• Journal of Hospice and Palliative Care
• /
• 제27권2호
• /
• pp.51-63
• /
• 2024

Purpose: This study aimed to clarify the concept of pediatric hospice and palliative care through conceptual analysis. It also sought to identify the differences between related concepts such as pediatric death care and pediatric spiritual care, in order to provide foundational data for the development of nursing theory and knowledge. Methods: A conceptual analysis of pediatric hospice and palliative care was conducted using Rodgers' evolutionary method. Out of 5,013 papers identified, 28 were selected for detailed reading and analysis. Results: Pediatric hospice and palliative care encompasses physical, psychological, social, mental, spiritual, and family care for children with acute and chronic diseases with uncertain prognoses ahead of death, as well as their families. Effective pediatric hospice and palliative care will require multidisciplinary team nursing, effective communication, and supportive policies. Conclusion: The findings of this study suggest that providing pediatric hospice and palliative care will lead to improvements in pain relief for children and families, the efficiency of responses to death in children, and the quality of life for children and families. The significance of this study is that it clearly clarifies the concept by analyzing pediatric hospice and palliative care using an evolutionary method.

• 대한원격탐사학회:학술대회논문집
• /
• 대한원격탐사학회 2006년도 Proceedings of ISRS 2006 PORSEC Volume I
• /
• pp.90-93
• /
• 2006

The first Geostationary Ocean Color Imager (GOCI) onboard its Communication Ocean and Meteorological Satellite (COMS) is scheduled for launch in 2008. GOCI includes the eight visible-to-near-infrared (NIR) bands, 0.5km pixel resolution, and a coverage region of 2500 ${\times}$ 2500km centered at 36N and 130E. GOCI has had the scope of its objectives broadened to understand the role of the oceans and ocean productivity in the climate system, biogeochemical variables, geological and biological response to physical dynamics and to detect and monitor toxic algal blooms of notable extension through observations of ocean color. The special feature with GOCI is that like MODIS, MERIS and GLI, it will include the band triplets 660-680-745 for the measurements of sun-induced chlorophyll-a fluorescence signal from the ocean. The GOCI will provide SeaWiFS quality observations with frequencies of image acquisition 8 times during daytime and 2 times during nighttime. With all the above features, GOCI is considered to be a remote sensing tool with great potential to contribute to better understanding of coastal oceanic ecosystem dynamics and processes by addressing environmental features in a multidisciplinary way. To achieve the objectives of the GOCI mission, we develop the GOCI Data Processing System (GDPS) which integrates all necessary basic and advanced techniques to process the GOCI data and deliver the desired biological and geophysical products to its user community. Several useful ocean parameters estimated by in-water and other optical algorithms included in the GDPS will be used for monitoring the ocean environment of Korea and neighbouring countries and input into the models for climate change prediction.

• 대한치과의사협회지
• /
• 제43권1호통권428호
• /
• pp.41-52
• /
• 2005

Information Technology has extended its scope to the medical field as well as dental field. Like medical field, network ststem for dental field requires acquisition, storage, and display of images. However, unlike the medical field, the system to integrate several information including medical images has not been developed according to industrial standard for management of digital image for medical use, so called DICOM conformance. which makes the digital environment in dental field more and more difficult and expensive for this standardization and comfortable communication in LAN and WAN. To solve this problem, the DICOM encoder and server has to be developed because the DICOM file can be easily retrieved with patient's information from the DICOM server in the system as DICOM file has the standard specification to integrate the patient's information. The information including image and other discrete data can be easily integrated in DICOM file and can be used without any difficulty for precise diagnosis and for contribution to the decision making for each treatment protocol. Therefore, the system composed of DICOM encoder and server in dental practive for DICOM file must be developed with prudent consideration of the several strategic factors: I) Enhanced diagnostic capability through the integrated information of image and clinical data. ii) Clinician-friendly interface to simulate the systemic treatment procedure in clinical practice iii) Implementation of multidisciplinary treatment protocol The development of DICOM encoder and server based on these strategic considerations will provide paperless and filmless hospital environments by the seamless integration and management of patient's history, several clinical data and clinical images through image processing for quantitative analysis. The system also allows clinicians to provide more predictable dental care for the patients.

