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Quantity over Quality? Perception of Designating Long-Term Care Hospitals as Providers of Hospice and Palliative Care

  • Kim-Knauss, Yaeji;Jeong, Eunseok;Sim, Jin-ah;Lee, Jihye;Choo, Jiyeon;Yun, Young Ho
    • Journal of Hospice and Palliative Care
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    • v.22 no.4
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    • pp.145-155
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    • 2019
  • Purpose: Amendment to the Act on Decisions on Life-sustaining Treatment was recently enacted to designate long-term care hospitals as providers of hospice and palliative care. Despite its benefit of providing improved accessibility to end-of-life care, the amendment has raised concerns about its effect on quality of service. This study aimed to use information obtained from an expert group interview and previous studies to compare how cancer patients, family caregivers, physicians, and the general Korean population perceive the potential benefits and risks of this amendment. Methods: We conducted a multicenter cross-sectional study from July to October 2016. The included participants answered a structured questionnaire regarding the extent to which they agree or disagree with the questionnaire items indicating the potential benefits and risks of the amendment. Chi-square tests and univariate and multivariate logistic regression analyses were performed. Results: Compared with the general population, physicians agreed more that long-term care hospitals are currently not adequately equipped to provide quality hospice and palliative care. Family caregivers found improved access to long-term care hospitals more favorable but were more likely to agree that these hospitals might prioritize profits, thereby threatening the philosophy of hospice care, and that families might cease to fulfill filial responsibilities. Compared with the general population, cancer patients were more concerned about the potentially decreased service quality in this setting. Conclusion: Although potential service beneficiaries and providers expected improved accessibility of hospice and palliative care services, they were also concerned whether the system can provide adequate quality of end-of-life care.

Demand and Awareness of Dental Hygienists for Academic Credit Bank System According to Different Regions (지역별 치과위생사의 학점은행제에 대한 인식 및 요구)

  • Yang, Seung-Kyeong;Kim, Eun-Hee
    • Journal of dental hygiene science
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    • v.8 no.4
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    • pp.313-322
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    • 2008
  • The purpose of this study was to examine the awareness of dental hygienists in different regions about credit bank system and their needs for that. The subjects in this study were 312 dental hygienists in dental hospitals and clinics in Seoul, Gyeonggi province, metropolitan cities, Gangweon province and Gyeongsang province. After a survey was conducted in 2008, the collected data were analyzed with SPSS 11.5 program. The findings of the study were as follows: 1. In regard to perception of the credit bank system, 68.3 percent of the dental hygienists were cognizant of that. The dental hygienists from most of the geographic areas were aware of it, but all the forty three dental hygienists from Gangweon province who accounted for 13.8 percent didn't know about that. As for media by which they acquired information on that, many of the dental hygienists learned about it from their acquaintances (46.2%), but that was not the case for the dental hygienists from Seoul and Gyeonggi province. 2. As for expectations for the credit bank system, those from Gyeongsang province had the greatest expectations for that in six out of nine items, which included academic or job performance improvement, acquisition of credits, degree or certificates and access to new technology. 3. Concerning educational spending on the credit bank system, 18.9 percent and 8.7 percent from Seoul/Gyeonggi province and Gangweon province spent less than 30 thousand won, and 19.9 percent from the metropolitan cities spent 30 thousand to less than 50 thousand won. 4. As for the importance of the categories of their major in the credit bank system, those from Gangweon province attached the most importance to oral health education ($3.56{\pm}1.259$), and the dental hygienists from the metropolitan cities put the most stress on preventive treatment ($3.64{\pm}1.191$).

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A Comparative Study of Juvenile Black-faced Spoonbills Platalea Minor Home Range in Gujido and Chilsando Islets, South Korea (구지도, 칠산도 저어새 유조의 행동권 비교 연구)

