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Home-Based Hospice Care Provided by a Free-Standing Hospice Center: Patients' Characteristics and Service Conditions (일개 독립형 호스피스 기관의 가정호스피스 이용자 특성 및 서비스 제공 실태)

  • Kim, Hyoung Suk;June, Kyung Ja;Son, Young Sun
    • Journal of Hospice and Palliative Care
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    • v.19 no.2
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    • pp.145-153
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    • 2016
  • Purpose: This study was conducted to investigate patients' characteristics and actual conditions of home-based services offered by a free-standing hospice center. Methods: A retrospective review was performed with the medical records of 75 patients who received home-based hospice care from a free-standing hospice center from January 2014 through December 2014. Results: Most patients (54.7%) were enrolled via self-directed referral. The reason for the service termination was death at home 25.3%, admission to a hospice ward 50.7%, hospitalization 22.6% and patients' refusal 2.7%. Seventy three patients had cancer, and two patients had ALS. Among all, 58.7% were in a dying phase, and 34.7% were almost completely bedfast at the time of their enrollment in this study. When they enrolled, the patients' physical symptoms were characterized as pain (89.4%), sleep disturbance (71.2%), urinary difficulties (35.8%) and defecation difficulties (47.8%). Among all, 77.4% terminated the home visit service within one month. The mean frequency of the home visits was 3.25 (${\pm}3.98$), and less than five in 82.7% of patients. The mean frequency of the phone service was 3.40 (${\pm}3.12$). The frequency of doctor's home visits was $1.21{\pm}0.79$ on average, and the figure increased when patients' conditions turned unstable. Conclusion: It is necessary to develop a home-based hospice care model with consideration of patients' characteristics and the actual service conditions delivered by free-standing hospice facilities.

