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Initial Assessment and Care Planning in Palliative Hospice Care: Focus on Assessment Tools (호스피스 완화의료에서의 초기평가와 돌봄 계획의 수립: 평가도구를 중심으로)

  • Park, Eun Ju;Koh, Su Jin;Cheon, Jae Kyung
    • Journal of Hospice and Palliative Care
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    • v.22 no.2
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    • pp.67-76
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    • 2019
  • For hospice palliative care that provides comprehensive and general care, it is necessary to use assessment tools to objectively list issues and detail care plans. The initial assessment is a process of establishing an overall direction of care by identifying the patient's symptoms, social and spiritual issues and palliative care needs on the admission day or within one day of admission. This process is also used to identify the patients' and families' awareness of the illness, prognosis, treatment options and if the Physician Orders for Life-Sustaining Treatment (POLST) has been drafted. Consisting of 13 simple questions regarding the physical, mental, social, and spiritual domains, the Needs at the End-of-Life Screening Tool (NEST) is recommended as an initial assessment tool. Using specific assessment tools, a care plan is established for the issues identified in the initial assessment within three days of admission. A multidisciplinary assessment tool can be helpful in the physical domain. The psychosocial domain evaluates psychological distress, anxiety and depression. The social domain examines an ability to make decisions, understanding of the socioeconomic circumstance, family relationship, and death preparedness. A spiritual evaluation is also important, for which the Functional Assessment of Chronic Illness Therapy-Spiritual WellBeing Scale (FACIT-Sp) or the Spiritual Health Inventory (SHI) can be used. The use of an assessment tool could not only contribute to pain mitigation a better quality of life for patients, but also provide systematic training for a multidisciplinary team; And the process itself could be a stepping stone for the better care provision.

Floristic study of Jeonggwangsan Mt. (Yongin, Korea) (정광산(용인시)의 관속식물상)

  • JEON, Ji-Hyeon;CHO, Myong-Suk;GIL, Hee-Young;KIM, Seon-Hee;JUNES, Petra;SEO, Hee-Seung;KIM, Seung-Chul
    • Korean Journal of Plant Taxonomy
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    • v.49 no.1
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    • pp.70-89
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    • 2019
  • In this study, we investigated the flora of Jeonggwangsan Mt. (Yongin, Korea) from May of 2015 to September of 2016. Through 14 independent field investigations, we identified a total of 367 taxa of vascular plants, including 89 families, 234 genera, 323 species, six subspecies, 34 varieties, and four formae. Eight taxa were endemic to Korea, while 27 were naturalized in Korea. Nineteen taxa were the floristic regional indicator plants in Korea: four in Rank VI, four in Rank III, two in Rank II, and nine in Rank I. A total of 59 taxa were designated as controlled Korean biological resources, requiring special permission for export to outside countries. Two taxa were listed on the Red List of Korea, including one Near Threatened (NT) taxon (Hololeion maximowiczii Kitam.) and one Least Concern (LC) taxon (Iris minutoaurea Makino).

Distribution Aspects and Extinction Threat Evaluation of the Korean Endemic Species, Iksookimia pacifica (Pisces: Cobitidae) in Korea (한국고유종 북방종개 Iksookimia pacifica (Pisces: Cobitidae)의 분포양상과 멸종위협 평가)

  • Ko, Myeong-Hun;Han, Mee-Sook;Kwan, Sun-Man
    • Korean Journal of Ichthyology
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    • v.31 no.1
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    • pp.16-22
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    • 2019
  • Investigations on the study of the distribution aspects and extinction threat evaluation of the Korean endemic species, Iksookimia pacifica were done from 2017 to 2018 in Korea. During the study period, the samples of I. pacifica were collected in 17 streams, 46 sites (from Baebongcheon Stream of Goseong-gun to Gunsuncheon Stream of Gangneung-si) among the noted 33 streams and 104 sampling sites investigated. The population size of I. pacifica was relatively large in streams such as Bukcheon, Baebongcheon, Hwasangcheon, Cheonjincheon, Ohhocheon Stream etc., but the population size was small in streams such as Sacheoncheon, Namcheon, Gangneung Namdaecheon Stream etc. The main habitat of I. pacifica was the downstream pool of clean water with slow velocity and sand bottoms, and their sensibility was estimated to be due to river work and water pollution. Comparing the previous records of the appearance of I. pacifica, they were first seen in Sampocheon Stream, but they did not appear in Jusucheon, Jeoncheon, Samcheok Osipcheon Stream. Given this evidence as noted for the 19.5% reduction in occupancy within 3 generations, in small appearance range ($1,343km^2$) and small occupancy area ($184km^2$), the number of locations were many (18) and the population was relatively large within the range of habitat. Therefore, I. pacifica is now considered a Near Threatened (NT) based on the IUCN Red List categories and criteria.

