• Title/Summary/Keyword: 환경의 질 평가

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Initial Assessment and Care Planning in Palliative Hospice Care: Focus on Assessment Tools (호스피스 완화의료에서의 초기평가와 돌봄 계획의 수립: 평가도구를 중심으로)

  • Park, Eun Ju;Koh, Su Jin;Cheon, Jae Kyung
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.67-76
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    • 2019
  • For hospice palliative care that provides comprehensive and general care, it is necessary to use assessment tools to objectively list issues and detail care plans. The initial assessment is a process of establishing an overall direction of care by identifying the patient's symptoms, social and spiritual issues and palliative care needs on the admission day or within one day of admission. This process is also used to identify the patients' and families' awareness of the illness, prognosis, treatment options and if the Physician Orders for Life-Sustaining Treatment (POLST) has been drafted. Consisting of 13 simple questions regarding the physical, mental, social, and spiritual domains, the Needs at the End-of-Life Screening Tool (NEST) is recommended as an initial assessment tool. Using specific assessment tools, a care plan is established for the issues identified in the initial assessment within three days of admission. A multidisciplinary assessment tool can be helpful in the physical domain. The psychosocial domain evaluates psychological distress, anxiety and depression. The social domain examines an ability to make decisions, understanding of the socioeconomic circumstance, family relationship, and death preparedness. A spiritual evaluation is also important, for which the Functional Assessment of Chronic Illness Therapy-Spiritual WellBeing Scale (FACIT-Sp) or the Spiritual Health Inventory (SHI) can be used. The use of an assessment tool could not only contribute to pain mitigation a better quality of life for patients, but also provide systematic training for a multidisciplinary team; And the process itself could be a stepping stone for the better care provision.

Minor Stress, Coping Skill and Quality of Life in Patients with Hemodialysis (혈액투석 환자들의 Minor Stress, 대처방식 및 삶의 질)

  • Yang, Jae-Won;Lee, Moon-Soo;Park, Sang-Uk;Oh, So-Young;Ko, Young-Hoon;Kwan, Young-Joo;Joe, Sook-Haeng
    • Korean Journal of Psychosomatic Medicine
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    • v.16 no.1
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    • pp.38-46
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    • 2008
  • Objectives : The purpose of this study is to investigate the minor stress in daily life related to undergoing hemodialysis and the relationship between minor stresses, coping skills, and subjective quality of life among the patients with end stage renal disease. Methods : Seventy seven patients on hemodialysis were enrolled in this study. Minor stress was assessed with daily stress inventory-Korean version(K-DSI), ways of coping checklist identified the use of the following coping strategies:problem-focused, seek social support, emotion-focused coping and wishful thinking. Socio-demographic data were obtained and World Health Organization-Quality of Life Scale(brief form) was also administered to subjects. Results : Participants mean age was $55.92{\pm}13.71$ years. The mean of the event, impact and impact/event (I/E) ratio scores of K-DSI were $29.06{\pm}21.57$, $88.69{\pm}75.88$ and $2.92{\pm}1.11$, respectively. These scores were much higher than normative data of K-DSI. Among the 5 categories of this inventory, the scores of cognitive stressors were highest. 5 categories of the inventory showed positive relationship with way of coping subscales, which showed coefficient of correlation between 0.259(p<.01) and 0.495(p<.001). However, no significant correlation was found between minor stress subscales and quality of life. Hemodialysis patients in our study used more emotional-focused coping methods, which was considered as passive way of cope than problem-orientated coping methods. Conclusion : The main findings of this study indicated that patients on hemodialysis showed higher level of perceived minor stress than normal population. The patients treated with hemodialysis tend to use passive way of coping primarily. For assessing the stress in patients on hemodialysis, clinician has to consider both level of perceived minor stress and the ways of coping the patients primarily use.