  • Son, Seok-Jun;Kang, Jung-Hoon;Kwon, In-Ki;Kim, Dal-Ho;Lee, Ki-Sup;Yoo, Jeong-Chil
    • Korean Journal of Environment and Ecology
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    • v.34 no.2
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    • pp.99-105
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    • 2020
  • Migratory birds use a variety of breeding and wintering sites, and it is particularly important to understand more information on breeding and feeding sites for the conservation and management of endangered species. Black-faced spoonbills (Platalea minor) are an international endangered species distributed in East Asia. The majority of black-faced spoonbills breed on uninhabited islets off the west coast of the Korean Peninsula during the breeding season, and they are distributed in East Asia such as Taiwan, Hong Kong, southern China, Japan, and Jeju island during the winter season. In this study, we used a wild animal location tracking system to analyze and compare home ranges of three black-faced spoonbills spending the post-fledging stage in Gujido islet in Incheon and Chilsando islet in Yeonggwang each in 2015. The tree black-faced spoonbills in Guji islet showed a home range in coastal areas in Hwanghaenam-do and Gangneung-gun. The home range size (mean±SD) was estimated to be 425.49±116.95 ㎢ using 100% MCP, 43.61±18.51 ㎢ using KDE 95%, and 7.46±3.68 ㎢using KDE 50%. The tree black-faced spoonbills in Chilsando islet showed a home range in the Baeksu tidal flat and the Buan Saemangeum area with a size of 99.38±55.29 ㎢ using 100% MCP, 19.87±6.05 ㎢ using KDE 95%, and 1.16±0.53 ㎢ using KDE 50%. The figured indicated that the tree black-faced spoonbills breeding in Gujido islet had a wider home range than those breeding in Chilsando islet. During the post-fledging stage, the home ranges of black-faced spoonbills were mostly breeding in mudflats. Therefore, it is necessary to minimize human intervention, such as the construction of roads and structures and the human access, to protect the habitats during the period.

Middle School Home Economics Teachers' Perception and Needs of Self Supervision Related to Home Economics Subject Matter (중학교 가정과교사의 가정교과관련 자기장학에 대한 인식과 자기장학 활성화를 위한 요구)

  • Nam, Yun-Jin;Chae, Jung-Hyun
    • Journal of Korean Home Economics Education Association
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    • v.20 no.1
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    • pp.45-62
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    • 2008
  • The purpose of this study was to investigate middle school home economics(HE) teachers' perception and needs on self supervision related to HE subject matter, Using the methods of survey and interview, 177 samples were collected. For collected surveys, mean value, standard deviation, frequency, percentage analysis were performed by using an SPSS/Win (ver10.1) program. The results of this study were as follows. First, the middle school HE teachers recognized that self supervision related to HE subject matter was absolutely needed to expand the improvement of techniques for teaching instructions and the width of knowledge on the studies on textbook. Second, the middle school HE teachers recognized the necessary parts of self supervision related to HE subject matter as HE teaching-learning methods, the studies on textbook contents, and HE education philosophy in order. Third, the middle school HE teachers recognized that it would be helpful in improving their HE class and expertise in order of field survey, participation in various training programs, utilization of mass media, participation in societies for researches and meetings and information sharing with co-teachers among the types of self supervision. Fourth, the middle school HE teachers needed the reduction in miscellaneous duties, less pressure for time, restoration of teachers' desire, support of physical resources (improvement of various environments such as classrooms and special rooms), economic support and various support programs (expanding the opportunities to participate in training and society and establishment of a database for relevant materials, etc.) to facilitate self supervision. As such, the middle school HE teachers' overall recognition on HE-related self supervision became significantly higher. To enhance the HE-related expertise, however, it would be necessary to conduct concrete and active support for HE education, philosophical area and the studies on textbook contents as well as the teaching-learning methods for HE in which teachers' demand was high. In addition, the HE teachers wanted to have an easy and quick access to various HE-related data; therefore, it would be urgent to summarize scattered relevant data and support the HE teachers more systematically.

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Mammalian Reproduction and Pheromones (포유동물의 생식과 페로몬)

