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A Study On The Attitudes Toward Death -For Nursing Care of The Terminally Ill- (죽음의 태도에 관한 조사연구 -임종환자의 간호를 위하여-)

  • 유계주
    • Journal of Korean Academy of Nursing
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    • v.4 no.1
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    • pp.162-178
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    • 1974
  • The present study is purported to provide a basic information to be utilized by nurses to care and attend effectively for patients nearing the moment of death. Therefore, the primary purpose of the study has been placed upon grasping an understanding of the trends of death in general. For this purpose: 1. By utilizing the schneidman questionnaire, the trend of death has been categorized by 6 parts and analyzed. 2. A search has been conducted to find out dying patient's needs, nurse's attitudes viewed by the patient, and nurse attitudes to dying patient. The followings are itemized results of analysis: 1. Analysis by the schneidman questionnaire. (1) In general concepts of death. the first sighting of the occurrence of death was experienced upon strangers, grandfather and great grandfather. The death is openly discussed among people of all ages and sex. Ages in which the death is mostly feared were from 12 to well over 70 yews old that are evenly distributed regardless of difference in age. (2) As to the attitudes toward death the occurrence of death to most closely associated person influenced most upon the attitude of their own termination of lives. Among the reading materials, the maximum influence was effected by the Bible. In terms of religion, the thoughts of death were Influenced by religions education in case of the believers of the western religions (36%), and by their own health and physical conditions in case of the believers in the oriental religions (35%). In case of non-believer, their attitude toward death were largely determined through their own thinking meditation (45%). People aged 20 or thereunder revealed that they wished to know the day of their own death to be occurred (58%). However, the older the less thor wanted to know. (3) As to the choosing the time of death, 57% preferred senility, and 30% preferred the time in mediately following the prime period of their lives in general. In terms of religion, 85% of the believer in the oriental religion preferred senility, and 67% in the western religion, 58% in others, Therefore. the desiring of their lives to be terminated in earlier stage, not by the natural senility. sequenced as follows : Others, western religions and oriental religions. (4) Referring to the disposal of the corpse under the assumption that it had already occurred, majority desired the burial system. There has been seen a slight tendency to consider the importance of holding funeral services for the sake of survivors. Concerning the life insurance policy, it showed that the nurse had less belief in it than the patient (5) Upon the subject of life-after-death. religion wise, 72% of western religion believers preferred to have an existence of life-after-death: Among the believers of oriental regions, 35% desired this category, 30% did not mind either way. and 35% did not desire the existence of such a life-after-death. In others, 53% did not mind whether or not such a life existed. (6) In general, serious thoughts were not being attended to the commitment of suicide. 37% emphasized that such an act should be prevented. However, 30% insisted that such commitment should not be bothered, and that society possesses no right to prevented it. More male wished to commit suicide (13%) than females (9%). 2. Nurse's attitudes toward terminal patients and patient's needs. In the instance where the patient realized that their death is imminent, most of them showed desire to discuses mainly on the problems of life. When faced a situation of this nature, it is revealed that 40% of nurses could not furnish appropriate care for them.

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Study on the Usefulness about Molecular Breast Imaging In Dense Breast (치밀형 유방에서 Molecular Breast Imaging 검사의 유용성에 관한 고찰)

