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Respite Care와 영적케어의 고찰

  • Sin, Min-Seon
    • Korean Journal of Hospice Care
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    • v.5 no.1
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    • pp.50-62
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    • 2005
  • The elderly people was over 8.3% in 2003. This seament is projected to grow to 14.4% by 2019(Aged society) and over 20% by 2026(Super aged society). As the elderly population is increasing and young population is declined social issues around elderly care are emerged in Korea. As a result of that, they are in the condition of poor system of the welfare of the old and it is the worst one in Korea. And because of the worst financial independence and difficulty in Korea, welfare facilities and medical instruments are so insufficient and deteriorated, so the quality of service is getting low. Furthermore the mortality of cancer is rapidely increased in recent years. So it is expected that the number of families who are caring for terminal cancer patient will be increased. We can not solve those problems only with government's policy such as to secure ample budget and to enlarge the aged welfare institutions. Definitely, to acheve the suggetions persistence concern about old people is most important, and family, community and national government should be linked to accomplish to goal. Accordingly, for this study attempts to provide conceptual framework of the respite care, spiritual care and home hospice, nursing home for the elderly. And this study is to discuss the necessity and effect about the construction of housing welfare infrastructure and to make a cooperation and linkage system among the aged welfare institutions, government and the aged welfare programs. As is well known, the issue of the increasing aged people is neither a matter of individuals nor of the family, but rather a complex matter of whol society. Therefore it can be resolved by the active participation of government. Conclusively this study tries to provide an direction of the improvement with regard to the welfare policy for the elderly. The study is as follwos: Chapters 1: The theological base, conception, essentiality, respite care, spiritual care and home hospice, nursing home for the elderly. Chapters 2: Definitions of respite care, spiritual care, hospice, patient of termina cancer and quality of life. And relations between respite care and nursing home. Chapters 3: The necessity of long-term care insurance and the perspectives of spiritual care. Chapters 4: Conclusions and summarizing(The directions of improvement of welfare policy for the elderly). To sum up, the problems of the aged people has not effects only to the aged people. This means that the problems of aged is the problems of the young generation today. Because young generation will be the old generation in the near future.

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Effects of Combined Training on the FMS Score in Woman Rugby National Players (12주간의 복합트레이닝이 국가대표 여자럭비선수들의 FMS(Functional Movement Screen) 점수에 미치는 영향)

  • Lee, Jin-Wook;Zhang, Seok-Am;Lee, Jang-Kyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.11
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    • pp.7439-7446
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    • 2015
  • The purpose of this study was to find the risk factors of injury by FMS and to investigate the effects of 12-weeks' combined training program on body imbalance, physical fitness, muscle strength and FMS score in woman rugby players of the national team. Fourteen subjects were woman rugby national players to participate in the 17th Incheon Asian Games. These players tested FMS and performed 12 weeks' (May~Aug, 2014) combined training program (4days, 120min${\geq}$). Statistical evaluation was undertaken using paired t-test (pre vs. post). The results of this study were as follows; Frist, the score of FMS test on Deep Squat, Hurdle Step, Active Straight Leg Raise, and Trunk Stability Push up were significantly increased after 12 weeks' combined training program (p<.05), and also Inline Lunge (p<.01) and Rotary Stability (p<.001) were significantly increased. However, Shoulder Mobility was not significantly increased(p=.104) although the tendency of increased was FMS score. Second, the sum of the entire item was significantly increased after combined training(p<.001). These results suggest that 12-weeks' combined training program has effect of improving FMS score and low-injury risk in woman rugby national players. Therefore, we consider that FMS have effect on prevention of athletic injury and improvement of athletic performance in woman rugby national players.

A Comparative Study of Fuzzy Based Frequency Ratio and Cosine Amplitude Method for Landslide Susceptibility in Jinbu Area (빈도비와 Cosine Amplitude Method를 이용한 진부지역의 퍼지기반 산사태 취약성 예측기법 비교 연구)

