• Journal of Hospice and Palliative Care
• /
• v.22 no.3
• /
• pp.105-116
• /
• 2019

Purpose: Pediatric palliative care (PPC) is emphasized as standard care for children with life-limiting conditions to improve the quality of life. In Korea, a government-funded pilot program was launched only in July 2018. Given that, this study examined various PPC delivery models in other countries to refine the PPC model in Korea. Methods: Target countries were selected based on the level of PPC provided there: the United Kingdom, the United States, Japan, and Singapore. Relevant literature, websites, and consultations from specialists were analyzed by the integrative review method. Literature search was conducted in PubMed, Google, and Google Scholar, focusing publications since 1990, and on-site visits were conducted to ensure reliability. Analysis was performed on each country's process to develop its PPC scheme, policy, funding model, target population, delivery system, and quality assurance. Results: In the United Kingdom, community-based free-standing facilities work closely with primary care and exchange advice and referrals with specialized PPC consult teams of children's hospitals. In the United States, hospital-based specialized PPC consult teams set up networks with hospice agencies and home healthcare agencies and provide PPC by designating care coordinators. In Japan, palliative care is provided through several services such as palliative care for cancer patients, home care for technology-dependent patients, other support services for children with disabilities and/or chronic conditions. In Singapore, a home-based PPC association plays a pivotal role in providing PPC by taking advantage of geographic accessibility and cooperating with tertiary hospitals. Conclusion: It is warranted to identify unmet needs and establish an appropriate PPD model to provide need-based individualized care and optimize PPC in South Korea.

• Korean Journal of Veterinary Research
• /
• v.15 no.1
• /
• pp.27-38
• /
• 1975

The following tumors occurring naturally in the dog were studied pathologically and discussed briefly. Tumors of the skin and subcutis: Fibroma, Lipoma, Epidermal cyst, Melanosarcoma, Sweat gland adenoma, Mastocytoma (2 cases), Mastosarcoma, and Sebaceous gland carcinoma. Tumors of the spleen and lymph node: Fibrosarcoma of the capsule of spleen, Leiomysarcoma of the spleen, and Lymphosarcoma of the lymph node (2 cases). Tumors of the lung: Bronchogenic carcinoma (3 cases), Adenocarcinoma type, Squamous carcinoma type, and Undifferentiated (round cell) carcinoma type respectively. Tumors of the alimentary tract and liver: Fibroma of the stomach, Hemangioma of the liver, Bile duct carcinoma, Liver cell carcinoma, and Myelogenous leukemia manifested in the liver. Tumor of the peritoneum: Fibrosarcoma. Tumors of the urogenital system: Fibroma of the uterus, Fibroma of the prepuce, Follicular cyst of the ovary, Transmissible venereal tumor of the vagina (6 cases), Carcinoma of the kidney, Adenoma of the prostate (2 cases), and Seminoma of the testis. Tumors of the mammary gland: Mixed tumor (2 cases), and Myoepithelioma. Tumor of the nervous system: Neurofibrosarcoma of the thigh.

• Journal of the Korean earth science society
• /
• v.30 no.7
• /
• pp.869-882
• /
• 2009

The purpose of this study is to develop teaching materials for geological fieldwork around the area of Mai Mountain and to analyze the responses of elementary teachers as to the application of fieldwork. The site of geological fieldwork, Mai Mountain area, is located around the Maisan Provincial Park of Jinan-gun, Jeonbuk Province where a large-scale sedimentary succession in the era of Cretaceous is shown. It provides an easy access to distinct outcrops around the provincial park. The sequences reveal different kinds of sedimentary rocks and various sedimentary structures, and provide information of the lacustrine sedimentary environments of the Cretaceous. In addition, metamorphic rocks and structures formed at the margin of the basement and the basinal fault as well as a sedimentary sequence of the Quaternary formed in a modern fluvial stream are observable. A 4-step fieldwork procedure was applied to a group of 13 elementary teachers. Through questionnaire and interview, results showed that (a) the geological fieldwork and materials were effective to positively increase science teaching from the participating teachers, and that (b) there is a great need of the development of various fieldwork sites and teaching materials that promote active fieldwork for students to have their lived experience and knowledge gain. It is suggested that teacher education programs be able to provide active fieldwork for elementary inservice teachers to properly carry out a geological fieldwork for their students.