  • Baek, Song Ee;Kang, Chun Goo;Lee, Han Wool;Park, Min Soo;Choi, Young Sook;Kim, Jae Sam
    • The Korean Journal of Nuclear Medicine Technology
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    • v.20 no.1
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    • pp.42-46
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    • 2016
  • Purpose Mammography is the most widely used scan for the early diagnosis since it is possible to observe the anatomy of the breast. however, The sensitivity is markedly reduced in high-risk patients with dense breast. Molecular Breast Imaging (MBI) sacn is possible to get the high resolution functional imaging, and This new neclear medicine technique get the more improved diagnostic information through It is useful for confirmation of tumor's location in dense breast. The purpose of this study is to evaluate the usefulness of MBI for tumor diagnosis in patients with dense breast. Materials and Methods We investigated 10 patients female breast cancer with dense breast type who had visited the hospital from September 1st to Octorber 10th, 2015. The patients underwent both MBI and Mammography. MBI (Discovery 750B; General Electric Healthcare, USA) scan was 99mTc-MIBI injected with 20 mCi on the opposite side of the arm with the lesions, after 20 minutes, gained bilateral breast CC (CranioCaudal), MLO (Medio Lateral Oblique) View. Mammography was also conducted in the same posture. MBI and Mammography images were compared to evaluate the sensitivity and specificity of each case utilizing both image and two images in blind tests. Results The results of the blind test for breast cancer showed that the sensitivity of Mammography, MBI scan was 63%, 89%, respectively, and that their specificity was 38%, 87%, respectively. Using both the Mammography and MBI scan was Sensitivity 92%, specificity 90%. Conclusion This research has found that, The tumor of dense tissue that can not easily distinguishable in Mammography is possible to more accurate diagnosis since It is easy to visually evaluation. But MBI sacn has difficulty imaging microcalcificatons, If used in conjunction with mammography it is thought to give provide more diagnostic information.

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The Use of Green Manure Crops as a Nitrogen Source for Lettuce and Chinese Cabbage Production in Greenhouse (녹비작물의 토양환원이 상추 및 얼갈이 배추의 수량에 미치는 영향)

  • Lim, Tae-Jun;Kim, Ki-In;Park, Jin-Myeon;Lee, Seong-Eun;Hong, Soon-Dal
    • Korean Journal of Environmental Agriculture
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    • v.31 no.3
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    • pp.212-216
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    • 2012
  • BACKGROUND: Green manure and graminaceousmanure crops have several benefits, such as improving soil physical and chemical properties and utilizing excessive greenhouse nutrients that they have a potential to be a water pollutant source. METHODS AND RESULTS: The objective of this study was to investigate nitrogen (N) supplying capabilities of green manure and graminaceous manure crops for lettuce (Lactuca sativa L.) and Chinese cabbage (Brassica campestris L.) grown under greenhouse conditions. For this two leguminous manures (Crotalaria juncea (Cr.) and Sesbaniaexaltata (Se.)) and two graminaceous manures (Sorghum bicolor; Haussolgo(Ha.) and Sudangrass (Sg.)) in the greenhouse were grown, cut, and incorporated into the greenhouse soil before planting. Chemical nitrogen (N) fertilizer rate was estimated based on N recommendation for lettuce and Chinese cabbage. 100% of the N recommended rates (1N) were 70 kg N $ha^{-1}$ for lettuce and 60 kg N $ha^{-1}$ for Chinese cabbage and 50% of the N recommendation rates (0.5N) were 35 kg N $ha^{-1}$ for lettuce and 30 kg N $ha^{-1}$ for Chinese cabbage. Nitrogen treatments were control (0N), Cr., Se., Cr + 0.5 N, Se + 0.5 N, Ha + 0.5 N, Sg + 0.5 N, and N recommendation rate (1N). Incorporated N from green manure and graminaceous manure crops were 130, 116, 93, and 87 kg N $ha^{-1}$ for Cr., Se., Ha., and Sg., respectively. Lettuce and Chinese cabbage were grown after incorporated green manure crops into the greenhouse soil. There was no significant difference in lettuce and Chinese cabbage yields under N treatments except control (0 kg/ha). Nitrogen use efficiency (NUE)was from 44% to 73% and the highest NUE was under Se. treatment. Although yields were not statistically different under N treatments except control, actual yield increase ranged from 170 to 1,100 kg/ha for lettuce and ranged from 2,770 to 5,210 kg/ha for Chinese cabbage compared to yield under N recommendation rate. Estimated economic benefit from this would be higher approximately between \2,770,000 and \5,210,000/ha under N treatments except control than the N recommendation rate. CONCLUSION: These results suggest that incorporating green manure crops, such as Cr. and SeSe. into soil or adding 0.5 N after incorporation of them can be beneficial in many ways in that it increases economic return because of yield increase, reduces the use of chemical N, and decreases the negative environmental impact on water quality because excessive N in the greenhouse soil can be used by green manure crops during the fallow.