개발사업으로 인한 토양손실량 예측 및 침사지 설계

  • 우효섭;김창완
    • Proceedings of the Korea Water Resources Association Conference
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    • 1998.02d
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    • pp.1101-1179
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    • 1998
  • 최근에 내무부에서는 개발사업으로 인한 토사유출 피해 중 인명과 재산 피해와 같은 재해 성격을 가진 대규모 토사유출을 사전에 미리 저감시킬 목적으로 재해영향평가제를 도입하여 추진하고 있다. 이에 따라 건설 엔지니어링 업계에서는 대규모 개발 사업으로 인한 가속화된 토양손실량 예측과 침사지 설계에 많은 관심이 쏟아지고 있으나 이 분야의 기술축적과 자료부족으로 과업수행에 어려움을 겪고 있다. 본 강좌에서는 이러한 엔지니어링 업계의 기술적인 어려움을 다소 나마 해소할수 있도록 개발사업으로 인한 가속화된 토양손실량 예측방법과 침사지 설계 기준에 대해 외국의 자료를 바탕으로 그 동안 국내에서 수행한 각종 재해영향평가 자료를 검토하여 제시한다. 먼저, 재해영향평가제의 취지, 토사유출과 재해, 토사유출 재해 저감대책 등에 대해 간략히 설명한다. 다음, 침식량 예측 방법으로 미국의 범용토양 손실공식(USEL) 방법의 적용 절차에 대해 구체적으로 소개한다. 침사지 설계 편에서는 침사지 설계 개념과 구체적인 설계 절차를 제시하고 참사지 규모의 결정방법을 소개한다. 본 강좌의 교재는 미국교통연구단(TRB)의 국립합동도로연구프로그램(NCHRP)#70 자료를 주로 참고하였다. 이 자료는 부록에 원본 전부를 수록하였다. 다만 아직 이 분야 연구가 미흡한 관계로 본 강좌에서는 재해저감 측면에서 합리적인 침사지 설계 기준을 완전히 제시하지 못하고 있다. 참고로 국립방재연구소의 박무종/강대환 연구팀이 기존의 재해영향평가서 자료 중에서 10개를 선정하여 침사지 소요수면적 산정, USEL 적용, 강우침식도 R의 산정 등에 대해 사례 조사 분석한 결과를 부록에 수록하였다.을 기해야 한다. 있다. 청주권의 무심천도 계획상은 대청댐의 물을 공급 받을수도 있도록 되어 있으나 현실상으로 상수도 원수로서의 공급마저도 매년 심한 원수 수질 문제(5-6월, 10월경의 취수장 부근의 부영양화 현상으로 인한 악취와 물 맛의 문제)를 1984년부터 겪고 있다. 이와 같이 도시권 하천의 수자원은 자연적, 인위적, 경제적, 법적, 제도적 여러 제한 요소로서 특성을 가지고 있으며 이는 날로 심해 가고 있는 실정이다. 그러므로 최적 물관리 시스템의 개발이 새로이 시작하는 수자원 개발 사업에서는 계획 단계에서부터 절실히 요구되는 바이며 기존 시설물의 관리 운영은 과감히 그 운영 관리 기준을 보완 재 정비하여야 할 것이다. 지금까지 대부분의 수자원 종합 개발 계획이 홍수방이나 용수 공급 및 수력 개발 등에 주력하여 왔으나 이제는 보다 더 수자원의 환경 보전적 차원과 도시의 안정적 발달을 위한 지역 및 권역 계획과 연계지워져서 양적인 안정 공급과 더불어 질적인 향상과 연계지워서 경제-사회적 요구에 부응할 수 있도록 도시권의 수자원을 최적 관리할 수 있는 방안을 강구하여야 할 것이다. 이는 각 도시 하천의 수자원의 정량적·정성적인 특성 및 제한 요소를 충분히 감안하여 수요-공급 개념에 의하여 과감히 기존 시설(예: 팔당댐의 운영, 대청댐의 운영 등)의 관리 운영 체계를 개선하여 나가야 할 것이며, 수질 보전적-환경 보전 차원에서 저수관리 체계를 확고히 할 수 있는 방안을 강구하여야 할 것이다.펄스주입법에 의해 증착된 박박은 강유전성 이력을 나타내었다.지역과 비도시지역을 비교하는 조사 연구가 필요하며, 이러한 조사결과를 바탕으로 자녀의 식습관에 대

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Algae and Nutrient Removal by Vegetated Artificial Floating Island (인공식물섬에 의한 조류(Algae)및 영양염류의 제거)

  • Park, Sun-Koo;Cho, In-Ki;Kwon, Oh-Byung;Mun, Jung-Soo;Um, Han-Yong;Hwang, Soon-Jin
    • Korean Journal of Ecology and Environment
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    • v.41 no.spc
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    • pp.93-98
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    • 2008
  • We investigated the effect on the removal of BOD, SS, TN and TP and algal growth inhibition of Vegetated Artificial Floating Island (VAFI), by examining microorganism activity and nutrient uptake in the batch test of various conditions: (1) Blank (Control group), (2) VAFI of $0.25m^2$, (3) AFI of $0.25m^2$ which has no vegetation, (4) buoyant plate of $0.25m^2$, (5) buoyant plate of $0.25m^2$ with linear media. The proportion of BOD removal in the VAFI, AFI, buoyant plate and buoyant plate with media were 82.7, 80.8, 45.2% and 59.6% respectively. TN removal in the VAFI, AFI and buoyant plate with media were 51.2, 31.7% and 25.1% respectively. TP removal in the VAFI, AFI, buoyant plate and buoyant plate with media were 23.3, 16.7, 10.0% and 13.3% respectively. Chlorophyll-${\alpha}$ removal in the VAFI was 97.9%. The factors of chlorophyll-${\alpha}$ removal in the VAFI accounted for the shading effect of 35.1%, microorganisms activity of 61%, and plant root of 1.8%.

