The hospice activities in Korea have still stood in the premature stage, although the contemporary hospice program, which professionally accommodates terminally ill patients, appeared in the history 35 years ago. Especially, the availability of the facility hospice is not only poor in number, but also lack of a guideline for the conduct of the facility. Saemmul Hospice has keenly felt the necessity of more facility hospices and has interchanged experiences and informations with people interested in hospice. However, the number of facilities has fallen short of one's expectations, and many problems have been revealed in order to maintain the operation. This paper was written in order to improve these atmospheres and to help more terminally ill cancer patients properly. This paper clarifies in detail the principle of management, the method of practice in each departments of Saemmul Hospice, expected effects and supplemental items. We try to provide concrete and practical informations and to help extensively for all peoples who are to begin or currently working. 1.Facility: It secures, maintain, and manage the hospice environment for all around care of patients effectively. 2.Education and Volunteer: It trains and manages hospice volunteers devoted to hospice. 3.Financial: It manages donation by healthy soul with an effective method. 4.Administration and Organization: It executes the administration efficiently and constitutes the organization to operate. 5.Medical and Nursing: It offers the maximum professional supports to a hospital. 6.Medicine and alternative medicine: It improves the quality of life of patients by medical and pharmaceutical approach and by other possible methods available. 7.Nutrition: It helps patients to have diets in accord with the order of the creation. 8.Belief: It offers spiritual care which allows the profound relationship with God. 9. Funeral ceremonies: Funeral ceremonies may heal grieves of families faced with their deaths. 10. Bereaved families: It supports the families after the deaths of patients. 11.Reception and consultation: It seeks to help the patients who meet the purposes for which Saemmul Hospice is established. 12.Publication: It allows publicity activities for Saemmul Hospice. Facility hospice programs are able to overcome the disadvantages that the other type of the hospice possess, like as the economic burdens of the families, and the patients' losses of comforts of home after being transferred to a hospital. Facility hospice can provide home atmosphere with professional manpower and facilities like hospital to the patients. Therefore, it can also improve patients' qualities of life and make them comfortable death. We anticipate that the hospice program in Korea would be more active to let more people be indebted to maintain the nobel human dignity and to cross beautifully in the most painful process of dying in the journey of their lives.
This paper is intended to suggest a development device for Gwangyang Free Economic Zone(GFEZ) to strengthen the competitiveness of its maritime port of Gwangyang and promote the regional development in Gwangyang Bay Area. This study will evaluate the background, processes, and targets for foreign investment, I examined historical treatises as they relate to inducing investments to Free Economic Zones. I will explore good operation and inducing investment methods GFEZ within the 4P(product, price, promotion, place) framework. I tried to suggest a new management methodology for the Free Economic Zones as suggested by the central government from the regional view point. The purpose of this paper is to investigate the marketing strategies; compare them to the 4P for deploying an actual more efficient governing structure body for the GFEZ. As proposals to promote and activate GFEZ, I recommended in this paper several benchmarks. First, GFEZ must construct good clusters related to regional strengths as they relate to products. Second; to give more flexible incentives to foreign companies as compared with China, England, Ireland, India, Malasia, Thailand and Vietnam using prices as a guideline. Third, it is required to cultivate expert manpower who can communicate with foreign clients relate to promotion. A proactive public information system is also required in addition to marketing strategies for inducing investment. Lastly, GFEZ needs to became independent and separate from the central government and even from regional province.
Community Service Order is a program that holds a significant place in the system of probation. With its important role in the probation, there is an equally high expectation of the intervention from the program among the people which it serves. The problem lies in that people's understanding of the program is minimized to merely a volunteer-based social activity, which cause a division on how the program is to be run. The purpose of this research is to come up with a method that can efficiently organize the administrative plan to maximize its potentiality of the program. To adopt such a plan, "Sentencing to Service," an effective community service order program in Minnesota, U. S. A. was examined. An interview with the administrative staff, as well as a survey, using systematic sampling, with the participants was conducted to study the effective process and intervention of the program that has existed for fifteen years. The result concluded that "Sentencing to Service" is a successful program with the components of success being that of a positive support from the local community and high motivation level of the participants. In order for the program to be a positive experience for the participants, it is highly contingent upon the crew leaders. On the basis of the research findings, the following suggestions are made. First, a structured guideline for those who are involved in the program is necessary. Second, thorough training provided for the crew leaders are required and a social worker is recommended for the position of crew leader. Lastly, Community Service Order should not widen the net, but ought to serve as an alternative to incarceration.