Effect of Heating by Nano-Carbon Fiber Infrared Lamps on Growth and Vase Life of Cut Roses and Heating Cost (나노탄소섬유 적외선등 난방이 절화장미의 생육과 수명 및 난방비에 미치는 영향)

  • Lim, Mi-Young;Ko, Chung-Ho;Son, Moon-Sook;Lee, Sang-Bok;Kim, Gil-Ju;Kim, Byung-Soo;Kim, Young-Bok;Jeong, Byoung-Ryong
    • Journal of Bio-Environment Control
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    • v.18 no.1
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    • pp.1-8
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    • 2009
  • The greatest and major cost for cut rose production during winter seasons in Korea is cost of heating the greenhouse. A study was conducted on a cost-efficient heating system to reduce expenses of cut rose growers in times of high energy prices. An infrared heating system utilizing radiant energy has an obvious advantage over other heating methods in that the energy is first used to raise temperatures of plants and other objects and subsequently that of the atmosphere, resulting in faster reaching to desired plant temperatures at a reduced heating cost. In this study the heating effect and heating cost saving of a nano-carbon fiber infrared heating system (NCFIHS) installed in cut rose greenhouses in Gimhae, Gyeongnam Province were analyzed comparatively. In addition growth, quality, and vase life of 'Orange Fresh' roses grown in greenhouses heated by NCFIHS against those grown in greenhouses heated by so called an electrical heating system. In greenhouses with a NCFlHS with a set point air temperature of $20^{\circ}C$, plant temperature was maintained at $1{\sim}2^{\circ}C$ higher than the air temperature, and temperatures of growing bed surface and root zone were maintained at $17{\sim}19^{\circ}C$ throughout cold winter nights. The cost for heating in NCFIHS was about 25 and 51% of that of an electrical heating system and a hot water heating system heated by petroleum, respectively. Growth of roses harvested in greenhouses with a NCFIHS was similar to those grown in greenhouses with an electrical heating system. However, cut roses with more intense petal and leaf colors and a longer vase life (fresh weight and amount of water uptake) were harvested in greenhouses with a NCFIHS as compared to those harvested in greenhouses with an electrical heating system.

Study on Ecological Restoration of Endangered Species in Abandoned Paddy of Korea and Management Plan for its Habitat (한국의 묵논에서 멸종위기식물의 복원생태학적 연구 및 서식지 관리방안)

  • Lee, Soo-In;Lee, Eung-Pill;Hong, Young-Sik;Kim, Eui-Joo;Lee, Seung-Yeon;Park, Jae-Hoon;Jang, Rae-Ha;You, Young-Han
    • Journal of Wetlands Research
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    • v.22 no.2
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    • pp.81-91
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    • 2020
  • As part of method for ecologically utilizing abandoned paddy, potential of the abandoned paddy as a target site for ex-situ conservation of 9 endangered species of different life form was confirmed by considering the nature of rice paddy. In order to create Dum-bung, a component of traditional Korean rice paddy, a part of the abandoned paddy was modified to change the water environment. The seeds, asexual reproductive and sexually reproductive individuals of each endangerd species were transplanted into the abandoned paddy to observe the survival rate and phenological response for 1 year, and then monitored for 2 years. As a result, Hydrophyte 4 taxa (Euryale ferox, Saururus chinensis, Dysophylla yatabeana, Menyanthes trifoliata), Geophyte taxa 1 (Epilobium hirsutum), and Hemicryptophyte taxa 1 (Cicuta virosa) could be introduced into the abandoned paddy. In particular, Euryale ferox, Dysophylla yatabeana, and Menyanthes trifoliata should be introduced into Dum-bung, and Saururus chinensis, Epilobium hirsutum, and Cicuta virosa should be introduced into paddy wetland. Growth of Euryale ferox and Brasenia schreberi was inhibited by herbaceous species, and the growth of Epilobium hirsutum was inhibited by herbivores. Therefore, in order to help efficient settlement of endangered plants introduced in abandoned paddy, it is necessary to remove herbs that inhibit growth and to manage herbivores. In addition, it is necessary to prevent the collapse of paddy bank by planting on the paddy field trees or herbaceous forming vegetation mat. When using abandoned paddy ecologically, it is effective to diversify the moisture environment by creating a Dum-bung to increase biodiversity.

