• Journal of Hospice and Palliative Care
• /
• v.1 no.1
• /
• pp.23-29
• /
• 1998

Purpose : Validity of WHO guideline of cancer pain management has been proven and many trials were done for resolution of inadequate management of cancer pain. We assessed the severity of pain in terminal cancer patients and patient's characteristics influencing inadequate pain management. Methods : This study was done on 100 patients who was confirmed as terminal in Seoul National University Hospital from lune 1997 to November. For getting the informations about dermographic and medical characteristics such as performance and metastasis, and drug-adjusted pain severity the patients, we reviewed the medical records and interview the patients. we assessed the adequacy of prescribed analgesics with WHO guidelines of pain management, and patient's characteristics influencing on adequacy of pain management. Results : 85.0 percent of cancer patient had pain when diagnosed as terminal cancer and 68% of patient had pain above moderate severity. 38.0 percent of those were given inadequate pain management and the greater pain severity, the less adequate(P<0.001). Sex, age, primary site of cancer, metastasis, symptoms such as depression and anxiety, and performance were not significant. Conclusion : Despite guidelines for pain management, many patients with terminal cancer received inadequate pan management. Their is a need for education about evaluation of pain and guidelines of pain management.

• KSCE Journal of Civil and Environmental Engineering Research
• /
• v.34 no.5
• /
• pp.1625-1638
• /
• 2014

Recently, Low Impact Development (LID) has been emphasized as a critical strategy for improving urban water cycle and adapting to climate change. LID is needed to be incorporated in urban planning and development process for effective implementation in the real world. However, little research has examined the relationship between urban planning and LID in Korea. This study addresses this critical gap by 1) examining whether current urban planning institutional system considers LID or not and 2) assessing the extent to which local comprehensive plans integrate LID in seven large cities. Study results show that a few planning guidelines declaratively mention the need of LID but they don't include specific LID strategies. In addition, we found that 7 local comprehensive plans in the sample received a mean score of 11.71, which represents 19.52% of the total possible points and there are wide variations among cities. These findings indicate that there is still considerable room for improvement of local governments on LID. We propose the revision of planning guideline by incorporating LID principles and non-structural and structural LID technologies.

• YAKHAK HOEJI
• /
• v.58 no.4
• /
• pp.229-244
• /
• 2014

Background: Antibiotic skin test(AST) is very useful for the diagnosis of drug allergies to prevent immediate allergic reactions. Although it is a safe and widespread method, it is performed very diversely by doctors and nurses without consistency and it also differs from countries and hospitals. This study aims to evaluate the current practice of AST by nurses in Korea and to compare it to the general guidelines. Methods: During January 1, 2013 to May 20, 2013, the study was conducted as questionnaires and case-based survey. The questionnaires were given to the nurses who were randomly selected in various University Hospitals (University Hospitals N=276, and Medical center N=19). The case-based surveys were given to the nurses who were conducting AST at various wards of a University Hospital (N=130). The analysis and evaluations of the responses were carried out. Results: The response rate for the questionnaires was 97.6% and 130 cases of the actual case-based surveys were collected. There were clear differences between the survey results and the general guidelines, such as the method of skin test (skin prick test was not conducted), the method of patient selection for AST, test drugs, concentration, volume and interpretation of AST. AST conducted by nurses was highly variable and inconsistent, even among nurses who worked in the same wards and hospitals. Manufactured standard concentration antibiotic solution of AST showed consistency of concentration to a certain degree. Conclusion: Although the general guidelines have been published by several countries including Korea, these are not a great help to nurses as they lack details for conducting AST, practical consideration for nurses in the clinical setting, propagation and education. Standardized guideline for nurses should be published and it should be a safe, clear, comfortable and easily accessible protocol. Futhermore, additional antibiotic solutions to standardize skin test should be developed and manufactured. Lastly, it would be the pharmacists role to compare their hospitals antibiotic skin test methods with the standard guidelines and develop a protocol within the hospital for patients' safety, and to strive to consistently implement it.

• Korean Journal of Construction Engineering and Management
• /
• v.15 no.1
• /
• pp.51-61
• /
• 2014

Preventive maintenance of buildings has increased the importance of interest in that it is able to maintain the performance building has and to prevent a problem occurred in future. For improved preventive maintenance work, it should be performed to select works order clearly and preceded the accurate measurement for the state of works order. when measuring the conditions, measurement of the state of work order considering the various criteria is more effective than to measure by only criterion. But, there are something hard to evaluate exactly between the criteria because of decision-maker's subjective judgments. To solve these problems, this research proposes decision making support model to determine preventive maintenance works order using Fuzzy-sets. By using Fuzzy-sets when measuring state of work objects, it can be reduced vagueness of judgments by decision-makers. This model can be used as a tool for objective evaluation of preventive maintenance work orders and offer the guideline to perform decision-making.

