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A Study on the Motivation to Write Signing Advance Medical Directives (사전연명의료의향서 작성 동기에 관한 연구)

  • Chang, Kyung-Hee;Kang, Kyung-hee;Kim, Doo Ree;Lim, HyoNam;Kim, Kwang-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.10
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    • pp.243-249
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    • 2019
  • This study examined the patient's advantage and respect self-decision to protect human dignity and values, who are on the pathway of the hospice palliative care and death process. The study subjects were the elderly who had signed the advance medical directives at C Christian religious facilities in S region. The survey period was started on July 1st, 2019 and lasted for ten days. The study resulted in four topics and eight sub-topics on the motivation for preparing advanced medical directives. The four topics were 'for children', 'fear of pain', 'want to clear my life', 'felt the necessity', and the sub-topics were 'don't want to make a burden to children', 'don't want to make a worry of medical expenses', 'fear of pain', 'have experience of taking caring of painful death process', 'relaxed mind', 'importance of self-decision', 'have known it before but now decided', and 'it is the new information and decided'. This research is meaningful in that it can form the basis for improving well-dying education programs for the good death of the elderly and supplementing effective systems for preparing advance medical directives.

A study on the current status and improvement suggestions of cultural heritage education in primary school Focused on curriculum analysis and teachers' cultural heritage education experiences (초등학교 문화유산 교육 현황과 방향 제언 - 교육 과정 분석 및 교사의 문화유산 교육 경험을 중심으로 -)

  • HAN, Geonsoo;KIM, Dawon
    • Korean Journal of Heritage: History & Science
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    • v.54 no.4
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    • pp.132-151
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    • 2021
  • The purpose of this study is to analyze the current status of and suggest future improvement practices for cultural heritage education in primary school. We analyzed a primary school textbook for each of five subjects (Korean, social studies, music, art, physical education), surveyed ten teachers with cultural heritage education experience, and analyzed the results. Based on the results, we made the following five suggestions: First, the goal of cultural heritage education should be expanded to foster citizenship. Second, in cultural heritage education, it is necessary to discuss what should be included in the educational content and to organize the content systematically in connection with the student environment, local community environment, and subject content. Third, cultural heritage education should be linked with sustainable development so that cultural heritage can be passed on from the present generation to future generations. Cultural heritage has characteristics, such as universal values of humanity, that transcend national boundaries, regional identities, dialogue and understanding between civilizations, and sources of creativity, and thus serves as the foundation for sustainable development. Fourth, for the effective implementation of cultural heritage education in schools, it is necessary to develop step-by-step teacher training programs. The success or failure of cultural heritage education in schools depends on teacher training. Fifth, the degree to which cultural heritage education is integrated into the curriculum should be strengthened, allowing learners to be educated so that they can cultivate knowledge and critical thinking about cultural heritage, enjoy and protect it, and connect with a sustainable society.

The effect of music therapy for 119 emergency medical technicians with high post-traumatic stress

  • Ahn, Hee-Jeong;Shim, Gyu-Sik
    • Journal of the Korea Society of Computer and Information
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    • v.26 no.12
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    • pp.221-226
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    • 2021
  • This study was examined the effect and the continuity of music therapy for reduce on post-traumatic stress (PTS) in 119 emergency medical technicians (EMTs). The subjects of the study were 42 EMTs in the C area, and the study was conducted from November 25, 2019 to March 1, 2020. The experimental group conducted a total of ten music therapy programs twice a day for five days. The session-specific program was conducted by two music therapists, including the early, mid, late, and closed stages. Each step applied intervention techniques necessary for goals such as improvisation, rhythm making, Nanta, and couple physical activities. The control group was required to take a free break (TV viewing, cell phone games, sleep, exercise, etc.) at the same time as the experimental group's program. The study found that the control group had no difference in PTS before and after the application of music therapy, but the experimental group had a significant decrease in PTS immediately after the application of music therapy and a gradual increase in PTS after 4 and 12 weeks (p<.05). Repetitive music therapy is judged to be an effective way to mitigate the PTS leve for EMTs.

Dysphagia and Oral Function in Chronic Stoke Patient: 3 Months Follow up Study (만성 뇌졸중 환자의 시간에 따른 삼킴 기능 변화)

  • Im, Ikjae;Ko, Myoung-Hwan
    • 재활복지
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    • v.22 no.1
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    • pp.141-156
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    • 2018
  • The purpose of this study was to examine changes in the swallowing function with chronic stroke patient. Ten chronic stroke patients with dysphagia followed up for 3 months. Eight normal age match subjects were also participated. A total of 18 participated in this study and they were classified into two groups (stroke patient group and normal control group). Participants underwent videofluoroscopic swallowing examination. The swallowing function was evaluated over time. Oral transit duration, pharyngeal transit duration, laryngeal response duration, Modified Barium Swallowing Impairment Profile ($MBSImP^{TM(c)}$), and Functional Oral Intake Scale (FOIS) were applied. Chronic stroke patient group were showed significantly longer oral transit duration, pharyngeal transit duration and laryngeal response duration than normal control group at baseline. After 3 months in stroke patient group, the mean oral components score of MBSImP (1~5) significantly decreased and the mean score on FOIS increased compared to baseline. In conclusion, oral swallowing function and oral intake function improved by the 3 month evaluation. These results describe changes in swallowing function with chronic stroke patients over time and provide basic informations to understand dysphagia.

