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Concept Analysis of Preparatory Grief in Terminal Cancer Patients (암환자의 예비슬픔[preparatory grief]에 대한 개념 분석)

  • Park Hyoung-Sook;Kim Myoung-Soo;Jung Jung-Sim;Choi Nam-Yeoun;Yu Sung-Mi;Ko Young-Hee;Kim Young-Soon
    • Journal of Korean Academy of Nursing
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    • v.36 no.5
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    • pp.782-791
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    • 2006
  • Purpose: The purpose of this study was to conceptualize and clarify a concept of "preparatory grief" in terminal cancer patients. Method: A hybrid model of concept development was applied to develop a concept of preparatory grief, which included a field study carried out in Busan, Korea. Participants of this study were 8 cancer patients. Results: On the basis of our literature, research and clinical experience, the concept of preparatory grief emerged as a complex phenomenon playing an important role in five areas; physical, emotional, interpersonal, religious, and transcendental dimensions. Two new attributes were defined through a field phase; trust of the post-mortal world and a serene state of mind. Indicators reflected attitudes of sadness, worry, regret, capability to adapt and hope. The results of preparatory grief were loss of energy and interest, emotional chaos, contemplation, taciturnity and restoration. Conclusions : Differentiating among preparatory grief and other symptoms in cancer patients is essential because of therapeutic implications. Understanding preparatory grief is necessary in order to manage cancer patients for promoting quality of life so that its application may have a positive impact on the patient's life.

Comparison of arch form between ethnic Malays and Malaysian Aborigines in Peninsular Malaysia

  • Othman, Siti Adibah;Xinwei, Eunice Soh;Lim, Sheh Yinn;Jamaludin, Marhazlinda;Mohamed, Nor Himazian;Yusof, Zamros Yuzaidi Moh;Shoaib, Lily Azura;Hussein, Nik Noriah Nik
    • The korean journal of orthodontics
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    • v.42 no.1
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    • pp.47-54
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    • 2012
  • Objective: To determine and compare the frequency distribution of various arch shapes in ethnic Malays and Malaysian Aborigines in Peninsular Malaysia and to investigate the morphological differences of arch form between these two ethnic groups. Methods: We examined 120 ethnic Malay study models (60 maxillary, 60 mandibular) and 129 Malaysian Aboriginal study models (66 maxillary, 63 mandibular). We marked 18 buccal tips and incisor line angles on each model, and digitized them using 2-dimensional coordinate system. Dental arches were classified as square, ovoid, or tapered by printing the scanned images and superimposing Orthoform arch templates on them. Results: The most common maxillary arch shape in both ethnic groups was ovoid, as was the most common mandibular arch shape among ethnic Malay females. The rarest arch shape was square. Chi-square tests, indicated that only the distribution of the mandibular arch shape was significantly different between groups (p = 0.040). However, when compared using independent t-tests, there was no difference in the mean value of arch width between groups. Arch shape distribution was not different between genders of either ethnic group, except for the mandibular arch of ethnic Malays. Conclusions: Ethnic Malays and Malaysian Aborigines have similar dental arch dimensions and shapes.

Nurses' Management of Nursing Home Residents' Remaining Functional Ability: Concept Development (노인요양시설 간호사의 거주노인 잔존기능관리: 개념개발연구)

  • Lim, Sun-Young;Chang, Sung-Ok;Kim, Su-Jin;Kim, Hyun-Ju;Choi, Jung-Eun;Park, Min-Sun
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.21 no.1
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    • pp.57-68
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    • 2014
  • Purpose: Nurses' management of Nursing Home residents' remaining functional ability is phenomena emphasizing as the main practice focus in long term care and has specific meanings within the context of quality of life for fragile and disabled elderly people in nursing homes. This study was conducted to clarify and to conceptualize the phenomena of nurses' management of nursing home residents' remaining functional ability. Method: The Hybrid Model of concept development was applied to develop a concept of nurses' management of residents' remaining functional ability. Results: This concept of nurse' management emerged as a phenomenon having meanings in two different dimensions, deliberation and enactment for five types of residents: residents with declining function and dementia requiring nursing assistance, bed-ridden residents with moderate dementia, residents with advanced dementia and behavior problems, but good physical health, residents at the end of life stage, and bed-ridden residents with intact mental health. Conclusions: Results indicate that nurses' management of remaining functional ability of residents in nursing homes is a concept having types of needs that should be treated in specified ways. Interventions should have a positive impacts on practical applications in nursing homes and on enhancing residents' remaining function.

