• Title/Summary/Keyword: Transition in life

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New Graduate Nurses' Satisfaction with Transition Programs and Experiences in Role Transition (신규간호사의 실무적응지원 교육 만족도 및 역할 이행 경험에 관한 조사)

  • Kwon, In Gak;Cho, Yong Ae;Cho, Myung Sook;Yi, Young Hee;Kim, Mi Soon;Kim, Kyeong Sug;Choi, Ae Seon
    • Journal of Korean Clinical Nursing Research
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    • v.25 no.3
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    • pp.237-250
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    • 2019
  • Purpose: The aim of this study was to investigate the satisfaction of newly graduated nurses with educational programs and their experiences in role transition. Methods: Data were collected from November 1 to December 15, 2018 and 483 new graduate nurses working at 15 tertiary hospitals and 10 general hospitals participated. For data collection, self-report questionnaires including the Casey-Fink Graduate Nurse Experience Survey tool and satisfaction with education were used. Data were analyzed using descriptive statistics, t-test, and one-way analysis of variance. Results: Satisfaction with education ranged from 3.09 to 3.27, and satisfaction with preceptors was 3.45(maximum 4). The skill that new nurses ranked as most difficult during the first 3 months was charting/documentation, and throughout a whole year, the top 4 difficult skills were cardiopulmonary resuscitation/emergency response, ventilator care, end-of-life care, and prioritization/time management. In comfort/confidence, new graduates felt most comfortable with support and least comfortable with patient safety. More than 50 percent of new graduates experienced stress during role transition, and the most frequently experienced stressors were related to job performance and personal life. Levels of satisfaction with education and comfort/confidence differed according to the hospital type and number of preceptors for new nurses. Conclusion: In order to facilitate the transition of new graduate nurses to professional nurse, an extended period of education, systematic and standardized transition programs, and continuous support during the first year of practice are required.

Notification of Terminal Status and Advance Care Planning in Patients with Cancer

  • Lee, Si Won
    • Journal of Hospice and Palliative Care
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    • v.25 no.1
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    • pp.42-49
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    • 2022
  • As population aging increases the burden of cancer, the quality of death of patients with cancer is emerging as an important issue alongside their quality of life. To improve the quality of death, it is necessary to prepare for death, allowing patients to die comfortably and with dignity at the end. Considering these issues, I aim to discuss the practical aspects of notifying the patient of the terminal phase of cancer and planning for end-of-life care (i.e., advance care planning). When cancer treatment that can extend the patent's lifespan becomes difficult, the patient enters a treatment transition period. Treatment is shifted from life-prolonging care to life-enhancing care, and end-of-life care must be well planned. Medical providers often worry too much about whether the patient will be disappointed or psychologically traumatized when notified of the terminal phase of their cancer, thus delaying plans for end-of-life care. In fact, patients can accept their condition and prepare for end-of-life care better than we expect. During the treatment transition period, notification of terminal status should be given, and a well-prepared advance care plan should be established early when the patient has decision-making ability. In addition to conveying information, it is always necessary to be sensitive to whether the patient and caregiver understand the information and respond to their emotions.

Evaluation of the Ductile-Brittle Transition Behavior of fracture Toughness by Material Degradation (열화에 따른 파괴인성치의 연성-취성 천이거동 평가)

  • 석창성;김형익;김상필
    • Journal of the Korean Society for Precision Engineering
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    • v.20 no.5
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    • pp.140-147
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    • 2003
  • As the huge energy transfer systems like as nuclear power plant and steam power plant are operated for a long time at a high temperature, mechanical properties are changed and ductile-brittle transition temperature is raised by degradation. So it is required to estimate degradation in order to assess the safety, remaining life and further operation parameters. The sub-sized specimen test method using surveillance specimen was developed for evaluating the integrity of metallic components. In this study, we would like to present the evaluation technique of the ductile-brittle transition temperature by the sub-sized specimen test. The four classes of the thermally aged 1Cr-1Mo-0.25V specimens were prepared using an artificially accelerated aging method. The tensile test and fracture toughness test were performed. The results of the fracture toughness tests using the sub-sized specimens were compared with the evaluation technique of the ductile-brittle transition temperature.

