• Title/Summary/Keyword: transition care

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UK Civil Nuclear Decommissioning, a Blueprint for Korea's Nuclear Decommissioning Future?: Part II - UK's Progress and Implications for Korea

  • Foster, Richard I.;Park, June Kyung;Lee, Keunyoung;Seo, Bum-Kyoung
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
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    • v.20 no.1
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    • pp.65-98
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    • 2022
  • The nuclear legacy that remains in the United Kingdom (UK) is complex and diverse. Consisting of legacy ponds and silos, redundant reprocessing plants, research facilities, and non-standard or one-off reactor designs, the clean-up of this legacy is under the stewardship of the Nuclear Decommissioning Authority (NDA). Through a mix of prompt and delayed decommissioning strategies, the NDA has made great strides in dealing with the UK's nuclear legacy. Fuel debris and sludge removal from the legacy ponds and silos situated at Sellafield, as part of a prompt decommissioning strategy for the site, has enabled intolerable risks to be brought under control. Reactor defueling and waste retrievals across the Magnox fleet is enabling their transition to a period of care and maintenance; accelerated through the adopted 'Lead and Learn' approach. Bespoke decommissioning methods implemented by the NDA have also enabled the relevant site licence companies to tackle non-standard reactor designs and one-off wastes. Such approaches have potential to influence and shape nuclear decommissioning decision making activities globally, including in Korea.

Long-term management of Graves disease: a narrative review

  • Hyo-Jeong Kim
    • Journal of Yeungnam Medical Science
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    • v.40 no.1
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    • pp.12-22
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    • 2023
  • Graves disease (GD) is the most common cause of hyperthyroidism, accounting for more than 90% of cases in Korea. Patients with GD are treated with any of the following: antithyroid drugs (ATDs), radioactive iodine (RAI) therapy, or thyroidectomy. Most patients begin treatment with ATDs, and clinical guidelines suggest that the appropriate treatment period is 12 to 18 months. While RAI treatment and surgery manage thyrotoxicosis by destroying or removing thyroid tissue, ATDs control thyrotoxicosis by inhibiting thyroid hormone synthesis and preserving the thyroid gland. Although ATDs efficiently control thyrotoxicosis symptoms, they do not correct the main etiology of GD; therefore, frequent relapses can follow. Recently, a large amount of data has been collected on long-term ATDs for GD, and low-dose methimazole (MMZ) is expected to be a good option for remission. For the long-term management of recurrent GD, it is important to induce remission by evaluating the patient's drug response, stopping ATDs at an appropriate time, and actively switching to surgery or RAI therapy, if indicated. Continuing drug treatment for an extended time is now encouraged in patients with a high possibility of remission with low-dose MMZ. It is also important to pay attention to the quality of life of the patients. This review aimed to summarize the appropriate treatment methods and timing of treatment transition in patients who relapsed several times while receiving treatment for GD.

Family, Self or State as a Desired Source of Support for the Elderly (노후부양의 바람직한 자원으로서의 가족, 자신 및 국가에 관한 한국 노인들의 태도)

  • 김정석;이가옥
    • Korea journal of population studies
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    • v.22 no.2
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    • pp.197-220
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    • 1999
  • Family, Self or State as a Desired Source of Support for the Elderly As Korean society has undergone rapid socioeconomic transformation and reached the final stage of its demographic transition, the central emphasis of population policies in Korea has shifted from fertility and population control to aging issues. Recently, it has been advocated that the Korean government should provide more intensive public services to supplement self-care and family caregiving, heightening the need to know more about the norms and expectations of old-age support and how they will change. Using the Survey of the Living Status of the Korean Elderly in 1994, this study investigates the extent to which the Korean elderly themselves view family, self, or the state as desired sources of support. The multinomial log it model analysis reveals that the elderly without a son are less likely to emphasize the traditional view of family, while economically and physically better off elderly are more likely to favor the view of self-support. However, the idea that the emphasis on the 'state responsibility' may be found among those elderly who are in need of financial help and in poor health is not supported. The implications and suggestions for further research are discussed.