• Proceedings of the Korean Radioactive Waste Society Conference
• /
• 2004.06a
• /
• pp.223-224
• /
• 2004

고준위폐기물 혹은 사용후 핵연료의 처분용기 재질은 각 국의 처분개념과 처분공의 주위 환경에 따라 달라질 수 있다. 용기의 후보재질로는 탄소강, 스텐레스 강, 구리, 니켈, 티탄 혹은 이들의 합금이 주로 고려되고 있으나, 국내에서는 아직 선정되지 않았다. 국내 처분환경에서 이들 재질의 부식특성을 조사하고자 모의 화강암 지하수를 가해 만든 겔 상태의 경주 벤토나이트에 탄소강, 스텐레스 강, 구리 시편을 넣고, $70^{\circ}C$, 아르곤 분위기에서 530일 경과한 후 시편의 표면 변화 (그림 1) 및 무게 감소를 측정하였다. 철 부식시편은 검정색의 철 화합물 층으로 덮여 있었으며, 구리표면에는 노란색의 부식층이 형성되었는데, 이를 XRD로 분석한 결과 $Cu_2O$로 판명되었다. 그러나 $700^{\circ}C$에서 각각 0, 24, 96시간동안 예민화시킨 스텐레스 강 시편들은 모두 초기상태 그대로 광택을 유지하고 있었으며, XRD에서 다른 화합물의 형성을 발견할 수 없었다 (그림 2). 시편의 무게 감소가 균일부식에 기인한 것으로 가정하여 환산한 결과, 구리와 스텐레스 강 모두 0.3~0.4 $\mu\textrm{m}/yr$의 부식속도를 나타내었다. 그러나 구리는 부식생성물이 표면에 부착되어 있기 때문에 실제 부식두께는 이 값보다 더 클 것으로 생각된다. 용기가 초기 530일간과 같은 속도로 처분용기의 부식이 진행된다면 한국에서 기준처분 개념으로 삼고 있는 50mm 두께의 내부식성 외벽 금속용기는 적어도 만년이상 견딜 수 있을 것으로 추정된다. 한편, 검정색 부식층을 제거한 무게감소로부터 계산한 철의 부식속도는 구리의 약 30배에 해당하였다. 금속 재질의 정확한 부식 거동을 파악하기 위해서는 보다 장기간의 실험이 요구된다. 시험법 선정에 각계(규제기관, 학계, 발전소 현장 및 산업계 등) 전문가로부터 기술자문회의를 통하여 자문 의견을 받기로 하였다. 특히 현재 폐기물 인수 기술기준치가 설정된 국가의 시험법을 심층 있게 검토하기로 하였다.검토하기로 하였다. 혹은 수성주변 환경이 지배하는 산악이나 구릉지에서 흔히 나타나는 침엽수-낙엽활엽수의 혼합림 식생상태를 잘 대변해 주고 있는 것으로 판단된다. 끝으로, 의림지 호저 퇴적층 중에서 인위적인 교란흔적이 없는 암회색 유기질 니층에 대한 탄소연대측정 결과, 제1호공 12번 시료에서 950$\pm$40 years B.P을 얻었으며, 제3-1호공에서도 아래로 내려가면서 8, 10, 11번 시료에 대하여 500$\pm$30 years B.P, 650$\pm$30 years B.P, 800$\pm$40 years B.P의 연대측정 결과를 획득하였다. 이상과 같은 의림지 호저 퇴적층의 형성환경과 형성시기 연구를 통하여 의림지의 제방축조의 최초시기를 해석해 보면, 의림지의 제방은 적어도 과거 약 827년 전에서 866년 전에는 이미 축조되어 있었음을 알 수 있다. 과거 제천 일대에 살았던 옛사람들이 의림지 하류의 곡지중앙과 고기 충적선상지에 대한 관계용 용수조달의 필요성에 부응하여 상류부 곡지하천의 자연입지 환경을 최대한 이용하여 축조한 것으로 판단된다..준비하였다.전류를 구성하는 주요 입자의 에너지 영역(75~l13keV)에서 가장 높은(0.80) 상관계수를 기록했다. 넷째, 회복기 중에 일어나는 입자들의 유입은 자기폭풍의 지속시간을 연장시키는 경향을 보이며 큰 자기폭풍일수록 현저했다. 주상에서 관측된 이러한 특성은 서브스톰 확장기 활동이 자기폭풍의 발달과 밀접한 관계가 있음을 시사한다.se that were all low

