• Research in Community and Public Health Nursing
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• v.31 no.2
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• pp.199-211
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• 2020

Purpose: The purpose of this qualitative study was to describe the essence and the meaning of nurses' experiences of end-of-life care (EOLC) for elderly patients in the long-term care hospitals (LTCHs). Methods: Data were gathered from 12 nurses who had been working at LTCHs in Korea through one-on-one interviews and the data were analyzed by Colaizzi's phenomenological method. Results: The emergent 5 themes were 'Doing the best for protecting patients' life', 'Providing a comfortable dying process for patients', 'Supporting a family's keeping on patient's death', 'Reflecting on life' and 'Desiring for the establishment of a humanity end-of-life care environment'. Conclusion: The end-of-life care for the elderly patients includes supporting elderly patients' comfortable dying process and helping the family keep the death of the elderly. The results indicated that physical facilities and end-of-life nursing capacity should be established in LTCHs for improving the quality of EOLC.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.5 no.2
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• pp.237-256
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• 1998

Death and dying of human being is a comprehensive system, and death orientation, the subjective meaning related to every component of the death system is developed throughout life. This study was designed and carried out to identify, describe and classify the orientations of Korean adult towards the death system. In an attempt to measure the subjective meaning of death and dying, unstructured Q-methodology was used. The 65 Q-statements developed by Kim(1994), used by Kim(1994) and Park(1996) were adopted as Q-population and 39 Q-statements were selected by the three researchers for Q-items for this study. Thirty-three P-samples were sampled from P-population of literate Korean men and women, 35 and 55 years of age, lived in urban Korea for the last 10 years. Sortings of the 39 Q-items according to the level of personal agreement, and a forced normal distribution into the 9 levels were carried out by the P-samples. The Z-scores of the Q-sort data were computed, and the principal components factor analysis by PC-QUANL Program were carried out. The demographic, socio-cultural and health-related attributes of the P-samples were descriptively analysed. Eight types of death orientation were identified ; Type I ; 'naturalist'. Six P-samples. Death is a natural phenomena, to be accepted as it is and to follow its natural course. Prefer to be informed of all facts and possibilities concernig the course of dying and death to occur to self. Type II ; 'life-after-life negator'. Three P-samples. Time and process of death is the destiny of each person. Death means 'darkness' and 'end to every thing, the absolute end'. Yet, wish physical integrity at the dying and after death. Type III ; 'life-after-life believer'. Six P-samples. Men are travellers passing by this life bound to the life-after-life. Priority concerns are on the activities to prepare self for the eternal life ahead. Disregard premature and sudden death. Type IV ; 'here-now believer' Five P-samples. Positive regard to the cremation of the body and donation of the organs on death. Regard religious and customary post-motem rituals meaningless. Negate life-after life. Type V; 'believer of rituals'. Five P-samples. Death being accepted as a part of, a natural end to, and destiny of human life. Concerned to ensure a dignified end to personal life and dignified post-mortem rituals. Type VI ; 'Realist'(derived from Type I). Two P-samples. Life and death as universal reality. The abrupt death at golden age at the peak of happiness is favored to avoid inevitable physical and mental distress of self and the family. Agreed to the cremation of the body. Disregard rituals. Type VII : 'Fatalist' (derived from Type II). Five P-samples. Not favored, yet, all man are destined to death, the inevitable end of all living beings. To ensure dignified end by personal consummation, information on one's dying and imminent death are to be shared. Type VIII ; 'reality avoider'(derived from Type III). One P-sample. Negative to longevity, artificial prolongation of, meaningless and distressful life. Highly positive to postmortem organ donation.

• Journal of the Korea Convergence Society
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• v.10 no.6
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• pp.393-399
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• 2019

This is a descriptive study on the perception and attitude toward DNR in adults. Structured questionnaires were used and 210 subjects were studied. In recognition of DNR, DNR was helpful for 'a comfortable dying(64.3%)'. The need for DNR in situation investigated 'For dignified dying (41.3%)' and 'to alleviate patient suffering(23.9%)'. Respondents who do not agree with DNR are shown 'Because legal issues can arise(61.7%)', 'Because human dignity is the life-sustaining priority(16.7%)'. In the attitude toward DNR, the most significant result was 'I want to know if I have an incurable disease (4.21).' There was no difference in attitudes toward DNR among adults. The DNR is not a method of Withdrawing in lifeprolonging treatment, It should be addressed in a comprehensive context in which human beings exercise autonomy over the process of dying and death.