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The Exploratory Research on Disability Thinking of the Geriatric Oral Health Care of Aged People Using Q Methodology (Q방법론을 이용한 노인구강관리의 불편함에 관한 탐색적 연구)

  • Yoon, Young-Suk
    • Journal of dental hygiene science
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    • v.9 no.1
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    • pp.91-98
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    • 2009
  • The aging of Korean society is coming to the fore and its speed is unprecedented. Along with the volume rise in the population of the elderly, the rise of the elderly of means and high education stimulates the transition of our focus from "a desire of longevity" to "successful aging". The research objective is to classify groups by the different definitions of disability thinking of the geriatric oral health care. We targeted 34 aged people who live in Pusan Metropolis and analyzed the collected data and classified them into two types. The first type is the 'blunting of taste & oral pain' which is identified as a group. The second type is the 'blunting of taste & lowering quality of life' which is identified as a group. The common positive statements are 'There are some experiences to feel pain on and below tongue, cheek and upper palatine.', 'There are some experiences to feel unsatisfactory life'.

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A cognitive survey on the Diversification of class year from Junior Colleges by Changing Educational Environment-Focused on Health Sciences Departments (교육환경 변화에 따른 전문대학 수업 연한 다양화에 대한 인식조사 - 보건계열학과 중심으로)

  • Park, Cheolin;Park, Su-Jin;Kwon, Soon-Mu;Kim, Won-Gi;Chang, Ki-whan
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.4
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    • pp.186-196
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    • 2018
  • Junior colleges are higher education institutions that have played a major role in the economic development of Korea by providing the necessary human resources for its industrial development. Recently, however, they have experienced difficulties due to the reduction in the number of students. Therefore, it is time for junior colleges as a representative higher vocational education institution to change their role in this rapidly changing environment, and adopt a survival strategy through mutual cooperation and competition. The purpose of this study was to analyze the current state of the national health universities, to investigate the policy changes adopted by colleges and universities, and to utilize the results as data. This study analyzed the current status of health science colleges nationwide and investigated the policy changes as well as the directions presented to the colleges, in order to use the results as the basic data to promote the diversification of the class periods and degree programs. This study surveyed 636 professors from health sciences departments and industry workers from May 1 to May 30, 2017. 70.7% of the respondents supported the transition of the existing three-year systems of the health science departments to four-year systems. The reason for this is that it is possible to strengthen the field practice and personality education of the students by having a sufficient number of class periods, and to provide them with an equal educational background. The most anticipated effect of the transition to a four-year system is to improve the social status of medical personnel and to improve the educational environment of the colleges/universities. Moreover, the universities, associations of medical personnel and Ministry of Education are expected to play a leading role in the transition to the four-year system. Based on the results of this study, it was concluded that a more systematic and advanced vocational education system for the training of professional healthcare workers is needed in the upcoming fourth Industrial Revolution era. Also, this transition is expected to actively foster the education of advanced health care workers thanks to the diversification of the degree programs through the adjustment of the class periods which can be completed by general university (4-year) graduates.

Psychotherapist's Liability for Failure to Protect Third Person (정신질환자의 타해(他害)사고와 의료과오책임)