The Distribution, Ages and Uplift Ratio ofmarine Terraces in SE coast of Korea: Review (동해안 해성단구 분포, 형성시기 및 융기율 검토)

  • Kim, Ju-Yong;Yang, Dong-Yoon;Kim, Jin-Kwan;Lee, Jin-Young;Kim, Jeong-Chan;Hong, Sei-Sun;Oh, Keun-Chang;Choi, Don-Won
    • The Korean Journal of Quaternary Research
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    • v.19 no.1
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    • pp.27-40
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    • 2005
  • Researches onmarine terrace in Korea have been drastically progressed during the last two decades.main themes of researches include vertical and horizontal distribution of paleo-shoreline, sedimentary facies ofmarine terrace deposits, OSL dating of terrace deposits and estimation of uplift rate. At present, it is noted thatmarine terraces distributed at the same altitude do not always show the same sedimentary facies, nor have the same ages.marine terraces are generally divided into five terrace systems, of which ages increase in ascending order. There are some arguments about discrimination between 2nd and 3rd terrace systems and their age. The core discrepancy lies on the question of whether the level of the last interglacial terrace is on the level of about 20m or on the 30~35m(~40m) in altitude. The uplift rate based on the paleoshoreline distribution ranges between 0.10 and 0.20m/ka.

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Dynamic Modeling and Simulation of a Towing Rope using Multiple Finite Element Method (다물체 요소이론을 이용한 예인줄 동역학의 모델링 및 시뮬레이션)

  • Yoon, Hyeon-Kyu;Lee, Hong-Seok;Park, Jong-Kyu;Kim, Yeon-Gyu
    • Journal of Navigation and Port Research
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    • v.36 no.5
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    • pp.339-347
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    • 2012
  • After towing rope connecting a barge to a tug was subdivided into multiple finite elements, then those dynamic models was established using Newton's second law and considering the external force and moment such as tension, drag, Coriolis force, gravity, buoyancy, and impact due to free surface acting on each element. While the previous research on the model of towing rope considered only translation, five-degree-of-freedom equations of motion except roll based on the body-fixed frame were established in this paper. All elements are connected by a spring and a damper, and the stiffness of the spring was set as the equivalent value of the real rope. In order to confirm the established multiple finite element model, various scenarios such as freely falling of towing rope in the air and above the free surface, accelerating of a tug which tows a barge connected by towing rope, and sinusoidal moving of a tug were set up and simulated. As the results, the trajectories of the tug, the barge, and the towing rope showed good tendencies to the ones of real expected situations.

Quaternary Depositional Environments in the Central Yellow Sea Interpreted from Chirp Seismic Data (고해상 탄성파 자료를 이용한 황해 중부 해역에서의 제4기 퇴적환경)

  • 허식;천종화;한상준;신동혁;이희일;김성렬;최동림;이용국;정백훈;석봉출
    • Journal of the Korean Geophysical Society
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    • v.2 no.3
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    • pp.191-200
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    • 1999
  • Analysis of chirp high-resolution seismic profiles from the central Yellow Sea reveals that depositional environments in this area can be divided into three distinctive zones from west to east: (1) subaqueous delta system near the Shandong Peninsula, (2) erosional zone in the central Yellow Sea, and (3) tidal sand ridges and sand waves near the Korean Peninsula. The Shandong subaqueous delta, extending southward from the Shandong Peninsula, changes gradually into prodelta southeastward. The sediments originated from the Yellow River are transported southward along the Chinese coastal area. The erosional zone in the central Yellow Sea contains numerous paleochannels and shows linear erosional features trending northwest-southeast. The erosional zone would be dominated by non-depositional or erosional processes during the Holocene. Tidal sand ridges and sand waves are well developed along the western coast of Korea. The residual sands, which were originally fluvial sediments at the sea-level lowstand, are interpreted as the result of winnowing process during the sea-level rise. Modern sand ridges generally migrates in a northeast-southwestern direction, which coincide with dominant tidal current direction.