• Journal of the Korean Society of Manufacturing Process Engineers
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• v.8 no.4
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• pp.61-68
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• 2009

This paper presents the numerical analysis of process of sludge drying to know the characteristics of design parameters and develop the new process plant. Finite volume method and $k-{\varepsilon}$ turbulence model were used to analogy the sludge drying furnace. It has been attempted to perform the disposal of sewage sludge such as simple reclaiming and dumping in sea and incineration. Currently, these methods are restricted by national or international government regulations. The drying process is adopted as an effective method for sewage sludge treatment. However sewage sludge makes it difficult to treat with a large volume at the real drying process plant because of its own complicated physical, chemical, and thermal properties. The final design value of moisture content with 10% of the dried sludge can be obtained through the simulated outputs in this study.

• Journal of muscle and joint health
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• v.15 no.2
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• pp.140-154
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• 2008

Purpose: The purpose of this study was to describe the adjustment process of patients with Amyotrophic Lateral Sclerosis(ALS). Method: The data were collected from May 2007 to February 2008 through individual in-depth interviews with 4 ALS patients. The data collection and analysis were performed according to grounded theory methodology, as suggested by Strauss and Corbin. Results: 'Accepting the sick role' was the central phenomenon, which was derived from 'perceiving an intial symptom'. Therefore, the adjustment pattern was represented by using the different strategies, which were 'raising hope' and 'hoping to dye comfortably'. For taking a view of the future, ALS patients adopted the strategies of 'living positively', 'being treated hardly', 'joining in the experience', 'depending on the absolute being', 'recognizing the dying process'. Conclusion: This study provides guidance for the development of nursing interventions for patients with ALS.

• Korean Journal of Health Education and Promotion
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• v.7 no.2
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• pp.89-102
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• 1990

The research is a comparative study of death attitudes between male and female elderly people. There is no doubt as to the inevitability of death. And yet, there is a vast conspiracy involved in the word of dead or death. The aged are considered to be nearer death than are people in other age groups. Kalish(1976) emphasized that for the aged two meanings of death have significance for evaluating their life ; first, that older people are known to have a limited life time and face death ; second that older people are known to have suffered many death-imposed losses that are often associated with the dying process. In considering these implications, the level of anxiety regarding death and dying is a crucial factor in determining mental health. In the study, 152 male elderly and 145 female elderly residing in Seoul, Korea was compared on the four dimensions of death anxiety and assigned personal variables. Therefore, the purpose the research was (1) to examine the characteristics of subjects on the independent variables(age, marital status, family relationship, social activities, religiousity etc.) ; (2) to examine the relationship between the independent variables and each dimension of death axniety ; (3) to determine the proportion of variance in the respective of death anxiety which is accounted for by the respective independent variables ; (4) to examine whether a significant difference between the respective independent variables and each dimension of death anxiety has ; (5) to determine the combination of variables which is the most successful in explaining the variance in death anxiety. Finding from this study support the following conclusions; 1. There was a significant differences between the male and female subjects in the level of death anxiety. In turn, the male older adults had lower death anxiety than did the female elderly. This implies that male tend to look forward to death rather than deny it. 2. As there was evidences from several studies, this research found that fear of death decreases as age increases. 3. The following two variables that correlate best with dying anxiety of others in both male and female older adults : 'marriage life', 'social interaction'. 4. The variables 'age' and 'children' for both female and male elderly accounted for the most variance in death anxiety of self. The findings of the study lend this investigator several suggestions, implications and recommendations for future research. There can be no death without life, and conversely, no life without death. Psychologists and health-related professionals may be learn as much about death as they can in order to develop more healthy attitudes and in order to be able to better aid and comfort dying people and their familities. Perhaps most importantly, professionals may be help those who are not faced with death at present to develop an understanding of it and healthy attitudes toward it. The programs of death education are needed for dedication to the evitability of death and the preparation of life for the older adults. More seminars, symposiums and research on death attitudes are needed. Finally, study for female older adults has been negelected topic in the areas of women's study and health education. Future study, for female elderly, have to deeply investigate where those problems come from and how to cope with in order to the female elderly segment can live the rest of their lives in satisfaction with well-being.

