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Total Pain of Patient with Terminal Cancer (말기 암환자의 총체적 고통)

  • Lee, Won-Hee
    • Journal of Hospice and Palliative Care
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    • v.3 no.1
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    • pp.60-73
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    • 2000
  • Purpose : The purpose of this study was to describe a total pain model in patients with terminal cancer and to identify factors relating to total pain using the Twycross Pain Management Model, which included physical, psycho-social and spiritual pain. Method : The study was a retrospective descriptive study. The first stage included 87 patients who received hospice service at Y hospital in 1997. The second stage included five model patients who suffer severe pain as selected by the four hospice nurses. Data collection was from 1) chart analysis and 2) in-depth interviews with the hospice nurses about their selected patients. Data analysis was performed using SPSS-WIN and content analysis. Result : 1) The main problems of 3 patient with terminal cancer were pain(77%), constipation (25.3%), family coping(35.6%), psycho-spiritual distress(17.2%)and other symptoms. 2. The Twycross model was a useful model. However, new items were added; loneliness, depression, and no improvement in condition as depression factors. In anger, new items were anger due to family neglect, at God and in relationships. The case studies identified the followsing; 1) Patient suffer from physical pain as well as multiple other symptoms when cancer is advanced. 2) Body concept, role change, threat to self concept, fear of pain, fear of death, anxiety, family conflict, financial burden, spiritual distress, hope for a cure, are all affected. Conclusion : 1) It is believed that the Twycross model is useful but further tests and revisions are necessary for deciding priorities in the care plan. 2) Pain management must improve culturally appropriate and family support, psychological, spiritual care are imperative for patient with terminal cancer. 3) Further study is recommended to test correlations of depression, anxiety, spiritual distress and family coping using valid instruments. A qualitative study on the spiritual journey of the patient with terminal cancer is also recommended.

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A Study on Calibration of Underestimated Wave Heights Measured by Wave and Tide Gauge (WTG) (저평가된 수압식 파고계(WTG) 관측 파고값 보정방안 연구)

  • Jeong, Weon Mu;Chang, Yeon S.;Oh, Sang-Ho;Baek, Won Dae
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.32 no.5
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    • pp.296-306
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    • 2020
  • It has been reported that the wave heights measured by Wave and Tide gauges (WTG) have been underestimated, and thus it is important to improve its measuring accuracy for enhancing estimation of harbor tranquility. In this study, the significant wave heights from WTG were calibrated using measured data from AWAC and Waverider buoys moored at the same four locations with the WTG. It was observed that the product of significant wave height and peak wave period, HT, was not underestimated but linearly proportional between the measurements by two instruments. This linearity was applied to develop 3rd order polynomial functions that best represented the relationship between HT and significant wave heights measured by WTG. These functions were then applied to calibrate the WTG significant wave heights that were lower than 0.7 m, the critical value established for the low waves in this study. The results showed that the linearity between the AWAC (or Waverider buoy) and calibrated wave heights were improved, and the magnitude of underestimated WTG wave heights were increased to be more realistic. The results of this study are expected to be effectively applied for other data sets obtained by WTG only, to increase the observation accuracy of WTG and to improve the estimation of harbor tranquility.

A Study on Folkcraft Processing Art and Designing Development-Especially Centerin garound Plant-Stalk Works (한국민속공예제품 가공기술 및 디자인 개발에 관한 제고방식-초경공예제품을 중심으로)

  • 남상교
    • Archives of design research
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    • v.2 no.1
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    • pp.13-41
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    • 1989
  • The raw materials for plant-stalk-folkcrafts are cultivated in the whole country. Most Korean farmers, to increase their income, have produced mats and containers with various plants as a side line from very long ago. At first, they began from the instruments of life and then made folkart and at last get to manu\ulcornerfacturing of industrial folk craft. The folkcrafts, made of plant-stalk, which could nor conform to changing society, are partly declined and partly handed down as the traditions. The social change today, however, makes living conditions more speedy and multisided, accordingly the characteristics of demand also become in\ulcornerdividual and various. While the demend is various like this, suppliers cannot answer demendants' requirements, and consequently, the demand and profit cannot be increased. According to this, the purpose of this study is set up to give an answer to the situation that is at the traditional standstill, through an examination of the motives. I. The crafts of plant-stalk are made only in an organized relationship between agriculture, industry and art as it is compounded art of gathering raw material, manufacturing, producing, improv\ulcornering design and production conditions. It may be possible that a farmer gathers material and weaves it manually but in others, it is im\ulcornerpossible to refine, bleach and dye because the process requires a professional industrial treatment. It is impossible to make art works to a farmer as every farner does not always have aesthetic sense. Though a farmer or producer has these all abilities, it is not desirable to him from economical view. 2. The development or improvement is essential in many sides but the most important thing seems to he in design. According to reports, it is, howevt!r, fact that the crafts improved in design of existing works have more expanded the sales than newly developed works. Therefore, ir appears advisable to improve designs of existing things positively as they have merit of occupying a position already, but on the other hand, new crafts have to be also developed and the producer should grasp the proper time. 3. Building up an industrial complex to improve design with collecting the producing districts for this works scattered allover the country is very desirable for speedy communication, intensive educa\ulcorner tion or training, and effective guidance. 4. In producing for export abroad, before everything, must know the life environment, custom! and manners, main thought of the country, and then produce according to these. S. The crafts of plant-stalk are the fIrst industry in present but in the futher it should change intc second or third industry. 6. A synethetic organization for supporting side line should be established for effectiveness, and experts have to be secured and also the educational-industrial complex and activation of study should be preceded.