  • Kim, Kang Min;Park, Hyuck Jin
    • Economic and Environmental Geology
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    • v.50 no.3
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    • pp.195-214
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    • 2017
  • Statistical landslide susceptibility analysis, which is widely used among various landslide susceptibility analysis approaches, predicts the unstable area by analyzing statistical relationship between landslide occurrence locations and landslide controlling factors. However, uncertainties are involved in the procedures of the susceptibility analysis and therefore, fuzzy approach has been used to deal properly with uncertainties. The fuzzy approach used fuzzy set theory and fuzzy membership function to quantify uncertainties involved in landslide controlling factors. Various fuzzy approaches were suggested in the procedure of the membership value determination and fuzzy operation in the previous researches. However, few studies were carried out to compare the analysis results obtained from various approaches for membership function determination and fuzzy operation. Therefore, in this study, the authors selected Jinbu area, which a large number of landslides were occurred at in 2006, to apply two most commonly used methods, the frequency ratio and the cosine amplitude method to derive membership values for each controlling factor. In addition, the integration of different thematic layers to produce landslide susceptibility map was performed by several fuzzy operators such as AND, OR, algebraic product, algebraic sum and Gamma operator. The results of the landslide susceptibility analysis using two different methods for the determination of fuzzy membership values and various fuzzy operators were compared on the basis of ROC graph to check the feasibility of the fuzzy based landslide susceptibility analysis.

Understory Evapotranspiration Measured by Eddy-Covariance in Gwangneung Deciduous and Coniferous Forests (광릉 활엽수림과 침엽수림에서 에디공분산으로 관측한 하부 군락의 증발산)

  • Kang, Min-Seok;Kwon, Hyo-Jung;Lim, Jong-Hwan;Kim, Joon
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.11 no.4
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    • pp.233-246
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    • 2009
  • The partitioning of evapotranspiration (ET) into evaporation (E) and transpiration (T) is critical in understanding the water cycle and the couplings between the cycles of energy, water, and carbon. In forests, the total ET measured above the canopy consists of T from both overstory and understory vegetation, and E from soil and the intercepted precipitation. To quantify their relative contributions, we have measured ET from the floors of deciduous and coniferous forests in Gwangneung using eddy covariance technique from 1 June 2008 to 31 May 2009. Due to smaller eddies that contribute to turbulent transfer near the ground, we performed a spectrum analysis and found that the errors associated with sensor separation were <10%. The annual sum of the understory ET was 59 mm (16% of total ET) in the deciduous forest and 43 mm (~7%) in the coniferous forest. Overall, the understory ET was not negligible except during the summer season when the plant area index was near its maximum. In both forest canopies, the decoupling factor ($\Omega$) was about ~0.15, indicating that the understory ET was controlled mainly by vapor pressure deficit and soil moisture content. The differences in the understory ET between the two forest canopies were due to different environmental conditions within the canopies, particularly the contrasting air humidity and soil water content. The non-negligible understory ET in the Gwangneung forests suggests that the dual source or multi-level models are required for the interpretation and modeling of surface exchange of mass and energy in these forests.

Investigation of the Gene Encoding Isotocin and its Expression in Cinnamon Clownfish, Amphiprion melanopus (Cinnamon clownfish Amphiprion melnaopus의 이소토신 유전자 구조와 삼투압 조절이 미치는 영향)

  • Noh, Gyeong Eon;Choi, Mi-Jin;Min, Byung Hwa;Rho, Sum;Kim, Jong-Myoung
    • Journal of Life Science
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    • v.26 no.2
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    • pp.164-173
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    • 2016
  • Isotocin (IT), a nonapeptide homolog of oxytocin in mammals, has been suggested to be involved in physiological processes including social behaviors, stress responses, and osmoregulation in teleost fish. To study its structure and function, the gene encoding the IT precursor was cloned from the genomic DNA and brain cDNA of the cinnamon clownfish, Amphiprion melanopus. The IT precursor gene consists of three exons separated by two introns, and encodes an open reading frame of 156 amino acid (aa) residues, comprising a putative signal peptide of 19 aa, a mature IT protein of 9 aa, a proteolytic processing site of 3 aa, and 125 aa of neurophysin. Tissue-specific analysis of the IT precursor transcript indicated its expression in the brain and gonads of A. melanopus. To examine its osmoregulatory effects, the salinity of the seawater (34 ppt) used for rearing A. melanopus was lowered to 15 ppt. Histological analysis of the gills indicated the apparent disappearance of an apical crypt on the surface of the gill lamella of A. melanopus, as pavement cells covered the surface upon acclimation to the lower salinity. The level of Na+/K+-ATPase activity in the gills was increased during the initial stage of acclimation, followed by a decrease to its normal level, suggesting its involvement in osmoregulation and homeostasis. The only slight increase in the level of IT precursor transcript in the A. melanopus brain upon low-salinity acclimation suggested that IT played a minor role, if any, in the process of osmoregulation.