Load-carrying capacities and failure modes of scaffold-shoring systems, Part I: Modeling and experiments

  • Huang, Y.L.;Chen, H.J.;Rosowsky, D.V.;Kao, Y.G.
    • Structural Engineering and Mechanics
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    • v.10 no.1
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    • pp.53-66
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    • 2000
  • This paper proposes a simple numerical model for use in a finite analysis (FEA) of scaffold-shoring systems. The structural model consists of a single set of multiple-story scaffolds with constraints in the out-of-plane direction at every connection joint between stories. Although this model has only two dimensions (termed the 2-D model), it is derived from the analysis of a complete scaffold-shoring system and represents the structural behavior of a complete three-dimensional system. Experimental testing of scaffolds up to three stories in height conducted in the laboratory, along with an outdoor test of a five-story scaffold system, were used to validate the 2-D model. Both failure modes and critical loads were compared. In the comparison of failure modes, the computational results agree very well with the test results. However, in the comparison of critical loads, computational results were consistently somewhat greater than test results. The decreasing trends of critical loads with number of stories in both the test and simulation results were similar. After investigations to explain the differences between the computationally and experimentally determined critical loads, it was recommended that the 2-D model be used as the numerical model in subsequent analysis. In addition, the computational critical loads were calibrated and revised in accordance with the experimental critical loads, and the revised critical loads were then used as load-carrying capacities for scaffold-shoring systems for any number of stories. Finally, a simple procedure is suggested for determining load-carrying capacities of scaffold-shoring systems of heights other than those considered in this study.

A Case Study on Establishment of the Authority for Newly-formed Foodservice and the Marketing strategies for College Union Foodservice (고객 확대를 위한 대학급식소 신설의 객관적 근거 모색 및 급식소 위치에 따른 마케팅 전략 수립 사례 연구)

  • Park, Mun-Gyeong;Kim, Chang-Jun;Yang, Il-Seon
    • Journal of the Korean Dietetic Association
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    • v.13 no.1
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    • pp.15-29
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    • 2007
  • This study was designed to : (a) investigate the present situations of a college union foodservice and suggest authority on establishing new college foodservice, (b) estimate the service quality attributes as perceived by students, (c) identify the effecting factor to customer satisfaction, and (d) formulate the plans and marketing strategies for the increasing usage rate of the foodservice in the future. The questionnaire that developed by interviewing student were conducted with 305 male and female students, who were registered for daytime classes. A total of 284 were usable and data was analyzed by the SPSS(ver. 11.0) for the descriptive analysis, factor analysis, reliability test, multiple regression analysis, t-test, and $x^2$. The decrease in the usage rate of college foodservice by the respondents were influenced most by the 'taste of meal' and next by the 'distance'. The service quality attributes of foodservice currently under operation were evaluated above the average only for the 'price' while evaluated generally to be in the lower level of the average or under for others. As the overall level of satisfaction with the college union foodservice, most of the respondents showed the 36% for the ‘dissatisfaction’ and dissatisfied at 54.4%. Two service quality dimensions,"food . sanitation . service" and "price and comfortable environment" were derived from factor analysis and the reasons for decreasing usage rate of the college foodservice both the nearly located group from college union foodservice(NG) and the far away located group from college union foodservie(FG) indicated the ‘poor taste’ and the 'far distance', and the 'evaluation of students' dining room showed a low rating for the factor of "food . sanitation . service". "food . sanitation . service" was analyzed to have more influence to the overall customer satisfaction.