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A Review on Soil Respiration Measurement and Its Application in Korea (토양호흡의 측정과 국내 연구 현황에 대한 고찰)

  • Lee, Eun-Hye;Lim, Jong-Hwan;Lee, Jae-Seok
    • Korean Journal of Agricultural and Forest Meteorology
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    • v.12 no.4
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    • pp.264-276
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    • 2010
  • The objectives of this study were to introduce the methods of soil respiration measurement, to review soil respiration studies conducted in Korea, and to suggest potential issues generated from using various methods for soil respiration measurement. According to the measurement principles, the methods of soil respiration measurements are classified as: alkali absorption method (AA), closed chamber method (CC), closed dynamic chamber method (CDC), and open flow method (OF). Based on the litereaure review on soil respiration studies in Korea, the CDC method was mostly used by the researchers (62%), followed by the AA (17%), OF (13%) and CC (8%) methods. Along with these methods, various instruments were used such as LI-6400-09, EGM-3, EGM-4, and automatic soil respiration chamber. Most of the soil respiration measurements were carried out in forest ecosystems and the reported soil respiration showed a wide range of variations from 130 to 900 mg $CO_2\;m^{-2}h^{-1}$. Continuous monitoring of soil respiration with minimal disturbance and the potential inconsistency in measurements are still the challenges facing the researchers, causing a paucity in quality datasets of sufficient quantity. Few attempts of intercomparison among different methods hinder the data users from synthetic analysis and assessment of the collected datasets. In order to better estimate soil carbon budget and understand their exchange mechanisms in key ecosystems of Korea, it is necessary to measure soil respiration at various plant functional types, soils, and climate conditions over a decadal time scale along with the study on the partitioning of soil respiration into autotrophic and heteorotrophic components.

A Study of Realistic Mathematics Education - Focusing on the learning of algorithms in primary school - (현실적 수학교육에 대한 고찰 - 초등학교의 알고리듬 학습을 중심으로 -)

  • 정영옥
    • Journal of Educational Research in Mathematics
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    • v.9 no.1
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    • pp.81-109
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    • 1999
  • This study aims to reflect the basic principles and teaching-teaming principles of Realistic Mathematics Education in order to suppose an way in which mathematics as an activity is carried out in primary school. The development of what is known as RME started almost thirty years ago. It is founded by Freudenthal and his colleagues at the former IOWO. Freudenthal stressed the idea of matheamatics as a human activity. According to him, the key principles of RME are as follows: guided reinvention and progressive mathematisation, level theory, and didactical phenomenology. This means that children have guided opportunities to reinvent mathematics by doing it and so the focal point should not be on mathematics as a closed system but on the process of mathematisation. There are different levels in learning process. One should let children make the transition from one level to the next level in the progress of mathematisation in realistic contexts. Here, contexts means that domain of reality, which in some particular learning process is disclosed to the learner in order to be mathematised. And the word of 'realistic' is related not just with the real world, but is related to the emphasis that RME puts on offering the students problem situations which they can imagine. Under the background of these principles, RME supposes the following five instruction principles: phenomenological exploration, bridging by vertical instruments, pupils' own constructions and productions, interactivity, and interwining of learning strands. In order to reflect how to realize these principles in practice, the teaming process of algorithms is illustrated. In this process, children follow a learning route that takes its inspiration from the history of mathematics or from their own informal knowledge and strategies. Considering long division, the first levee is associated with real-life activities such as sharing sweets among children. Here, children use their own strategies to solve context problems. The second level is entered when the same sweet problems is presented and a model of the situation is created. Then it is focused on finding shortcomings. Finally, the schema of division becomes a subject of investigation. Comparing realistic mathematics education with constructivistic mathematics education, there interaction, reflective thinking, conflict situation are many similarities but there are alsodifferences. They share the characteristics such as mathematics as a human activity, active learner, etc. But in RME, it is focused on the delicate balance between the spontaneity of children and the authority of teachers, and the development of long-term loaming process which is structured but flexible. In this respect two forms of mathematics education are different. Here, we learn how to develop mathematics curriculum that respects the theory of children on reality and at the same time the theory of mathematics experts. In order to connect the informal mathematics of children and formal mathematics, we need more teachers as researchers and more researchers as observers who try to find the mathematical informal notions of children and anticipate routes of children's learning through thought-experiment continuously.

