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Nurses and Physicians' Attitudes toward Withdrawal of Life-Sustaining Treatment and Knowledge of the Guideline of Withdrawal of Life-Sustaining Treatment (간호사와 의사의 연명치료 중지에 대한 태도와 연명치료 중지 지침에 대한 지식)

  • Kim, Ji Seon;Moon, Seongmi;Nam, Kyoung A
    • Journal of East-West Nursing Research
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    • v.23 no.2
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    • pp.171-179
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    • 2017
  • Purpose: The purpose of current study was to investigate nurses and physicians' attitudes towards withdrawal of life-sustaining treatment (LST) and knowledge about withdrawal of LST guideline by Korean Medical Association. Methods: Data were collected from 345 nurses and 88 physicians using a self-report questionnaire and analyzed using descriptive statistics, independent t-test or ${\chi}2$ test. Results: Participants' attitudes towards withdrawal of LST were positive and there was no significant difference between nurses and physicians. Nurses' knowledge of the guideline for withdrawal of LST was significantly higher than that of physicians, whereas physicians' knowledge of the purpose of the guideline was significantly higher than that of nurses. Conclusions: Nurses and physicians' knowledge of and attitudes toward withdrawal of LST may affect the quality of life of patients and their families. The result of this study may be helpful to design a program for improving the perception on LST of healthcare providers.

Concept Analysis : Reminiscence (회상(reminiscence)에 관한 개념 분석)

  • 전시자
    • Journal of Korean Academy of Nursing
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    • v.19 no.1
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    • pp.92-98
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    • 1989
  • Concept analysis is a formal linguistic exercise to determine certain defining attributes. The basic purpose of concept analysis is to clarify ambiguous concepts in a theory, and to propose a precise operational definition which reflects its theoretical base (Walker, 1983, 27~28). In later life, elderly people are faced with various psychological problems such as depression, and lowered self-esteem for these psychological problems of the elderly. Reminiscence has been studied as an effective therapeutic measure by gerontologists and psychologists. It is considered to have potential as an effective nursing intervention with geriatric clients. The purpose of this paper was to explore the feasibility of adopting reminiscence as a nursing intervention through analysis of the concept. The concept can be defined as follows : Reminiscence is thinking and talking about one's past with or without a specific purpose. It is a composite mental process which involves psychological, emotional, and social interactional aspects. The defining attributes of reminiscence are : 1. Thinking about past experiences which are meaningful to oneself. 2. It includes the emotional aspect of past experiences. 3. It occurs with or without specific purposes. 4. It is communicated to others by means of language and the subject has the feeling of being heard. In regard to the consequences of reminiscence, it is expected to contribute to psychological adaptation by providing a sense of self-fulfillment and self-achievement, promoting the discovery of the meaning of life, decreasing depression, and overcoming guilt feelings and conflict about one's past. However, if the past is regarded as a total failure, it may be harmful to the psychological well-being of the subject.

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The Life Stories of Elderly Korean Women with Urinary Incontinence: A Narrative Study Approach (한국 요실금 여성노인의 생애이야기-내러티브 분석적 접근)

  • Yih, Bong-Sook;Yi, Myung-Sun
    • Journal of Korean Academy of Nursing
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    • v.39 no.2
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    • pp.237-248
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    • 2009
  • Purpose: The purpose of this study was to investigate the experience of urinary incontinence (UI) for elderly Korean women using a narrative approach. Methods: The data were collected using individual in-depth interviews with 15 communitydwelling elderly women who had UI for at least 1 yr. The narratives of the life stories of these women were analyzed from the actor’s perspective, motivation and purpose of actions, and action toward goal achievement. Also the narratives on UI were analyzed according to cognition, behavior, and evaluation of UI. Results: Three major types of the life stories emerged from the analysis. First, the conquest narrative type reflects active characteristics of narrators within the circumstances of the sociocultural context. Second, the patience narrative is characterized as having flexibility between self determination for goal achievement and the boundary of the sociocultural context. Lastly, the compliance narrative reflected characteristics of narrators who easily adapt their way of life to circumstances. In terms of UI, the narrators in all three types lacked awareness of UI as an illness condition. Three different reasons are specifically identified according to the narrative types. Conclusion: The results of this study indicate that the concept and the illness behaviors related to UI in elderly Korean women with UI were closely related to the way of women's lives within the sociocultural and historical context.