• Korean Journal of Microbiology
• /
• v.49 no.4
• /
• pp.424-428
• /
• 2013

To identify risk factors for Legionella contamination, water quality variables routinely measured in examination of natural and city waters were meta-analyzed for significance of correlation to Legionella incidences. For evaluation of abundance of Escherichia coli as a risk factor, which is currently used as an indicator of Legionella contamination in an official guideline in Korea, odds ratio (OR) of above-cutoff total coliform counts for Legionella presence/absence was used as the effect size in the meta-analysis. The OR was estimated as 1.05 (0.36-3.12, 95% CI), and the probability of having identical odds reached 0.92. Also, ORs from individual studies showed significant heterogeneity (P=0.008), which contributed to 63% of total variance of the ORs. In the case of heterotrophic plate count (HPC), the OR for Legionella presence/absence was 2.72 (2.04-3.63) with highly significant deviation from identical odds (P<0.0001). ORs from different studies were seemingly homogeneous ($Q_{df=8}$=12.7, P=0.12). Turbidity and concentrations of chlorine, iron ion and cupper ion were other routine variables that could be considered as risk factors. However, statistical measures from different studies were not uniform enough to develop an appropriate effect size while the number of studies reporting the variables was also small (3-5). In conclusion, HPC appeared to be appropriate as indicator of Legionella contamination, rather than fecal bacteria contamination. HPC may imply abundance of habitats (amoebas and biofilms) of Legionella in water. This result warrants further studies for standardizing protocols and cutoff values to infer Legionella risks from HPC.

• Journal of Distribution Science
• /
• v.12 no.4
• /
• pp.55-63
• /
• 2014

Purpose - Brands and products often play key roles in enabling consumers to experience a good attitude, resulting in mentally enacting a specific prototype and reliving the experience by retelling a specific story. Brand storytelling can function as an important tool for managing the brand. To successfully apply a firm's brand storytelling, it is important to prove the effectiveness of storytelling. Therefore, by utilizing the research of Escalas (1998) and Fog et al. (2005), a list of measurements for storytelling component quality (SCQ) was applied. In addition, customer attitudes toward brand storytelling were tested. In particular, if customers encounter a dynamic and interesting story, although the brand is not widely known, they can be in communion with the brand and establish an emotional connection (Hill, 2003). Thus, brand reputation was divided into two levels (high vs. low), and the difference in effectiveness between storytelling component quality and consumers' advertisement attitude, brand attitude, and purchasing intention was examined. Research design, data, and methodology - By using the measurement list used in Choi, Na, and Hwang (2013), 12 categories in the level of message quality, conflict quality, character quality, and plot quality were measured. In addition, categories of brand reputation, advertisement attitude, brand attitude, and purchasing intention were measured. The study was based on 181 final survey samples targeting undergraduate and graduate students in Gwangju Metropolitan City. Results - Consumer responses toward storytelling were researched in the context of brand characteristics or product attributes, such as brand reputation, differentiated from extant simple effects of storytelling. Some brands with high reputation enjoy a halo effect due to prior learning, while other brands with comparatively low reputation have trouble generating positive responses despite attempts to enhance the level of reputation or induce favorable attitudes. Although not all due to the component quality of storytelling, the case of brands with low reputation exerted more positive impact on consumer attitudes than did brands with high reputation. As mentioned earlier, consumer evaluation of the component quality of storytelling was categorized into advertising attitudes, brand attitudes, and purchase intention for this study; this provides managerial implications in other ways. The results imply that an effective application of storytelling could be an important emotional tool for the development of both brands with low brand awareness and of well-known brands. Finally, this study serves to increase consumers' understanding and ability in interpreting brand stories that marketers tell about themselves, as well as to highlight differential experiences with products by level of brand hierarchy. Conclusions - This research aimed to provide an objective guideline for storytelling component quality while considering brand awareness. Thus, brand reputation was considered for proving the baseline effectiveness of storytelling, and this study provided directions for strategic establishment of storytelling. Based on this, we conclude that in further studies, it will be necessary to systematically manage brand story by considering other situation variables and various story patterns, and studying their differences.