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An Interdependent Data Allocation Scheme Using Square Root Rule of Data Access Probability (데이터 액세스 확률의 제곱근 법칙을 이용한 상호 관련 데이터 할당 기법)

  • Kwon, Hyeokmin
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.15 no.5
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    • pp.75-84
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    • 2015
  • A data allocation technique is essential to improve the performance of data broadcast systems. This paper explores the issues for allocating data items on broadcast channels to process multiple-data queries in the environment where query profiles and query request rates are given, and proposes a new data allocation scheme named IDAS. The proposed scheme employs the strategy that the broadcast frequency of each data is determined by the square root value of its relative access probability. IDAS could enhance the performance of query response time since it can process queries of high request rate fast and show a resonable degree of query data adjacency. Simulation is performed to evaluate the performance of the proposed scheme. The simulation results show that IDAS outperforms other schemes in terms of the average response time.

Assessment of Soil and Nutrient Characteristics of Agricultural Areas in a Multi-purpose dam site (다목적댐 홍수조절지 내 경작지 토양 및 양분 특성 평가)

  • Choi, Hye seon;Geronimo, F.K.F.;Jeon, Min Su;Kim, Lee Hyung
    • Proceedings of the Korea Water Resources Association Conference
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    • 2019.05a
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    • pp.414-414
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    • 2019
  • 농업으로부터의 비점오염은 지표수와 지하수 모두의 수질에 영향을 미친다. 특히, 비료, 퇴비, 농약 등의 인공적 질소가 살포된 토양은 강우시 화학 침출로 인한 수질오염이 발생되고 있다. 강우시 강우유출수와 함께 지표 수역으로 흘러들어오는 영양물질(질소, 인)은 저수지로 유입되어 침수시 작물이 죽게 되어 저수지의 부영양화 등의 수질 오염문제를 야기시킨다. 국내에서는 홍수조절용지에서의 영농활동의 전면 금지하고 있는 실정이지만, 불법적으로 경작활동이 진행되고 있다. 따라서, 본 연구에서는 다목적댐 홍수조절지 내 경작지 토양 및 양분 특성 평가를 수행하였다. 홍수조절지 내 경작지 토양 특성 및 양분 조사를 위하여 경작이 집중적으로 이루어지고 있는 대청호 지역을 모니터링 지점으로 선정하였다. 모니터링은 경작지 내 토양 시료 및 주변 토양을 채취하여 분석을 수행하였다. 채취한 토양은 토양표준분석법(농촌진흥청, 2012) 및 농업토양분석방법(국립산림과학원, 2014) 기준을 바탕으로 물리 화학적 분석을 수행하였다. 모니터링은 2018년 5월부터 수행되었으며 현재까지 월 1회씩 모니터링을 진행하고 있다. 연구 결과, 밭 경작지 토양은 논에 비해 실트질 함량이 절반으로 침투성이 높은 토양으로 분석되었으며, 영양염류의 침투를 통한 이동 가능(기저유출)이 높게 나타나는 것으로 조사되었다. 이는 중간유출 및 기저유출 저감방안 도입이 필요한 것으로 평가되었다. 작물별 토양 양분분석 결과 고추, 마늘, 담배 경작지에서 화학비료사용량이 타 작물에 비해 높은 것을 분석되었으며, 경작지에 화학비료 및 퇴비의 과다 사용으로 염류농도가 증가할 경우 전기전도도가 높아지며 토양의 삼투압을 증가시켜 물의 흡수와 각종 양분 흡수를 방해하는 것으로 평가되었다. 인의 존재 형태별 비교시 대부분의 경작지에서 높은 값을 보였으며, 특히 경작지 토양의 Residual-P의 농도가 원지반 보다 2~5배 정도 높게 나타났다. 이러한 원인은 퇴비의 사용으로 인한 Residual-P의 누적으로 평가되며, 환경변화에 따라 수층으로 인의 용출이 쉽게 발생하므로 향후 수질에 미치는 영향이 더 클 것으로 사료된다.

