• Title/Summary/Keyword: 말기

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Korean Dietary Life from the view of Foreigner at the end of the Joseon Dynasty (조선말기 서양인이 본 한국인의 식생활)

  • Chung, Kyung Rhan
    • Proceedings of the Korea Contents Association Conference
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    • 2016.05a
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    • pp.219-220
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    • 2016
  • 조선말기는 아시아를 향해 서양인들이 본격적으로 진출한 시기로 당시 외교관, 선교사, 의사 등 다양한 직업을 가진 서양인들이 한국에 들어왔다. 그들은 한국의 식생활이 호기심과 충격의 대상이었기에 기록을 남겼으며, 한국이 윤택하고, 오곡이 풍성한 매력적인 국가로 보았다. 조선말기인 1900년대에 한국에 들어온 서양인들의 기록을 통해 한국인의 식생활과 한국의 모습을 객관적으로 살펴볼 수 있었다.

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Correlation Between Left Ventricular Peak Systolic Pressure/End-Systolic Volume Ratio and Symptomatic Improvement with Valve Replacement in Patients with Aortic Regurgitation and Enlarged End-Systolic Volume (대동맥판역류증과 좌심실수축말기용적 확장이 있는 환자에서 좌심실최고수축기압/수축말기용적비와 판막치환후의 증상적 호전과의 관계)

  • Kim, Woong-Han;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.29 no.8
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    • pp.867-874
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    • 1996
  • This study was designed to assess the left ventricular peak systolic pressure/end-systolic volume (PSP/ESV) ratio in predicting symptomatic improvement with valve replacement in patients with aortic regurgitation and enlarged left von'lrlcular volume. We studied 21 patients (15 men and 6 women aged 15 to 60 years) with moderate or severe aortic regur- gitation, no other cardiovascular abnormalities and left ventricular end-systolic volume over 60 m11m2. In this group we assessed the preoperative variables which routinely were measured at cardiac catheterlzation to predict symptomatic improvement with valve replacement. Six months after operation, symptoms were alleviated in 13 patients(62%), and unchanged in 8()8%). By multivariate analysis, the PSP/ESV rati was a strong predictor for functional class 6 months after surgery(p=0.005) and also for change- in functional class prior to an operation to 6 months postoperatively(p=0.0)2). By 6 months after receiving valve replacement, all patients with a ratio over 1. 71 mmHglml/m'were in functional class I or II , in contrast, of those with a ratio < 1.71 mmHg/ml/m2, 40% were in functional class III. The PSP/ESV ratio may help to predict which patients with aortic regurgitation and enlarged left ven- tricular end-systolic volume will have symptomatic improvement with valve replacement.

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Subjective Attitudes towards Terminal Patients of Nursing Students with Clinical Practice Experience: Application of Q Methodology (임상실습을 경험한 간호대학생의 말기환자에 대한 주관적 태도: Q방법론 적용)

  • Lee, Eun Ju;Hwang, Kyung-Hye;Cho, Ok-Hee
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.156-165
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    • 2019
  • Purpose: This study was conducted to identify subjective attitudes towards terminal patients in nursing students who had clinical practice. The types of subjective attitude were classified by applying Q methodology. According to those types, basic reference data for the development of educational programs were provided. Methods: Thirty-four final Q samples were selected, and Q classification with a nine-point scale was performed with P samples of 43 nursing students. A key factor analysis was conducted with the collected data using the PC QUANAL program. Results: Nursing students' attitudes towards terminal patients were grouped into three types. The total variable was 49.96%. Students with Type 1 ("wish for life-sustaining medical treatment") thought that terminal patients accurately understood their medical condition and wanted to prolong their lives. Others with Type 2 ("need for service and support") believed that a multidisciplinary nursing system needs to be established to help terminal patients prepare for death. Students with Type 3 ("awareness and acceptance of death") thought that terminal patients wanted to die with dignity at a hospice unit. Conclusion: This study analyzed various types of attitude towards terminal patients, as perceived by nursing students with clinical training experience. Development of educational programs for each attitude type analyzed in this study could contribute to systematic training programs for nursing students caring for terminal patients.

