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Parental burden of food-allergic children's parents and influencing factors (식품알레르기 아동 부모의 양육부담과 영향요인)

  • Lee, EunSun;Kim, KyooSang
    • Journal of Nutrition and Health
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    • v.51 no.2
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    • pp.140-152
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    • 2018
  • Purpose: Recently, there has been a worldwide increase in the prevalence of food allergies in children and it may cause nutritional imbalance and poor quality of life for growing children due to dietary restrictions. This study was conducted to quantitatively measure the life burden and related factors of mothers who are the primary caretakers of food-allergic children. Moreover, we generated data for use as a scientific basis for the development of a disease management program to reduce the burden on life from raising food-allergic children. Methods: Mothers of 2,005 children aged 2 years or older and enrolled in Seoul Metropolitan Atopy Free Schools in 2016 who have had diagnosis of food allergy in their lifetime were surveyed. The burden on life of parents with food-allergic children was measured using 17 questions from the Food Allergy Quality of Life-Parental Burden (FAQL-PB) questionnaire, and subjects were asked to respond with a scale of 1 ~ 7. Results: We analyzed the effects of sociodemographic factors of parents and children and the accompanying allergic disease factors on the lives of parents. The number of restricted food items due to food allergy of a child and accompanying diagnosis of atopic dermatitis had a positive (+) effect on the life burden of the parents. Conclusion: Accurate oral food challenge for food allergies should be administered to prevent excessive restriction of food intake. Moreover, efforts should be taken to prevent morbidity accompanying food allergy and relieve symptoms of asthma, allergic rhinitis and atopic dermatitis.

Kinematic Analysis of a Mastication Model Employing the 6-DOF Parallel Mechanism (6자유도의 병렬기구를 사용한 저작 모델의 기구학적 분석)