Development of the Meaning in Life Scale for Older Adults (노인의 삶의 의미 측정 도구 개발)

  • Lee, Si Eun;Hong, Gwi-Ryung Son
    • Journal of Korean Academy of Nursing
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    • v.47 no.1
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    • pp.86-97
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    • 2017
  • Purpose: The purpose of this study was to develop and test the psychometric properties of the newly developed instrument, Meaning in Life, for elderly Korean people. Methods: Ten older adults participated in the qualitative research used to develop the initial items. Participants for the psychometric testing were 371 community-dwelling older adults. Validity and reliability analyses included content, construct, and criterion-related validities, internal consistency, and test-retest reliability. Results: The Meaning in Life Scale consisted of 12 items with three distinct factors; value of life, source of life, and will to live, which explained 86.7% of the total variance. A three-factor structure was validated by confirmatory factor analysis. Criterion-related validity was supported by comparison with the Purpose in Life Test (r=.74). Reliabilities were secured with test-retest reliability of Intra-class Correlation Coefficient (ICC) .85 and the Cronbach's alpha coefficient .90. Conclusion: The results of this study indicate that this instrument is useful to measure meaning in life in Korean elders.

A Study on the Design of Real-Time Monitoring System Using IoT Sensor in Respirator

  • Shin, Woochang;Rho, Jungkyu
    • International journal of advanced smart convergence
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    • v.9 no.3
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    • pp.169-175
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    • 2020
  • A lot of research has been conducted on a system that collects and observes patients' health information in real time using Internet of Things (IoT) technology, and cares for and supports patients based on this. However, most studies have focused on underlying diseases such as diabetes or cardiovascular disease, and research on IoT systems to cope with respiratory infectious diseases such as COVID-19 is still insufficient. In a COVID-19 situation, the purpose of using an IoT respirator may vary depending on the user. In this paper, we design a system that can adequately cope with respiratory infectious diseases such as COVID-19 by applying IoT technology to respiratory protection. We categorize IoT respirator wearers into patients, medical staff, and self-quarantine persons, and define the purpose and use case of the IoT respirator system according to each classification. The proposed IoT respirator system was designed to achieve each purpose. We developed a prototype system consisting of a smart sensor, a communication module, and a non-motorized hooded respirator to show that the proposed IoT respirator system works.

Evaluation of Shopping Items: Focused on Purchase of Foreign Tourists in South Korea

  • Jeong, Dong-Bin
    • East Asian Journal of Business Economics (EAJBE)
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    • v.7 no.2
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    • pp.21-30
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    • 2019
  • Purpose - In this work, we categorize the 21 shopping items which foreign tourists purchase in South Korea and monitor the level of dissimilarity (or similarity) between each item by utilizing distance matrix, and both hierarchical and k-means cluster analyses, respectively, based on several purpose of visit attributes in 2017. In addition, multidimensional scaling (MDS) method is applied for mining visual appearance of proximities among shopping items based on purpose of visit attributes. Research design and methodology - This study is carried out in 2017 by Ministry of Culture, Sports and Tourism and conduct a face-to-face survey of foreign tourists from 20 countries who purchase shopping items in South Korea. CLUSTER, PROXIMITIES and ALSCAL modules in IBM SPSS 23.0 are used to perform this work. Results - We ascertain that 21 shopping items can be classified into five similar groups which have homogeneous traits by going through two-step cluster analysis. We can position homogeneous places of cluster and shopping items joining each cluster. Conclusions - We can relatively assess patterns and characteristics of each shopping item, come by useful information in activating shopping tour based on the actual state of recognition of foreign tourists and practically apply to each tourism industry on underlying results.

Theoretical Study on Interfacial Stresses at RC Beam Repair-Purpose Overlayed by Latex Modified Concrete (LMC로 덧씌우기 보수된 RC보의 계면응력에 관한 연구)

