• Journal of Hospice and Palliative Care
• /
• 제23권2호
• /
• pp.71-84
• /
• 2020

Purpose: The purpose of this systematic review and meta-analysis was to investigate the effects of advance care planning on end-of-life decision-making. Methods: Databases including RISS, KISS, KMbase, KoreaMed, PubMed (MEDLINE), Embase, and CINAHL were searched for studies that examined the effects of advance care planning interventions. The inclusion criteria were original studies in English or Korean; adults ≥18 years of age (population); advance care planning (intervention); completion of advance directives (AD) or advance care planning (ACP) (outcomes); and randomized or non-randomized controlled trials (RCTs and non-RCTs, respectively) (design). Study quality was measured using the checklists of the Joanna Briggs Institute. Meta-analyses were conducted with the Comprehensive Meta-Analysis program. Results: Nine RCTs and nine non-RCTs were selected for the final analysis. The effect sizes (ES) of the outcome variables in nine RCTs were meta-analyzed, and found to range from 0.142 to 0.496 for the completion of AD and ACP (ES=0.496, 95% CI: 0.157~0.836), discussion of end-of-life care (ES=0.429, 95% CI: -0.027~0.885), quality of communication (ES=0.413, 95% CI: 0.008~0.818), decisional conflict (ES=0.349, 95% CI: -0.059~0.758), and congruence between preferences for care and delivered care (ES=0.142, 95% CI: -0.267~0.552). Conclusion: ACP interventions had a positive effect on the completion of AD and ACP. To apply AD or ACP in Korea, it is necessary to develop ACP interventions that reflect aspects of Korean culture.

• 한국의학물리학회지:의학물리
• /
• 제28권2호
• /
• pp.39-44
• /
• 2017

This study aims to analyze dose distribution and treatment time of endobronchial brachytherapy (EBBT) by changing the position step size of the dwell position. A solid water phantom and an intraluminal catheter were used in the treatment plan. The treatment plans were generated for 3, 5, 7, and 10 cm treatment lengths, respectively. For each treatment length, the source position step sizes were set as 2.5, 5, and 10 mm. Three reference points were set 1 cm away from the central axis of the catheter, along the axis, for uniform dose distribution. Volumetric dose distribution was calculated to evaluate the dosimetric effect. The total radiation delivery time and total dwell time were estimated for treatment efficiency, which were increased with position step sizes. At half-life time, the differences between the position step sizes in the total radiation delivery time were 18.1, 15.4, 18.0, and 24.0 s for 3, 5, 7, and 10 cm treatment lengths, respectively. The dose distributions were more homogenous by increasing the position step sizes. The dose difference of the reference point was less than 10%. In brachytherapy, this difference can be negligible. For EBBT, the treatment time is the key factor while considering the patient status. To reduce the total treatment time, EBBT can be performed with 2.5 mm position step size.

• 한국의학물리학회지:의학물리
• /
• 제29권4호
• /
• pp.164-172
• /
• 2018

We evaluated the performance of various detectors for small-field dosimetry with field sizes defined by a high-definition (HD) multileaf collimator (MLC) system. For small-field dosimetry, diodes referred to as "RAZOR detectors," MOSFET detectors, and Gafchromic EBT3 films were used in this study. For field sizes less than $1{\times}1cm^2$, percent depth doses (PDDs) and lateral profiles were measured by diodes, MOSFET detectors, and films, and absolute dosimetry measurements were conducted with MOSFET detectors. For comparison purposes, the same measurements were carried out with a field size of $10{\times}10cm^2$. The dose distributions were calculated by the treatment planning system Eclipse. A comparison of the measurements with calculations yielded the percentage differences. With field sizes less than $1{\times}1cm^2$, it was shown that most of the percentage difference values were within 5% for 6-MV and 15-MV photon beams with the use of diodes. The measured lateral profiles were well matched with those calculated by Eclipse as the field sizes increased. Except for the depths of 0.5 cm and 20 cm, there was agreement in terms of the absolute dosimetry within 10% when MOSFET detectors were used. There was good agreement between the calculations and measurements conducted using diodes and EBT films. Both diode detectors and EBT3 films were found to be appropriate options for relative measurements of PDDs and for lateral profiles.

• 건축역사연구
• /
• 제20권4호
• /
• pp.81-94
• /
• 2011

The purpose of the study, approaching from the aspect of the construction technologies, is to determine the architectural techniques of traditional wood architects in existence, through which the systems and techniques that create the inherent characteristics of Korean architecture are clarified. With understanding traditional construction system and focusing on the fact that built environment results from the consistent standards and technologies of architects, this study inquires into the systematic standard and its formation that present in the process of planning for the overall scale and shape of a building from the study determines dimension of structural members. All the members that constitute the structure are trimmed in advance and assembled in a short period of time on the site. Because of that, the dimensions for trimming and assembling are predetermined according to designated standards in the planning process, therefore consistent standard of computation are in necessity to design shapes and sizes of enormous amount of structural members. This study also shows the standards of measurement employed by architects while planning for structural members of a building, and how the size and range of its composition are developed.