A Changes of Traditional Landscape Architecture Materials in Yangdong Village, Gyeongju - Building Roof Materials in the Village Since the 1970s - (정비 사업을 통해 본 경주 양동마을 전통조경 재료의 변화양상 - 1970년대 이후 마을 내 건축물 지붕 소재를 중심으로 -)

  • Kim, Dong-Hyun;Lee, Jong-Sung;Choi, Jong-Hee
    • Journal of the Korean Institute of Traditional Landscape Architecture
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    • v.36 no.4
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    • pp.50-57
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    • 2018
  • Based on research projects and maintenance plans that have been carried out to observe changes in the appearance of buildings in Yangdong Village, Gyeongju, this study analyzed the process of changes in roof materials since the 1970s and drew the following conclusions. First, as the proportion of houses used in the yanggi and yanggi in the 1970s appears similar to that of Wagawa, it is believed that the village landscape has changed due to the use of modern materials by modernization and urbanization. Second, the initial stage of readjustment was designated as a folk data protection zone in 1977 and important folk data designation in 1984. However, due to the lack of a budget for repair and indiscriminate repair, the effectiveness of the project did not seem to have been high. As a result, the trend of decreasing the initial price of the previous period and increasing the use of materials such as yanggi and slate were continuing. Third, in the 1990s, the Cultural Heritage Administration pushed for restoration to the traditional method through extensive renovation projects, making efforts to restore traditional materials, such as reduction of the yanggi and roof, removal of the Hamseok roof, and an increase in the price of grass. Fourth, in the 2000s and thereafter, various readjustment projects were completed in the previous period, with the ratio of Wagwa and Choga greatly increased and the number of houses on the roof of slate reduced by about half, and the level of maintenance of the village's retirement homes was readjusted after the World Heritage List in 2010.

Verification of the Star Tracker Sun Exclusion Angle of GEO-KOMPSAT-2A Through In-Orbit Operation (천리안 2A호 별추적기 태양 차폐각 궤도상 운영 검증)

  • Kang, Woo-Yong;Baek, Kwangyul;Kim, Seungkeun
    • Journal of the Korean Society for Aeronautical & Space Sciences
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    • v.49 no.3
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    • pp.243-249
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    • 2021
  • The star tracker detects microscopic star light in space and compares it with a stored list of stars to calculate the satellite's position in the inertial coordinate system. If other light, such as the sun or the earth, enters the optical head, the star cannot be recognized and the star tracker cannot be operated. In particular, strong light such as the sun affects not only operation but also the performance of the star tracker. The sun exclusion angle of the star tracker is one of the important factors determining the performance of the star tracker. This paper performs the verification of the star tracker's sun exclusion angle. In order to verify the sun exclusion angle, we predict the sun exclusion time of the star tracker and compare it to the actual sun exclusion time of the GEO-KOMPSAT-2A star tracker. In addition, the performance of the star tracker is analyzed for normal operations against the sun exclusion in the optical head. It shows that the actual sun exclusion is maintained under the range of 26 degrees, the performance requirement of the star tracker, and the star tracker operates normally in spite of the sun exclusion.

