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Spirituality, Death Anxiety and Burnout Levels among Nurses Working in a Cancer Hospital (암 병원 간호사의 영성, 죽음불안 및 소진)

  • Kim, Kyungjin;Yong, Jinsun
    • Journal of Hospice and Palliative Care
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    • v.16 no.4
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    • pp.264-273
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    • 2013
  • Purpose: This study is to explore the relationships among spirituality, death anxiety and burnout level of nurses caring for cancer patients. Methods: Participants were 210 nurses from a cancer hospital in Seoul. Data were collected from April until June 2012 and analyzed using t-test, one-way ANOVA, Scheffe's test, and Pearson's correlation coefficient. Results: The mean score for spirituality was 3.51 out of six. Among sub-categories, the one that scored the highest was the purpose and meaning of life, followed by unifying interconnectedness, inner resources and transcendence. The mean score for death anxiety was 3.22, and the sub-categories in the order of high score were denial of death, awareness of the shortness of time, pure death anxiety and fear of matters related to death. For the burnout, the mean was 4.10. Among sub-categories, highest mark was found with emotional exhaustion, followed by depersonalization and personal accomplishment. The spirituality level was negatively correlated with those of death anxiety and burnout. Death anxiety was positively correlated with burnout levels. Nurses with the higher spirituality level also had a higher level of education and experience of spiritual education, believed in the existence of God. In contrast, death anxiety and burnout levels were higher among those with a lower level of education, atheists, and for those who answered that religion has little influence on life. Conclusion: Thus, it is necessary to provide spiritual interventions for nurses who care for cancer patients to develop their spirituality, reduce death anxiety and prevent them from burning out easily.

Growth, Flowering, and Nutrient Composition of Salvia Grown in Peat moss Media Containing Pellets Processed with Poultry Feather Fibers at Different Mixing Ratios

  • Yoo, Yong Kwon;Kim, In Kyung;Roh, Mark S.;Roh, Yong Seung;Huda, Masud
    • Horticultural Science & Technology
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    • v.35 no.3
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    • pp.289-299
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    • 2017
  • The objective of this study was to determine the effect of replacing perlite (PL) with pellets processed with poultry feather fiber as an inert material to prepare growing medium. The growth and flowering of Salvia splendens 'Vista Red' grown in individual growing medium $Biosangto^{(R)}$, peat moss (PM), PL, and two pellets (P45-1 and P45-2) were evaluated. Peat moss was mixed with PL, P45-1, or P45-2 at various ratios (1:0 to 1:3 or 3:1 by volume) to investigate the feasibility of replacing PL with pellets. Nutrient composition of the growing medium and leaf tissues was analyzed. The number of florets, inflorescence length, plant height, and fresh weight of plants grown in media containing P45-1 or P45-2 were reduced compared to those grown in individual growing medium PM or PL. As the mixing ratio of P45-1 or P45-2 to PM was higher, the growth of salvia, such as inflorescence length, plant height, number of leaves, and fresh weight was inhibited. Our results indicate that mixing three parts PM with one part of P45-1 (PM/P45-1/3:1) or P45-2 (PM/P45-2/3:1) accelerated flowering and increased the number of florets and leaves compared to other mixing ratios of PM and pellets media. The concentrations of phosphorus (P), calcium (Ca), boron (B), iron (Fe), and copper (Cu) in individual growing medium PL, P45-1, and P45-2 were significantly lower than those in PM. The concentration of N was the highest in leaves of plants grown in P45-1 or P45-2 amended media, and the concentrations of P, Ca, and zinc (Zn) in leaves were lower in individual growing medium P45-1 or P45-2 than in PM and PL. The pH of PM/P45-1/3:1 or PM/P45-2/3:1 media was maintained at optimal level (5.8-5.9) and the concentrations of macro- and micro-elements in the media and leaves were considered to be optimal levels. Therefore, mixing three parts PM with one part P45-1(PM:P45-1/3:1) or P45-2 (PM:P45-2/3:1) is recommended for improved growth and flowering in salvia. This suggests that P45-1 or P45-2 can replace PL as an inert material to prepare growing medium.