Interpretation of C.C.L.Hirschfeld's Theory of Garden Art in Contemporary Meaning and Its Significance (히르시펠트(C.C.L.Hirschfeld) 정원예술론의 의미와 가치의 현대적 해석)

  • Zoh, Kyung-Jin
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.32 no.3
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    • pp.58-68
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    • 2014
  • Christian Cay Lorenz Hirschfeld is often regarded as 'a father of landscape garden art.' He was an aesthetics professor and garden theoretician in the $18^{th}$ century. He put forth the most comprehensive garden theory book in five volumes between 1779 and 1785. His book, Theorie der Gartenkunst, was translated and widely circulated in his contemporary. The book, which dealt with diverse aspects of garden art such as history, design, material, and type, urged to promote the prevalence of landscape garden in European continents as well as in Germany. However, there have scarcely been discourses in the Hirschfeld's garden theory. This essay aims to review Hirschfeld's garden thoughts in his book critically and to reinterpret some issues in the contemporary landscape theory and practice. Hirschfeldian theory was the product of $18^{th}$ century German Enlightenment and romanticism. At that time, Nature was regarded as divine realm. There was a German affinity with natural world. The spread of reading culture and the fashion of travel literature were another background of the success of his garden literature. Several issues in Hirschfeld garden theory will discussed here. First, privileging garden art was the most significant contribution in his theory. He emphasized that garden art was the most advanced art form among all art genres. Second, garden art was grounded on the mimesis of nature. The ambiguous relationship between nature and art still existed in garden making. However, garden art can be flourished when utilizing the potency of nature in itself. Third, there was the association between the image and the idea in experiencing the garden. Some garden scenes stimulated the related emotional responses such as cheerful and merry, softly melancholic, romantic, solemn etc. Fourth, the movement was the essential aspect of garden art. Motion and emotion are come together in garden experience. To represent the landscape garden style in suitable way, the sketch or image seems to be preferable than the plans and views. Finally, garden art was composing of not only the physical space but also the spirit of place. He maintained the garden art as hortus moralis should be a social metaphor. Hirschfeldian garden theory has often been criticized as the lack of practical power and the old fashioned idea. However, his theory influenced on formulating the idea of public park in $19^{th}$ century. Moreover, there are still some visionary aspects of his theory such as the reevaluation of garden art, the emphasis of locality and the introduction of Mittelweg idea. Recently, gardening culture are prevalent in various realms of art and life. Hirschfeld's garden theory as humanistic landscape theory can provide us some insights in the contemporary practices.

