-determination. If a patient is lucid prior to admission to the ICU, considerations about suspending LST should involve the patient input.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.21 no.4
• /
• pp.73-81
• /
• 2020

This study compared nursing service satisfaction and revisit intention of comprehensive nursing care unit and general care unit patients and confirmed the impact of nursing service satisfaction on revisit intention. We used data from 201 survey questionnaires collected from four general hospitals located in B-metropolitan area. Data were collected from Jun 1 to 30, 2019. The data were analyzed using x²-test, t-test, ANOVA, Scheffé test, Pearson's Correlation Coefficient, and Stepwise multiple regression. The results show that nursing service satisfaction was significantly higher in patients admitted to the comprehensive nursing care unit than in the general care unit. There was a significant correlation in increased nursing service satisfaction being associated with increased revisit intention. Among subcategories of nursing service satisfaction, Empathy and Tangibles were cited by 56% of the comprehensive nursing care unit and 40% of the general care unit. As a result of this study, it is necessary to prepare a nursing system that can continuously monitor nursing service satisfaction in order to increase hospital revisit intention and expand the implementation of a comprehensive nursing care unit system.

• Water for future
• /
• v.19 no.2
• /
• pp.157-166
• /
• 1986

The objective of this study was to determine the best representative synthetic unit hydrograph that is applicable to ungaged small watershed. A typical unit hydrograph was established with the actual data from a small watershed. Four currently well-known methods for analyzing ungaged small watershed, including Snyder's, Clark's S.C.S. and Nash methods, were evaluated with the data from the same small watershed. The following observations were noted from the analysis of four methods. The Snyder's method yielded the similar peak discharge value as the typical unit hydrograph. With co-ordinates of three discharge values, i.e. 25%, 50% and 75% of peak discharge, were not adequate for deriving a typical unit hydrograph in ungaged small watershed. With Clark's method there shall be some way of obtaining the exact base length of time area diagram and isochrone of each reach of the stream. With Nash method peak discharge and base flow time are affected by the storage constant and gamma function argument; therefore, for deriving a more reliable and workable unit hydrograph one needs to select for the better estimation of storage constant and gamma function argument. In S.C.S. method peak discharge is directly related to the watershed area and inversely related to the time of peak diacharge. Therefore area with faster peak discharge yielded the higer peak discharge value. Although the peak discharge value obtained frome the S.C.S. method higher than the value obtained from the unit hydrograph developed from the actual data, this method contains a number of advantageous factors. The peak discharge value and the time of peak discharge can be claculated easity from the morphological characteristics of the watershed, and in S.C.S method co-ordinates of the unit hydrograph can be calculated easily from that of the dimensionless unit hydrograph. When the four currently used methods were evaluated with a typical unit hydrograph obtained from the actual data, the S.C.S method was show to be the best method in deriving a synthetic unit hydrograph for ungaged small watershed.

• Journal of Korean Biological Nursing Science
• /
• v.22 no.4
• /
• pp.271-278
• /
• 2020

Purpose: This study was performed to identify the risk factors for oral mucosa pressure ulcer development in intubated patients in adult intensive care unit. Methods: Comparative descriptive study design using prospective observational design and medical record review was used. The inclusion criteria of case was that a) patients of 18 years in their age, b) patients with endotracheal tube. Data of 34 patients were analysed. Descriptive statistics, chi-square test, Fisher's exact test, Mann-whitney test, Spearman's rho correlation coefficients, and multiple logistic regression analysis were used. Resampling methods such as bootstrap was used in this study because of small number of patients. Results: Oral mucosa pressure ulcer developed in 44.1% of the intubated patients. The risk factors of oral mucosa pressure ulcer were steroid use, biteblock use and serum albumin level. Compared to the non-user of steroid, user of steroid had 32.59 times (95% CI: 1.47-722.44) higher risk of developing oral mucosa pressure ulcer. The user of biteblock had 18.78 times (95% CI: 1.00-354.40) and albumin level had 0.03 times (95% CI: 0.00-0.80) higher risk of oral mucosa pressure ulcer incidence. Conclusion: Based on the results of this study, tailored pressure relief strategies considering sex and therapeutic condition should be provided to decrease oral mucosa pressure ulcer.

• Korean Journal of Food Science and Technology
• /
• v.22 no.4
• /
• pp.393-397
• /
• 1990

The contents of the several antinutritional factors and lipoxygenase activity of 19 soybean varieties recommended for cultivation in Korea were analyzed. The ranges of raffinose and stachyose contents, which are the flatulence factors, were $0.74{\sim}1.58%\;d.b.\;and\;3.34{\sim}5.30%d.b.$, respectively and the total amount of these sugars was high in the varieties of Hill, Baekun and Jangbaek. The contents of trypsin inhibitor and phytate phosphorus in the soybean varieties ranged from 21.2 to 37.0 TI/g, d.b. and from 337 to 605mg%, d.b. respectively. The lipoxygenase activity of $163.6{\sim}403.5unit$ was shown in the 19 soybean varieties, and Padal, Jangbaek and S-133 were the varieties with the higest activity.