• International Journal of Highway Engineering
• /
• v.18 no.6
• /
• pp.137-143
• /
• 2016

OBJECTIVES : Bituminous materials, such as tack coat, are utilized between pavement layers for improving the bond strength in pavement construction sites. The standards regarding the application of bituminous material are not clearly presented in the Korean construction guideline without RS(C)-4. Hence, the objective of this study is to determine the optimum content of bituminous materials by analyzing interlayer shear strength (ISS) from the direct shear tester, which was developed in this research. The shear strength of tack coat was defined with the sort of bituminous materials. METHODS : The mixtures for the shear test were made using marshall mix design. The specimens were vertically and horizontally separated for the direct shear test. The separated specimens were bonded using bituminous material. The objectives of the experiment are to determine the performance of bond and shear properties resulting from slippage, rutting, shovel, and corrugation of asphalt pavements. A machine based on the Louisiana interlayer shear strength tester (LISST) of NCHRP Report-712 was developed to determine the ISS. The applied types of tack coat were RS(C)-4, AP-3, QRS-4, and BD-coat with contents of $0.3{\ell}/m^2$, $0.45{\ell}/m^2$, $0.6{\ell}/m^2$, and $0.8{\ell}/m^2$, respectively. RESULTS : Table 2 gives the results of the direct shear test using the developed shear machine. The BD-coat type indicated the highest average ISS value compared to the others. Between the surface and binder course, optimum tack coat application rates for AP-3, RS(C)-4, QRS-4, and BD-Coat were $0.6{\ell}/m^2$, $0.3{\ell}/m^2$, $0.6{\ell}/m^2$, and $0.45{\ell}/m^2$, respectively. These optimum contents were determined using the ISS value. CONCLUSIONS : The ISS values of AP-3, RS(C)-4, and QRS-4 showed similar tendencies when ISS increased in the range $0.3{\sim}0.6{\ell}/m^2$, while ISS decreased when the applied rate exceeded $0.6{\ell}/m^2$. Similarly, the highest ISS value of the BD-coat was observed when the applied rate was $0.45{\ell}/m^2$. However, shear strength was similar to the maximum value of ISS when the tack-coat application rate of BD-Coat exceeded $0.45{\ell}/m^2$.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.17 no.6
• /
• pp.389-399
• /
• 2016

This study examined the status of studies on exercise interventions for middle-aged women with chronic low back pain that had been conducted over the past 10 years (2005-2014) in Korea. The existing reports were searched electronically using the database of RISS, National Assembly Library, KISS, and DBpia with the key words of middle-aged women, chronic low back pain, exercise, and exercise program. Finally, 12 articles were included in the review. One article was from nursing science, and 11 were from other disciplines. In a qualitative evaluation on the papers, 1 study scored 8 out of 10 points, 8 studies scored between 5-6 points, and 3 studies scored 3-4 points. Intervention sessions were conducted for 55 minutes, on average, each at a frequency of 3.1 sessions per week, for a total of 29.7 sessions. This study found that lumbar neuromuscular exercise, yoga exercise, and aquatic exercise were effective in rehabilitation in middle-aged women with chronic low back pain. In the future, these findings are expected to be used in nursing intervention for the establishment of the basis for evidence-based nursing practice.

• Journal of the Korea Concrete Institute
• /
• v.26 no.2
• /
• pp.201-210
• /
• 2014

The present study proposes a phased model to assess the lifecycle $CO_2$ amount of concrete structures. The considered system boundary is from cradle to recycling, which includes constituent material, transportation, batching and mixing in ready-mixed concrete plant, use and demolition of structure, and crushing and recycling of demolished concrete. The $CO_2$ uptake of concrete by carbonation during lifetime (40 years) of a structure and the recycling life (20 years) after demolition is estimated using a simple approach generalized to predict the carbonation depth from the surfaces of concrete element and recycled aggregates. Based on the proposed phased model, a performance evaluation table is realized to straightforwardly examine the lifecycle $CO_2$ amount of concrete structures. The proposed model demonstrates that the contribution of ordinary portland cement (OPC) to lifecycle $CO_2$ emission of the concrete structure occupies approximately 85%. Furthermore, the $CO_2$ uptake is estimated to be approximately 15~18% of the lifecycle $CO_2$ emissions of concrete structures, which corresponds to be 19~22% of the emissions from OPC production. Overall, the proposed $CO_2$ performance table is expected to be practically useful as a guideline to determine the $CO_2$ emission or uptake at each phase of concrete structures.

• Journal of the Korean BIBLIA Society for library and Information Science
• /
• v.24 no.2
• /
• pp.269-288
• /
• 2013

The development of IT (information technology) has brought about many types of new services, and the traditional sectors such as libraries and information management fields have actively applied new technology to improve the quality of their services. Many of these newly developed services are described under the term 'Web 2.0', in the sense they are next-generation forms of services, and this coinage is duplicated in the term 'Library 2.0', specifically referring to the library services equipped with Web 2.0 technology. Active acceptance of advanced IT to library services is very important to enhance the value and role of library in this rapidly changing information environment. So far, libraries in Korea and abroad have already been putting a lot of efforts and resources to develop and provide technically advanced services. Despite these efforts, it is found that some of these new services have failed to attract users' attention and interest, resulting in the low rates of usage. This study, therefore, reviews current state of the "Folksonomy" based services provided in Korean college libraries as a type of Library 2.0 services, and assess their usage rates. The result of this evaluation is then used to develop a guideline to improve and mobilize the use of such services.