The Meaning of Evaluating Ha-Seo in the Historical Context - Through demonstration based on comparison of materials related to lifetime (하서(河西) 김인후(金麟厚) 상의 형성과 그 시대적 맥락 - 생애자료에 대한 비교변증을 통해 -)

  • Kim, Nam-yi
    • (The)Study of the Eastern Classic
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    • no.59
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    • pp.57-92
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    • 2015
  • This study looked into the process by which Haseo(河西) Kim In-hoo(金麟厚:1510~1560), a neo-confucian scholar of mid Joseon Dynasty, was recognized and adored as an inheritor of traditional academic genealogy of neo-confucianism of Joseon Dynasty. I intended to examine the process of personal embodiment affected or excluded in certain manners by various materials covering the lifetime of bygone persons based on the process of such embodiment. The part related to childhood of Haseo was arranged newly to highlight solid relationship between Kim In-hoo and King Injong(仁宗). That was because Kim In-hoo raised the issue of loyalty and fidelity, one of the most important and most contentious issues at that time, in connection with reinstatement of GimyoSarim(己卯士林, progressive political faction with young officials), and King Injong was the king who reinstated Gimyo Sarim. That played a decisive role in establishing the image of Haseo, a classical scholar with unwavering integrity and loyalty. During the Late Joseon Dynasty, canonization of Haseo was made under the leadership of King Jeongjo(正祖) and Seoin(西人) in royal court. In the 17th century, Seoin scholars revised the materials related to lifetime of Kim In-hoo in various way and proofread and published the collection of literary works by Kim In-hoo. That aimed to establish scholastic system associated with Seoin and legitimacy of study as pursued by Seoin. This made progress with adoration towards scholars affiliated with Seoin, including Yulgok(栗谷) Lee Yi(李珥). Finally, King Jeongjo showed strong intention to take the lead as sovereign in the process while Haseo was canonized into national academy in the 18th century. That came from the desire to solidify his status as a teacher who took pride in taking responsibility for the dynasty's authentic study, as well as the king heading the dynasty politically.

A study on the improvement of import conditions for salmonid fish to reduce the possibility of entry of infectious salmon anaemia virus (전염성연어빈혈증(Infectious salmon anaemia) 바이러스의 국내 유입 가능성 저감을 위한 연어과 어류 수입조건 개선안)

  • Yu, Jinha
    • Journal of fish pathology
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    • v.34 no.1
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    • pp.81-98
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    • 2021
  • As Korea declared that the entire country is free from ISA (Infectious salmon anaemia) based on the OIE aquatic code in 2019, it is necessary to improve the import quarantine system that meets the level of ISA management in Korea. Currently, Korea imports Atlantic salmon and rainbow trout from countries which have history of ISA outbreak such as Norway and the United States, so there is a constant possibility that trade with these countries will bring ISAV (Infectious salmon anaemia virus) into Korea. Therefore, some amendments to the Aquatic Life Diseases Control Act (ALDCA) are needed to prevent the entry of ISAV into the Korea through international trade. The amendment to the ALDCA should contain a list of countries, zones or compartments that the Korean competent authority has allowed or banned imports of ISA-susceptible fish. In addition, the subordinate statutes or administrative rules of the ALDCA need to be revised so that on-site inspections/audit can be conducted for the evaluation of the ISA management system in exporting countries. After the revision of the subordinate statutes or administrative rules, it is necessary to strengthen the present import conditions in line with those that meet the level of ISA management in Korea. As for the strengthened import conditions, the competent authorities of exporting countries must export only salmonid fish produced in zones or compartments declared freedom of ISA to Korea, and must prove through lab-testing that ISAV should not be detected in the fish exporting to Korea. In addition, official veterinarians/fish health professionals of the exporting country should check the health status of the fish within 72 hours prior to export. Also, competent authorities of the exporting countries must attest that fish storage containers and water, ice and other equipment used for transportation should be cleaned and disinfected to avoid contamination with pathogens, including ISA. Therefore, the proposed measures presented here will further improve the current import condition for salmonid fish and assist decision-making on strategies to reduce the risk of ISA introduction into Korea. Also, it is expected to contribute to maintain the status of ISA-free country.

