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Models for Spiritual Care in Hospice and Palliative Care

  • Kang, Kyung-Ah
    • Journal of Hospice and Palliative Care
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    • v.21 no.2
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    • pp.41-50
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    • 2018
  • Spirituality is an essential part of human beings. Spiritual care, designed to meet the spiritual needs of terminally ill patients and their families, is one of the most important aspects of hospice and palliative care (HPC). This study reviewed and analyzed literature utilizing the most commonly used Korean and international healthcare databases to identify care models that adequately address the spiritual needs of terminally ill patients and their families in practice. The results of this study show that spirituality is an intrinsic part of humans, meaning that people are holistic beings. The literature has provided ten evidence-based theories that can be used as models in HPC. Three of the models focus on how the spiritual care outcomes of viewing spiritual health, quality of life, and coping, are important outcomes. The remaining seven models focus on implementation of spiritual care. The "whole-person care model" addresses the multidisciplinary collaboration within HPC. The "existential functioning model" emphasizes the existential needs of human beings. The "open pluralism view" considers the cultural diversity and other types of diversity of care recipients. The "spiritual-relational view" and "framework of systemic organization" models focus on the relationship between hospital palliative care teams and terminally ill patients. The "principal components model" and "actioning spirituality and spiritual care in education and training model" explain the overall dynamics of the spiritual care process. Based on these models, continuous clinical research efforts are needed to establish an optimal spiritual care model for HPC.

Design of Microstereolithography System Based on Dynamic Image Projection for Fabrication of Three-Dimensional Microstructures

  • Cboi, Jae-Won;Ha, Young-Myoung;Lee, Seok-Hee;Choi, Kyung-Hyun
    • Journal of Mechanical Science and Technology
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    • v.20 no.12
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    • pp.2094-2104
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    • 2006
  • As demands for complex microstructures with high aspect ratios have increased, the existing methods, MEMS and LIGA, have had difficulties coping with the number of masks and fabricable heights. A microstereolithography technology can meet these demands because it has no need of masks and is capable of fabricating high aspect ratio microstructures. In this technology, 3D part is fabricated by stacking layers, 2D sections, which are sliced from STL file, and the Dynamic Image Projection process enables the resin surface to be cured by a dynamic image generated with $DMD^{TM}$ (Digital Micromirror Device) and one irradiation. In this paper, we address optical design process for implementing this microstereolithography system that takes the light path based on DMD operation and image-formation on the resin surface using an optical design program into consideration. To verify the performance of this implemented microstereolithography system, complex 3D microstructures with high aspect ratios were fabricated.

The Development Strategy of the Container Port in the Innovation Process of Logistics (2) Development Strategy of the Container Port (로지스틱스의 진화에 대응한 항만의 발전 전략에 관하여 - (2) 컨테이너항만의 개발전략 -)

  • 이철영;강기중;여기태
    • Journal of Korean Port Research
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    • v.14 no.1
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    • pp.1-11
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    • 2000
  • Recently, the role of container ports is radically changing, These changes are largely driven by the innovation process of Logistics such as Supply Chain Logistics and Global Logistics due to the international expansional of industry. Under this environment, It is required that the container port should act as a integral part of a Supply Logistics Chain especially to provide the customer-oriented logistics service. This paper deals with the development strategy of container ports coping with these changes in the view point of container ports as a Logistics infrastructure to provide customer-response services and necessary to the economic promotion of hinterlands. Strategy is suggested in the phases of the customers desire, the pattern of container cargo, the economic promotion of hinterlands, and interrelation of container ports in north-east Asia and also domestics through the analysis of competiveness of container ports.