• The Korean Society of Law and Medicine
• /
• v.11 no.2
• /
• pp.275-307
• /
• 2010

In the presidential new-year address in January 2, 2009, the President declared that 17 kinds of new driving force of growth that could create high-added value be selected to step up job creation and an increase in national wealth. The Ministry of Strategy & Finance announced plans for the 17 kinds of new driving force of growth after the presidential address. Specifically, that ministry announced an ambitious plan to select health care service named 'Global Health Care' as one of the five service industries that could create high-added value in a move to provide jobs to approximately 7,000 people and produce pervasive economic effects coming up to a trillion and 10 billion won. To attain the goal, several action plans were mapped out to globalize domestic medical institutions, to rearrange the relevant law and system for the purposes of raising awareness of domestic medical institutions among foreign patients and improving their accessibility and post-satisfaction level, and to lure lots of foreign patients through financial assistance. At the same time, the government announced plans to lure severe patients such as those in want of surgery or organ transplant, cancer patients or patients with heart diseases to create high-added value on a long-term basis. Thus, the government announced that it planned to formulate such strategies and to enter an agreement with foreign governments to attract plenty of foreign patients. In fact, however, there are little full-scale evaluation of medical tourism though it's been a year since it was introduced, and there are few actual efforts to implement what the government announced, either. According to the results of the evaluation of medical tourism, domestic hospitals are said to undergo little significant changes after the introduction of medical tourism, which shows that they take a dim view of medical tourism instead of having expectations for that. The medical tourism industries in major Asian countries have been dynamized, and there are several factors of their success. First of all, they are successful in creating new market opportunities by incorporating related industries such as medicine, tourism and IT and in developing medical tourism products and differentiated marketing by taking advantage of their competitive edge. They have offered full-fledged assistance to this sector, and another reason is the improved international credibility of their medical service. If our country fails to pinpoint our problems in consideration of the cases of the Asian countries or to provide appropriate financial aid, our country is bound to lag behind them. Given this reality, how to assess medical tourism and what challenges this sector is confronted with are discussed.

• Journal of Chest Surgery
• /
• v.39 no.12 s.269
• /
• pp.949-952
• /
• 2006

Spontaneous pneumothorax is rarely occurred as an initial sign of primary lung cancer. As a lot of these cases have already advanced, even then surgical resection is performed, the prognosis is often undesirable, We happened to find a ruptured cavity on a 65-year-old male patient who had suffered from pulmonary tuberculosis in the past, while performing VATS bullectomy for simple spontaneous pneumothorax, Then, as a result of frozen biopsy, it was diagnosed as squamous cell cancer Because the tumor was infiltrated from the upper lobe into the lower lobe passing by fissure, we should remove by pneumonectomy and the pathologic stage was found stage I(T2N0M0). When we made an follow-up observation for one year and a half, there was neither relapse nor complication. When there appears spontaneous pneumothorax to the high risk group for lung cancer who were smokers over forty-year old, with chronic bronchitis or pulmonary emphysema, it needs to have a closer observation on a base lung disease such as lung cancer through chest CT, and it is also necessary to make more active approach by performing the surgical operation through a thoracoscopy when there is a continued air release.