Illuminance Effects Affecting to Cognitive Ability of the Elderly (고령자의 인지력에 미치는 조도의 영향)

  • Kim, Myung-Ho
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.3
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    • pp.507-512
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    • 2019
  • To study how illuminance affects cognitive ability of the elderly, the elderly's EEG, concentration, HRV and vibra image were measured in a test room with temperature $25[^{\circ}C]$, relative humidity 50[RH%] and air flow speed 0.02[m/sec] by varying illuminance to 100[lux], 300[lux], 600[lux], 1000[lux] and 1500[lux]. Ten active elderly males were selected as subjects. Experiment condition was fixed as 1met of activity amount where the subject is seated and relaxed with cloth amount of 0.7clo. As a result, 1000[lux] was found out to be the most pleasant illuminance for the elderly, because $M{\beta}$ increased by 66.35%, and $S{\alpha}$ increased by 31.57% when the elderly was under 1000[lux] of illuminance. Also, concentration under 1000[lux] increased by 8.83% compared to 100[lux], and the pattern of concentration maintained uniformly. SDNN increased by 74.94% under 1000[lux] compared to 100[lux]. Nervousness decreased by 97.23% under 1000[lux] compared to 100[lux]. Moreover, HRT notably increased and aggression remarkably decreased under illuminance of 1000[lux]. Thus, based on the fact that comfort, concentration and heart stability of the elderly reach the highest under 1000[lux], it is determined that the illuminance has to be considered foremost in designing the elderly's welfare facilities to raise their safety and level of independence.

The Effects of Convegenced Integration Support Program for Home-Based Cancer Patients (재가암환자를 위한 융합적 통합지지 프로그램의 적용 효과)

  • Ahn, Mi-Na;Baek, Myung-Wha;Cho, Mi-Hye;Kim, Jeong-Sook;Kim, Seung-Mi;Kim, Jong-Pil;Kong, Jeong-Hyeon
    • Journal of Convergence for Information Technology
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    • v.9 no.2
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    • pp.65-74
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    • 2019
  • This study is an experimental study on the single group pre-post test design for the convegenced of an integration support program for home-based cancer patients and the verification of its effects. Targeting total 33 home-based cancer patients in J city, total 30 sessions of the convegenced integration support program composed of cancer-related knowledge education, stress management, cognitive behavioral approach, and exercise for revitalization were provided three times a week for ten weeks. In the results of this study, the convegenced integration support program reduced stresses of the subjects and also improved their hopes and self-esteem. Thus, this program is considered as a onvegenced integration support program suitable for home-based cancer patients. In the future, it would be necessary to seek for the nursing interventional strategies for the expansion for this program to regional health centers or community institutes performing the convegenced integration support program for cancer survivors, so that they could continuously participated in the program.

Factors Affecting the Quality of Life of Patients With Dementia: A Systematic Review of Literature Focusing on the Subjects Admitted to an Overseas Long-term Care Facility (치매 환자의 삶의 질에 미치는 요인 분석: 국외 요양시설에 입소한 대상자를 중심으로 체계적 문헌고찰)

  • Kim, Sun-Il;Jung, Min-Ye
    • Therapeutic Science for Rehabilitation
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    • v.8 no.1
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    • pp.7-25
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    • 2019
  • Objective: The purpose of this study was to perform a systematic literature review focusing on international studies to identify various factors affecting the quality of life(QOL) of dementia patients admitted to long-term care facilities. Methods: From January 2000 to July 2018, the articles published in foreign journals were searched through CINAHL and MEDLINE databases. The main search terms were'dementia or Alzheimer's'. 'quality of life', 'long-term care', 'care home', 'nursing home', 'care institution', 'residential care', 'small- scale setting'. The first 1706 articles were searched, but 10 studies were selected using the selection and exclusion criteria. Results: Analysis of ten cross-sectional studies showed that factors such as physical functioning status, ability to perform activities of daily living, and cognition showed a positive correlation with QOL. Depression and anxiety, severity of dementia, and neuropsychiatric symptoms were found to be negatively correlated with QOL. In addition, two longitudinal studies have confirmed that factors affecting QOL are affected by individual functional status and social environmental factors rather than the size and form of care facilities. Conclusion: This study summarized 10 papers and analyzed them through a systematic review of literature. We found that factors such as individual characteristics and social environment determine QOL of patients with dementia. In this study, various intervention methods to improve QOL of patients with dementia should be developed and used in long-term care facilities by identifying the factors affecting QOL of dementia patients and using them.