  • Lee, Sung-Ho
    • Development and Reproduction
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    • v.10 no.3
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    • pp.159-168
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    • 2006
  • Rodents and many other mammals have two chemosensory systems that mediate responses to pheromones, the main and accessory olfactory system, MOS and AOS, respectively. The chemosensory neurons associated with the MOS are located in the main olfactory epithelium, while those associated with the AOS are located in the vomeronasal organ(VNO). Pheromonal odorants access the lumen of the VNO via canals in the roof of the mouth, and are largely thought to be nonvolatile. The main pheromone receptor proteins consist of two superfamilies, V1Rs and V2Rs, that are structurally distinct and unrelated to the olfactory receptors expressed in the main olfactory epithelium. These two type of receptors are seven transmembrane domain G-protein coupled proteins(V1R with $G_{{\alpha}i2}$, V2R with $G_{0\;{\alpha}}$). V2Rs are co-expressed with nonclassical MHC Ib genes(M10 and other 8 M1 family proteins). Other important molecular component of VNO neuron is a TrpC2, a cation channel protein of transient receptor potential(TRP) family and thought to have a crucial role in signal transduction. There are four types of pheromones in mammalian chemical communication - primers, signalers, modulators and releasers. Responses to these chemosignals can vary substantially within and between individuals. This variability can stem from the modulating effects of steroid hormones and/or non-steroid factors such as neurotransmitters on olfactory processing. Such modulation frequently augments or facilitates the effects that prevailing social and environmental conditions have on the reproductive axis. The best example is the pregnancy block effect(Bruce effect), caused by testosterone-dependent major urinary proteins(MUPs) in male mouse urine. Intriguingly, mouse GnRH neurons receive pheromone signals from both odor and pheromone relays in the brain and may also receive common odor signals. Though it is quite controversial, recent studies reveal a complex interplay between reproduction and other functions in which GnRH neurons appear to integrate information from multiple sources and modulate a variety of brain functions.

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The Performance Bottleneck of Subsequence Matching in Time-Series Databases: Observation, Solution, and Performance Evaluation (시계열 데이타베이스에서 서브시퀀스 매칭의 성능 병목 : 관찰, 해결 방안, 성능 평가)

  • 김상욱
    • Journal of KIISE:Databases
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    • v.30 no.4
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    • pp.381-396
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    • 2003
  • Subsequence matching is an operation that finds subsequences whose changing patterns are similar to a given query sequence from time-series databases. This paper points out the performance bottleneck in subsequence matching, and then proposes an effective method that improves the performance of entire subsequence matching significantly by resolving the performance bottleneck. First, we analyze the disk access and CPU processing times required during the index searching and post processing steps through preliminary experiments. Based on their results, we show that the post processing step is the main performance bottleneck in subsequence matching, and them claim that its optimization is a crucial issue overlooked in previous approaches. In order to resolve the performance bottleneck, we propose a simple but quite effective method that processes the post processing step in the optimal way. By rearranging the order of candidate subsequences to be compared with a query sequence, our method completely eliminates the redundancy of disk accesses and CPU processing occurred in the post processing step. We formally prove that our method is optimal and also does not incur any false dismissal. We show the effectiveness of our method by extensive experiments. The results show that our method achieves significant speed-up in the post processing step 3.91 to 9.42 times when using a data set of real-world stock sequences and 4.97 to 5.61 times when using data sets of a large volume of synthetic sequences. Also, the results show that our method reduces the weight of the post processing step in entire subsequence matching from about 90% to less than 70%. This implies that our method successfully resolves th performance bottleneck in subsequence matching. As a result, our method provides excellent performance in entire subsequence matching. The experimental results reveal that it is 3.05 to 5.60 times faster when using a data set of real-world stock sequences and 3.68 to 4.21 times faster when using data sets of a large volume of synthetic sequences compared with the previous one.

A Dynamic Prefetch Filtering Schemes to Enhance Usefulness Of Cache Memory (캐시 메모리의 유용성을 높이는 동적 선인출 필터링 기법)

  • Chon Young-Suk;Lee Byung-Kwon;Lee Chun-Hee;Kim Suk-Il;Jeon Joong-Nam
    • The KIPS Transactions:PartA
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    • v.13A no.2 s.99
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    • pp.123-136
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    • 2006
  • The prefetching technique is an effective way to reduce the latency caused memory access. However, excessively aggressive prefetch not only leads to cache pollution so as to cancel out the benefits of prefetch but also increase bus traffic leading to overall performance degradation. In this thesis, a prefetch filtering scheme is proposed which dynamically decides whether to commence prefetching by referring a filtering table to reduce the cache pollution due to unnecessary prefetches In this thesis, First, prefetch hashing table 1bitSC filtering scheme(PHT1bSC) has been shown to analyze the lock problem of the conventional scheme, this scheme such as conventional scheme used to be N:1 mapping, but it has the two state to 1bit value of each entries. A complete block address table filtering scheme(CBAT) has been introduced to be used as a reference for the comparative study. A prefetch block address lookup table scheme(PBALT) has been proposed as the main idea of this paper which exhibits the most exact filtering performance. This scheme has a length of the table the same as the PHT1bSC scheme, the contents of each entry have the fields the same as CBAT scheme recently, never referenced data block address has been 1:1 mapping a entry of the filter table. On commonly used prefetch schemes and general benchmarks and multimedia programs simulates change cache parameters. The PBALT scheme compared with no filtering has shown enhanced the greatest 22%, the cache miss ratio has been decreased by 7.9% by virtue of enhanced filtering accuracy compared with conventional PHT2bSC. The MADT of the proposed PBALT scheme has been decreased by 6.1% compared with conventional schemes to reduce the total execution time.