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Development of Dry Process Caisson Method for Maintenance of Submerged Harbor Structure (수중 항만구조물의 유지보수를 위한 건식 케이슨 공법 개발)

  • Lee Joong-Woo;Oh Dong-Hoon;Kwak Seung-Kyu;Kim Sung-Tae
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2006.06b
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    • pp.163-170
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    • 2006
  • Together with the trend of enhancement in domestic industrial development and economic progress due to import and export, the demand for construction of the roads, bridges, especially port facilities, and several coastal protection and ocean structures is increasing rapidly. MOMAF of Korean Government is driving construction of 9 new ports and renovation of the existing fishery ports. Among these structures most of bridge base, wharves, dolphins, quays, and jetties are being newly built of steel or concrete pile. As the base, supporting bulkheads, and piles are underwater after construction, it is difficult to figure out the status of structures and not enough to get maintenance and strengthen the structures. Every year, moreover, these works suck the government budget due to higher incomplete maintenance expense for protection from corrosions of structures and increased underwater construction period. For the purpose of cutting down the expense of government budget, it is necessary to extend the life cycle of the existing structures. Therefore, we developed a new method for maintenance of submerged structures near the waterline by allowing dry work environment with the floating caisson. The method shows easy to move around the working area and handle. It also showed not only a significant reduction maintenance expenses and time for anti-corrosion work but also better protection. This will be a milestone to reduce the maintenance and construction expenses for the shore and water structures.

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A Study on the Determinants among Types of the Korean Seniors' Physical Activity and Related Health (국내 노인들의 신체적 활동 유형별 참여와 건강 관련 요인 연구)

  • Chang, Ki-Yeon;Lee, Eun-Jin;Gang, Mi-Yeong
    • The Journal of Korean society of community based occupational therapy
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    • v.10 no.2
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    • pp.47-61
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    • 2020
  • Objective : This study aim to identify the relationships among the types of physical activities included related included related work, sports, leisure, transport and sedentary behaviors and mental health in elderly person. Methods : We analyzed using the data of the 7th Korea National Health and Nutrition Examination Survey(KNHANES VII-1) of 978 subjects who underwent the types of physical activities, quality of life, depression, level of stress, and sleeping hours survey. For statistical analysis, the Complex samples linear regression was used for relationships among the variables. Results : High level of physical activity and house-keeping activity associated negatively on health related quality of life. Mid-High level of leisure activities associated positively on health related quality of life. Contrasting from other studies, which show sedentary activities associated negatively on the health related quality of life, and sedentary activities associated positively on the health related quality of life and mental health. Conclusion : This study shows that physical and leisure activity of an elderly person whilst sedentary activities related positively on health related quality of life, and physical activities related to labor associated negatively on health related quality of life. Future studies should be referred when planning an occupation-focused and meaningful activity program for the elderly people.

Development of Experimental System for Green Roof System (옥상녹화 효율성 검증실험장비 개발)