Survey on Feeding Facilities and Animal Welfare Level of Laying Hen Welfare Certified Farms (국내 동물복지 인증 산란계 농가의 사육시설 및 동물복지 수준 현황 조사)

  • Yang, Ka Young;Lee, Jun Yeob;Kwon, Kyeong Seok;Kim, Jong Bok;Jeon, Jung Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.20 no.7
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    • pp.145-150
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    • 2019
  • The purpose of this study was to investigate farmers' field survey to improve animal welfare certification standards and to obtain basic data on the animal welfare level for certified farmers to develop evaluation methods of animal welfare level suitable for domestic farm environment. The subjects of the study were selected 10 animal welfare laying certified farmhouses. The farming certified farming facility survey collected breeding form, head, feed and drink space, breeding density, length and shape of perch. Animal welfare was assessed by the presence of sand bath, spawning, enrichment measures, free range, feathers pecking. The results of the study showed that most the certified animal welfare laying hens complied with the certification standards. All the farms were providing the nest box, but there were farms with more than 20% of the spawning rate. The perches were provided in sufficient length, but only three of ten farms were using rounded perches. Feather damage has been identified in most survey farms, which is likely to be due to feather damage caused by roosters producing both fertilized eggs. In this study, 10 farm households were surveyed. It was not possible to represent the whole certified farmhouse. Therefore, it should be analyzed thoroughly to evaluate the level of animal welfare.

Biomechanical Analysis of Lower Limb on Stance during Golf Swing (골프 스윙 시 스탠스에 따른 하지의 역학적 분석)

  • Yoon, Se-Jin;Sul, Jeong-Dug;Woo, Byung-Hoon
    • Journal of the Korean Applied Science and Technology
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    • v.38 no.2
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    • pp.532-542
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    • 2021
  • The purpose of this study was to investigate the body's strategy through kinematic variables of the lower extremities and ground reaction forces to maintain the club-head speed and ball accuracy despite the three stances during the golf swing. Ten male golfers who official handicap two were participate in the experiment. All subjects performed swing after maintaining the address posture according to stance conditions(square; SS, open: OS, closed: CS). Using a 3D motion analysis system and force plateform, the results were calculated with the 7-iron full swing each stance. In result, there was no difference in center of displacement, and left and right hip and knee joint angle displacement. Left ankle joint was largely plantar-flexed in OS, and right ankle joint was largely performed in CS from the address to the downswing. From address to take-back, right foot had a large left direction and the left foot had a right direction were greater in OS than in CS. Therefore, despite various stances, maintaining the same posture at impact is thought to have a positive effect on club head speed and ball direction.

Development and Verification of a Simultaneous Analytical Method for Whole Blood Metals and Metalloids for Biomonitoring Programs (바이오모니터링 프로그램을 위한 혈중 금속류 동시분석법 개발 및 확인 평가)

  • Cha, Sangwon;Oh, Eunha;Oh, Selim;Han, Sang Beom;Im, Hosub
    • Journal of Environmental Health Sciences
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    • v.47 no.1
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    • pp.64-77
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    • 2021
  • Objective: Biological monitoring of trace elements in human blood samples has become an important indicator of the health environment. The purpose of this study was to detect and evaluate multiple metal items in blood samples based on ICP-MS, to perform comparative evaluation with the existing analysis method, and to develop and verify a new method. Methods: 100 μL of whole blood from 80 healthy subjects was used to analyze ten metals (Sb, tAs, Cd, Pb, Mn, Hg, Mo, Ni, Se, Tl) using ICP-MS. Verification of the analysis method included calculation of linearity, accuracy, precision and detection limits. In addition, a comparative test with the conventional graphite furnace atomic absorption spectroscopy (GF-AAS) method was performed. In the case of Pb, Cd, and Hg in whole blood, cross-analysis between Pb, Cd, and Hg analysis methods was performed to confirm the difference between the existing method and the new method (ICP-MS). Results: The coefficient of determination (R2) was 0.999 or higher in seven items and 0.995 or higher in three items. The Pb result showed that Pearson's correlation coefficient was very high at 0.983, and the intraclass correlation coefficient was 0.966. The Cd result showed that Pearson's correlation coefficient was 0.917 between the existing method and the new analysis concentration value. Its intraclass correlation coefficient was 0.960, and there was no significant difference between the two groups. Hg had a low correlation at 0.687, and the intraclass correlation coefficient was 0.761, which was lower than that of Pb and Cd. The intra-day and inter-day accuracy of Pd and Cd were satisfactory, but Hg did not meet the criteria for both accuracy and precision when compared with the conventional analysis method. Conclusion: This study can be meaningful in that it proposes a more efficient and feasible analysis method by verifying a blood heavy metal concentration experiment using multiple simultaneous analyses. All samples were processed and analyzed using the new ICP-MS. It was confirmed that the agreement between the two methods was very high, with the agreement between the current and new methods being 0.769 to 0.998. This study proposes an efficient simultaneous methodology capable of analyzing multiple elements with small samples. In the future, studies of various applications and the reliability of ICP-MS analysis methods are required, and research on the verification of accurate, precise, and continuous analysis methods is required.