Evaluation of SWAT Applicability to Simulation of Sediment Behaviois at the Imha-Dam Watershed (임하댐 유역의 유사 거동 모의를 위한 SWAT 모델의 적용성 평가)

  • Park, Younshik;Kim, Jonggun;Park, Joonho;Jeon, Ji-Hong;Choi, Dong Hyuk;Kim, Taedong;Choi, Joongdae;Ahn, Jaehun;Kim, Ki-sung;Lim, Kyoung Jae
    • Journal of Korean Society on Water Environment
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    • v.23 no.4
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    • pp.467-473
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    • 2007
  • Although the dominant land use at the Imha-dam watershed is forest areas, soil erosion has been increasing because of intensive agricultural activities performed at the fields located along the stream for easy-access to water supply and relatively favorable topography. In addition, steep topography at the Imha-dam watershed is also contributing increased soil erosion and sediment loads. At the Imha-dam watershed, outflow has increased sharply by the typhoons Rusa and Maemi in 2002, 2003 respectively. In this study, the Soil and Water Assessment Tool (SWAT) model was evaluated for simulation of flow and sediment behaviors with long-term temporal and spatial conditions. The precipitation data from eight precipitation observatories, located at Ilwol, Subi and etc., were used. There was no significant difference in monthly rainfall for 8 locations. However, there was slight differences in rainfall amounts and patterns in 2003 and 2004. The topographical map at 1:5000 scale from the National Geographic Information Institute was used to define watershed boundaries, the detailed soil map at 1:25,000 scale from the National Institute of Highland Agriculture and the land cover data from the Korea Institute of Water and Environment were used to simulate the hydrologic response and soil erosion and sediment behaviors. To evaluate hydrologic component of the SWAT model, calibration was performed for the period from Jan. 2002 to Dec. 2003, and validation for Jan. 2004 to Apr. 2005. The $R^2$ value and El value were 0.93 and 0.90 respectively for calibration period, and the $R^2$ value and El value for validation were 0.73 and 0.68 respectively. The $R^2$ value and El value of sediment yield data with the calibrated parameters was 0.89 and 0.84 respectively. The comparisons with the measured data showed that the SWAT model is applicable to simulate hydrology and sediment behaviors at Imha dam watershed. With proper representation of the Best Management Practices (BM Ps) in the SWAT model, the SWAT can be used for pre-evaluation of the cost-effective and sustainable soil erosion BMPs to solve sediment issues at the Imha-dam watershed. In Korea, the Universal Soil Loss Equation (USLE) has been used to estimate the soil loss for over 30 years. However, there are limitations in the field scale mdel, USLE when applied for watershed. Also, the soil loss changes temporarily and spatially, for example, the Imha-dam watershed. Thus, the SW AT model, capable of simulating hydrologic and soil erosion/sediment behaviors temporarily and spatially at watershed scale, should be used to solve the muddy water issues at the Imha-dam watershed to establish more effective muddy water reduction countermeasure.