Review of Multilateral Development Bank's Methodologiesfor Consideration of Climate Change Impactsin Project Due Diligence (기후변화 영향평가와 사업심사 연계를 위한 다자개발은행의 방법론 고찰)

  • Jang, Yoojung
    • Journal of Environmental Impact Assessment
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    • v.31 no.2
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    • pp.106-116
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    • 2022
  • Multilateral Development Banks (MDBs) have actively responded to global climate change, and developed and operated the Common Principles for Climate Finance Tracking. They estimate climate finance in a granular manner with a conservative view. In other words, the MDBs track their financing only for those elements or proportions of projects that directly contribute to or promote climate adaptation or mitigation. The MDBs have reported jointly on climate finance since the first edition in 2012, which reported for 2011 and up to the 10th edition in 2021, which reported for 2020. MDBs apply two difference methodologies for adaptation and mitigation. For adaptation, the methodology is based on a context and location specific approach and captures the amounts associated with activities directly linked to vulnerability to climate change. For mitigation, it is evaluated in accordance with a comprehensive list of activities thatreduce greenhouse gas emissions. The result of climate risk assessment is one of the major due diligence items for MDBs alongside with that of environmental and social impact assessment. Under the circumstance that many countries endeavor to deal with climate change at project level, it is meaningful to understand how MDBs have addressed climate change issues in their project approval process. This would be a good reference to establish a methodology for responding to climate change and to expand scope of environmental and social impact assessment.

Investigation of the listening environment for lower grade students in elementary school using subjective tests (주관적 평가법을 이용한 초등학교 저학년 교실의 청취환경 조사)

  • Park, Chan-Jae;Haan, Chan-Hoon
    • The Journal of the Acoustical Society of Korea
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    • v.40 no.3
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    • pp.201-212
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    • 2021
  • The present study was conducted as a pilot investigation to suggest the standards of acoustic performance for classrooms suitable for incomplete hearing people such as children under 9 years of age. Subjective evaluations such as questionnaire and speech intelligibility test were conducted to 264 students at two elementary schools in Cheong-ju in order to analyze the characteristics of the listening environment in the classrooms of the lower grades in elementary school. The survey was undertaken with a total of 264 students at two elementary schools in Cheong-ju, and investigated their satisfaction with the classroom listening environment. As a result, students responded that the most helpful information type for understanding class content is the voice of teacher. In addition, the volume of the current teacher's voice is normal, and the level of clarity is highly satisfactory. As for the acoustic performance of the classroom, the opinion that the noise was normal and the reverberation was very short was found to be dominant in overall satisfaction with the listening environment. Meanwhile, as a result of speech intelligibility test using the word list selected for the lower grade students of elementary school, it could be inferred that the longitudinal axis distance from the sound source in the case of 8-year-olds is a factor that affects speech recognition.

Distribution Status and Extinction Threat Evaluation of Ladislabia taczanowskii (Cypriniformes, Cyprinidae), a Cold Water Fish in Korea (한국산 냉수성 어류 새미(잉어목, 잉어과)의 분포현황 및 멸종위협평가)

  • Choi, Kwang-Seek;Bae, Yang-Seop;Ko, Myeong-Hun
    • Korean Journal of Ichthyology
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    • v.34 no.1
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    • pp.34-43
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    • 2022
  • A distribution survey was conducted from March to August 2021 to evaluate the distribution status, habitat characteristics, and threat of extinction of the Korean cold-water fish Ladislabia taczanowskii Dybowski (Cypriniformes, Cyprinidae). Historical distribution reports were divided into 1997~2005, 2006~2012, 2013~2019, and distribution surveyed 169 sampling sites, and 1,040 individuals were collected from 72 sites. Areas where the habitat was confirmed were Namhan River (27 stations), Han River (17 stations), Bukhan River (16 stations), Samcheok Osipcheon (4 stations), Yeongokcheon (3 stations), Gangneung Namdaecheon (2 stations), Jeoncheon (1 station), Chucheon (2 stations). The main habitat of L. taczanowskii was upstream of the river with a high altitude of more than 300 m, 2~30 m water flow width, 0.3~1.5 m water depth, and high ratio (50~90%) boulder bottoms. The main reasons for the decline in population size were assumed as river works, construction of reservoirs and bridges, discharge of contaminated water into the river, the inflow of summer vacationers, and weir. Compared to our results there exists evidence that states a 36.1% reduction in occupancy within 10 years, in a small appearance range (7,820 km2) and occupancy area (288 km2), number of disconnected locations (19 locations), and a decline in habitat quality. Therefore, L. taczanowskii is now considered as Vulnerable (VU) based on the results (VU A2ac, Near meets B1b (i, ii, iii)+B2b (i, ii, iii)) of IUCN Red List categories and criteria. Lastly, the conservation plan of Ladislabia taczanowskii was discussed.