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The Effect of Laughter Program on the Stress of Nursing College Students in Clinical Practice (웃음프로그램이 간호대학생의 임상실습 스트레스에 미치는 효과)

  • Jung, Kyung-Hwa;Park, Sang-Youn
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.163-172
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    • 2012
  • The purpose of the study were to investigate the effect of laughter program on the stress of nursing college students in clinical practice. The research design is one group pretest-posttest survey. Thirty-eight nursing college students took part in the study. Laughter program was carried out for 1hour 6weeks. Laughter program showed significant change on the state anxiety, mood-emotion, laughter index, subjective stress and self esteem. The acquired data were analyzed with SPSS/win 15.0 using descriptive methods paired t-test, Pearson correlation coefficient. The research producted following results: Laughter program can be effective to decrease the clinical practice stress; anxiety, mood-emotion and subjective stress index. Laughter program can be effective to increase laughter index and self esteem of nursing college students. Based on the study, It is necessary to repeat studies and considering to develop proper methods of clinical practice stress of nursing college students. This study recommends that laughter program coupled with cognitive approaches could affect ways of nursing college students coping with stress and contribute to the improvement from increasing their satisfaction.

Considering Death and Condolences from an Educational Perspective: How to Examine Condolences in Response to Death in Death Education (죽음과 애도에 대한 고찰과 교육 가능성 탐색: 죽음 교육에 앞서 죽음에 대한 반응으로서의 '애도'를 어떻게 볼 것인가)

  • Lee, Ki-Byung
    • Korean Medical Education Review
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    • v.22 no.3
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    • pp.163-172
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    • 2020
  • Medical treatments as universal care have been turning into delivering medical technology. Coping with death, which is prevalent in all medical circumstances, without comprehensive understanding results in missing out on significant aspects between life and death. This makes doctors surrender easily to a conventional and binary division of life and death and reduces the chance of including death as a part of the medical realm. Furthermore, in terms of medical education, we need to have the opportunity to consider such subjects that can benefit from special planning and consideration. Through reviewing articles in a variety of disciplines such as medicine, philosophy, psychology, literature, and anthropology, we can better understand death, condolences, and the relevance between them in a contextual way. In order to seek a better approach, this study also aims to survey and review the recent state of death education in diverse fields of medicine in Korea. In conclusion, if it is complicated for us to explain or understand death in general, focusing on condolences as a human response to death could be one meaningful way that deserves contemplation. It is possible to regard condolences as a touchstone and a prerequisite in death education itself.

Intrinsic and Extrinsic Factors Impacting Individuals' Cyber Ethics Awareness and Behavior Intention (사이버윤리 준수인식과 행동의도에 영향을 미치는 사용자의 내·외적요인)

  • Kim, Sanghyun;Park, Hyunsun
    • The Journal of Information Systems
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    • v.23 no.1
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    • pp.111-138
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    • 2014
  • As the Internet is widely used worldwide, Cyber world has become a part of daily life. On the other hand, the adverse effects of Internet, such as abusive comments, illegal harmful contents, rumor diffusion, infringement on a right have emerged with the increase. Researchers recognized the important of cyber ethics as an effective means of coping with the adverse effects on Internet. But, Little empirical research has been related to cyber ethics in management information systems. Thus, the purpose of this research is to identify multidimensional motivation factors that cyber ethics awareness and compliance behavior Intention. For this, this study investigated the factors that might influence Internet users to compliance cyber ethics. Using university students as a sample, one hundred and ninety six are collected for further analysis. The results of this study are as follows; First, self-esteem, Moral Obligation, self-control, cyber ethics education and Social Influence are significantly related to cyber ethics awareness, while punishment is not significantly related. Second, cyber ethics awareness have a positive effect on cyber ethics compliance behavior Intention. Third, the moderating effect of ego strength is also significant. This study is significant in that it established a behavior model to understand the compliance of cyber ethics with internet user in Korea.

A case study on the method of heating and cooling system by types classification and utilization of natural resources in urban centered low-rise collective housing through the Environment communion -Focusing on the urban town house in Japan- (단계별 환경교감형식에 의한 도심형저층집합주택의 유형별 분류와 자연에너지를 이용하는 냉난방 기법의 사례연구 -일본의 도심형 집합 주거를 중심으로-)

  • Shim, Jae-Myung;Kim, Kang-Soo
    • KIEAE Journal
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    • v.10 no.5
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    • pp.23-30
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    • 2010
  • The residence means a given place. It is repeated that process of overcome, protection, assimilation and adaptation has applied to environmental condition. Architecture is part of environment and various. Thus there are lots of types. We need the place with uniqueness, and it is suitable for biological and humanistic environment. The living space turned to be meaningful place with design, and people start to live with nature together. Therefore design restructures whole environment and makes people to be closed with nature. We have to understand nature of environment to connect one place with the other place, and people start to put down roots certain place. Coping with social needs, we have to develop the architectural alternative which can be applied to natural condition. This study suggest sound high-density urban residential model as it function social mix.