Growth and Yield Related Characteristics of Soybeans for the Estimation of Grain Yield in Upland and Drained-Paddy Field (콩 논.밭 재배에서 수랑예측을 위한 생육과 수량 관련 형질의 비교)

  • Cho, Young-Son;Park, Ho-Gi;Kim, Wook-Han;Kim, Sok-Dong;Seo, Jong-Ho;Shin, Jin-Chul
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.51 no.7
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    • pp.599-607
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    • 2006
  • The experiments were carried out to develop simulation model for estimating the yield of soybean in upland and paddy field condition. Field experiments were done at National Institute of Crop Science in 2005. The evaluated soybean cultivars were Taekwangkong, Daewonkong, and Hwangkeumkong. Soybean seeds were planted by hill seeding with 3-4 seeds and row and hill spacing were $60{\times}10cm$ in upland and $60{\times}15cm$ in paddy field. Seeds were sown on row (without making ridge) and on the top of ridge in upland and paddy field, respectively. Field parameters were measured yield components ($plants/m^{2}$, pod no./plant, and 100-seed weight, seed yield and growth characteristics (stem length, leaf area at each stage, and dry weight of shoot) and after measuring they were compared the relationships with seed yield and yield components and seed yield and growth characteristics. Seed yield of soybean was affected by cultivars and planting density. Seed yield was higher in upland than paddy field due to the higher planting density in upland field. The upland soybeans generally had lower 100-seed weight than that of paddy field. Seed yield of soybean in a paddy field was greatest in Taekwangkong and followed by Daewonkong and Hwangkeumkong. The harvest index of taekwangkong and Hwanggumkong was higher in upland than paddy field, however, it was higher in paddy field than upland in Daewonkong. Seed yield was greatest in Daewonkong in both experimental fields. The greatest stem length was observed in taekwangkong and Hwanggumkong (R6) in late growth stage in paddy field. Dry weight of shoot and pod, pod number, stem length, and stem diameter were higher grown in paddy field than grown in upland. Crop growth rate (CGR) of cultivars was higher in paddy field after 8 WAS(weeks after sowing) and it was greatest at 13 WAS in Daewonkong among the cultivars. In upland field, CGR was greatest in Taekwangkong and then followed by Daewonkong and Hwanggumkong during 12 and 15 WAS. There was no significant relationships between 100-seed weight and seed yield in both experimental fields. A significant positive relationship was observed between seed number and seed yield. The correlation coefficients between leaf area and shoot dry weight were about 0.8 during the whole growth stage except 5 WAS and 4-5 WAS in paddy field and upland, respectively. This experiment was done just one year and drained paddy field condition was not satisfied drained condition successfully at 7th leaf age of soybean by the heavy rain, so we suggest that the excessive soil water reduced seed yield in paddy field and the weather condition should be considered for utilizing of these results.

Establishment of Valve Replacement Registry and Risk Factor Analysis Based on Database Application Program (데이터베이스 프로그램에 기반한 심장판막 치환수술 환자의 레지스트리 확립 및 위험인자 분석)

  • Kim, Kyung-Hwan;Lee, Jae-Ik;Lim, Cheong;Ahn, Hyuk
    • Journal of Chest Surgery
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    • v.35 no.3
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    • pp.209-216
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    • 2002
  • Background: Valvular heart disease is still the most common health problem in Korea. By the end of the year 1999, there has been 94,586 cases of open heart surgery since the first case in 1958. Among them, 36,247 cases were acquired heart diseases and 20,704 of those had valvular heart disease. But there was no database system and every surgeon and physician had great difficulties in analysing and utilizing those tremendous medical resources. Therefore, we developed a valve registry database program and utilize it for risk factor analysis and so on. Material and Method: Personal computer-based multiuser database program was created using Microsoft AccessTM. That consisted of relational database structure with fine-tuned compact field variables and server-client architecture. Simple graphic user interface showed easy-to-use accessability and comprehensibility. User-oriented modular structure enabled easier modification through native AccessTM functions. Infinite application of query function aided users to extract, summarize, analyse and report the study result promptly. Result: About three-thousand cases of valve replacement procedure were performed in our hospital from 1968 to 1999. Total number of prosthesis replaced was 3,700. The numbers of cases for mitral, aortic and tricuspid valve replacement were 1600, 584, 76, respectively. Among them, 700 patients received prosthesis in more than two positions. Bioprosthesis or mechanical prosthesis were used in 1,280 and 1,500 patients respectively Redo valve replacements were performed in 460 patients totally and 40 patients annually Conclusion: Database program for registry of valvular heart disease was successfully developed and used in personal computer-based multiuser environment. This revealed promising results and perspectives in database management and utilization system.