The Evaluation of Ductile-Brittle Transition of Fracture Toughness by Material Degradation (재료열화에 따른 파괴인성치의 연성-취성 천이거동 평가)

  • Kim, Sang-Pil;Kim, Hyung-Ick;Seok, Chang-Sung
    • Proceedings of the KSME Conference
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    • 2001.06a
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    • pp.579-584
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    • 2001
  • As the huge energy transfer systems like as nuclear power plant and steam power plant are operated for a long time, mechanical properties are changed and ductile-brittle transition temperature is raised by degradation. So it is required to estimate degradation in order to assess the safety, remaining life, and further operation parameters. The sub-sized specimen test method using surveillance specimen was developed for evaluating the integrity of metallic components. In this study, we would like to present the evaluation technique of the ductile-brittle transition temperature by the sub-sired specimen test. The four classes of the thermally aged 1Cr-1Mo-0.25V specimens were prepared using an artificially accelerated aging method. The tensile test and fracture toughness test were performed. The results of the fracture toughness tests using the sub-sized specimens were compared with the evaluation technique of the ductile-brittle transition temperature.

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Korea's Demographic Transition and Long-Term Growth Projection Based on an Overlapping Generations Model

  • KWON, KYOOHO
    • KDI Journal of Economic Policy
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    • v.39 no.2
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    • pp.25-51
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    • 2017
  • This paper employs an Overlapping Generations Model to quantify the impacts of Korea's demographic transition toward an older population on the total output growth rate. The model incorporates the projected population through 2060 according by Statistics Korea. The effects of the low fertility and increased life expectancy rates are studied. The model is considered suitable for analyzing the effects of demographic changes on the Korean economy. Under the assumption that the TFP growth rate will not slow considerably in the future, remaining at 1.3% per annum, the gross output growth rate of the Korean economy is projected to slow to 1.1% per annum in the 2050s, from 4.0% in the 2000s. The shrinking workforce due to the decline in fertility plays a significant role in the deceleration of the Korean economy. The increased life expectancy rate is expected to mitigate the negative effect, but the magnitude of its effect is found to be limited.

A Long Way from Transfer to Transition: Challenges for Pediatric and Adult Nephrologists

  • Lemke, Johanna;Pape, Lars;Oh, Jun
    • Childhood Kidney Diseases
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    • v.22 no.1
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    • pp.7-11
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    • 2018
  • Significant advances in the diagnosis and medical care of children with chronic kidney disease (CKD) are major reasons for the better survival rates of children and adolescents with CKD than the survival rates reported in previous decades. These patients are reaching adulthood, and therefore require a transition to adult medical care. This transition phase is well-recognized to be associated with considerably increased morbidities and medical problems, such as non-adherence, graft loss after transplantation, and loss to follow-up. Low adherence increases morbidity and medical complications and contributes to poorer qualities of life and an overuse of the health care system. However, these tragic outcomes may be avoidable through a structured and well-defined transition program. In the last decade, there has been increasing interest to resolve these medical and psychological problems that occur during the transfer of young adult patients from pediatric to adult renal units. The aims of a successful transition from pediatric to adult medical care include enhancing the individual development of better health-competence and stabilizing, or even improving, the state of health. This review will focus on various aspects of the transition phase of adolescents who have CKD or who underwent kidney transplantation from pediatric to adult nephrology care.

Emerging paradigms in cancer cell plasticity

  • Hyunbin D. Huh;Hyun Woo Park
    • BMB Reports
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    • v.57 no.6
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    • pp.273-280
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    • 2024
  • Cancer cells metastasize to distant organs by altering their characteristics within the tumor microenvironment (TME) to effectively overcome challenges during the multistep tumorigenesis. Plasticity endows cancer cell with the capacity to shift between different morphological states to invade, disseminate, and seed metastasis. The epithelial-to-mesenchymal transition (EMT) is a theory derived from tissue biopsy, which explains the acquisition of EMT transcription factors (TFs) that convey mesenchymal features during cancer migration and invasion. On the other hand, adherent-to-suspension transition (AST) is an emerging theory derived from liquid biopsy, which describes the acquisition of hematopoietic features by AST-TFs that reprograms anchorage dependency during the dissemination of circulating tumor cells (CTCs). The induction and plasticity of EMT and AST dynamically reprogram cell-cell interaction and cell-matrix interaction during cancer dissemination and colonization. Here, we review the mechanisms governing cellular plasticity of AST and EMT during the metastatic cascade and discuss therapeutic challenges posed by these two morphological adaptations to provide insights for establishing new therapeutic interventions.