• Development and Reproduction
• /
• v.8 no.1
• /
• pp.1-9
• /
• 2004

The potential importance of proteomic approaches has been clearly demonstrated in other fields of human medical research, including liver and heart disease and certain forms of cancer. However, reproductive researches have been applied to proteomics poorly. Proteomics can be defined as the systematic analysis of proteins for their identity, quantity, and function. It could increase the predictability of early drug development and identify non-invasive biomarkers of toxicity or efficacy. Proteome analysis is most commonly accomplished by the combination of two-dimensional gel electrophoresis(2DE) and MALDI-TOF(matrix-assisted laser desorption ionization-time of flight) MS(mass spectrometry) or protein chip array and SELDI-TOF(surface-enhanced laser desorption ionization-time of flight) MS. In addition understanding the possessing knowledge of the developing biomarkers used to assess reproductive biology will also be essential components relevant to the topic of reproduction. The continued integration of proteomic and genomic data will have a fundamental impact on our understanding of the normal functioning of cells and organisms and will give insights into complex cellular processes and disease and provides new opportunities for the development of diagnostics and therapeutics. The challenge to researchers in the field of reproduction is to harness this new technology as well as others that are available to a greater extent than at present as they have considerable potential to greatly improve our understanding of the molecular aspects of reproduction both in health and disease.

• Clinical and Experimental Reproductive Medicine
• /
• v.16 no.1
• /
• pp.41-55
• /
• 1989

Lymphocyte chromosome preparations obtained by the micromethod (Arakaki and Sparkes, 1963) from 234 our patients (165 females and 69 males) were analysed by C-, NOR-and GC-bandings for chromosome heteromorphisms. The centromeric regions of chromosomes 1,9,16 and the long arm of the Y chromosomes were tested for C heteromorphism. Minor variations found in this study such as inv(9), prominant short arms and large satellites of acrocentrics were also examined by appropriate banding techniques. Of the 234 probands, a total of 125 different C-variants were detected, and the average frequency of the variants per individual was estimated to be 0.53. The observed variations were as follows : 99 qh variants, 5 pericentric inversions of chromosome 9, and 21 satellite and/or short arm variants.

• Journal of the Korea Academia-Industrial cooperation Society
• /
• v.11 no.6
• /
• pp.2078-2087
• /
• 2010

This study conducted a chi-square test and a logistic regression analysis by not only using a investigation data of discharged patients with damages from 2004 to 2006, but also using a census and a research data on the actual condition from health care system. The result follows; First, the centralization of medical utilization of operation patients is becoming apparent, centrally the capital area. To improve this, a policy that can not only provide medical centers and sickbed, but also improve the quality of local medical treatments for the localization of medical treatments. Second, propelling localization policy of certain diseases for the localization of medical utilization is needed as the rate of non-residential of operation patients that have diseases of the eye and adnexa, or cancers is high. Third, a localization policy for patients with damages is needed as the rate of treatments in other regions of operation patients with industrial accidents is increasing day by day.