Profile of Gene Expression Changes During Doxorubicin Induced Apoptosis of Saos-2 (Saos-2 세포에서 Doxorubicin에 의한 세포사멸 유도과정에서의 유전자 발현 변화)

  • Lim, Jeong-Sook;Bae, Min-Jae;Baek, Suk-Hwan;Kim, Jae-Ryong;Kim, Jung-Hye;Kim, Seong-Yong
    • Journal of Yeungnam Medical Science
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    • v.22 no.2
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    • pp.221-240
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    • 2005
  • Background: Doxorubicin has proved to be a useful chemotherapeutic agent especially for osteogenic sarcoma. It induces cancer cell death via apoptosis. Materials and Methods: To explore and analyze the changes of gene expression during doxorubicin induced apoptosis on human osteogenic sarcoma, Saos-2 cell, cDNA microarray was performed. After treatment with doxorubicin, total RNA was purified and expressed genes were investigated with a 17k human cDNA microarray. Results: For analysis of the cDNA microarray, the genes were filtered using the sum of the median value of Cy3 and Cy5 signal intensity of greater than 800. Expression of 264 genes was changed by more than 2 fold, and the expression of 35 genes was changed more than 3 fold after treatment with doxorubicin. The genes were primarily related to cell death, cell growth and maintenance, signal transduction, cellular component, transport, and metabolism. Conclusion: Treatment with doxorubicin induced expressional change of many genes. Some of the genes might be related with apoptosis directly or indirectly. Further study is now needed to characterize these genes.

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A Study of System and Practices of the Old Age Pension in North Korea (북한 년로년금의 제도와 실태에 관한 연구)

  • Min, Ki-Chae;Cho, Sung-Eun;Han, Kyoung-Hun
    • Korean Journal of Family Social Work
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    • no.60
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    • pp.133-173
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    • 2018
  • This paper analyzes the consistency and the discrepancy between system and practices of the old age pension(Nyunronyungeum) in North Korea. The literature review is conducted to analyze the system. Specifically, the North Korean law and North Korean dictionaries were carefully examined. The interviews with 25 North Korean refugees were conducted to grasp the exact state of the old age pension in North Korea. Major findings are as follows: the consistency between system and practices of the old age pension in North Korea is identified only certain portions of that. Beneficiaries(blue-collar workers, white-collar workers, farmers, soldiers, and employees in foreign-invested enterprises), contribution periods, earning-related schemes, the totalization of periods of coverage(workplace transitions), the absence of double benefits and early retirement pension, and the delivery system around Civic Service offices(Dong offices) are confirmed by complete consistency. Preservation age, variations in the implementation of the pension system by region, and premium of the old age pension are confirmed by partial consistency. The length of service, the labor regulation, lump-sum payment, and double dipping are confirmed by discrepancies. It's important that this study brings about a better understanding the old age pension in North Korea through various original texts of North Korea and interviews with refugees. The results of this study are expected to contribute to the policy production for the age income security system after the unification and to the spread of unification perspectives.

A discourse analysis for Korean women's leisure culture from 1960s to the present - Application of semantic network analysis (현대 한국 여성의 여가문화에 대한 담론 변화 연구 - 1960-2010년대 신문 기사의 의미연결망 분석을 중심으로 -)

  • Cha, Min-Kyung
    • Review of Culture and Economy
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    • v.21 no.2
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    • pp.197-229
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    • 2018
  • This study investigates the social discourse for Korean women's leisure culture and analyzes the conflicts between the ideologies which affected to the women's leisure issues with the social and cultural context. For this purpose, this study analyzed a sum of 652,513 words of 4,614 news articles about Korean women's leisure by applying semantic network analysis. In the 1960s, both the enthusiasm for 'modernization' and 'good wife and wise mother' ideologies were simultaneously affected to women's leisure discourse. 'The good wife and wise mother' ideology have a stronger impact on women's leisure culture in the 1970s. In the 1980s, even though the Korean women had higher education background and advanced social status compared to the former periods, both 'good wife and wise mother' ideology and 'modern career women' ideology conflicted each other. The conflicts between the two ideologies were intensified in the 1990s and the women tended to sacrifice their leisure in the course of the ideological conflicts in the 2000s. In the 2010s, women who exhausted due to the intensified conflicts between the two ideologies showed preference for passive forms of leisure.