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A Study on Current Status of Detection Technology and Establishment of National Detection Regime against Nuclear/Radiological Terrorism (핵테러/방사능테러 탐지 기술 현황 및 국내 탐지체계 구축 방안에 관한 연구)

  • Kwak, Sung-Woo;Jang, Sung-Soon;Lee, Joung-Hoon;Yoo, Ho-Sik
    • Journal of Radiation Protection and Research
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    • v.34 no.3
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    • pp.115-120
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    • 2009
  • Since 1990s, some events - detection of a dirty bomb in a Russian nation park in 1995, 9/11 terrorist attack to WTC in 2001, discovery of Al-Qaeda's experimentation to build a dirty bomb in 2003 etc - have showed that nuclear or radiological terrorism relating to radioactive materials (hereinafter "radioactive materials" is referred to as "nuclear material, nuclear spent fuel and radioactive source") is not incredible but serious and credible threat. Thus, to respond to the new threat, the international community has not only strengthened security and physical protection of radioactive materials but also established prevention of and response to illicit trafficking of radioactive materials. In this regard, our government has enacted or revised the national regulatory framework with a view to improving security of radioactive materials and joined the international convention or agreement to meet this international trend. For the purpose of prevention of nuclear/radiological terrorism, this paper reviews physical characteristics of nuclear material and existing detection instruments used for prevention of illicit trafficking. Finally, national detection regime against nuclear/radiological terrorism based on paths of the smuggled radioactive materials to terrorist's target building/area, national topography and road networks, and defence-in-depth concept is suggested in this paper. This study should contribute to protect people's health, safety and environment from nuclear/radiological terrorism.

Predictors of Early Postpartum Depression in Mothers of Preterm Infants in Neonatal Intensive Care Units (신생아중환자실에 입원 중인 미숙아 어머니의 산욕초기 산후우울 예측요인)

  • Lee, Jae-Young;Ju, Hyeon-Ok
    • Child Health Nursing Research
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    • v.20 no.2
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    • pp.87-95
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    • 2014
  • Purpose: This study was done to investigate the point prevalence of postpartum depression and its predictors during early postpartum in mother of preterm infants. Methods: Participants were 101 women, 2-3 weeks after delivery whose preterm babies were hospitalized in a neonatal intensive care unit. Data were collected from June 2010 to January 2011. The instruments included 'Edinburgh Postnatal Depression Scale', 'Prenatal depression', 'Subjective health status of infant', 'Medical staff support', and 'Husband support'. Collected data were analyzed using t-test, ${\chi}^2$-test, and multiple logistic regression with SPSS/WIN version 18.0. Results: The point prevalence was 86.1% that postpartum depression occurred during the early postpartum period in mothers of preterm infants. Three significant predictors of postpartum depression in mothers of preterm infants were identified; 'Type of delivery (OR, 5.57; 95% CI, 1.25-24.77)', 'Subjective health status of infant (OR, 0.34; 95% CI, 0.16-0.70)', and 'Medical staff support (OR, 0.52; 95% CI, 0.28-0.97)'. Conclusion: The results indicate that postpartum mothers should be screened for postpartum depression early in the postpartum period and that, medical personnel should pay particular attention to mothers with a caesarean section and should help mothers of preterm babies to develop positive perceptions of their babies.

The Level of Anxiety and Relating Factors of ICU Patients (중환자실 환자의 입원시 불안정도와 영향요인)