• 한국태양에너지학회 논문집
• /
• 제40권1호
• /
• pp.1-13
• /
• 2020

A study on estimation of the Levelized Cost of Energy (LCOE) was conducted for the Korean onshore wind farms. The LCOE was estimated on the basis of the actual wind farm data from Data Analysis, Retrieval Transfer system (DART) run by Financial Supervisory Service. Recently, social discount rate of Korea dropped from 5.5% to 4.5%, which was taken into account for this study. The onshore wind farms studied accounted for 42% of all the onshore wind farms of South Korea. Capital Expenditure (CapEx) and Operation Expenditure (OpEx) were calculated from the actual data, while Capacity Factors (CFs) were obtained from the wind farms of five provinces. Their distributions were estimated using Maximum Likelihood Estimation method, and then Monte Carlo Simulation (MCS) was performed for estimating LCOE, Levelized Fixed Cost (LFC), and Levelized Variable Cost (LVC). As a result, the LCOEs at the two discount rates, 4.5 and 5.5%, were 142 and 152 $/MWh, respectively, which were lower than that of financially viable onshore wind project of Korea. The 1% drop of social discount rate was estimated to result in a 10 $/MWh decrease in LCOE and a 4 $/MWh in LFC, which can be an advantage for wind project investors.

• 한국응용과학기술학회지
• /
• 제37권3호
• /
• pp.543-550
• /
• 2020

본 연구는 간호사의 스트레스, 스트레스 증상 및 이직의도를 비교하기 위한 서술적 조사 연구이다. 연구대상자는 대상자는 D시에 소재한 2개 대학교병원 간호사 183명을 대상으로 하였으며 2018년 9월 1일부터 12월 1일까 까지 실시되었다. 자료분석은 SPSS 22.0 프로그램을 이용하였으며, 빈도와 백분율, 평균, 표준편차, t-test, ANOVA, correlation를 이용하였다. 본 연구결과 대상자의 스트레스는 평균이 95.05±10.21점, 스트레스 증상은 200.02±50.73점, 이직의도는 39.591±8.3점 이었고, 스트레스가 증가할수록 스트레스 증상과 이직의도가 증가하는 것으로 나타났다. 이상의 결과로 간호사의 스트레스 감소를 위한 다학재적 지원 방안이 필요한 실정이며, 본 연구 결과는 간호 인력의 효율적인 운용을 위해 기초자료로서 유용하게 활용될 수 있을 것이다.

• The Journal of Asian Finance, Economics and Business
• /
• 제7권8호
• /
• pp.425-433
• /
• 2020

This paper aims to develop a conceptual framework for evaluating the impact of motivational factors on the work results of lecturers at Vietnam National University, Hanoi (VNU), one of two leading multidisciplinary and multi-sectoral national universities in Vietnam. This study has considered wages and other benefits (WB), training and development (TD), working environment (WE) and working motivation (WM) as motivational factors, and proposed a structural model of the impact of motivational factors on the work results of lecturers at VNU. The empirical analysis used data from the survey data of 321 university lecturers. Comprehensive, valid, and reliable tools (SPSS 26 and SmartPLS 3.0 software) are used to evaluate rigorous statistical tests including convergence validity, discriminatory validity, reliability, and average variance extracted to analyze and verify the gathered data, and the hypotheses developed. The result of path analysis shows that four motivational factors constitute a structured system with different degrees of influence on the work results of lecturers. There is also a positive relationship between the motivational factors and the work results of lecturers. As a result, it can be concluded that all hypotheses developed are supported. Several recommendations are further suggested to improve the performance of lecturers at VNU.

• 한국간호교육학회지
• /
• 제26권3호
• /
• pp.248-258
• /
• 2020

Purpose: The purpose of this study was to identify the factors influencing nursing work performance among clinical nurses in the hospital. Methods: This descriptive correlational study collected data from 122 clinical nurses who were working in three tertiary referral hospitals in Busan. The data were collected, using self-reported questionnaires, from September 2 to October 14, 2019. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient, and multiple regression using SPSS/WIN 25.0 program. Results: Nursing work performance was significantly associated with resilience, innovation oriented culture, relationship oriented culture, and hierarchy oriented culture. The factors significantly influencing nursing work performance of the participants included relationship oriented culture (β=.27, p=.015), hierarchy oriented culture (β=.25, p=.003), resilience (β=.19, p=.035), and total clinical career (β=.18, p=.030), which explained 27.3% of nursing work performance (F=8.59, p<.001). Conclusion: The results indicate that there is a need to improve communication skills among multidisciplinary team members and to harmonize hierarchical and relational cultures in order to enhance nursing work performance. In addition, this study suggests developing interventions for enhancing the resilience of clinical nurses.

