• Title/Summary/Keyword: end-of-life

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Prediction of End of Life Photovoltaic Modules with Feed in Tariff (발전차액제도가 고려된 태양광 폐모듈 발생량 예측)

  • Park, Jongsung;Lim, Cheolhyun;Kim, Wooram;Park, Byungwook;Lee, Jin-seok;Lee, Sukho
    • Current Photovoltaic Research
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    • v.8 no.1
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    • pp.39-43
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    • 2020
  • In this study, we predict the generation of end-of-life photovoltaic modules when Feed in Tariff applied, in Republic of Korea. Based on the installation of photovoltaic modules, we prepared three different senarios in order to estimate the generation of end-of-life photovoltaic modules. The senarios are i) early worn-out, ii) mid worn-out and iii) late-worn out senario. We selected the mid worn-out senario to estimated the amount of end-of-life photovoltaic modules in this study. Establishment of the end-of-life module generation scenario predicted generation of end-of-life photovoltaic module, and forecasted generation amount of end-of-life module to which Feed in Tariff was applied in consideration of installed photovoltaic modules installed by Feed in Tariff support. The generation of Feed in Tariff-applied end-of-life modules increased from 2021 to 2025 compared to without Feed in Tariff, and since then, the Feed in Tariff-applied end-of-life modules were generated as waste modules during the relevant period (2021 ~ 2025).

The Influence of Ethical Dilemma and End-of-life Care Stress on Burnout in Long­term Care Hospital Nurses (요양병원간호사의 윤리적 딜레마와 임종간호스트레스가 소진에 미치는 영향)

  • Lim, Gui-Yeon;Choi, So-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.6
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    • pp.355-363
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    • 2019
  • The purpose of this study was to investigate the correlation between ethical dilemma, end-of-life care stress and burnout of the nurses in long term care hospitals and descriptive correlations to identify factors affecting burnout. The subjects of study were 143 nurses who are working in the seven long-term-care hospitals in G-do and had more than one experience of end-of-life nursing care, understood the research items and agreed to participate in the research. In this study, it was founded that end-of-life care stress, age, job position, and end-of-life care education were found to be influential factors affecting burnout of the nurses in long-term care hospitals. As a result, age and occupation, end - of - life nursing education, and end - of - life stress were found to be factors affecting nurses' burnout. Therefore, in order to prevent and alleviate burnout of long-term care hospital nurses, a systematic intervention program that manages stress related to end-of-life nursing care is needed.

The Influence of Death Education on Medical Students' Attitudes towards End-of-Life Care: A Preliminary Study (의과대학생을 위한 죽음교육이 말기환자 돌봄 태도에 미치는 영향에 대한 예비연구)

  • Kim, Hae Won;Park, Joong Chul
    • Korean Medical Education Review
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    • v.20 no.3
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    • pp.150-155
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    • 2018
  • End-of-life care competencies have been perceived as important and essential, so it has been suggested that end-of-life care be studied in undergraduate medical education. However, end-of-life care curriculum has mostly focused on acquisition of knowledge and skills rather than attitudes. Therefore, we aimed to explore whether education about death affects medical students' attitudes towards care for dying patients and perception of death anxiety, meaning in life, and self-esteem. A total of 15 first- or second-year medical students were surveyed with questionnaires before and after completing a 6-week death education course. Paired data analysis showed that participants' attitudes towards caring for terminally ill patients and their caregivers improved significantly (t=-2.84, p=0.013) with an effect size of 0.73. In contrast, no significant changes were found in death anxiety, meaning in life, or self-esteem. All participants agreed that formal teaching about death and dying must be encouraged in medical schools. Our results suggest that death education may positively influence attitudes towards end-of-life care. Although replication with larger samples is necessary, this preliminary finding may support the importance of developmentally appropriate end-of-life care education in medical schools.

Nurse's Conflict Experience toward End-of-life Medical Decision-making (말기의 의료적 의사결정에 관한 임상간호사의 갈등경험)

  • Jo, Kae-Hwa
    • Korean Journal of Adult Nursing
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    • v.22 no.5
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    • pp.488-498
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    • 2010
  • Purpose: The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. Methods: Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. Results: Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. Conclusion: The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.

Definition, End-of-life Criterion and Prediction of Service Life for Bridge Maintenance (교량의 유지관리를 위한 사용수명 정의, 종료 기준, 추정)

  • Jeong, Yo-Seok;Kim, Woo-Seok;Lee, Il-Keun;Lee, Jae-Ha;Kim, Jin-Kwang
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.20 no.4
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    • pp.68-76
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    • 2016
  • The present study proposes the definition of service life and the end-of-life criterion for bridge maintenance. Bridges begin to deteriorate as soon as they are put into service. Effective bridge maintenance requires sound understanding of the deterioration mechanism as well as the expected service life. In order to determine the expected service life of a bridge for effective bridge maintenance, it is necessary to have a clear definition of service life and end-of-life. However, service life can be viewed from several perspectives based on literature review. The end of a bridge's life can be also defined by more than one perspective or performance measure. This study presents definition of service life which can be used for bridge maintenance and the end-of life criterion using the performance measure such as a damage score. The regression model can predict an average service life of bridges using the proposed end-of-life criterion.