  • Son, Heung-Soo
    • The Korean Society of Law and Medicine
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    • v.11 no.1
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    • pp.331-393
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    • 2010
  • Psychiatrists who treat violent or potentially violent patients may be sue for failure to control aggressive outpatients and for the discharge of violent inpatients. Psychiatrists may be sued for failing to protect society from the violent acts of their patients if it was reasonable for the psychiatrists to have known or should have known about the patient's violent tendencies and if the psychiatrists could have done something that could have safeguarded in public. The courts of a number of jurisdictions have imposed a duty to protect the potential victims of a third party on persons or institutions with a special relationship to that party. In the landmark case of Tarasoff v Regents of University of California, the California Supreme Court held that the special relationship between a psychotherapist and a patient imposes on the therapist a duty to act reasonably to protect the foreseeable victims of the patient. Under Tarasoff, when a therapist has determined, or under applicable professional standards should determine, that a patient poses a serious threat of violence to another, he incurs an obligation to use reasonable care to protect the intended victim against such danger. In addition to a Tarasoff type of action based on a duty to warn or protect foreseeable victims of psychiatric outpatients, courts have also imposed liability on mental health care providers based on their custody of patients known to have violent propensities. The legal duty in such a case has been stated to be that where the course of treatment of a mental patient involves an exercise of "control" over him by a physician who knows or should know that the patient is likely to cause bodily harm to others, an independent duty arises from that relationship and falls on the physician to exercise that control with such reasonable care as to prevent harm to others at the hands of the patient. After going through a period of transition, from McIntosh, Thompson and Brady case, finally, the narrow rule of requiring a specific or foreseeable threat of violence against a specific or identifiable victim is the standard threshold or trigger element in the majority of states. Judgements on these kinds of cases are not enough yet in Korea, so that it may be too early to try find principles in these cases, however it is hardly wrong to read the same reasons of Tarasoff in the judgements of Korea district courts. To specific, whether a psychiatric institute was liable for violent behavior toward others depends upon the patients conditions, circumstances and the extent of the danger the patients poses to others; in short, the foreseeability of a specific or identifiable victim. In this context if a patient exhibit strong violent behavior toward others, constant observation should be required. Negligence has been found not exist, however, when a patient abruptly and unexpectedly attack others or unidentifiable victim. And the standard of conduct that is required to meet the obligation of "due care" is based on what the "reasonable practitioner" would do in like circumstances. The standard is not one of excellence or superior practice; it only requires that the physician exercise that degree of skill and care that would be expected of the average qualified practitioner practicing under like circumstances. All these principles have been established in cases of the U.S.A and Japan. In this article you can find the reasons which you can use for psychotherapist's liability for failure to protect third person in Korea as practitioner.

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A Study on the Operational Status of Locally Oriented Family Nurturing Support Projects: with a Focus on the Operational Cases of the Child Care Support Center of Jinju City (지역중심 가정양육지원사업의 운영 실태에 대한 연구: 진주시 육아종합지원센터 운영사례를 중심으로)

  • Kim, Eun Ju;Yeon, Hee Jong;Lee, Young Kyoung
    • Korean Journal of Childcare and Education
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    • v.11 no.1
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    • pp.209-230
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    • 2015
  • The purpose of this study is to find out the operational status of regionally focused home rearing support projects. The existing rearing support policies on the government level are assessed as not capable of reflecting various requirements of each family and not practically supportive. Therefore, to overcome these limitations, this study focused on the operation case of Jinju City's child rearing comprehensive support center, which is operating various rearing support projects on the regional community level. To find out the operation status of regionally focused home rearing, this study performed literature collection related to home rearing support projects in JinjuCity, interviewed the persons in charge as well as participants, and observation by actual participation. The results show the characteristics of realization of publicity in child rearing focused on municipalities, operation of projects with consistent directionality, and creation of networks reflecting various characteristics and requirements of the community, through the operation status of regionally focused home rearing. This study will be a useful reference for the settlement and operation of the child rearing comprehensive support center, which is entering into a new transition period, and is meaningful as this study provides the basic material for the desirable direction to be pursued by the regionally focused home rearing support projects.

Factors Affecting Transitions in Living Arrangements among Elders in Korea (노년기 거주형태의 변화와 영향요인에 관한 종단연구)

  • Yoon, Hyun-Sook;Yoon, Ji-Young;Gim, Yeong-Ja
    • Korean Journal of Social Welfare
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    • v.64 no.1
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    • pp.249-271
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    • 2012
  • This research examines the degree and the patterns of living arrangement transitions and analyzes the factors affecting transitions in living arrangement among elders in Korea. Data came from four-wave panel study of Hallym Aging Research Institute. The first wave was conducted in 2003, and each successive wave occurred exactly 2 years after. Respondents who were aged 60 and over, and had at least one living child were selected for this research. The baseline consisted of 1,907 respondents(2003), then became 985 for the fourth transition interval (2009). A total of 825 who participated both in 2003 and 2009 were used. Binomial logit regression analyses were used to analyze the effects of demographic characteristics, socioeconomic status, physical health, cognitive function, psychological well-being, and cultural attitudes toward elder care on transitions in living arrangements. Results show that 29.82% of the elders made transitions in living arrangements from 2003 to 2009, indicating remarkably unstable living situation over this time period. The ratio of living alone is increased from 17.6% to 19.6%, in contrast with decreased ratio of living with married children from 30.5% to 25.2%, and that of living with unmarried children from 19.9% to 13.7%. Factors affecting transitions in living arrangement were different according to types of living arrangement. Elders living with married children were more likely to be older, widowed and to have higher level of psychological well-being and more traditional attitude toward elder care. Elders living alone were more likely to be women, widowed, and to have more chronic diseases and lower level of psychological well-being.