  • Han, Kyoung-Shin;Park, Young-Im
    • The Journal of Korean Academic Society of Nursing Education
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    • v.8 no.1
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    • pp.155-166
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    • 2002
  • This study was performed to figure out the level of anxiety and relating factors of ICU patients as the hospitalization in ICU grows more recently. Data collection was conducted from July 1st to August 31st, 2001. The subjects of this study were consisted of 101 ICU patients who were selected according to the criteria in S hospital, C city. The instruments of the research were consisted of 14 questions of general characteristics, 20 items of STAI, VAS, 24 questions for the anxiety relating factors. And data were analyzed by t-test, ANOVA, and pearson correlation for group difference and correlation with SPSS Win 10.0 program. The followings were the results of the study: 1. In the anxiety level, mean score on STAI was 53.7(item mean $2.69{\pm}.83$), and mean score on VAS was 5.23. It means that the anxiety level of ICU patients was moderate. 2. Among the relating factors of anxiety, the most highest scores were 'by seeing other patient's emergency situation' and 'by seeing other patient's death' figured 3.85 and 3.79 each. And the lowest marks were 'by the unkind behavior of doctors and nurses'(2.13) and 'nurses' or doctors' indifferent actions'(2.21). And the anxiety according to the environmental factor was the highest (3.17) and the anxiety regarding to the human relationship was the lowest (2.53). 3. In the anxiety level STAI according to the general characteristics, the patients who didn't have to take care of their family showed more anxiety than who had to take care of their family(t=-2.38, p=.02). And the variables that shows a significant difference on VAS was sex and women's anxiety was higher than men's level (t=-2.56, p=.01). 4. When the physical anxiety level was compared, the patients who had to take care of their family showed more anxiety than the people who didn't have to take care of their family(t=-1.95, p=.05). In the level of anxiety relating the human relationship, the patients who had religion showed more anxiety than patients who didn't(t=2.43 p=.02). And the married patients(t=2.43, p=.01) and more educated people(F=3.77, p=.01) showed more anxiety. Even though environmental anxiety was the highest factor, it was not significant with general characteristics. 5. The anxiety and relating factors showed positive significant relationship, and physical anxiety factor showed the strongest relation with STAI(r=.21, p<.01). And VAS level showed stronger relation with every factor of the anxiety than STAI. When the VAS level became higher, the anxiety relating to physical factor(r=.72, p<.01), human relationship(r=.63, P<.01), and environment became higher. According to the above result, the environmental anxiety was the highest level than other factors in ICU patient and thus the environmental nursing intervention becomes very important in ICU. Also nurses in ICU have to support the patients who showed higher level of anxiety in this study and try to develop the nursing intervention to relieve the anxiety of patients. And it is recommended that VAS is convenient and practical instrument for measuring the anxiety level in ICU patients.

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A Landscape Possessor and Enjoyment of Jongho on the Mansutan River Traced by Stone Inscription and 'Jongho Eight Views' (바위글씨와 팔경으로 추적한 만수탄(萬水灘) 종호(鍾湖)의 경관 향유자와 풍류상)

  • Rho, Jae-Hyun;Kim, Hwa-Ok;Park, Yool-Jin;Kim, Hong-Gyun
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.38 no.1
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    • pp.53-66
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    • 2020
  • This study was attempted to seek the garden enjoyment of the Yang Un-geo etc., in the head house(宗宅) of Namwonyang's family and Jongho in Sunchang Gumiri through literature and field research. Admirers of Jongho were "six old Taoist hermit", including Cholo(楚老) Yang Un-geo(楊雲擧, 1613-1672) and Yangjindang Haman-ri, the author of Jongho-palgyeong, who was very close friends of Yang, as well as his son-in-law or out-law. Jonghojeong Pavilion, overland rock and nearby Takyeongjeong, which were built around a stone island shaped like a helmet, and a pool along the river, are known as 'Imcheonwonrim(林泉園林)' as the center of the custom that was conducted based on head house, which is up to 2km away from Jongho. Jongho-palgyeong is found to share the characteristics of Jeongja Palgyeong, which is based on Jonghoam, overland and Takyeongjeong, and the characteristics of the town's township of Namwonyang, Gumi-ri. The number of rock letters identified by the Mansutan members is a total of nine points, which clearly indicates that the scene was a scene where the custom of call to create poetry·fishing·playing musical instruments and drinking, as well as the scenery and landscape structure of the Jongho Palgyeong. Jongho Palgyeong, its customs and surrounding rock writing are highly suggestive and valid cultural views to remind or direct the old landscape of Mansutan Jongho and suggest to modern traditional landscapes as well as the "Noblesse oblige landscape enjoyment case."

A Study on the Experience of Clinical Practice and the Performance Confidence (치위생과 학생의 임상실습 경험정도와 수행자신감에 관한 연구)

  • Lee, Yeong-Ae;Kim, Young-Sun
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.353-359
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    • 2008
  • To find out the relationship between the experience of clinical practice and the performance confidence, some 2nd and 3rd grade students in D health college who completed clinical practice in 2008. Sept. were surveyed. The results are as follows. 1. During the clinical practice of the dental hygiene students, the performance experience was highest in the basic prep. part among every part. As for the dental hygiene part, the students showed more than 70%, rather higher performance experience in the following parts: arrangement before and after treatment, suction, basic instruments setup, local anesthesia setup, extraction setup, resin filling setup, temporary filling setup, cements mixing, and ligation and removal setup. 2. As for performance confidence, those with performance experience showed higher performance confidence than those with only observation experience or with no experience in every treatment field except basic prep. (p < 0.001). 3. It was proven that the hygiene students have seldom had performance experience in other treatment parts except in assisting treatment part in clinical practice. In order to improve future performance experience on dental hygiene activities, subsequent research is needed to set more specific and objective criterion about the dental hygiene students' clinical practice.

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