• Asian Pacific Journal of Cancer Prevention
• /
• v.16 no.6
• /
• pp.2237-2243
• /
• 2015

Background: Adjuvant chemotherapy improves survival in Dukes C colon cancers post-curative resection. However, the evidence for a role with Dukes B lesions remains unproven despite frequent use for disease characterized by poor prognostic features. In view of limited Asia-specific data, this study aimed to determine survival outcomes and identify prognostic factors in a tertiary teaching hospital in Malaysia. Materials and Methods: A total of 116 subjects who underwent curative surgery with and without adjuvant chemotherapy for Duke B and C primary colon adenocarcinomas diagnosed from 2004-2009 were recruited and data were collected retrospectively. Five-year overall survival (OS) and disease free survival (DFS) were analysed using Kaplan-Meier survival analysis and log-rank (Mantel-Cox) test. Prognostic factors were determined using Cox proportional hazards regression with both univariate and multivariate analyses. Results: The survival analysis demonstrated a 5-year OS of 74.0% for all patients, with 74.9% for Dukes C subjects receiving chemotherapy compared to 28.6% in those not receiving chemotherapy (p=0.001). For Dukes B disease, the 5-year survival rate was 82.6% compared to 75.0% for subjects receiving and not receiving chemotherapy, respectively (p=0.17). Independent prognostic factors identified included a CEA level more than 3.5 ng/ml (hazard ratio (HR)=4.78; p=0.008), serosal involvement (HR=3.75; p=0.028) and completion of chemotherapy (HR= 0.20; p=0.007). Conclusions: In a regional context, this study supports current evidence from the West that adjuvant chemotherapy improves survival in Dukes C colon cancers post curative surgery. However, although a clear benefit has yet to be proven for Dukes B disease, our results suggest survival improvement in selected cases.

• Journal of the Korean Society of Hazard Mitigation
• /
• v.10 no.3
• /
• pp.91-100
• /
• 2010

In this paper a sensitivity analysis about effects of influencing factors on the stability of soil cut and embankment slopes in field was performed. Slope stability analysis of slopes in field was carried out with dry, rainy and seismic conditions. As results of analyzing the sensitivity of factors for the dry and rainy conditions, effect of cohesion, internal friction angle and unit weight of soil on the stability of cut slope is more critical in the dry condition than in the rainy condition. However, their effects on the stability of embankment slope for both conditions are similar to each other. The horizontal seismic coefficient does also affect the stability within the similar range of values irrespective of dry or rainy conditions. Cohesion and internal friction angle are more dominant factors influencing the slope stability irrespective of dry or rainy conditions than unit weight of soil and the horizontal seismic coefficient.

• Asia pacific journal of information systems
• /
• v.12 no.3
• /
• pp.213-233
• /
• 2002

Recently, a lot of companies intend to make spin-offs as the Internet usage is proliferating in the business area. A spin-off means a small but autonomous company which is thought to show higher profitability rather than it stays under the influence of a mother enterprise. To prove our hypotheses, we collected questionnaire data from 104 companies considering spin-offs. From experiments with Factor Analysis, we found that there exist four factors which decision-makers should consider before deciding spin-offs such as competence of unit, competence of mother company, competence of spin-off company, and support of mother company. After massive experiments with Regression Analysis we also found that there are significant three performance factors such as competence of unit, competence of spin-off company, and support of mother company. The survey also asked about three potential strategies that they may have been following for achieving business objectives: Cost leadership, Focus, and Differentiation, Six benefits factors emerged from this study: External competitiveness, Internal competency, Productivity, Change, Cost saving, and Improvement. External competitiveness was the most important benefit, and it predicted a Differentiation and Focus strategy. Productivity and Improvement also predicted a Differentiation strategy. External competitiveness, Change, and Cost saving predicted a Cost leadership strategy. However, organizations followed Differentiation and Focus strategies significantly more than Cost leadership. The assessment thus sheds light on the link between information strategy and spin off. We hope that based on our results, many companies considering a spin-off can make a right decision and expect higher performance in a turbulent business environment.

• Asian-Australasian Journal of Animal Sciences
• /
• v.15 no.9
• /
• pp.1263-1266
• /
• 2002

The objective of this study was to evaluate the effects of some production factors on commercial production of Etawah Crossbred Goats (ECG) of Inpres Desa Tertinggal member groups (AKIDT) at Krasak, Pandansari, Brajan, and Kragilan villages in Boyolali regency, Central Java, Indonesia. The study was from February to April 2000. Eighty respondents of AKIDT were selected by simple random sampling and the data were analyzed using Cobb Douglas Production Function. The results showed that ECG production simultaneously were highly significant (p<0.01) influenced by amount of feed consumed (kg TDN/year, $x_1$), number of does of ECG (Animal Unit/year, $x_2$), number of kids and does/ barn/year (Animal Unit/year, $x_3$), labor use (man-days/year, $x_4$) and work capital (US$/year, $x_5$) with $R^2= 0.6568$. In addition, ECG production was partially influenced by $x_2$, $x_3$ and $x_5$ (p<0.01) and $x_1$ (p<0.05), but not significant (p>0.05) by $x_4$. Technically, production factors of $x_1$, $x_2$, $x_3$, $x_4$, $x_5$ had reached technique efficiency (0$x_1$, $x_3$, $x_4$, $x_5$ did not showed efficiency (Ep<1) and $x_2$ was not efficient yet.

• Korean Journal of Adult Nursing
• /
• v.27 no.3
• /
• pp.347-357
• /
• 2015

Purpose: This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission. Methods: We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by ${\chi}^2$-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21. Results: The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72). Conclusion: The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.