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A Study on the Change of Primipara's Mother - Infant Interactional process (모아상호작용과정의 진행양상에 관한 연구)

  • Cho, Mi-Young
    • Women's Health Nursing
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    • v.1 no.1
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    • pp.5-27
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    • 1995
  • One of the important tasks for new parents, especially mothers, is to establish warm, mutually affirming interpersonal relationships with the new baby in the family, with the purpose of promoting the health development of the child and the well-being of the whole family. Nurses assess the quality of the behavioral characteristics of the maternal-infant interaction. The purpose of this longitudinal descriptive correlational study is to investigate the changes of the mother - infant interactions from postpartum 1 day to postpartum 8weeks of the transition to parenthood. The aim was to contribute to the development of theoretical under standing on which to base care toward promoting the quality of maternal - infant interaction. Data were collect ed directly by the investigator and at rained from Jul, 1, 1990 to Jun 8, 1991, Subjects were a random sample of 44 mothers, 44 who had a normal delivery (but with out other perinatal complications) at four general hospitals in Seoul. Instruments used were the Stainton Parent-infant Interaction Scale (1981). The first observations were made in the delivery room, followed by day 1, day 2, day 3 and 2 weeks, 4 weeks, 6 weeks and 8 weeks after, birth, for a total of 8 contacts. Observations in the hospital were made during the hour prior to scheduled feedings. The infant was placed beside the mother. Later contacts were made at home. Data analysis was don by computer using as SPSS program and included, Paired t-test, t-test and Pearson Correlation coefficient ; the results were as follows. 1. The daily maternal-infant interaction score for the initial contact ofter birth to 8 weeks postpartum had the lowest average score 5.21 and the highest 8.02(in a range of 0-10). This subject group of mothers needed Extra nursing supporting to promote their maternal-infant interaction. 2. The daily scores for the maternal-infant interaction tended to rise, showing a gradual improvement over the period of eight weeks. However, there were significantly different increases in maternal-infant interaction only from the first to second day (p=0.000) and from the fourth to sixth weeks ofter birth.(p=0.000) 3. When the seven items of maternal-infant interaction were evaluated items of maternal-infant inter action were evaluated separately, "Care taking for the baby" had the highest average score, 1.60(in a range of 0-2) and "Speaks to baby" the lowest, 0.8. All items, suggested the subjects' need of nursing intervention to promote maternal-infant interaction 4. There were positive correlations between certain general characteristics, namely, both a higher economic status (p=0.027) and breast feeding (p=0.021) and maternal-infant interaction.

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Housing Policy for the Elderly and the Meaning of "Aging in Place" in Japan (일본의 고령자 거주문제와 주거정책: Aging in Place를 중심으로)

  • Cho, Ara
    • Journal of the Korean Geographical Society
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    • v.48 no.5
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    • pp.709-727
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    • 2013
  • Recently, "aging in place" has become the principle philosophy of elderly housing policy in many countries. However, since there is ambiguity surrounding the universal definition of it, the meaning of AIP has been defined by political expediency. This study aims to discuss the meaning of AIP by examining the transition of elderly housing issues and policy in Japan. During the last two decades, the Japanese government has tried to launch a new elderly welfare system to shift the responsibility of elderly care from the family to the society and from the society to the region. And the focus of elderly housing policy has shifted from the promotion of three-generation dwellings to supporting the development of private residences. However, since the main goal has been limiting the welfare budgets rather than enhancing the quality of life, elderly housing issues have been reduced to a matter of choosing either elderly care facilities frequently located in suburbs or not. This paper suggest that we should pursue the true AIP idea in housing policy, and argues that to do so we need to consider AIP from diverse aspects such as temporal continuity, the range of space, the dynamics of place experience and the capability of communities.

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