The Journal of The Korea Institute of Intelligent Transport Systems
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v.12
no.2
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pp.63-75
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2013
Roundabouts have been operated in Europe, America and Australia since the 1970s, and many relevant researches continually was carried out. Though many studies regarding roundabout have been recently conducted in korea, most of them have focused on its operational safety and efficiency. Moreover, roundabout design guideline did not define a clear criteria related to pedestrian in roundabout, but seldom investigate the influences of pedestrian on crosswalk. In this study, we seek ways to operate the pedestrian crosswalk signal on roundabout maximizing their operational effects in exceptional case such as rush hour or intersection near the special facilities. We proved that roundabout signal operation is effective under certain circumstances in according to the number of pedestrian, and suggested the optimal signal timing plan for signalized roundabouts. For pursuing the above, we conducted the simulation test using the VISSIM model. The results show that the operational effectiveness of signalized roundabout was evaluated to be better than non-signalized roundabout in specific pedestrian volume condition. In addition, those results are confirmed using simulation analysis conducted on the real roundabout.
Journal of Advanced Marine Engineering and Technology
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v.41
no.4
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pp.337-344
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2017
The demand of liquified natural gas is increasing due to environmental issues. This reason has resulted in increasing the capacity of liquified natural gas cargo tank. The Mark-III type primary barrier directly contacts liquified natural gas. Also, the primary barrier is under various loading conditions such as weight of liquified natural gas and sloshing loads. During a ship operation, various loads can cause fatigue failure. Therefore, the fatigue life prediction should be evaluated to prevent leakage of liquified natural gas. In the present study, the fatigue analysis of insulation system including primary barrier is performed using a finite element model. The fatigue life of primary barrier is carried out using a numerical study. The value of principle stress and the location of maximum principle stress range are calculated, and the fatigue life is evaluated. In addition, the effects on the insulation panel status and the arrangement of knot or corrugation are analyzed by comparing the fatigue life of various models. The insulation system which has best structural performance of primary barrier was selected to ensure structural integrity in fatigue assessment. These results can be used as a design guideline and a fundamental study for the fatigue assessment of primary barrier.
Journal of the Korean association of regional geographers
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v.21
no.4
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pp.739-750
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2015
This study aims to investigate the possibility of crime prevention through CCTV by analyzing the appropriateness of the CCTV location, whether it is installed in the hotspot of crime-prone areas, and exploring the crime prevention effect and transition effect. The real crime and CCTV locations of case city were converted into the spatial data by using GIS. The data was analyzed by hotspot analysis and weighted displacement quotient (WDQ). The results demonstrated that there was no significant effect in the installation of CCTV on crime prevention. This indicates that CCTV should be installed and managed in a more scientific way reflecting local crime situations. In terms of CCTV, the methods of spatial analysis such as GIS, which can evaluate the installation effect, and the methods of economic analysis like cost-benefit analysis should be developed. In addition, these methods should be distributed to local governments across the nation for the appropriate installation of CCTV and operation. This study intended to find a design guideline of the optimum CCTV installation. In this regard, this study is meaningful in that it will contribute to the creation of a safe city.
Purpose: Submandibular gland tumor is rare, less than 6% of head and neck tumor. The purpose of this article is to analysis the clinical experience and treatment outcomes of malignant submandibular gland tumor, suggesting a guideline of management. Methods: We retrospectively evaluated 26 patients who underwent operation for malignant submandibular gland tumor at Severence hospital between 1986 and 2004. Statistical analysis was performed by Kaplan-Meier method, log rank test, Chi-square test, Fisher's exact test using SPSS v12.0 for Windows. Results: They consisted of 18 males and 8 females whose median age was 47 years(range: 20-71). 10 cases of adenocystic carcinoma, 8 cases of carcinoma ex pleomorphic adenoma, 4 cases of mucoepidermoid carcinoma, 1 case each for acinic cell carcinoma, undifferentiated carcinoma, adeno carcinoma, epithelioid hemangioendothelioma. Sialoadenectomy only was performed in 10 cases(36.5%) and sialoadenectomy with neck node dissection was performed in 16 cases(63.5%). Adjuvant radiotherapy was done in 22 cases(84.6%). 10 year disease free survival rate for malignant submandibular gland tumor was 63.1 % and 10 year overall survival rate for malignant submandibular gland tumor was 70.1%. In univariate analysis, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. Conclusion: In this study, prognostic factors affecting recurrence of malignant submandibular gland tumor was initially papable lateral neck node in physical examination and metastasis of lateral neck node in pathologic confirmation. The prognostic factors affecting survival of malignant submandibular gland tumor was tumor size, TNM stage, recurrence and type of recurrence. To prevent recurrence and to improve survival, early diagnosis and aggressive surgery must be considered.