  • Khang, G.;Tsutsumi, Sadami
    • Journal of Biomedical Engineering Research
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    • v.20 no.4
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    • pp.479-484
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    • 1999
  • 본 연구에서는 사람의 턱 운동과 턱 사이에 작용하는 힘(혹은 압력)을 그대로 나타낼 수 있는 저작로봇을 개발하는 것을 궁극적인 목표로 한다. 이러한 저작로봇이 개발되면, 치과의사가 환자의 턱운동에 나타나는 병변을 진단하고 치료하는데 큰 도움이 될 것으로 사료된다. 또한 , 본 연구에 채택한 병렬기구(parallel mechanism)에대한 순기구학적( forward kinematics)분석은 일반적인 병렬기구의 실계에도 응용될 것으로 기대된다. 본 연구진이 1차적으로 설계한 모델은 베이스와 플랫폼(platform), 그리고 이 둘을 연결하는 3개의 다리로 구성되어 있다. 다리와 플랫폼은 3자유도의 관절로 다리와 베이스는 1자유도의 경첩 관절로 연결되어 있으며, 이 3개의 경첩 관절은 베이스 위의 수평면에서 직선을 따라 움직인다. 경첩 관절의 수평 변위와 세 다리의 길이가 주어졌을 때 플랫폼의 위치와 오리엔테이션을 구하는 순기구학의 해( 解)를 계산해내는 알고리즘을 개발하였다. 이 알고리즘의 특징은 매 순간 오차를 계산하여 이 오차가 줄어드는 방향으로 나아가도록 시간간격(time step)을 조절하는 것이다. 본 알고리즘은 현재 가장 보편적으로 사용되고 있는 뉴튼-렙슨 방법에 비하여 3가지 장점을 나타내고 있다. 우선 , 초기치(initial guess)에 관계없이 수렴한다는 것이다. 또한, 본 알고리즘은 뉴튼-렙슨 방법에 비하여 수렴속도가 훨씬 빠르며, 연산 시간이 매우 짧아져 실제적인 실시간 적용에 적합하다. 마지막으로, 뉴튼-렙슨 방법에서는 여러 개의 해 가운데 어느 곳으로 수렴할 지 예측 할수 없으나 본 알고리즘에서는 초기치에 가장 가까운 해로 수렴한다. 이러한 순기구학의 다중성(multiplicity)문제를 해결하기 위하여 두 개의 조건을 제시하였으며, 이를 적용한 시뮬레이션 결과에 의하면 항상 원하는 해(true solution)에 수렴할 수 있었다.발생량의 감소를 기대 할 수 있는 친환경기술로 유지관리비를 최소화할 수 있는 장점이 있었다. 않은 사람들 중 미래의 검진실행의지에 건강소식지가 영향을 미친 경우는 48.7%였다. 보건교육을 받은 후 유방암 자가검진 실천율은 사업군에서 53.9%로 받기 전의 27.3%보다 증가하였으나 대조군의 경우는 별 차이가 없었다. 연령별로는 60대가 가장 높았고 사업군에서 검진율의 증가분은 30대가 가장 컸다. 교육수준별로는 사업군은 고졸이, 대조군은 전문대졸이 가장 높았고 사업군에서 검진율의 증가분은 고졸에서 가장 컸다. 보건교육 후 유방암과 관련된 건강지식의 정도는 사업군이 3.7점으로 대조군보다 유의하게 높았으며, 유방암 자가검진법을 실천하는 사람들의 동기는 ‘일반 대중매체의 영향’이 가장 많았으며 건강소식지가 동기인 경우도 20.4%였다. 사업군에서 건강소식지가 유방암 자가검진법 실천에 영향을 미친 경우가 79.6%였으며 유방암 자가검진법에 관한 보건교육을 받고 실천하지 않은 사람들 중 미래의 실천의지에 건강소식지가 영향을 미친 경우는 43.6%였다. 이상의 소견에서 지역주민을 대상으로 인쇄매체를 통한 보건교육은 인쇄물만으로도 쉽게 실천 할 수 있는 유방암 자가검진법이 가장 효과적이었으며, 자궁암검진에 관해서도 검진을 받을 수 있도록 지역사회의 보건의료의 하부구조를 정비하여 제도적 장치를 마련하고 정보를 제공한다면 자궁암검진 실천율도 증가할 것이다.고 12.9% 의 발달율을 보여 유의적인 차이를 보이지 않았다. 이상의 결과로 보아 핵이식 수정란을 효율적으로 생산하기 위하여 수핵난자의 세포질에 ionomycin 과 DMAP 의 혼합처리로 탈핵난자의 활성화를 유도하는 것이 효율을 증진시킬 수 있었다고 본다. 또한 공핵수정란을 수정 후 90시간과 114시간 개별 배양하여 할구를 공핵체로 핵이식에 이용하였을 때도 그룹배양에 비하여 효율이 떨어지지 않음을 알 수 있었으며, 수정란의 할구

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A Study on Big Data Based Method of Patient Care Analysis (빅데이터 기반 환자 간병 방법 분석 연구)

  • Park, Ji-Hun;Hwang, Seung-Yeon;Yun, Bum-Sik;Choe, Su-Gil;Lee, Don-Hee;Kim, Jeong-Joon;Moon, Jin-Yong;Park, Kyung-won
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.20 no.3
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    • pp.163-170
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    • 2020
  • With the development of information and communication technologies, the growing volume of data is increasing exponentially, raising interest in big data. As technologies related to big data have developed, big data is being collected, stored, processed, analyzed, and utilized in many fields. Big data analytics in the health care sector, in particular, is receiving much attention because they can also have a huge social and economic impact. It is predicted that it will be able to use Big Data technology to analyze patients' diagnostic data and reduce the amount of money that is spent on simple hospital care. Therefore, in this thesis, patient data is analyzed to present to patients who are unable to go to the hospital or caregivers who do not have medical expertise with close care guidelines. First, the collected patient data is stored in HDFS and the data is processed and classified using R, a big data processing and analysis tool, in the Hadoop environment. Visualize to a web server using R Shiny, which is used to implement various functions of R on the web.