The Effective Reduction Method of Unstable Zygomatic Arch Fracture with Thermo-Splint (Thermo-splint를 이용한 불안정한 관골궁골절에 대한 효과적인 고정방법)

  • Kim, Sun Heum;Lee, Soo Hyang;Choi, Hyun Gon;Shin, Dong Hyeok;Uhm, Ki Il;Song, Wu Chul
    • Archives of Plastic Surgery
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    • v.35 no.1
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    • pp.110-115
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    • 2008
  • Purpose: The objective of this study is to propose an effective management of unstable zygomatic arch fracture. The reduction methods of arch fracture were relatively simple but the maintenance of reduction state is very troublesome. On this, authors introduce an effective management method of unstable zygomatic arch fracture. Methods: Authors experienced 23 cases of unstable segmental zygomatic arch fractures and used Thermo-splint in all cases. All the arch fractures were reduced through Gillies' approach under the general anesthesia. After the reduction, the most effective suspension points were marked on the covering skin of the fractured arch. A needle of heavy nonabsorbable suture material was inserted toward the marking site under the reduced zygomatic arch. And then Therm-splint was dipped in the hot water, and we got the splint pattern of patient face. Reshaped Thermo-splint was trimmed and fixated with previous suspension suture materials. More additive suspension was done if necessary. The splint was applied for in two to three weeks postoperatively. Results: In all the cases, good cosmetic and functional results were observed without severe complications. There were 4 cases of incomplete reductions but they also had no specific problems. There were no facial nerve symptom and scar(stitch mark). Postoperative slight tenderness and trismus were completely subsided after removal of the splint. Conclusion: The Thermo-splint safely protect and maintain the postoperative reduction state. The application, maintenance and removal were easy and simple. It could be reformed to any contour of face and had enough rigidity for supporting. Above all these things, effective prevention of displacement and easy manipulation were significant merit. Authors experienced good results with Thermo-splint, and would introduce it for another method of management of zygomatic arch fracture.

A Study on Function of the Delineation System by Pattern for Safety Audit on Road Exit Ramp (국도유출부 안전진단을 위한 시선유도시설의 유형별 기능검토)

  • Kum, Ki-Jung;Kim, Hong-Sang;Min, Kyeong-Tae;Yang, Gye-Seung
    • International Journal of Highway Engineering
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    • v.8 no.4 s.30
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    • pp.1-11
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    • 2006
  • Currently, road mobility improved from the National Road Improvement. Nevertheless delineation system is facility that enhanced driver's safety, that was set up often inconsistent or nonexistent over the road exit ramp So it judged functional investigation will be necessary. This study suggested setting type of the delineation system. That was based on a field study and reviews the legal standard of it and considering driver's cognition behavior. For the study, make a 3D-simulation and so could objectively a comparative test. Comparison variable between delineation setting type is selected conspicuity and visibility. Cased that illustrated characteristics of driver's visual cognition behavior. The experiment was used Eye Marker Recorder for measure the gaze frequency more quantitatively and objectively. And used the ANOVA analysis for significance testing between delineation setting type. A significant percent of the conspicuity analyzed types(Safe mark, Obstacle Sign, Warning Light, and Tubular Maker) in road exit ramp for recognize. And gaze frequency that measure of effectiveness of visibility are measured. On the analysis result, the visibility was significance difference between delineation setting type and visibility of types was best.

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A Study on Design Standards of a median strip in City considering Traffic Safety (교통안전을 고려한 도심형 중앙분리대 설치기준 마련에 관한 연구)

  • Kim, Jong-Min;Kim, Jang-Wook;Noh, Kwan-Sub;Kim, Kyung-Tae
    • International Journal of Highway Engineering
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    • v.14 no.1
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    • pp.35-43
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    • 2012
  • The Government is implementing the safety measures for pedestrian in living zone to decrease the traffic accident casualties in half. It is urgently to study the guideline because it contains to make the guideline of a median strip in City to prevent the violation of central line and jaywalking on the main contents. So, this study analyzed the pedestrian accidents and the violation of central line, and studied the type of a median strip, the installation guideline through studying the minimum crossing. Consequently, this study found out that a median strip which revised the attention inducement stick to decrease jaywalking could not have the strong prevention function of a crash barrier, so if it happens separation after the collision between vehicles, it induced the secondary accidents, and could take negative effects on traffic safety. In consideration of driving safety, this study analyzed that if it installs a median stirp, it has to ensure one meter, and such a thing could prevent the separation of lane or damage of facilities. However, if it is hard to ensure the space because of narrow road width, it could install a median strip in case of installing the road surface mark 0.5m. And the installation of the attention inducement stick or a median strip on the central line could be possible to induce the violation of central line, thus it is desirable not to install only anythings but also raised pavement markers.

A Study on the Activities of Daily Living Adaptation of Spinal Cord Injured Patients (척수손상자의 일상생활적응에 관한 연구)