• Proceedings of the Korea Information Processing Society Conference
• /
• 2007.05a
• /
• pp.1487-1490
• /
• 2007

디지털 위성방송의 시작과 더불어 본격적인 데이터 방송의 시대가 열렸다. 데이터방송이 시작 되면서 데이터방송용 양방향 콘텐츠에 대한 수요가 급속하게 증가하고 있다. 하지만 양방향 콘텐츠 개발에 필요한 저작 도구 및 검증 시스템은 아주 초보적인 수준에 머물러 있는 것이 현실이다. 그러나 방송의 특성상 콘텐츠 상에서의 오류는 방송 사고에까지 이를 수 있는 심각한 상황이 연출 될 수 있다. 본 연구 팀은 이러한 DTV 콘텐츠 개발 요구에 부응하여, 개발자의 콘텐츠 개발 및 사업자 또는 기관에서의 콘텐츠 검증이 원활이 이루어 질수 있도록 하는 양방향 콘텐츠 검증 시스템을 개발 중이다. 양방향 콘텐츠 검증 시스템은 Java 컴파일러, 디버거, 미들웨어, 가상머신, 그리고 IDE 등으로 구성된다. 본 논문에서 제시한 자바 컴파일러는 양방향 콘텐츠 검증 시스템에서 데이터 방송용 자바 애플리케이션(Xlet)을 컴파일하여 에뮬레이팅 하거나 런타임 상에서 디버깅이 가능하도록 하는 바이너리형태의 class 파일을 생성한다. 이를 위해 Java 컴파일러는 *.java 파일을 입력으로 받아 어휘 분석과 구문 분석 과정을 거친 후 SDT(syntax-directed translation)에 의해 AST(Abstract Syntax Tree)를 생성한다. 클래스링커는 생성된 AST를 탐색하여 동적으로 로딩 되는 파일들을 연결하여 AST를 확장한다. 의미 분석과정에서는 확장된 AST를 입력으로 받아 참조된 명칭의 사용이 타당한지 등을 검사하고 코드 생성이 용이하도록 AST를 변형하고 부가적인 정보를 삽입하여 ST(Semantic Tree)를 생성한다. 코드 생성 단계에서는 ST를 입력으로 받아 이미 정해 놓은 패턴에 맞추어 Bytecode를 출력한다.ovoids에서도 각각의 점들에 대한 선량을 측정하였다. SAS와 SSAS의 직장에 미치는 선량차이는 실제 임상에서의 관심 점들과 가장 가까운 25 mm(R2)와 30 mm(R3)거리에서 각각 8.0% 6.0%였고 SAS와 FWAS의 직장에 미치는 선량차이는 25 mm(R2) 와 30 mm(R3)거리에서 각각 25.0% 23.0%로 나타났다. SAS와 SSAS의 방광에 미치는 선량차이는 20 m(Bl)와 30 mm(B2)거리에서 각각 8.0% 3.0%였고 SAS와 FWAS의 방광에 미치는 선량차이는 20 mm(Bl)와 30 mm(B2)거리에서 각각 23.0%, 17.0%로 나타났다. SAS를 SSAS나 FWAS로 대체하였을 때 직장에 미치는 선량은 SSAS는 최대 8.0 %, FWAS는 최대 26.0 %까지 감소되고 방광에 미치는 선량은 SSAS는 최대 8.0 % FWAS는 최대 23.0%까지 감소됨을 알 수 있었고 FWAS가 SSAS 보다 차폐효과가 더 좋은 것으로 나타났으며 이 두 종류의 shielded applicator set는 부인암의 근접치료시 직장과 방광으로 가는 선량을 감소시켜 환자치료의 최적화를 이룰 수 있을 것으로 생각된다.)한 항균(抗菌) 효과(效果)를 나타내었다. 이상(以上)의 결과(結果)로 보아 선방활명음(仙方活命飮)의 항균(抗菌) 효능(效能)은 군약(君藥)인 대황(大黃)의 성분(成分) 중(中)의 하나인 stilbene 계열(系列)의 화합물(化合物)인 Rhapontigenin과 Rhaponticin의 작용(作用)에 의(依)한 것이며, 이는 한의학(韓醫學) 방제(方劑) 원리(原理)인 군신좌사(君臣佐使) 이론(理論)에서 군약(君藥)이 주증(主症)에 주(主)로 작용(作用)하는 약물(藥物)이라는 것을 밝혀주는 것이라고