Aspects of Staphylococcus in Povidone Disinfection of Patients with a Tracheostomy (기관절개술 환자의 Povidone 소독에 따른 포도상구균의 양상)

  • Hong, Hae-Sook;Kim, Yun-Kyung
    • Journal of Korean Biological Nursing Science
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    • v.3 no.2
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    • pp.1-20
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    • 2001
  • The object of this study was to measure the biocidal effect of povidone on staphylococcus found in tracheal incision site, change following the disinfection frequency and duration, and tolerance to the antibiotics. The data was analysed by percentage and t-test using SAS program. The subjects of this study are 35 tracheostomy patients in and Intensive Care Unite of the hospital located in Daegu city and analysing term was from January 16 to February 26, 2001. The results of this study were as follows. The biocidal effect of povidone on Staphylococcus was strong regardless of time and concentration. Staphylococcus aureus was found on third day and found to be highest concentration on 6th day after disinfection of once/a day. Coagulase negative Staphylococcus was not found from 1st to 3rd day and highest on 4th day after disinfection of once/a day. As to bacteria colonization following the disinfection frequency, twice per day of disinfection was more effective on Staphylococcus aureus than once a day. In tolerance test of Staphylococcus aureus and Coagulase negative Staphylococcus, 72.7% of Staphylococcus aureus showed tolerance in Methicillin, 63.6% in Imipenem, and 37.5% of Coagulase negative Staphylococcus showed tolerance in Methicillin, 12.5% in Imipenem. Both of them do not have any tolerance in Vancomycin. The results of this study can be used as the basis for protection against hospital mediated infection through thorough disinfection. With above results, I suggest the following. First, we should research relation between antiseptics and fungi, virus more deeply. Secondly, all medical personnel should try to protect against the hospital medicated infection. Thirdly, there is a need of training professional disinfection personnel for preventing hospital mediated infection and the progress of nursing science.

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A study on the knowledge and awareness of care workers on the geriatric oral health (요양보호사의 노인 구강보건에 대한 지식과 인식도 연구)

  • Kim, Gi-Ug;Kim, Ji-Hwa
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.9-15
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    • 2015
  • The study aims to examine the knowledge and awareness of care workers on oral health knowledge at the geriatric care facilities in order to improve and develop oral health services. For the research method, the study carried out a questionnaire survey to 163 care workers working at the geriatric care facilities (10) in D Metropolitan City from May 1~31, 2015 and then the collected data were statistically analyzed. As a result, the oral health knowledge of care workers was 20.09 points out of total 26 points (77.2%). The highest knowledge was 'proper toothbrushing method' with 93.0% and the lowest one was 'knowledge on the use of oral supplementary goods' with 58.1%. Those with experience of oral health education had higher demand on oral health education (P<0.001), and those with higher experience of oral health education had significantly higher oral health knowledge (P<0.001), demand (P<0.01) and awareness (P<0.05). As for factors influencing care workers' oral health awareness, if they had higher oral health knowledge points (P<0.01), oral health education demand (P<0.01), they had higher oral health awareness level. Accordingly, it is required to provide efficient, sustainable and practical oral health education of care workers considering oral characteristics of the long-term hospitalized patients at the care hospital. And, the role of dental hygienist as the person in charge of oral health education is necessary. Therefore, institutional support from the government is required to assign professional personnel.

Review on the Theory of Nursing Client Advocacy and Its Applications in Child Healthcare (간호대상자옹호이론의 발전전망과 아동간호에의 적용방안)

  • Cho, Kap-Chul
    • Child Health Nursing Research
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    • v.19 no.3
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    • pp.149-158
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    • 2013
  • Since 1990, descriptive studies about the concept of client advocacy have been published in the health journals. However, empirical studies of the concept are still lacking. There are not enough bases to apply the concept of client advocacy in nursing practice. The purpose of this paper is to encourage empirical research about client advocacy by clarification of the concept and to discusses application of the theory in child healthcare. The literature was reviewed that empirical studies on client advocacy conducted after the year 2000. The changing trends in the client advocacy concept was examined; it was changed from the philosophical concept to nursing action and changed from individual advocacy to collective advocacy, with the rise of the self advocacy concept. The research trends on client advocacy evolves from descriptive study to quasi-experimental study and instrument development study, with diversification and expansion of research methods, advocates, clients and settings. The advocacy role of the nurse in child healthcare is significant due to the child's lack of self determination ability. In ill child care, the application of individual advocacy is potent, while in healthy child care, collective advocacy, policy advocacy, and social advocacy is effective.