  • Son, Kyung-Hyun;Kim, Chan-Kyu;Bang, Yoo-Soon
    • Journal of Korean Physical Therapy Science
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    • v.10 no.1
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    • pp.47-57
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    • 2003
  • The purpose of this study was to evaluate the problem on activities of daily living ; the problem which spinal cord injured patients have when they adapt in daily living ; Subjects were 113 members who used the hospital which is located in Kwangju-city from November 20, 2001 to May 20, 2002. The evaluation of the ADL was performed according to MBI and collected data were statistically analysed by SPSS PC for paired Chi-square test T-test, One way ANOVA and Duncan's post-hoc test. The result's were as follows; 1. Modified Barthel Index average mark was $63.77{\pm}33.60$ points and MBI score distribution according to characteristics of injury is as following. 1) A patient who had long duration of injury, small injury region, incomplete paralysis in paralysis degree, paraplegia in paralysis type got high MBI score as statistical and significantly(p<0.05). 2. Society adaptation state by characteristics of spinal cord injured is an following. 1) After lapse of time of disease, a patient who is injured for a long term present surrounding environmental problem, a patient who is injured for a short term shows psychological problem. In society activity, as lapse of time of disease is long, patient did many hobby activity and same private club, on the other hand as lapse of time of diseases is short, the others appeared high and significantly as statistical(p<0.01). 2) In society activity by injury region, cervical injury and thoracic injury did more hobby activity than lumbar injury and in lumbar injury same private club or religion life appeared higher than thoracic injury of cervical injury significantly as statistical(p<0.01). 3) In walk method by paralysis degree Complete paralysis had more wheelchair life than incomplete paralysis(p<0.01). 4) In serious problem by paralysis type psychological problem in quadriplegia and surrounding environmental problem in paraplegia appeared high and significantly as statistical(p<0.01). 3. In society adaptation state by MBI score difference between variables appeared but it wasn't significantly.

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Spatial Evolution and Characteristics of Cultural Tourism Festivals in Chonnam Province of Korea (전남지역 문화관광축제의 공간적 전개과정과 특징)

  • Lee, Jeong-Rock;Woo, Youn-Sub
    • Journal of the Korean association of regional geographers
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    • v.9 no.3
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    • pp.233-247
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    • 2003
  • The purpose of this study focuses on the spatial evolution and characteristics of cultural tourism festivals in Chonnam province of Korea. More than 58 community festivals functioned with hallmark events are held annually in the Chonnam province. Most of community festivals were mainly established since 1995, and more than 48 percents of festivals are held in October and May. Spatial diffusion process of festival are divided into three phases: a primary stage before 1995, a diffusion stage from 1995 to 1999, and a condensing stage since 2000 Cultural tourism festivals began at some areas such as Mokpo, Yesu, and Gurye in 1960's, and spread all over the counties of Chonnam province. During diffusion stage, 51.7 percent of all festivals were newly held. The themes and purposes of festival, and the typology of community festivals were transformed with diffusion stage. In festival purpose, community reconciliation and unity festivals were held in primary stage, tourism oriented festivals were held in diffusion and condensing stage. In the festival themes, community culture and folk arts festival were held in primary stage, however, community history and environment & ecological festivals are held in condensing stage. In addition, the typology of community festivals was transformed according to diffusion stage. Thus it was transformed from indigenous festivals of primary stage to commercialized indigenous festivals of condensing stage.

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The Influence of Arshile Gorky's & Jackson Pollock's Painting on Modern Fashion (Arshile Gorky와 Jackson Pollock의 Painting이 현대의상 직물 문양에 미친 영향)

  • Chung Heungsook Grace
    • Journal of the Korean Society of Clothing and Textiles
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    • v.16 no.3 s.43
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    • pp.197-207
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    • 1992
  • Expressionism, is as diverse as the artists invo)ved, in a very broad sense two main tendencies may be noted. The first is that of the Action painters, concerned in different ways with the gesture of the brush and the texture of the paint. It included such major artists as Arshile Gorky, Jackson Pollock, Willem De Keening, and Franz Kline. The other group consisted of the Color Field painters, concerned with the statement of an abstract sign or tranquil image in terms of a large, unified color shape or area. Here must be included Mark Rothko, Barnett Newman, Ad Rdinhardt, as well as, to a degree, Adolph Gottlieb, Robert Motherwell, and Clyf(ord Still. In this paper, 1 selected two artists Arshile Gorky and Jackson Pollock independent charac-teristics and studied the influence of their Action painting on the fabrics of modern fashion. However, it should be noted it was never the intention of the critic Harold Rosenberg, in coining this term, to imply that Action painting was a kind of athletic exercise. Nor is it true that the furious and seemingly haphazard scattering of the paint involved a completely uncontrolled, intuitive act. There is no question that, in the paintings of Jackson Pollock, Arshile Gorky and many of the other Abstract Expressionists, the element of intuition or the accidental plays a large and deliberate part; this was indeed one of the principal contributions of Abstract Expressionism which had found its own inspiration in surrealism's 'psychic automaton'. However, nothing that an experienced and accomplished artist does can be completely accidental. Aside from their intrinsic quality, the spun-out skeins of poured pigments contributed other elements that changed the course of modern painting. There was the concept of the all-over painting, the painting seemingly without beginning or end, extending to the very limits of the canvas and implying an extension even beyond. The feeling of absorption or participation is heightened by the ambiguity of the picture space. The colors and lines, although never punctur-ing deep perspective holes in the surface, still create an illusion of continuous movement, a billowing, a surging back and forth, within a limited depth. To study the influence of Abstract Expressionism on the fabric of modern fashion, 1 selected and examined four fashion magazines: Collezioni published in France, Bazaar in Italy, Gap in Japan and Vogue in the U.S.a. froim January 1989 to June 1991. As a result of this review I found that some fabrics used in modern clothing are printed in a dripping, pouring and splashing style without any meaning or form. Slides included in the presentation show that modern fabrics which are printed in such a style were influenced by Abstract Expressionism. The slides also show that these abstract prints are well suited to modern fashion design.