  • Kim, Hyun-Oh;Kim, Seong-Hwan;Kim, Dong-Ho;Lee, Bong-Hak
    • Journal of Industrial Technology
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    • v.24 no.A
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    • pp.179-184
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    • 2004
  • Each year, new technological advancements for repair-purpose are being introduced to overlay the old deterioration of RC bridge deck at highway by latex-modified concrete. The days may come when this old problem will be successfully resolved. While the experimental works and researches are very active at both laboratory and field, only a few theoretical studies were performed on interfacial problems, especially on stress distribution and concentration of RC beam overlayed by latex-modified concrete. The repaired and strengthened structures would induce a premature failure due to the stress concentration at the adhesive layer of different material before the design expected failure. This paper investigated and proposed an analytical model for predicting interfacial shear and normal stresses of RC beam repair-purpose overlayed by latex-modified concrete. This would be used for predicting interfacial stresses and preventing premature failure at interfaces. This study modified Smith-Teng method for applying to cementitious repairing material, which was based on a direct governing equation and linear-elastic approach for interfacial normal and shear stresses. The proposed theoretical model was verified using commercial FEA program, LUSAS, in terms of interfacial stresses predicted by the proposed model and calculated by LUSAS.

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The Settlement Behavior Analysis of SCP of Multi-Layered Ground in Incheon (인천지역 다층지반에 시공된 SCP의 침하거동 분석)

  • Yoon, Won-Sub;Kim, Jong-Kook;Park, Sang-Jun;Cho, Chul-Hyun;Chae, Young-Su
    • Proceedings of the Korean Geotechical Society Conference
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    • 2008.03a
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    • pp.1042-1050
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    • 2008
  • In this study, SCP method was used by purpose to improve loose sand and soft clay that is drilled Sand Compaction Pile in underground. Settlement behavior of field analyzed through SCP method. When sand Compaction Pile drilled in clay, forming composite ground that foundation and Sand Compaction Pile behavior. According to SCP method can expect bearing capacity improvement, Settlement reduction, lateral flow protection. SCP increase the consolidation settlement of ground and it reduce settlement for that purpose increase liquefaction resistance, lateral Resistance. Because SCP had been widely used for sand. Area of Inchon-A by sand compose clay and silt to upper Ground and compose soft clay to under ground. After pre-loading, it measured settlement by extensometer and settlement extensometer that purpose of ground improvement with 13% in replacement ratio. The result analyzed settlement behavior is similar to Multi-layered Ground that it happened to elastic settlement at upper ground and to consolidation settlement at under ground.

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Trend of Domestic and International Development of Multi-Purpose Satellites of Geosynchronous Orbit (정지궤도 복합위성 국내외 개발 동향)

  • Gong, Hyeon-Cheol;Song, Byung-Chul;Oh, Bum-Seok
    • Current Industrial and Technological Trends in Aerospace
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    • v.6 no.2
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    • pp.116-124
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    • 2008
  • Korea Aerospace Research Institute(KARI) is developing COMS (Communication, Ocean and Meteorological Satellite) which is scheduled to take off in June, 2009. COMS is the first geosynchronous satellite developed in Korea which is able to perform three missions 24 hours a day. The oceanic payload was transferred from France to Korea in November, 2008 and made it possible to integrate all three payload together. After the integration COMS is planned to be transferred to Guiana Space Center (on French territory) to be launched. In this paper the trend of domestic and international development of the multi-purpose geosynchronous satellite considering the COMS is the first operational geosynchronous multipurpose satellite in the world.

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A Study on Relationship between Empowerment and Satisfaction of Clinical Practice in Nursing Students (임상실습시 간호학생이 지각하는 힘 북돋우기 (empowerment)와 실습 만족도에 관한 연구)

  • Han, Su-Jeong
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.1
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    • pp.132-146
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    • 2000
  • The purpose of this study was to explain the relationship between empowerment and satisfaction of clinical practice in nursing students. The instrument of this study was a structured questionnaire included empowerment and satisfaction of clinical practice. The data was collected from september 28, 1999 to March 31, 2000 and analyzed by Cronbach alpha, descriptive statistics, t-test, ANOVA, Pearson's correlation coefficient and simple regression by using SPSS Win program. The result of research were as follows: 1. There was significant difference according to the general characteristic factor. The total empowerment was predicted by meaning of nursing, university and college, relationship of peer, clearance of study purpose. Satisfaction of clinical practice was predicted by university and college, clearance of study purpose. 2. There was a significant correlation between empowerment and satisfaction of clinical practice(r=0.442, p=0.000). 3. Empowerment was the highest factor predicting satisfaction of clinical practice. A total of 19.5% of the variance was explained in the total satisfaction of clinical practice. It was found that the higher the degree of perceived empowerment, the higher the degree of satisfaction of clinical practice. Therefore, nursing faculty should plan interventions to inspire satisfaction level of clinical practice by empowerment.

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