A study on the correlation between health related quality of life(QOL) and the severity of tinnitus patients (이명증 환자 중증도와 삶의 질의 상관 연구)

  • Seo, Eun-Sung;Hwang, Chung-Yeon;Lim, Kyu-Sang;Kang, Hyuong-Won;Park, Min-Chol;Kim, Nam-Kwen
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.25 no.4
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    • pp.45-56
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    • 2012
  • Objective : This study was done to investigate the correlation between general quality of life(QOL) and disease specific QOL of tinnitus patients. Methods : 2009 National health and nutrition survey(NHNS) data were employed for analyzing the mean estimates of total population and tinnitus sub-group patients, and predicting the regression equation of mapping between EQ-5D and disease severity. Baseline statistical analyses and normality tests were done by using Student t-test, Chi-square test, Shapiro-Wilk test and ladder test. Hierarchial regression analyses were performed using related variables and predicted the optimal regression equations. Statistical significance was achieved if the probability was less than 5%. Results : Firstly, the standardized prevalence of tinnitus patient in South Korea was 18.69% and over 90th age-group was relatively higher than other groups. Mean value of domestic QOL measured by EQ-5D was estimated as 0.9486 and QOL of tinnitus subgroup(0.9169) was lower than the non-tinnitus subgroup(0.9559), significantly. Stratified by age and sex, QOLs of all sub-groups with tinnitus were lower than without tinnitus sub-groups significantly. Regression equations from 2009 NHNS data were developed using hierarchial regression analysis which is as follows. $$Y_{EQ-5D}=0.9224-0.0079{\times}T1-0.0261{\times}T2-0.0951{\times}T3+\sum_{i=1}^{n}{\beta}_i{\times}X_i\\{\hspace{95}}(0.0106){\hspace{3}}(0.0037){\hspace{30}}(0.0072){\hspace{30}}(0.0038)$$ ($X_i$=Other explanatory variables except Tinnitus QOL1, 2, 3, ${\beta}$= Regression Coefficient of Model 4) Conclusion : We confirmed the correlation among THI and EQ-5D and HUI-III, and developed the inference for regression equation of EQ-5D.

Trends of Korean Medicine Conservative Treatment Using Low Back Pain Patients Registry Data: Analysis of Medical Records of 7 Korean Medical Hospital (요통 환자 레지스트리 데이터를 통한 한의 보존적 치료 경향: 7개 한방병원 의무기록 분석)

  • Lee, Kang-Joon;Oh, Min-Seok;Lee, Eun-Jung;Shin, Byung-Cheul;Hwang, Eui-Hyoung;Kim, Soon-Joong;Cha, Yun-Yeop;Ko, Youn-Seok;Song, Yun-kyung
    • Journal of Korean Medicine Rehabilitation
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    • v.29 no.3
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    • pp.87-101
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    • 2019
  • Objectives The purpose of this study is to investigate characteristics of low back pain patients and trends of Korean medicine conservative treatment effects of low back pain patients by registry data. Methods A total of 78 patients were analyzed, statistical analysis was performed using a generalized linear model. The comparison between groups was performed using independent two samples t-test or Wilcoxon rank sum test according to the distribution of normality. Before and after the treatment effects, ANOVA and Kruskal-Wallis method were used for the comparison, Sheffe method was used for the post test. Results The average age of hospitalized patients was 31.8 years old and out-patient department (OPD) patients was 44.9 years old. Lots of OPD patients and hospitalized patients were classified to 'Lumbago due to Coexist Qu Stagnation and Bloos Stasis'. Both OPD patients and hospitalized patients classified to 'Lumbago due to Coexist Qu Stagnation and Bloos Stasis' showed statistically significant decrease in RMDQ (Roland-Morris disability questionnaire) and NRS (numeric rating scale) on 1 month and 3 month after clinical research start date. Comparing the treatment effects of Chuna manual therapy, both Chuna group and non-Chuna group showed statistically significant decrease in RMDQ and NRS on discharge date, 1 month and 3 month after clinical research start date. Conclusions We expect that a larger scale registry study will be carried out to provide a higher level of basis for the Korean medical treatment of low back pain.