• Journal of Hospice and Palliative Care
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• v.12 no.3
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• pp.115-121
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• 2009

Despite a recent increased nation's attention given to improving end-life care, we professionals need to be more critical and reflective on our realities surrounding hospice palliative care. The aim of this paper is to suggest that palliative care models can be used for patients/families in the last phase of life and examine whether they are appropriate for caring them in congruence with philosophy of hospice. The hospice experience model (HEM) of Eagan & Labyak and the developmental model of Byock are introduced and examined for their congruence with philosophy of hospice in applying to clinical practice. The HEM as a patient/family value-directed end of life care model emphasizes three principles; unique experience of patient/family, interactions/relationships among multiple dimensions of personhood and between family, and personal growth and development in the face of suffering through a life-completion. The developmental model stipulates dying as the last stage of living, a stage of life cycle in which patients/family may have growth through life-completion in multidimensional relationships of personhood. The model includes the developmental landmarks and tasks for life-completion as the framework to guide a means of professionals' to recognize their opportunity to grow. The landmarks and tasks include worldly and social affair, individual relationships, intrapersonal, and transcendent dimension. The models could work as appropriate palliative care models for patients/families in the last stage of living. The professionals need to be encouraged to apply the models to end of life care setting.

• Korean Journal of Community Nutrition
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• v.9 no.6
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• pp.683-694
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• 2004

The objective of this study is to improve the health related quality of life through the efficient weight reduction by analyzing the ecological factors related to completion of weight reduction program in the obese premenopausal women aged 20-29 years. The factors influencing completion of obesity management programs in the obese women were the preferences of sweet and salt taste, health related quality of life (general health, role emotional), eating attitude scores, and regularity of mealtime scores. The finding that the completion of obese management programme were improved if the health-related quality of life was high and the physiological status related symptoms of stress, depress, and eating disorder were good has implications for the treatment of obesity. The questionnaire used this study can be available to develop the obesity assessment sheets which is required the exploration of the characteristics of obese women and the tailored multi-disciplinary obesity management program. Moreover, the obesity assessment sheets will make a contribution to determine types of the programs that is suitable for obesity women before starting an obesity management program.

• Journal of Korean Academy of Nursing
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• v.24 no.4
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• pp.652-665
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• 1994

This study was done to investigate the changes in the quality of life(QOL) of patients who received radiation therapy after surgery for breast cancer. For this purpose, 35 patients were interviewed using a questionnaire. They were followed over 8 month period from the beginning of radiation therapy. Changes in the QOL, side effect of the RT(radiation therapy), depression were measured. The results can be summarized as follows : 1. The mean score of the side effect of RT increased significantly over the period of RT. When the RT was completed, the QOL score was the low-est, and the depression score was the highest, but the changes of these scores were not statistically significant. 2. When the 6-week RT was finished, the QOL was significantly correlated with QOL of the beginning of RT, depression at RT completion and age. At three months after the completion of RT, the QOL was significantly correlated with QOL of the beginning of RT, depression and side effect of RT at three months after the completion of RT. At six months after the completion of RT, the QOL was significantly negatively correlated with age. 3. In the stepwise multiple regression analysis, the major influencing variables on the QOL were various according to the time lapse after the RT. The QOL at the completion of RT was predicted by the QOL at the beginning of RT, depression at the completion of RT and age. The QOL at three months after the completion of RT was predicted by the QOL at the beginning of RT and side effect of RT and depression at three months after the completion of RT. The QOL at six months after the completion of RT was predicted by age. This study suggests that continuous nursing care be required for improving the QOL of breast cancer patients not only during the RT period but also for a long term after the completion of RT.