Factors Affecting Performance of End-of-Life Care among ICU Nurses (중환자실 간호사의 생애말 간호수행에 미치는 영향요인)

  • Kim, Mi Jung;Chang, Hee Kyung
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.3
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    • pp.135-146
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    • 2021
  • This study is a descriptive research study to identify the relationship between the performance of end-of-Life care of ICU nurses, moral distress, ethical climate, difficulties in end-of-life care, and positive psychological capital. Data were collected with structured questionnaires from 144 ICU nurses at a university hospital in J city, Gyeongnam, from October to November in 2020, and analyzed using SPSS/WIN 21.0. The subjects' performance of end-of-life care of ICU nurses is significantly different depending on marital status, experiences of end-of-life care education. The variables that had a significant effect on the performance of end-of-life care among ICU nurses were positive psychological capital and difficulties in end-of-life care. The explanatory power was 24.8%. Based on these results, it is necessary to intervention program and education to reduce difficulties in end-of-life care and increase positive psychological capital for ICU nurses.

N-Terminal Acetylation-Targeted N-End Rule Proteolytic System: The Ac/N-End Rule Pathway

  • Lee, Kang-Eun;Heo, Ji-Eun;Kim, Jeong-Mok;Hwang, Cheol-Sang
    • Molecules and Cells
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    • v.39 no.3
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    • pp.169-178
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    • 2016
  • Although $N{\alpha}$-terminal acetylation (Nt-acetylation) is a pervasive protein modification in eukaryotes, its general functions in a majority of proteins are poorly understood. In 2010, it was discovered that Nt-acetylation creates a specific protein degradation signal that is targeted by a new class of the N-end rule proteolytic system, called the Ac/N-end rule pathway. Here, we review recent advances in our understanding of the mechanism and biological functions of the Ac/N-end rule pathway, and its crosstalk with the Arg/N-end rule pathway (the classical N-end rule pathway).

A Study on the End-Of-Life Care and Healthcare Costs in Japan (일본의 말기의료와 경제적 비용에 관한 연구)

  • Oh, Eun-Hwan
    • The Korean Society of Law and Medicine
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    • v.10 no.1
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    • pp.307-322
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    • 2009
  • More than 80% of Japanese still want to face death at home, but only 10% of them can have his/her last moments of life at home. On the other hand, the end-of-life care has been a big issue in both ethical and economic aspect because of euthanasia and healthcare costs. It is generally known that the end-of-life care spends much more than the care for nonterminal years. This study approaches the key for the end-of-life care and suggests a desirable solution.

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Preferences for Care near the End of Life according to Chronic Patients' Characteristics (만성질환자의 특성에 따른 생애말기치료 선호도)

  • Yun, Seonyoung;Kang, Jiyeon
    • Korean Journal of Adult Nursing
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    • v.25 no.2
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    • pp.207-218
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    • 2013
  • Purpose: The purpose of this study was to explore the chronic patients' preferences for care near the end of life. Methods: This is a descriptive survey research, with subjects of 161 outpatients with hypertension, diabetes mellitus or chronic renal failure. Results: The majority of the subjects do not want meaningless life sustaining treatment and they report thinking positively about family or health care professional to participate in their end of life decision making process. Subjects reported preferring adequate pain management and spiritual support at the end of life. In regard to advance directives (ADs), those subjects with chronic disease report thinking positively about the necessity of ADs and its institutionalization. However, the subjects report not having the detailed information on the proper time and method of writing their ADs. Conclusion: Based on these results, educational programs on end of life decision making for chronic patients need to be developed. Also, the nurse should try to reflect the opinion of chronic patients as much as possible when make an end-of-life decision.

Life-Sustaining Treatment in End-Stage Liver Disease Patients: Patients' Decisions and Results

  • Jung, Hyun Jung;Park, Jeong Yun
    • Journal of Hospice and Palliative Care
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    • v.23 no.2
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    • pp.85-92
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    • 2020
  • Purpose: In 2018, the Act on Decisions on Life-Sustaining Treatment for Patients in Hospice and Palliative Care or at the End of Life was implemented and the scope of official recognition for terminally ill patients was expanded. The purpose of this study was to investigate the decisions made by patients with end-stage liver disease about their life-sustaining treatment in a clinical setting. Methods: The subjects of this study were patients with end-stage liver disease hospitalized at a tertiary hospital in Seoul, Korea who wrote physician orders for life-sustaining treatment (POLST). Data collection was done using patients' electronic medical records, and a retrospective analysis of POLST was conducted. Results: Among 101 patients, 18.8% were female and 81.2% were male, and their mean age was 61.8 (±10.61) years. Sixty-three patients (62.4%) wrote their POLST by themselves. Three patients withdrew the POLST, of whom two did so for liver transplantation, and one did so for chemotherapy. Conclusion: This study shows that sufficient consideration of liver transplantation is needed for end-stage liver disease patients before making decisions on life-sustaining treatment. The self-determination of patients must be respected and effective guidelines are urgently needed.