Types of Perception toward End-of-Life Medical Decision-making of Clinical Nurses: Q-Methodological Approach (말기환자의 의료적 의사결정에 관한 임상간호사의 인식: Q 방법론적 접근)

  • Jo, Kae-Hwa;Kim, Yeon-Ja;Sohn, Ki-Cheul
    • Journal of Hospice and Palliative Care
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    • v.15 no.1
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    • pp.18-29
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    • 2012
  • Purpose: We analyzed how clinical nurses in Korea perceive terminally ill patients' medical decision-making. Methods: The Q-methodology which analyzes the subjectivity of each item was used. We selected 34 Q-statements among those provided by each of 37 subjects and grouped them into a shape of normal distribution using a 9 point scale. The collected data were analyzed using a QUANL PC program. Results: Four types of perception toward medical decision-making were identified. Type I focuses on patient participation, and Type II emphasizes the role of health professionals. Type III is characterized by an open-minded culture toward death, and Type IV values the role of family members. Conclusion: The results of this study indicate the need for development of a multi-disciplinary curriculum medical decision-making and death for medical and nursing students.

모바일 페이먼트의 현재와 미래

  • 정동수
    • Proceedings of the CALSEC Conference
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    • 2002.01a
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    • pp.211-213
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    • 2002
  • ㆍ Server Wallet ㆍ서버에 고객정보 및 결제정보 저장 ㆍ상용 단말기로 구성 가능 ㆍ정보의 노출로 보안 취약 ㆍ Embedded Wallet ㆍ단말기에 고객정보 및 결제정보 암호화 저장 ㆍ단말기 Upgrade 및 새로운 사양의 단말기 ㆍ Wallet Porting 및 변경에 따른 부담 ㆍ강화된 보안 ㆍ Download Wallet ㆍ필요에 따라 Wallet을 Download하여 단말기에 저장 사용 ㆍJAVA 기반의 단말기에서만 가능 ㆍWallet 유지보수 용이(중략)

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여명기의 철도 토목과 기술ㆍ사회ㆍ문화적 배경

  • 서사범
    • Journal of the Korean Society for Railway
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    • v.5 no.1
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    • pp.11-18
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    • 2002
  • 영국에서 세계 최초의 철도가 탄생할 즈음에는 교통기관으로서 이미 도로와 운하를 이용한 전국적인 교통망이 만들어져 있었으며, 철도는 나중에 조잡하게 교통망이 형성되기 시작하였다. 우리 나라의 경우에 통일신라시대 이후 조선말기까지의 도로는 주로 외침을 방어하기 위한 우마차 도로가 전부였고, 이후 조선말기와 일제시대에 자동차가 도입되면서 근대적인 도로가 본격적으로 형성되기 시작하였다. (중략)

Hospice volunteer's Attitude Toward Care of the Dying (호스피스 자원 봉사자들의 말기 환자 돌봄에 대한 태도)

  • Lee, Mi-Ra;Lee, Won-Hee
    • Journal of Hospice and Palliative Care
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    • v.4 no.1
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    • pp.57-67
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    • 2001
  • Purpose : The purpose of this study was to identify attitudes of hospice volunteers toward care of for terminally ill patients. Method : This was a descriptive study with a sample of 84 adults who were registered for a hospice volunteer education program at Severence Hospice Center. The Frommelt (FATCOD) scale on attitudes toward the care of the dying (Cronbach alpha=.778) and an open ended questions on "what if you only have 6 months to live" were used to collect the data. The data was analyzed using SPSS/W and content analysis. Results : 1) The hospice volunteers were mostly female, with an average age of 45 years, half of them were college graduates and their religious preference was Protestant. 2) The participants of this study demonstrated positive attitudes to care for the dying which is in coherence with hospice philosophy and principles. However they indicated difficulties in maintaining close relationships with people who are dying, and in communicating and sharing, and encouraging those who are dying to express their feelings. In the open ended questions, they identified that their most important issues would be guilt feelings toward their children, family concerns, and the burden of unfinished business in their lives. They also identified the fear of pain in the dying process and fear of the afterlife. The care they would like to receive was to have peace of mind, have a good listener, spiritual counselling, and pain relief and to be respected as a human being. The source of strength would be faith in God and they would like to overcome their of dying. The FATCOD scale has limitation in describing and identifying the need and attitude toward the care of the dying revisions were made. Conclusion : We all are the potential clients for the hospice rare. In a hospice volunteer education program, communication and interpersonal skill are essential. The fear of dying, afterlife, concerns about family with children, and human dignity are major concerns in hospice and palliative care.