Mobile Web-based Education: Engagement and Satisfaction with HiChart among Pregnant Women

  • Kim, Hyo Jin;Kang, Hee Sun
    • Child Health Nursing Research
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    • v.25 no.3
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    • pp.303-311
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    • 2019
  • Purpose: This study aimed to examine engagement and satisfaction with a mobile web-based education program (HiChart) among pregnant women. Methods: A cross-sectional descriptive study was conducted of 97 pregnant women hospitalized for obstetric care. Data were collected from October 1 to November 30, 2016, and were analyzed with descriptive statistics. Results: Among participants, 16.5% engaged fully with HiChart, while 43.3% engaged partially. The overall satisfaction with HiChart was high. Some main reasons for not engaging with the education were participants' unawareness of the text messages, lack of time, and poor internet connection. The participants suggested that more educational content needed to be covered, such as coping with infant emergencies and information about the neonatal intensive care unit. Conclusion: To increase pregnant women's engagement with mobile web-based education, efforts are needed to strengthen the system of sending text messages as part of mobile web-based education to all patients, to inform pregnant women that an educational web link was sent, and to encourage them to engage with mobile web-based education. Furthermore, it is essential to improve the HiChart service by providing educational content corresponding to users' needs.

A case report overlapped vaccine and COVID-19 in disseminated atherosclerosis

  • Vecihe Bayrak
    • Clinical and Experimental Vaccine Research
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    • v.12 no.2
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    • pp.172-175
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    • 2023
  • Coronavirus disease 2019 (COVID-19) has become a part of our lives now and we have no more effective way of coping than a vaccine. COVID-19 is a disease that causes severe thrombosis outside the respiratory tract. Vaccines also protect us in this respect, but in some rare cases, thrombosis has been found to develop after vaccination (much less frequently than COVID-19). What was interesting in our case was that it showed how a disaster could happen under three factors that predispose to thrombosis. A 65-year-old female patient with disseminated atherosclerosis was admitted to the intensive care unit with complaints of dyspnea and dysphasia. In the evening of the day, the patient had the vaccination 2 weeks ago, she had active COVID-19. On examination, lower extremity pulses could not be detected. The patient's imaging and blood tests were performed. Multiple complications such as embolic stroke, venous and arterial thrombosis, pulmonary embolism, and pericarditis were observed in the patient. This case may give consideration to anticoagulant therapy studies. We give effective anticoagulant therapy in the presence of COVID-19 in patients at risk of thrombosis. Can anticoagulant therapy be considered after vaccination in patients at risk of thrombosis such as disseminated atherosclerosis?

Dental application of glass-ceramic materials for aesthetic restoration (심미수복을 위한 글라스-세라믹 재료의 치과 응용)

  • Bae, Tae Sung
    • The Journal of the Korean dental association
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    • v.58 no.7
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    • pp.435-442
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    • 2020
  • Porcelain is the first ceramic material to be introduced into dentistry. Porcelain jacket crown was introduced by Dr. Charles H Land in 1886, which was an excellent aesthetic dental restoration but has not been widely used due to high firing shrinkage and low tensile strength. Then metal-ceramic system, which combines the esthetic properties of ceramics and the mechanical properties of metals, was introduced and nowadays it is still used in dental clinical field. However, the metal-ceramic system has shown some problems, such as increased lightness by reflection of light at opaque layer, shadow beneath the gingival line due to the block-out of light by metal coping, exposure of metal in margin part, bond failure between metal and porcelain, oxidation of metal coping during firing the porcelain, etc. Recently, along with the advance of fabrication methods of dental ceramics, the all-ceramic restorations with high esthetic and mechanical properties has increased and gradually replaced metal-ceramic restorations. Especially, CAD/CAM technology has opened a new era in fabricating the dental ceramic restorations. This overview will take a look at the past, present and future possibility of the dental ceramic materials.

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