• Journal of Biosystems Engineering
• /
• 제24권4호
• /
• pp.301-308
• /
• 1999

Path planning for field operation of agricultural machinery is an indispensible part for precision farming or autonomous field operation. In this study, two algorithms (I, II) of generating a time-based shortest operation path were suggested to plan an optimal operation of an agricultural tractor-implement in a rectangular shaped field. The algorithms were based on modification of a minimum spanning tree algorithm, and applied for tractor-implement operations. the generated path was consisted of round operation and returning operation sections. The number of round operation was determined from the condition that a tractor can turn smoothly at headlands. The performance of the algorithms was evaluated by the calculation number for path generation and the total path length generated. Their stability was affected by the number of returning operation, but the algorithm II was considered to be more stable. In addition, the performances of the developed algorithms were compared with those of the conventional field operations at selected field sizes and shapes. The results showed that the algorithms could reduce field operation time greatly. For a 100m$\times$40m field, the reduced path length was 78m. The study also included an user interface program for implementing the algorithms and generating GPS coordinates that could be used in GIS softwares for precision farming.

• Transactions on Electrical and Electronic Materials
• /
• 제14권4호
• /
• pp.208-210
• /
• 2013

ZnO films were deposited on glass substrates by radio frequency (RF) magnetron sputtering and exposed to intense electron beam irradiation to investigate the effects of electron irradiation on the properties of the films. Although all of the films had ZnO (002) textured structure regardless of electron irradiation, the grain sizes of the films decreased with electron irradiation. Surface roughness also depended on electron irradiation. The surface roughness varied between 2.3 and 1.6 nm, depending on the irradiation energy. Based on photoluminescence (PL) characterization, the most intense UV emission was observed from ZnO films irradiated at 900 eV. Since the intensity of UV emission is dependent upon the stoichiometric of ZnO films, we conclude that 900 eV was the optimum electron irradiation energy to achieve the best stoichiometric of ZnO films in this study.

• 제어로봇시스템학회논문지
• /
• 제17권8호
• /
• pp.807-813
• /
• 2011

High precision of planning in the preoperative phase can contribute to increase operational safety during computer-aided spinal fusion surgery, which requires extreme caution on the part of the surgeon, due to the complexity and delicacy of the procedure. In this paper, an advanced preoperative planning framework for spinal fusion is presented. The framework is based on spinal pedicle data obtained from CT (Computed Tomography) images, and provides optimal insertion trajectories and pedicle screw sizes. The proposed approach begins with safety margin estimation for each potential insertion trajectory that passes through the pedicle volume, followed by procedures to collect a set of insertion trajectories that satisfy operation safety objectives. The radius of a pedicle screw was chosen as 70% of the pedicle radius. This framework has been tested on 68 spinal pedicles of 8 patients requiring spinal fusion. It was successfully applied, resulting in an average success rate of 100% and a final safety margin of $2.44{\pm}0.51mm$.

• 가정과삶의질연구
• /
• 제28권3호
• /
• pp.179-187
• /
• 2010

Since the late 20th century, construction companies have developed different brands of apartments while keeping the LOHAS, well-being, ubiquitous, and one-stop-living concepts in mind. From this point of view, this study intends to define the diverse space planning needs of apartment residents. The purpose of this study is to suggest optimum guidelines regarding the subject of space requirements and planning by conducting in-depth interviews of residents whose apartment floor size is between $66m^2$ (20 Pyong) and $165m^2$ (50 Pyong) and whose apartment is less than 5 years old. The major findings were as follows: (1) The shortage of storage space in different types of apartment housing units was found to be a chronic problem. Thus, closet sizes mustbe increased. (2) The size of the master bedroom needs to be decreased, whereas the size of the kitchen and dining room as well as the size of the second and/or third bedroom must be increased. More space is required in common areas occupied by the family and larger closets are needed. Less space is required for the master bedroom.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
• /
• 제27권1호
• /
• pp.53-63
• /
• 2021

Purpose: Intensive Care Unit (ICU) is an important field of inpatient treatment, in which critically ill patients have been treated intensively with advanced medical technology. The level of treatment in the intensive care unit and the modernization of related facilities are important indicators of the quality of medical care. At present, when regional public hospitals are expanding frequently, reasonable planning of ICU has become an important part of medical institutions that treat ICU. The purpose of this study is to provide basic data on the net area of each unit, which can be used in ICU building planning. Methods: The investigation and analysis of the ICU were conducted in 12 medical institutions, based on theoretical analysis based on relevant guidelines and literature, and analysis of actual space composition and net area through architectural drawings. Results: This research provides basic data, such as the location relationship with other important departments, regional division, spatial composition, the relationship between main activities and regions, the composition of facilities in the region, and the area and proportions of each region. Implications: It is expected that the results of this article will provide effective reference materials for the reasonable spatial organization and effective operation of the intensive care units of ordinary public hospitals of different sizes in the future.

• 농촌계획
• /
• 제29권4호
• /
• pp.183-189
• /
• 2023

As South Korea faces a general decline in population, similar to other regions, its rural areas are also experiencing a downward trend. This study examines how the scale and shifts in population within rural towns(eup·myeon) are affecting the number of essential services such as hospitals, laundry shops, and beauty salons. Our analysis encompassed the populations of 1,403 towns, excluding nine areas due to lack of data as of 2020. Since the availability of basic services can vary with population size, we normalized the figures to reflect the number of services per 10,000 people, allowing for a comparative analysis across different population sizes. Generally, areas with more people showed an increase in the number of services per capita. Our review of changes from 2000 to 2020 revealed patterns in how service numbers adjust with population variations. Future research should delve into more detailed trends of these facilities and forecast the rural population's future to ensure that residents in areas where service sustainability may be challenging will have full access to necessary services.