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A Comparison of Perceived Nursing Needs among Oncology Nurses, Patients with Non-terminal Cancer and Patients with Terminal Cancer (간호사, 비말기 암환자 및 말기 암환자가 지각한 간호요구의 중요도와 제공정도에 대한 비교)

  • Choi, Ja Yun
    • Journal of Korean Academy of Nursing
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    • v.35 no.6
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    • pp.1135-1143
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    • 2005
  • Purpose: The purpose of this study was to compare the perceived importance and the perceived caring of nursing needs among oncology nurses, patients with non-terminal cancer and patients with terminal cancer. Method: A total of 83 oncology nurses, 56 patients with non-terminal cancer and 39 patients with terminal cancer served as subjects. Data was collected based on the 4-point Likert scale using a self-administered questionnaire from Mar. to Sept. 2004. Finally, data was analyzed using mean, SD, paired-test,. and ANOVA. Results: The score of the perceived importance of nursing needs was higher than that of the perceived performance of nursing needs in all three groups. There was also a difference in the degree of perceived performance of nursing needs among the three groups. In contrast, there was no difference in the total score of the perceived importance of nursing needs among the three groups, unlike the importance of informational and physical needs as a subgroup of perceived importance, where a difference was noted. Conclusions: Strategies should be developed to narrow down these gaps between nurses and patients. In particular, informational and educational programs should be designed for patients with terminal cancer.

A Indication Functional Inspection circuit development for Fluorescent ramp end of life (EOL) (형광램프 수명말기 표시기능 검측회로 개발)

  • Hong, Sa-Keun;Choi, Hong-Kyoo;Lee, Guen-Moo;Yoon, Cheol-Gu;Choi, Dae-Won
    • Proceedings of the Korean Institute of IIIuminating and Electrical Installation Engineers Conference
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    • 2008.10a
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    • pp.7-11
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    • 2008
  • The fluorescent lamp is one of a discharge lane that is used by electric discharge to transfer from electrical energy to light The fluorescent lamp needs a ballast stabilizer when turn it on because it has negative resistance. Characters of electric discharge and transformed characters of ballast stabilizer are connected closely. Therefore, bring out best design directive that consider economical efficiency and term of a application is very important for both characters matching. In this case, we will team to develop tester and functions for expression for recognizing the end of fluorescent lamp life to solve fire problem and losing efficiency of light when a fluorescent lamp goes the end of the expected its life span.

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Movements of the Center of Pressure During Stance Phase in Free Level Walking of Normal Adults (정상인의 지면수평자보행에 대한 입각기 압력중심의 이동)

  • 김영호;양길태;문무성;박시복
    • Journal of Biomedical Engineering Research
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    • v.20 no.5
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    • pp.587-592
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    • 1999
  • 압력측정시스템은 입각기동안 동적압력분포를 성공적으로 측정할 수 있으나 하중수용기-중간입각기, 말기입각기-전유각기의 전환기들에 대해서는 운동분석시스템을 사용하지않고는 정확한 정의가 불가능하다. 따라서 저자들은 수평자유보행 시 압력중심의 이동을 이해하기 위해서 정상적인 발을 가진 20-30대 성인남자 78명을 대상으로 동작분석과발바닥 압력측정을 동시에 수행하였다. 결과로 하중반응기-중간입각기 전환시기의 발바닥 압력중심점은 후족부와 중족부의 경계선에서 앞쪽으로 1.9$\pm$1.5frame(32$\pm$24msec)에 위치하였으며 말기입각기-전유각기 전환시기에는 중족골두 최대 압력점의 앞쪽으로 2.3$\pm$2.0 frame(38$\pm$33msec)에 위치하였다. 정상수평보행에 있어서 최초접지 순간 압력중심은 전방으로 빠르게 이동하다가 바로 급속히 감소하여 하중반응기-중간입각기의 전환시기에는 작은 속도로 이동하였다. 압력중심의 이동속도는 그 후 다시 서서히 증가하다가 전체 보행주기의 25% 전후에서 서서히 감소하여 비교적 일정하다가 말기입각기-전유각기의 전환시점에서 다시 급격한 증가를 보였다. 족부질환과 보행특성을 판단하는데 있어서 압력중심의 이동궤적은 매우 유용한 인자가 될 것으로 기대된다. 본 연구를 통해서 압력측정시스템만으로는 정의할 수 없었던 두 전환기인 하중반응기-중간입각기, 말기입각기-전유각기를 결정할 수있게 되었다.

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