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Application of a Distinct Element Method in the Analyses of Rock Avalanche and Tunnel Stability in Blocky Rock Masses (암반사태와 블록성 암반내 터널의 안정성 해석을 위한 개별요소법의 적용성)

  • 문현구
    • Tunnel and Underground Space
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    • v.2 no.2
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    • pp.212-223
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    • 1992
  • The distinct element method(DEM) si well suited to the kinematic analysis of blocky rock masses. Two distinctive problems, a rock avalache and tunnel in jointed rock masses, are chosen to apply the DEM which is based on perfectly rigid behaviour of blocks. Investigated for both problems are the effects of the input parameters such as contact stiffnesses, friction coefficient and damping property. Using various types of models of the avalanche and tunne, an extensive parametric study is done to gain experiences in the method, and then to alleviate difficulties in determining parameter values suitable for a given problem. The coefficient of frictio has significant effects on all aspects of avalanche motion(travel distance, velocity and travel time), while the stiffnesses affect the rebounding and jumping motions after collision. The motion predicted by the models having single and mutiple blocks agrees well to the observations reported on the actual avalache. For the tunnel problem, the behaviour of the key block in an example tunnel is compared by testing values of the input parameters. The stability of the tunnel is dependent primarily on the friction coefficient, while the stiffness and damping properties influence the block velocity. The kinematic stability of a tunnel for underground unclear waste repository is analyzed using the joint geometry data(orientation, spacing and persistence) occurred in a tailrace tunnel. Allowing a small deviation to the mean orientation results in different modes of failure of the rock blocks around the tunnel. Of all parameters tested, the most important to the stability of the tunnel in blocky rock masses are the geometry of the blocks generated by mapping the joint and tunnel surfaces in 3-dimensions and also the friction coefficient of the joints particularly for the stability of the side walls.

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Mathematical Model for Acousto-Optical Tomography and Its Numerical Simulation (음향광학 단층촬영(Acousto-Optical Tomography)의 수학적 모델과 수치해석적 시뮬레이션)

  • Nam, Hae-Won;Hur, Jang-Yong;Kim, So-Young;Lee, Re-Na
    • Progress in Medical Physics
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    • v.23 no.1
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    • pp.42-47
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    • 2012
  • In this paper, Acousto-Optical tomography is modeled by a linear integral equation and an inverse problem involving a diffusion equation in n-spatial dimensions. We make two-step mathematical model. First, we solve a linear integral equation. Assuming the optical energy fluence rate has been recovered from the previous equation, the absorption coefficient ${\mu}$ is then reconstructed by solving an inverse problem. Numerical experiments are presented for the case n=2. The traditional gradient descent method is used for the numerical simulations. The result of the gradient descent method produces the blurring effect. To get rid of the blurring effect, we suggest the total variation regularization for the minimization problem.

Design for a Low-Pressure Hydrocyclone with Application for Fecal Solid Removal Using Polystyrene Particles

  • Lee, Jin-Hwan;Jo, Jae-Yoon
    • Journal of Aquaculture
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    • v.18 no.3
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    • pp.180-188
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    • 2005
  • The separation performances for thirty different dimensions of a low-pressure hydrocyclone (LPH) were tested in order to obtain an optimum dimension scale for fecal solid removal from an aquaculture system. The geometric variables were considered on two inlet diameters (Di: 30 and 50 mm), five overflow diameters (Do: 30, 50, 60, 70 and 100 mm), and three cylinder lengths (Lc: 250, 345 and 442 mm), while the cylinder diameter (Dc) of 335 mm, underflow diameter (Du) of 50 mm and cone angle (${\theta}$) of $68^{\circ}$ were kept constant. A small size for carp feces was regarded as the target for the removal of solids. Spherical polystyrene particles (1.1-1.3 mm dia., ${\rho}_s=1.05g/cm^3$), which demonstrate a similar settling velocity and specific gravity to the carp feces, were used as feed. The separation performance was tested in the range of 330 to 1200 ml/s of the inflow rate. Experimental results using ANCOVA and the Tukey test (${\alpha}=0.05$) demonstrated that the separation performances of LPH were significantly affected (P<0.05) by fi, Di and Do. In contrast, there was no significant Lc effect (P>0.05) on the separation performances. The maximum separation performance was detected at dimension combinations of 30 mm of inflow diameter (Di), 50, 60 and 70 mm of overflow diameter (Do), 345 mm of cylinder length (Lc). The dimension proportions were 0.09, 1.03, 0.15-0.21 and 0.15 (or Di/Dc, Lc/Dc, Do/Dc and Du/Dc, respectively.