• Journal of Korean Society of Rural Planning
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• v.30 no.1
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• pp.67-79
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• 2024

The Comprehensive Rural Village Development Project, a resident-led bottom-up regional development project, began in 2004. This study investigated difficulties and problems in the operation process after the completion of the project, and future improvement plans, through in-depth interviews with the former and current chairman of the steering committee, steering committee members, and office managers, targeting three regions in Jeollanam-do, 15 years after the completion of the project. As a result of the survey and analysis, it was effective in improving the living environment and characteristics of each village and revitalizing the area. And while there were well-run facilities depending on the type of project, there were also many idle facilities. In the case of communal facilities, there was a high possibility of problems in operation and management when the scale of the new building was large. Conflicts occurred between villages in the process of independently operating the area after the completion of the project. Therefore, it is necessary to provide an S/W project program to prepare for after completion. Local governments need to utilize City and County Capacity Enhancement Projects to support regional leaders to participate in educational programs after completion and provide guidance and supervision for village operations.

• Health Policy and Management
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• v.33 no.1
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• pp.19-28
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• 2023

Background: With the enactment of the Hospice, Palliative, Care, and Life-sustaining Treatment Decision-Making Act in February 2018, legal guidelines for physician orders for life-sustaining treatment (POLST) were presented. This study was conducted to analyze the association of writing POLST on the use of health care before death. Methods: The study analyzed the electronic medical records and POLSTs of 1,003 adult patients who died at a tertiary hospital located in Seoul from February 4, 2018 to February 4, 2019. Results: Of the deaths, 80% (n=804) completed POLST. Among patients who completed POLST before death, 51% (n=412) were written 1-7 days before death, and only 31% (n=246) were completed by patients themselves. 99% (n=799) decided to withdraw or withhold cardiopulmonary resuscitation. As a result of analyzing the effect of POLST on medical use before death, it was found that POLST and inpatient cost had a significant negative correlation, and POLST completion significantly reduced death in the intensive care unit (ICU). However, both inpatient costs and death at ICU increased when the POLST was completed by surrogate decision-makers rather than patients themselves. Conclusion: The enactment of the Hospice, Palliative, Care, and Life-sustaining Treatment Decision-Making Act provided a legal basis for withdrawing and withholding meaningless life-sustaining treatment. By specifying the treatment to be received at the end of one's life through the POLST, inpatient treatment costs and death at the ICU were decreased. However, the frequent decision-making by the surrogates and completion of POLST close to death may hinder the original purpose of the law.

• Journal of Science Education
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• v.37 no.3
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• pp.446-457
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• 2013

The 2009 Revised National Curriculum introduces plans for the "intensive course completion system". This study investigated students' learning satisfaction with and perceptions of Life Science in the humanities and social science course in general high schools according to the implementation of the intensive course completion system in the 2009 Revised National Curriculum, and analyze relations with gender and with academic achievement levels. The findings are as follows: First, the students in the humanities and social science course recorded an overall low learning satisfaction in Life Science through the intensive course completion system. It was analyzed that they especially found it burdensome to take the lessons four hours per week in one semester according to the system. Second, the students in the humanities and social science course didn't have positive perceptions of a need to study Life Science when considering their future career choices, but they positively perceived when considering its educational benefits. Third, the more learning satisfaction with Life Science they had according to the intensive course completion system, the higher learning perceptions they had. Finally, the girls showed a higher level of learning satisfaction and perception than the boys. The higher their academic achievement was, the higher their learning satisfaction and perception level became.

• IE interfaces
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• v.24 no.4
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• pp.281-294
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• 2011

This paper considers the rail crane scheduling problem which is defined as determining the sequence of loading/unloading container on/from a freight train. The objective is to minimize the weighted sum of the range of order completion time and makespan. The range of order completion time implies the difference between the maximum of completion time and minimum of start time of each customer order consisting of jobs. Makespan refers to the time when all the jobs are completed. In a rail freight terminal, logistics firms as a customer wish to reduce the range of their order completion time. To develop a methodology for the crane scheduling, we formulate the problem as a mixed integer program and develop three metaheuristics, namely, genetic algorithm, simulated annealing, and tabu search. To validate the effectiveness of heuristic algorithms, computational experiments are done based on a set of real life data. Results of the experiments show that heuristic algorithms give good solutions for small-size and large-size problems in terms of solution quality and computation time.