Creation of Actual CCTV Surveillance Map Using Point Cloud Acquired by Mobile Mapping System (MMS 점군 데이터를 이용한 CCTV의 실질적 감시영역 추출)

  • Choi, Wonjun;Park, Soyeon;Choi, Yoonjo;Hong, Seunghwan;Kim, Namhoon;Sohn, Hong-Gyoo
    • Korean Journal of Remote Sensing
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    • v.37 no.5_3
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    • pp.1361-1371
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    • 2021
  • Among smart city services, the crime and disaster prevention sector accounted for the highest 24% in 2018. The most important platform for providing real-time situation information is CCTV (Closed-Circuit Television). Therefore, it is essential to create the actual CCTV surveillance coverage to maximize the usability of CCTV. However, the amount of CCTV installed in Korea exceeds one million units, including those operated by the local government, and manual identification of CCTV coverage is a time-consuming and inefficient process. This study proposed a method to efficiently construct CCTV's actual surveillance coverage and reduce the time required for the decision-maker to manage the situation. For this purpose, first, the exterior orientation parameters and focal lengths of the pre-installed CCTV cameras, which are difficult to access, were calculated using the point cloud data of the MMS (Mobile Mapping System), and the FOV (Field of View) was calculated accordingly. Second, using the FOV result calculated in the first step, CCTV's actual surveillance coverage area was constructed with 1 m, 2 m, 3 m, 5 m, and 10 m grid interval considering the occluded regions caused by the buildings. As a result of applying our approach to 5 CCTV images located in Uljin-gun, Gyeongsnagbuk-do the average re-projection error was about 9.31 pixels. The coordinate difference between calculated CCTV and location obtained from MMS was about 1.688 m on average. When the grid length was 3 m, the surveillance coverage calculated through our research matched the actual surveillance obtained from visual inspection with a minimum of 70.21% to a maximum of 93.82%.

Archival Appraisal of Public Records Regarding Urban Planning in Japanese Colonial Period (조선총독부 공문서의 기록학적 평가 -조선총독부 도시계획 관련 공문서군을 중심으로-)

  • Lee, Seung Il
    • The Korean Journal of Archival Studies
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    • no.12
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    • pp.179-235
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    • 2005
  • In this article, the task of evaluating the official documents that were created and issued by the Joseon Governor General office during the Japanese occupation period, with new perspectives based upon the Macro-Appraisal approaches developed by the Canadian scholars and personnel, will be attempted. Recently, the Canadian people and the authorities have been showing a tendency of evaluating the meaning and importance of a particular document with perspectives considering the historical situation and background conditions that gave birth to that document to be a more important factor, even than considering the quality and condition of that very document. Such approach requires the archivists to determine whether they should preserve a certain document or not based upon the meaning, functions and status of the entity that produced the document or the meaning of the documentation practice itself, rather than the actual document. With regard to the task of evaluating the official documents created and issued by the Joseon Governor General office and involved the city plans devised by the office back then, this author established total of 4 primary tasks that would prove crucial in the process of determining whether or not a particular theme, or event, or an ideology should be selected and documents involving those themes, events and ideologies should be preserved as important sources of information regarding the Korean history of the Japanese occupation period. Those four tasks are as follow: First, the archivists should study the current and past trends of historical researches. The archivists, who are usually not in the position of having comprehensive access to historical details, must consult the historians' studies and also the trends mirrored in such studies, in their efforts of selecting important historical events and themes. Second, the archivists should determine the level of importance of the officials who worked inside the Joseon Governor General office as they were the entities that produced the very documents. It is only natural to assume that the level of importance of a particular document must have been determined by the level of importance(in terms of official functions) of the official who authorized the document and ordered it to be released. Third, the archivists should be made well aware of the inner structure and official functions of the Joseon Governor General office, so that they can have more appropriate analyses. Fourth, in order to collect historically important documents that involved the Koreans(the Joseon people), the archivists should analyze not only the functions of the Joseon Governor General office in general but also certain areas of the Office's business in which the Japanese officials and the Koreans would have interacted with each other. The act of analyzing the documents only based upon their respective levels of apparent importance might lead the archivists to miss certain documents that reflected the Koreans' situation or were related to the general interest of the Korean people. This kind of evaluation should provide data that are required in appraising how well the Joseon Governor General office's function of devising city plans were documented back then, and how well they are preserved today, utilizing a comparative study involving the Joseon Governor General office's own evaluations of its documentations and the current status of documents that are in custody of the National Archive. The task would also end up proposing a specialized strategy of collecting data and documents that is direly needed in establishing a well-designed comprehensive archives. We should establish a plan regarding certain documents that were documented by the Joseon Governor General office but do not remain today, and devise a task model for the job of primary collecting that would take place in the future.