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Analysis of the relationship of the time of offering pre-clinical practicums and dental experience to participation attitude, stress and satisfaction (임상전단계실습 교과목의 개설시기 및 치과경험에 따른 참여태도, 스트레스, 만족도 분석)

  • Jang, Mi-Hwa;Kim, Ju-Hu;Ahn, Keum-Sun
    • Journal of Korean society of Dental Hygiene
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    • v.13 no.1
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    • pp.21-29
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    • 2013
  • Objectives : The purpose of this study was to examine the participation attitude of students toward pre-clinical practicums, their satisfaction with the practicums and related stress, and to investigate the influential factors for their participation attitude to practicums. Methods : The subjects in this study were three different groups of students who took pre-clinical practicums at different times. One group of students who entered college in 2008 took a practicum in December, 2009, and another group of students who entered college in 2009 took a practicum in June, 2010. The third group of students who entered college in 2010 took a practicum in June, 2011. Results : 1. As for participation attitude, the students who completed a practicum before they underwent field training in the second semester of their sophomore year got a higher mark of 3.44(p<0.05). 2 Concerning the operation of practicum, they felt a lot of stress when they took a practicum before they underwent field training in the first semester of their sophomore year and when they had no dental experience(p<0.001). 3. Regarding satisfaction with practicum, they scored higher when they took a practicum before they underwent field training in the second semester of their sophomore year(p<0.05). And the students who were more gratified with dental experience expressed better satisfaction(p<0.001). 4. As to the influential factors for the participation attitude of the students, those who were more satisfied with the content of practicum, the operation of practicum and evaluation took a more positive participation attitude(p<0.001). More stress about the operation of practicum and more stress about evaluation exerted a greater negative influence on participation attitude(p<0.05). Conclusions : Given the findings of the study, a pre-clinical practicum should be offered before field training is provided in the second semester of the sophomore year in order to ensure the efficiency of education, and a wide variety of information should be offered so that students could gain dental experience before they take a practicum.

Improvement for the Degree of Client Satisfaction in the Sample Collection Room (검체채취실의 고객만족도 향상)

  • Park, Youn Bo;Kang, Hee Jung;Kwon, Hung Man;Ahn, Sang Jin;Yang, Suk Hwan;Tae, Yeun Ju;Chin, Young Hee;Jo, Hyon Koo;Lee, Bok Ja;Koo, Sun Hoe
    • Korean Journal of Clinical Laboratory Science
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    • v.36 no.2
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    • pp.222-232
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    • 2004
  • The sample collection room(SCR) will have much more influence than all the other departments for the improvement of hospital image, if anyone coming to the SCR in the hospital goes back with the perfect complacency and because most clients who have much stresses and fatigues pay a final visit to the SCR via receipt-diagnosis- acceptance process. SCR has improved its image for the purpose of gratifying clients, in order for clients to visit the hospital again, the quality improvement(QI) team in the Diagnosis Inspection Medical Department has come to a conclusion as follows. The degree of client gratification before improvement marks 65.9 point, but the degree after improvement was 74.2 point. Therefore, satisfaction has increased by 8.3 points. The degree of client gratification in groups before improvement marks (1) service parts-89.2 points (2) facilities and environments-49.1 point (3) toilet facilities-46.3 point. But its gratification after improvement marks (1) 92.5 point (2) 60.1 point (3) 61.0 point. Therefore the degree of satisfaction has increased by (1) 3.3 point, (2) 11.0 point, (3) 14.7 point. The progress of facility improvement plans and the exclusion of improvement on the facility contents in the hospital have made facilities and environments of SCR and toilet facilities to be poorly improved. Although service parts have a good mark, and the facilities and environments are not scoring well, the whole degree clients' gratification of SCR couldn't be helped by the low grade. Therefore the bottom line for the clients' gratification of SCR in the future is to ameliorate the facilities and environments. SCR will take the clients' gratification survey every year and if any items get low marks, that is, below 90 point throughout the survey, SCR will immediately starts the improvement work for the clients' gratification with operating the programs of controlling quality continually, and SCR should induce the operation of services, participating in the kind campaign drive for clients. So SCR will adopt the incentive system for the best staff members who perform these kinds of services.

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