Experimental Study on Effectiveness of Wave Reduction and Prevention Erosion of Nourishment Sand Using the Cell Group (Cell Group을 이용한 파랑저감 및 양빈사 유실방지에 관한 실험적 연구)

  • Park, Sang Kil;Park, Hong Bum;Kim, Young Hwan
    • Journal of Korean Society of Coastal and Ocean Engineers
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    • v.29 no.5
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    • pp.269-277
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    • 2017
  • Recently, a submerged breakwater has been installing to prevent the erosion of shoreline everywhere. Artificially submerged breakwater is made to minimize the loss of nourishment sand beach erosion. For this reason, it has been indiscriminately constructed submerged breakwater that is planned in the country throughout. However, maintenance purposes to keep the shoreline of the beach is a method that is quite a few problems. There are also disadvantages such as expensive construction costs, ocean space utilization, water pollution and shoreline modification. In addition, person of utilizing the space of the ocean leisure does not like that because of the disconnection of ocean space. The beaches such as Gwanganri are artificially supplying nourishment sand to maintain the beach. The flexible construction method refers to a structure that is installed as a flexible material instead of submerged breakwater to prevent the loss of nourishment sand. In order to develop a new method to mitigate shoreline erosion, this study was carried out a hydraulic model experiment by installing a cell group as an example of the flexible method. Namely, in order to prevent the loss of nourishment sand, we decided to develop a new method that can mitigate the degree of beaches erosion by using cell group instead of submerged breakwater. In the two dimensional fixed hydraulic experiment, was carried out the effect reducing of wave height and the rate of low reflection due to the installation of the cell group. In movable bed experiment, the capture rate of the nourishment sand and the erosion prevention rate of the nourishment sand was performed for stability of shoreline. Therefore, according to the results of the hydraulic tests, it was possible to maintain the stable beaches due to installing the cell group on the erosion beaches, due to the effect of reducing wave height, the low reflection, the erosion prevention rate of nourishment sand, the high capture rate of nourishment sand.

Study of Geological Log Database for Public Wells, Jeju Island (제주도 공공 관정 지질주상도 DB 구축 소개)

  • Pak, Song-Hyon;Koh, Giwon;Park, Junbeom;Moon, Dukchul;Yoon, Woo Seok
    • Economic and Environmental Geology
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    • v.48 no.6
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    • pp.509-523
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    • 2015
  • This study introduces newly implemented geological well logs database for Jeju public water wells, built for a research project focusing on integrated hydrogeology database of Jeju Island. A detailed analysis of the existing 1,200 Jeju Island geological logs for the public wells developed since 1970 revealed six major indications to be improved for their use in Jeju geological logs DB construction: (1) lack of uniformity in rock name classification, (2) poor definitions of pyroclastic deposits and sand and gravel layers, (3) lack of well borehole aquifer information, (4) lack of information on well screen installation in many water wells, (5) differences by person in geological logging descriptions. A new Jeju geological logs DB enabling standardized input and output formats has been implemented to overcome the above indications by reestablishing the names of Jeju volcanic and sedimentary rocks and utilizing a commercial, database-based input structured, geological log program. The newly designed database structure in geological log program enables users to store a large number of geology, well drilling, and test data at the standardized DB input structure. Also, well borehole groundwater and aquifer test data can be easily added without modifying the existing database structure. Thus, the newly implemented geological logs DB could be a standardized DB for a large number of Jeju existing public wells and new wells to be developed in the future at Jeju Island. Also, the new geological logs DB will be a basis for ongoing project 'Developing GIS-based integrated interpretation system for Jeju Island hydrogeology'.