• Journal of Korean Academy of Nursing
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• v.27 no.3
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• pp.489-502
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• 1997

Quality of life(QOL) and fatigue in cancer patients receiving the radiotherapy was assessed. The subjects were 46 cancer patients who daily attended the radiotherapy department. Assessment was done on four occassions : the first assessment was done on the treatment simulation visit, the second one was four weeks after treatment started, the third one at the completion of treatment and the last assessment was done between six and eight week following treatment. The results are as follows : The fatigue scores of the patients at each stage of assessment ranged from 5.49 points to 7.67 points and highest score was recorded at the third assessment that is, at the completion of treatment. The fatigue points showed an increase from the 1st. to 3rd. stage. However, at the 4th. stage, fatigue points decreased to the level at the first stage of assessment. QOL were assessed in three areas namely, physical, emotional and social /functional. The QOL scores in the physical area showed the highest score, followed by social /functional and emotional areas. The QOL scores decreased gradually to the third. stage of assessment thereafter recovered to the level of the first. stage. Correlation between QOL and fatigue scores during the treatment indicated that the level of QOL decreased as the level of fatigue increased. In particular, fatigue persisted after completion of the treatment and showed a significantly negative correlation with QOL. The present study strongly suggests that a strategy to restore the emotional well being level of the patient should be devised in order to improve QOL and reduce fatigue of patients receiving radiotherapy.

• Journal of Hospice and Palliative Care
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• v.23 no.2
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• pp.71-84
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• 2020

Purpose: The purpose of this systematic review and meta-analysis was to investigate the effects of advance care planning on end-of-life decision-making. Methods: Databases including RISS, KISS, KMbase, KoreaMed, PubMed (MEDLINE), Embase, and CINAHL were searched for studies that examined the effects of advance care planning interventions. The inclusion criteria were original studies in English or Korean; adults ≥18 years of age (population); advance care planning (intervention); completion of advance directives (AD) or advance care planning (ACP) (outcomes); and randomized or non-randomized controlled trials (RCTs and non-RCTs, respectively) (design). Study quality was measured using the checklists of the Joanna Briggs Institute. Meta-analyses were conducted with the Comprehensive Meta-Analysis program. Results: Nine RCTs and nine non-RCTs were selected for the final analysis. The effect sizes (ES) of the outcome variables in nine RCTs were meta-analyzed, and found to range from 0.142 to 0.496 for the completion of AD and ACP (ES=0.496, 95% CI: 0.157~0.836), discussion of end-of-life care (ES=0.429, 95% CI: -0.027~0.885), quality of communication (ES=0.413, 95% CI: 0.008~0.818), decisional conflict (ES=0.349, 95% CI: -0.059~0.758), and congruence between preferences for care and delivered care (ES=0.142, 95% CI: -0.267~0.552). Conclusion: ACP interventions had a positive effect on the completion of AD and ACP. To apply AD or ACP in Korea, it is necessary to develop ACP interventions that reflect aspects of Korean culture.

• Proceedings of the Korean Institute of Interior Design Conference
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• 2007.05a
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• pp.199-203
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• 2007

The desultory reconstruction of multi-family housing, no more than 20 years from the permit on the completion, have invited environmental disruption and extravagance of resource. To get over these problems, it is important to develop long-life housing, which is physically strengthened durability(long life) and functionally not outdated(remodeling ability). To activate Long-life housing, investigating current regulations on the long-life housing is as much important as the research on the technologies of long-life housing. To meet the raised, diverse, and varying needs of occupants, the research on the long-life housing must go side by side with the investigation on the regulations. So this research focused on the analysis of regulations and pratical revision of regulations to develop flexibility of the long life housing.