Design of a Low-Pressure Hydrocyclone with Application for Fine Settleable Solid Removal Using Substitute Polystyrene Particles

  • Lee, Jin-Hwan;Jo, Jae-Yoon
    • Journal of Aquaculture
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    • v.18 no.3
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    • pp.189-195
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    • 2005
  • By testing the separation performance for a fine settleable solid removal system in an aquaculture system using polystyrene particles as an experimental substitute, the optimal geometric dimensions for a Low-Pressure Hydrocyclone (LPH) were obtained. The design approach far the LPH took into consideration two inflow diameters (Di: 30, 50 mm), three overflow diameters (Do: 60, 70, 100 mm) and four cylinder lengths (Lc: 250, 345, 442, 575 mm), while the cylinder diameter (Dc) at 335 mm, the underflow diameter (Du) at 50 mm and the cone angle (${\theta}$) at $68^{\circ}$ were kept constant. The separation performances of 19 different dimension combinations of LPH were tested, ranging from 300 to 1200 ml/sec of inflow rate using substitute polystyrene particles (0.4-0.7 mm dia., ${\rho}_s=1.05g/cm^3$). These polystyrene particles exhibit a similar density and settling velocity to the fine fecal debris of the common carp. The total separation efficiency for the inflow rate ranged from a high of 97% to a low of 20%. Experimental results obtained by ANCOVA and the Tukey test (${\alpha}=0.05$) showed that the separation performances of the LPH were significantly affected (P<0.05) by the fi, Di, Do and Lc. The maximum separation performance was detected at a dimension combination of 30 mm of inflow diameter (Di), 60 mm of overflow diameter (Do), 442 and 575 mm of cylinder length (Lc). The dimension proportions were 0.09, 1.32-1.72, 0.18 and 0.15 for Di/Dc, Lc/Dc, Do/Dc and Du/Dc respectively.

Anlysis of Fatigue Perceived by the Hospitalized Children's Mother (입원 환아의 어머니가 자각하는 피로)

  • Park In-Sook;Kim Shin-Jeong;Kang Kyung-Ah;Kim Tae-Hee
    • Child Health Nursing Research
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    • v.10 no.1
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    • pp.80-88
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    • 2004
  • Purpose: The purpose of this study was to explore the fatigue of the mothers of the hospitalized children's mothers in descriptive study. Method: Two hundred eighty three mothers who take care of the hospitalized children in three University hospitals were enrolled from June, 1 to October, 30, 2003. Data were collected using a questionnaire titled 'Symptom Table on Fatigue Perception' designed by the Fatigue Research Committee of Japan, consisted of a total 30 items categorized into three sub-dimensions: the physical, the psychological and the neuro-sensory. SPSS was used for the analysis of data with 0.05 of significance. Result: 1) The mean average fatigue score of subjects was 1.94(SD:.48): the physical fatigue revealed the highest value with a mean of 2.19(SD:.57), followed by psychological fatigue with a mean score of 1.85(SD:.52), neuro-sensory fatigue with a mean of 1.79(SD:.51). 2) With the respect to the general characteristics of hospitalized children and mothers, there were statistically significant differences in the mothers' fatigue perception by the child sex(t=-2.697, p=.008), the character of child(F=9.032, p=.000), the child condition compared to pre-hospitalization(F=3.523, p=.031), with or without support in domestic households(t=-1.981, p=.049), the amount of sleeping time(t=2.704, p=.007), and with or without of night-time sleep disturbance because of the child hospitalization(t=2.082, p=.038). Conclusion: These results suggest that health care professional need to be aware of the persistent presence of the maternal fatigue related to the child hospitalization and the factors worsen the degree of the fatigue.

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