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Heuristic based Workflow Scheduling for Cost Saving in Cloud Computing Environment (클라우드 환경에서의 비용 절감을 위한 휴리스틱 기반의 워크플로우 스케쥴링 기법)

  • Kang, Dong-Ki;Kim, Seong-Hwan;Kim, Dae-Sun;Youn, Chan-Hyun
    • Proceedings of the Korea Information Processing Society Conference
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    • 2013.11a
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    • pp.197-200
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    • 2013
  • 클라우드 컴퓨팅 환경에서는 가상화된 자원 인스턴스를 할당받아 응용을 처리할 때 적절한 서비스질을 만족하면서도 자원 운용 비용을 최소화하는 것이 중요한 이슈로 연구되고 있다. 그리드 환경과는 달리 클라우드 환경에서는 모든 가상 자원 인스턴스는 작업의 처리시간이 아닌 고정된 자원 할당 시간을 기준으로 가격이 책정되므로 기존의 그리드 환경을 고려한 자원 스케쥴링 기법은 클라우드 환경에서는 부적절한 자원 낭비를 발생시킬 수 있다. 이러한 문제를 해결하기 위해 본 논문에서는 클라우드 가격 정책을 고려한 휴리스틱 기반의 자원 스케쥴링 기법을 제안하고 이를 워크플로우 응용에 적용시키고자 한다. 제안된 기법의 성능 평가를 위하여 Montage 프로젝트를 워크플로우 응용으로 채택하였고 이를 Openstack 기반 클라우드 플랫폼을 기반으로 실험을 수행하였다.

Assessment of tributary water quality using integrated Water Quality Index (통합수질지수를 이용한 지류지천 수질평가)

  • Kal, Byungseok;Park, Jaebeom;Kim, Sanghun;Im, Taehyo
    • Journal of Wetlands Research
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    • v.19 no.3
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    • pp.311-317
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    • 2017
  • In this study, the water quality index was calculated using the water quality monitoring data in the Nakdong River water system and the water quality status was compared with the living standard. The water quality index was selected by the RWQI method CCME-WQI currently used by the Ministry of Environment. The water quality items were selected as 7 items for pH, DO, EC, water temperature, TOC, T-N and T-P. The evaluation period was selected from the last three years (2013~2015) and water quality monitoring data measured within the period were used. As a result of the evaluation, the results of the previous evaluation showed similar tendency to the index of living environment, but the monthly evaluation showed different BOD and T-P results. Therefore, it is concluded that it is more reliable that more complex evaluation than single water quality evaluation is needed for efficient river management.

Evaluation of the environmental and ecological value indicators for railway development area selection (철도개발지 선정을 위한 환경·생태적 가치 지표 평가)

  • Kim, Min-kyeong;Kim, Dong Yeob
    • Journal of Environmental Impact Assessment
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    • v.26 no.2
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    • pp.105-113
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    • 2017
  • Recently mountain tourism has been promoted and introduction of railroads with utilizing mountain resources is being planned. With the government policies to increase the share of eco-friendly transportation on railroad, national double-tracking of single rail and improvement projects are on going. However, the eco-friendly railroad policy suggests the environmental impact assessment items only on air quality, water quality, geographical/geological features, fauna/flora, natural/environmental resources, noise/ vibration, and recreation/landscape. And for fauna/flora and natural/environmental resources, confirming the presence of environmental protection zone is enough to satisfy legal requirement. This study suggested to evaluate environmental/ecological values with quantitative data. Evaluation indices and evaluation items have been selected to provide the data. Each of the subject map and railroad network was overlapped. The study selected naturalness and diversity as major indicators and calculated weight values of the items under the indicators, which are to be usd for the selection of the sites for railway development. This assessment method could be applied to the environmentally friendly construction of railroads in the future.

An Efficient Spatial Data Cache Algorithm for a Map Service in Mobile Environment (모바일 환경에서 지도 서비스를 위한 효율적인 공간 데이터 캐시 알고리즘)

  • Moon, Jin-Yong
    • Journal of Digital Contents Society
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    • v.16 no.2
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    • pp.257-262
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    • 2015
  • Recently, the interests of mobile GIS technology is increasing with the spread of wireless network, the improvement of mobile device's performances, and the growth of demands about mobile services. Providing services in a wireless environment with existing wired-based GIS solutions have many limitations such as slow communication, processing rates and screen size. In this paper, we propose a cache algorithm on client side to solve the above problems. The proposed algorithm demonstrates the performance improvement over known studies by utilizing unit time and spatial proximity. In addition, this paper conducts a performance evaluation to measure the improvement in algorithm efficiency and analyzes the results of the performance evaluation. When spatial data queries are conducted, according to our performance evaluation, hit rate has been improved over the existing algorithms.