Adult children's transitions to marriage and parenthood and contact with their parents (성인 자녀의 결혼 및 부모기로의 전이가 세대 간 접촉(만남과 연락)에 미치는 영향)

  • Bin, Bokyoung;Choi, Heejeong
    • Journal of Family Relations
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    • v.22 no.2
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    • pp.119-145
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    • 2017
  • Objectives: Grounded in a life-course perspective, this study examined the effects of non-coresident children's transitions to marriage and parenthood on the frequency of contact with their parents. Gender of adult children and the educational levels of both adult children and their parents were evaluated as potential moderators of the transition-contact linkages. Method: The analytic sample consisted of adult children aged between 20 and 50 whose parents participated in four waves of the Korean Longitudinal Study of Ageing (2006, 2008, 2010, 2012). For analysis, fixed effects regression models were estimated using the xtreg procedure in Stata. Results: First, transition to marriage was associated with a decrease in face-to-face contact, whereas a greater increase in contact with parents via phone, mail, email etc. occurred only among newly married with less than college education compared to the newlywed with college degrees. Second, transition to parenthood was associated with an increase in contact via phone, mail, email etc. In addition, a greater increase in face-to-face contact was found with parents who completed high school or more education compared to those with less than high school education. Conclusions: The findings suggest that adult children's transitions to marriage and parenthood may bring about increases in contact with their parents, particularly for adult children with less than college education and parents with more than high school education.

Space Transition and Construction Characteristics of Mugiyeondang in Chirwon (칠원 무기연당의 공간 변천과 조영 특성)

  • Lim, Hansol;Han, Dong-Soo
    • Journal of architectural history
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    • v.27 no.1
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    • pp.29-42
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    • 2018
  • Mugiyeondang(舞沂蓮塘) is the garden that the provincial noble family in Yeongnam(嶺南) has constructed since the late Joseon period. Mugiyeondang is well known as a typical case of traditional garden in Joseon period. But it is also an exceptional case because of its informal layout that infers gradual space transition. This study aims to establish the historical story of the garden beyond the superficial description about existing spatial status and literature materials. Mugiyeondang had been constructed by seven generations of the family during two hundred years, and there were significant events at every transition points. The figure and name of elements reflects each historical change of the family. Mugiyeondang is an important case to notice that a garden was not just a subsidiary space for mere leisure life of the gentry of Joseon period, But it was an important for some families as their representative and symbolic space.

Role Transition of Senior Year Nursing Students: Analysis of Predictors for Role Transition (간호대학 4학년생이 지각한 간호사로의 역할 이행과 영향 요인)

  • Lee, Worlsook;Uhm, Ju-Yeon;Lee, Taewha
    • Journal of Korean Academy of Nursing Administration
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    • v.20 no.2
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    • pp.187-194
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    • 2014
  • Purpose: The purpose of this study was to identify the perception of role transition from a student nurse to a registered nurse among senior year nursing students and to examine factors affecting their role transition. Methods: A descriptive survey with convenience sampling was conducted in four nursing colleges in Seoul, South Korea. Data were collected using a self-administrated questionnaire. Four instruments including role transition, self-esteem, interpersonal relationships and anxiety during clinical practicum were used and the students'demographics were also collected. A multiple logistic regression was used to identify predictors for the role transition. Results: A total of 233 nursing students were surveyed and final analysis was conducted utilizing 226 participants. Mean point of perceived role transition (5 point scale) was $3.34{\pm}0.44$. In a multiple regression model, high self-esteem, good interpersonal relationships, low anxiety during clinical practicum, and high satisfaction in college life were significant predictors of a smooth transition (Adj. $R^2$=.32, F=22.28, p<.001). Conclusion: The findings suggest that role transition from a student nurse to a registered nurse is facilitated through the establishment of programs to improve self-esteem and interpersonal relationships and to reduce anxiety during clinical practicum.