• 자동차안전학회지
• /
• 제15권2호
• /
• pp.42-48
• /
• 2023

In recent years, automated vehicles have garnered attention in the multidisciplinary research field, promising increased safety on the road and new opportunities for passengers. High-Definition (HD) maps have been in development for many years as they offer roadmaps with inch-perfect accuracy and high environmental fidelity, containing precise information about pedestrian crossings, traffic lights/signs, barriers, and more. Demonstrating autonomous driving requires verification of driving on actual roads, but this can be challenging, time-consuming, and costly. To overcome these obstacles, creating HD maps of real roads in a simulation and conducting virtual driving has become an alternative solution. However, existing HD maps using high-precision data are expensive and time-consuming to build, which limits their verification in various environments and on different roads. Thus, it is challenging to demonstrate autonomous driving on anything other than extremely limited roads and environments. In this paper, we propose a new and simple method for implementing HD maps that are more accessible for autonomous driving demonstrations. Our HD map combines the CARLA simulator and OpenStreetMap (OSM) data, which are both open-source, allowing for the creation of HD maps containing high-accuracy road information globally with minimal dependence. Our results show that our easily accessible HD map has an accuracy of 98.28% for longitudinal length on straight roads and 98.42% on curved roads. Moreover, the accuracy for the lateral direction for the road width represented 100% compared to the manual method reflected with the exact road data. The proposed method can contribute to the advancement of autonomous driving and enable its demonstration in diverse environments and on various roads.

• Journal of Trauma and Injury
• /
• 제29권4호
• /
• pp.139-145
• /
• 2016

Purpose: The major pelvic trauma results in high mortality with associated fatal other injuries. During early stage of resuscitation, multidisciplinary approach is essential to improve the survival and outcomes. This study aims to report the effect and positive outcome of the trauma team approach on the management of hemodynamically unstable pelvic bone fracture. Methods: This retrospective review included all patients with hemodynamically unstable pelvic bone fracture admitted between March 2007 and December 2015. Patients were divided into group A, which comprised those admitted before the trauma team approach was started, and group B, which comprised those admitted after the approach was started. The advanced trauma life support protocol was followed for all patient. The comparisons between the two groups were based on medical records. Study variables included demographics, initial vital sign, injury severity score, fracture type, and injury mechanism. We analyzed the outcomes in each group with respect to the time interval for doctors' arrival, total length of stay in the emergency department (ED), time interval for computed tomography evaluation, 24-hour mortality, time interval for definitive fixation, and definitive fixation in the time-window of opportunity. Results: Fifty-three patients met the inclusion criteria. No statistically significant differences in demographic data existed between the two groups. The time interval for doctors' arrival (min, $63.09{\pm}50.48$ vs $21.48{\pm}17.75$; p=0.038) and total length of stay in the ED (min, $269.33{\pm}105.96$ vs $115.49{\pm}56.24$; p=0.023) were significantly improved. The 24-hour mortality was not significantly different between the two groups.(%, 14.3 vs 12.0; p=1.000) However, the time interval for definitive fixation and definitive fixation in the time-window of opportunity showed better results. Conclusion: The trauma team approach has positive effects, which include initial resuscitation through multidisciplinary approach and shortening the time interval to definitive fixation, on the management of hemodynamically unstable pelvic bone fracture.

• 임상간호연구
• /
• 제25권2호
• /
• pp.120-132
• /
• 2019

Purpose: This study aimed to investigate the performance of patient engagement nursing services perceived by nurses and necessity in Korea. Methods: This study was a descriptive research. A total of 205 nurses participated in the study. The Smart Patient Engagement Assessment Checklist was developed by the investigators to assess patient engagement nursing services performance and necessity. The data were collected using online survey. Descriptive analysis and $x^2$ analysis were performed using SPSS 25.0 program. Results: The mean age of participants was $36.6{\pm}8.5years$ and the mean working experience was $12.92{\pm}9.23years$. Seventy eight percent of participants reported that patients and family participated in care as advisors through customer's suggestion or patient satisfaction assessment. The rate of patients' and family's engagement in care as advisors was significantly higher in tertiary hospitals ($x^2=28.54$, p<.001). About 89% of participants communicated with patients and family to make clinical decisions with a multidisciplinary approach. The rate of communication for multidisciplinary decision making was significantly higher in tertiary hospitals ($x^2=6.30$, p=.012). With regards to nurses' bedside patient handoff, 22.0% of participants reported that they were performing bedside patient handoff, and there was no significant difference between type of hospitals. About discharge planning, 72.2% of participants reported utilizing discharge checklist. Conclusion: Currently, patient engagement nursing services are applied partially in Korea. It seems that care protocols to be applied for patient engagement nursing services are insufficient. Therefore, patient engagement care protocols need to be developed to improve patient's health outcome and safety.