  • Park, JaeRock;Kim, SaeBom;Cheon, JongHyeon;Kim, ByungSung;Shin, HyunSuk
    • Proceedings of the Korea Water Resources Association Conference
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    • 2017.05a
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    • pp.495-495
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    • 2017
  • 도시화는 불투수면의 증가를 야기 시켜 물순환 왜곡, 다양한 오염 물질의 유입으로 인한 비점오염물질 유출, 인공 배출열의 증가로 인한 도시열섬효과 등 다양한 문제를 유발한다. 이러한 수리수문학적 및 환경생태학적 문제를 저감하기 위하여 도시지역과 같은 개발 사업에서는 수환경을 가능한 자연 상태로 복원하는 저영향개발(Low Impact Development, LID)기법이 중요한 대안으로 제시되고 있다. LID기법 중 하나인 옥상녹화는 에너지 이용을 최소한으로 한 자연 녹음의 효과적인 이용을 도모하여 환경공생도시 조성과 식물을 매개로한 자연 순환 과정을 도시구조에 도입하여 순환 시스템 재생이 가능 하도록한다. 노지녹화는 두꺼운 자연 토양을 이용하는 반면 옥상녹화는 적재하중의 제약(옥상의 적재하중 조건은 $150{\sim}180kgf/m^2$이다. 비중이 1.6~1.8인 토양을 20cm 객토한 경우, 약 $320kgf/m^2 $이상의 적재하중이 되기에 식재기반의 경량화는 중요한 사안이다.)으로 인해 용적밀도가 작은 인공경량토양 또는 개량토양을 이용하며, 토양 두께도 얇게 설정된다. 또한 토양의 두께는 식물의 크기와 종류 및 토양의 조성에 따라 다르기에 적재하중 조건을 고려한 적절한 토양과 식재 식물의 크기와 종류 결정은 중요하다. 이에 본 연구에서는 옥상녹화식생에 대한 평가와 이에 대한 시험 프로세스가 가능한 실험 장치를 개발하였다. 옥상녹화 효율성 검증실험장비는 1m*1m*0.6m 아크릴 재질의 녹화셀로 경사조절이 가능하도록 설계하여 경사변화에 따른 유출, 침투, 증발산량의 탄성도 모의 평가를 할 수 있다. 또한 4점식 형태의 로드셀을 이용하여 녹화셀에서 발생하는 증발산량을 측정하고 관측된 증발산량은 RS-232c 이상의 통신프로토콜을 사용하여 주기적인 관측치의 송수신이 가능하며 주기적 자료송수신 외에도 옥상 녹화셀의 측면에 하중 표시기를 설치하여 관측이 가능하다. 또한 저면에 바퀴설치를 통하여 이동 실험이 용이하며 현재 부산대학교 양산캠퍼스 한국 GI&LID 실증단지 연구센터 내 옥상녹화 실험장에 옥상녹화 효율성 검증 실험 장비를 설치하여 자연 혹은 인공강우를 통한 유출, 침투, 증발산량의 시험계측을 실시중이다. 이러한 옥상녹화 효율성 검증실험장비는 최대 하중 2,000kg, 측정해상도 0.02kg 이상을 허용하는 로드셀과 녹화셀을 이용하여 하중을 고려한 식생의 종류에 따른 평가가 가능하므로 최적 식재기반 단면구조 개발에 이용될 수 있을 것이다. 또한 토양 함수량 변화 측정으로 옥상녹화에 이용되는 다양한 종류의 식물의 염분에 대한 저항성과 식물의 성장능력을 평가하여 녹화공간에 따른 옥상녹화에 사용할 식생을 결정할 수 있다.

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A Study on Knowledge, Attitude and Prevention Behavior of Tuberculosis in Male High School Students (남자 고등학생의 결핵에 대한 지식, 태도 및 예방행위에 관한 연구)

  • Jung, Eun Young;Seo, Ji Hae;Kong, Jeong Hyeon
    • Journal of agricultural medicine and community health
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    • v.43 no.4
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    • pp.213-223
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    • 2018
  • Purpose: The purpose of this study was to identify the knowledge, attitude and preventive behaviors of tuberculosis in male high school students and to identify the factors influencing preventive behaviors and to provide basic data for the development of prevention programs for tuberculosis of male high school students. Methods: This study was conducted from May 1, 2018 to May 30, 2018, and six high school students in S city and Y city of Jeonnam were selected. 465 male high school students in the first grade were selected. Collected data were analyzed using t-test, ANOVA, pearsons's correlation and Multiple regression analysis by SPSS/WIN 21.0 program Results: As a result, the knowledge score was 11.92, the attitude score was 28.32 and the prevention behavior score was 30.07. All of these correlations were statistically correlated. In addition, factors influencing preventive actions against tuberculosis were attitude toward tuberculosis, exercise, health status, and sleep time Conclusion: Based on the above results, it is thought that to improve the preventive behavior of tuberculosis in male high school students, it is necessary to develop a practice-oriented program for forming healthy lifestyle as well as to change the attitude toward tuberculosis positively.