The purpose of this study is to investigate the problems and conditions of educational guidance and counselling of teachers in the gifted classes. For the study, 267 teachers were sampled from the Gifted Education Institutes of metropolitan and provincial offices of education and Gifted Classes of the school across Korea, and the questionnaire developed by the researchers were administered to them. The results of this study are as follows : First, the 82% of respondents reported that the guidance and counselling in the gifted education is needed. So it demands the active responsive strategies on it. Second, the respondents reported that the selfish or self-centered traits of the gifted students are the most problematic in the gifted classes. It shows the emphasis should be put on the basic life habits and moral education in the guidance and counselling of the gifted education. Third, they pointed out the case-based education is needed for the parents of the gifted to correct their misconceptions about their children. Fourth, to support the teachers of the gifted program, the administrative measures have to be taken, like operation of character education program, forming a consultative group with the experienced teachers, developing the case-based guideline for the guidance and counselling for the gifted education, etc. Fifth, we should develop the Korean model of the gifted education to promote social capital for our future society.
Background: The current maximal recommended doses of lidocaine are 7 mg/kg with $5\;{\mu}g/ml$ of epinephrine. But in clinical practice, sometimes more doses of lidocaine are required to produce adequate regional anesthesia. Method: Twenty-two healthy women patients were divided into two groups and pretreated with valium 5 mg p.o., morphine 5 mg i.m., and midazolam 2 mg i.v. before operation. Of these, 7 mg/kg of 2% lidocaine with $5\;{\mu}g/ml$ of epinephrine were given to 11 patients epidurally. Initial 3 ml of epinephrine mixed lidocaine was given as a test dose and remaining doses were given 5 ml/30 sec with 3 min intervals. Radial arterial blood were drawn at 5, 10, 15, 20, 30, 45, 60, 90, 120 min to measure plasma lidocaine concentrations. After confirming all of the peak plasma concentrations of 7 mg/kg lidocaine were absolutely under $5\;{\mu}g/ml$, the other 11 patients were given 10 mg/kg of 2% lidocaine with $5\;{\mu}g/ml$ of epinephrine epidurally and blood samplings were taken according to the same method of 7 mg/kg group. The peak plasma concentration ($C_{max}$), time to reach to $C_{max}$ ($T_{max}$), time to reach to $T_4$, maximal sensory block level, systemic toxicity, and vital sign changes were investigated. Result: $C_{max}$ was significantly higher in 10 mg/kg group ($5.1{\pm}1.3\;{\mu}g/ml$) than 7 mg/kg group($3.3{\pm}0.5\;{\mu}g/ml$), but $T_{max}$ ($10.5{\pm}2.7$ min vs $10.9{\pm}3.1$ min) was not different. Time to reach $T_4$ was significantly shorter in 10 mg/kg group ($9.5{\pm}2.7$ min) than 7 mg/kg group ($12.7{\pm}3.2$ min) but maximal sensory block level ($T_{3.7{\pm}0.7}$ vs $T_{2.7{\pm}1.0}$) was not different. In four patients of 10 mg/kg group, peak plasma concentrations exceeded $5\;{\mu}g/ml$, but no systemic toxicities appeared. No significant vital sign changes were observed. Conclusion: The current maximal recommended doses of lidocaine, merely based on body weight are not always appropriate. Further studies are needed to determine more precise guideline of maximal doses that include various pharmacokinetic components.
Journal of the Korean Society of Marine Environment & Safety
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v.20
no.1
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pp.113-119
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2014
Recently, R.O.K. Navy is increasing re-usability of design data and application of M&S(Modeling and Simulation) through the establishment of collaborative product development environment focused on Naval Ship Product Model(NSPM). As a result, the reliability of the result of design is getting better, and furthermore, a study to improve quality of construction through simulation of production/operation is in progress. Accordingly, the database construction of design data and the DB(Database) quality become important, but there was not research related to those or it was just initial state. This paper conducted research about system of the quality verification process of shape elements which compose NSPM based on the quality verification guideline of NSPM as the result of the precedent study. The hull surface was limited as verification object. The study to verify two things that application of basic drawing by the cad model of hull surface, and whether there is error in the geometric quality of cad model was progressed. To achieve this goal, the verification criteria and algorithm were defined and the prototype system which is based on was developed.
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