• Journal of Hospice and Palliative Care
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• v.2 no.2
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• pp.101-108
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• 1999

Purpose : The purpose of this study was to identify hospice volunteers' perception of the death. Methods : This study was conducted with 327 adults who registered for the hospice volunteer education program in Severance Hospice Center from 1996 through 1999. The 4-years data was collected through a self-reporting questionnaire constructed and revised by the authors. The questionnaire was classified into 5 categories. The data collected were analyzed using SPSS/W. Results : 1) Hospice volunteers were mostly female(93.9%) with an average age of 48 years. The majority(82.6%) of the participants were Protestant. 2) From the 4-years data over 90 percent of participants thought of death as a process of life and responded positively to these three items : 'Death is a temporary separation from family', 'I will die in peace', 'Faith in God results in a freedom from fear of death'. 3) Age were statistically relevant to the following items: 'I often read the obituaries in the newspaper', 'Dying is a tragedy', and 6 items were significantly related to religion: 'I rarely think of dying unexpectedly', 'Death is a temporary separation from family'. 'Dying is a tragedy', 'We have to do our best to prolong life by use of modem medical technology', 'I feel comfortable thinking of death and dying, 'Faith in God results in a freedom from fear of death'. The finding that religiosity was related to perception of death is consistent with other reports. And $40{\sim}50$ year old Protestant women had more positive perception of death than $20{\sim}30$ year old women. Conclusion : The findings indicated an importance of considering the age and religiosity when we educate the hospice volunteers. And that will be a important basic-data to develope program for hospice volunteers.

• Journal of Life Science
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• v.16 no.5
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• pp.828-833
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• 2006

Maize (Zea mays L.) pistil cell death and stamen cell arrest are pivotal process on the sex determination, which diverges from bisexual state of floral meristem to unisexual state in staminate or pistillate floret. We investigated the temporal and spatial distribution of cell cycle gene expression during maize sex determination. The positive regulatory genes of cell cycle, cyclin A, cyclin B, cyclin dependent kinase (CDK) and Mad2 were highly expressed in the developing pistil and stamen but the expression was disappeared in the dying pistil and arresting stamens. In contrast, the negative regulatory genes of cell cycle, Wee1 and CDK inhibitor (CKI) were expressed in the arresting stamens in the wild-type ear and tasselseed2 mutant tassel, however, these genes were not detected in dying pistil although the cyclin B gene expression was disappeared. These results suggest that both the pistil cell death and stamen cell arrest process in maize sex determination are involved in cell cycle regulation, but the different expression patterns of negative regulatory cell cycle genes in the arresting stamens and aborting pistils suggest that the two processes may have distinctive modes of action.

• The Journal of the Korea Contents Association
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• v.13 no.9
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• pp.334-343
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• 2013

This study was conducted to examine the readiness for death and death anxiety among hospitalized cancer patients. A convenience sample of 183 cancer patients admitted to four hospitals in Korea was recruited for this study. Data were collected in 2010. Collected data were analyzed with descriptive statistics, independent t-test, one-way ANOVA, and Pearson's correlation coefficient. The mean scores of readiness for death and death anxiety were 1.99(${\pm}0.69$) and 2.21(${\pm}0.59$) out of 4, respectively. 'Psychological readiness' showed the highest mean score among the death anxiety domains, and 'dying process' had the highest mean score among the death anxiety domains. No statistically significant correlation was found between readiness for death and death anxiety. Readiness for death was statistically significantly different according to age, afterlife beliefs, stage of cancer, duration of disease, and number of symptoms. Death anxiety showed significant difference according to faith in God and afterlife beliefs. Distress in the process of dying needs to be managed for cancer patients and spiritual interventions should be considered to relieve death anxiety.

• Journal of Korean Society on Water Environment
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• v.21 no.3
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• pp.267-273
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• 2005

Dye wastewater generally contains strong color and non-biodegradable materials. Therefore, the conventional wastewater treatment plant can hardly meet the regulation of wastewater effluent water. In this study, a pilot plant of the conventional process followed by advanced oxidation process (AOP), was set up to treat the dying wastewater. The treatment efficiencies on the various candidate processes, such as ozone alone, UV alone, ozone/UV, $ozone/H_2O_2$, $H_2O_2/UV$ and $ozone/UV/H_2O_2$, were investigated in the various ozone and $H_2O_2$ doses. As the results, the $ozone/H_2O_2$ process, among the tested processes, showed the highest efficiency for removing color and $COD_{Cr}$. For color removal, the ozone alone process was enough without combining UV or $H_2O_2$. No significantly enhanced efficiency for removing color and $COD_{Cr}$ by UV irradiation was observed because of the very low transmittance of UV light in dye wastewater.