Aesthetic Landscape Assessment Based on Landscape Units in the Han River Riparian Area (경관단위 기반 수변환경의 심미적 평가 - 한강 수변을 대상으로 -)

  • Bae, Min-Ki;Park, Chang-Sug;Oh, Chung-Hyun
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.1
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    • pp.43-56
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    • 2012
  • The purpose of this study was to propose management strategies through aesthetic landscape assessments for landscape units in the Han River riparian(HRR) area. First, this research reclassified the HRR into "natural," "artificial," "agricultural," and mixed landscape types and selected 37 representative case areas(about $1km{\times}1km$). This study found 71 landscape units in consideration of topography and land surface classification. Landscape assessment consisted of landscape quality and landscape integration assessment. The criteria for assessing landscape quality were "naturalness," "interest," "uniqueness," and "landscape function." "Landscape quality" was ranked into five grades using a matrix. The landscape integration assessment consisted of an inner integration assessment in each landscape unit and outer integration assessment among landscape units. As a result of the field study, case sites were found to have 4,288 landscape units and an area of $42.8km^2$. The forest area was found to have the most space with $11,580,905m^2$(27.1%), while the wet lands had just $52,348m^2$(0.1%). In the landscape quality assessment, about 30.5% of the total area consisted of landscape units that scored highest in "naturalness". In the landscape integration assessment, about 39.3% of the total area consisted of landscape units which scored highest in "integration", denoting visual interrelation and harmony. The existence of disparities in landscape quality in accordance with the form of the landscaping was determined using a Oneway ANOVA, with "naturalistic" landscaping scoring the highest and "artificial" landscaping scoring lowest. This study may contribute to making the HRR area a more ecologically sound and visually attractive landscape space. It is recommended that the aesthetical and ecological value of the landscape unit should be assessed simultaneously in the future.

Satisfaction Experienced in Urban Parks and Green Spaces according to Their Component and Arrangement - A Case Study on Tama Newtown, Japan - (도시공원녹지의 구성과 배치 특성에 따른 이용만족도에 관한 연구 - 일본 타마뉴타운의 사례중심으로 -)

  • Yeom, Sung-Jin;Park, Chung-In
    • Journal of the Korean Institute of Landscape Architecture
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    • v.39 no.5
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    • pp.12-20
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    • 2011
  • Parks and green spaces have various functions for improving urban physical and social environments. Urban parks and green space planning have been applied in this study for the purpose of enhancing the urban environment. The most popular method for urban parks and green space planning is incrementing the quantity of parks and green spaces. However, it may not be possible to designate new parks and green spaces in a large city because of the difficulty of obtaining land. This study explores how urban parks and green space planning produces better quality urban environments without having to designate new parks and green spaces. The study evaluates existing parks and green spaces according to the satisfaction of the users. This evaluation could be a useful tool for those planning urban parks and green space systems. The study was performed in Tama Newtown, Japan, within two districts with two distinct characteristics of park systems: concentration and equality arrangement forms. For comparison, on-site questionnaires were used, with 319 residents in the area responding to the study. The data was collected and analyzed, using t-test, factor analysis, and multiple regression methods. The study found there was no difference in satisfaction factors be tween the two districts. However, differences were found within each of the districts, depending on parks and green space components. For example, the quality of green space was the most important factor for the district with a planned concentration arrangement form of parks and green spaces, but, separation of the pedestrian and vehicular systems was the most important factor in the district with a planned equality arrangement form of park system. Factors affecting the satisfaction of parks and green spaces that were common between the two sites were: accessibility, quality of park, quality of green space, and separation of pedestrian and vehicular traffics.