An Analysis of the Factors Affecting Job Satisfaction in Clinical Dental Hygienists: Focusing on Schoolwork and General (임상 치과위생사의 직무만족도 영향요인 분석: 학업병행과 일반을 중심으로)

  • Lee, Hye-Jin;Ji, Min-Gyeong
    • Journal of Convergence for Information Technology
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    • v.10 no.5
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    • pp.157-167
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    • 2020
  • The purpose of this study was to identify the factors affecting job satisfaction in dental hygienists with and without schoolwork, who form professional manpower in dental clinics, and provide basic data that could help develop detailed plans for reducing the turnover intention and improving job satisfaction. For data collection, convenience sampling was performed among clinical dental hygienists at dental clinics in Daejeon and Chungcheong and Gyeongsang Provinces from July 20 to September 20, 2019, and a self-administered questionnaire was used and the data were analyzed by T-test, One-way Anova, Pearson correlation, Stepwise multiple regression analysis, etc. using IBM SPSS/WIN 20.0. For the dental hygienists with schoolwork, job stress was negatively correlated with professional self-concept and job satisfaction, and professional self-concept was positively correlated with job satisfaction; for the dental hygienists without schoolwork, job stress was negatively correlated with professional self-concept and job satisfaction, and professional self-concept was positively correlated with job satisfaction. The factors affecting job satisfaction were professional self-concept, job stress, and age of ≥30 for the dental hygienists with schoolwork and professional self-concept, job stress, and the position as a middle manager for those without schoolwork. To put these results together, professional self-concept and job stress were factors affecting job satisfaction for dental hygienists with and without schoolwork. It is necessary to focus on the formation of good dental organizational culture through positive institutional support as well as through systematic establishment of professional self-concept.

Between Emotional Intelligence, Interpersonal Competence and Major Satisfaction of Dental Hygiene Students (치위생(학)과 학생의 감성지능, 대인관계 유능성과 전공만족도간의 관련성)

  • Yun, Mi-Hae;Ji, Min-Gyeong;Shin, Min-Woo
    • Journal of Convergence for Information Technology
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    • v.10 no.6
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    • pp.183-192
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    • 2020
  • The purpose of this study was to identify the relationship between dental hygiene students' emotional intelligence, interpersonal competence, and major satisfaction, as a preliminary professional dental hygienist who can provide effective dental hygiene college life and high-quality dental medical services. Attempts were made to find ways to promote it. To collect data, a self-administered questionnaire was developed using a convenient sample method, and the questionnaire survey was conducted on dental hygiene students in Daejeon, Cheongju and Gunsan from April 8, 2019 to April 26, 2019. As a result, it was found that emotional intelligence and interpersonal competence were positively correlated, and there were positive correlation with major satisfaction, and interpersonal competence and major satisfaction were positively correlated. Emotional intelligence, interpersonal competence, and clinical practice satisfaction were the factors that influenced major satisfaction. These results indicate that individually customized counseling and educational approach are required and there is the necessity of utilizing multidimensional improvement strategy that integrate emotional intelligence and interpersonal ability training program.

Development of Cyber Counseling Program for Hospice (호스피스 사이버 상담을 위한 프로그램 개발)

  • Lee, Won-Hee;Oh, Eui-Geum;Kim, Cho-Ja;Kang, Kyu-Sook;Kang, Se-Won
    • Journal of Hospice and Palliative Care
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    • v.8 no.2
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    • pp.209-215
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    • 2005
  • Purpose: The purpose of this study is to enhance the quality of life for the terminal patients and their family by providing counseling service through a hospice counseling homepage, thus activating hospice service and contributing to our national health. Methods: The study was methodologically conducted to assess the homepage developed and to professionally verify the counseling flow. Results: The cyber hospice homepage was developed between January 2004 and August 2004, whereby its counseling service was operated. The homepage included introduction, news (announcement), on-line lectures, community site for hospice clients, hospice counseling, and related links. As a result of assessing the site and of verifying the reliability of counseling service, the counseling flow was unanimously approved by the professionals. Conclusion: The cyber counseling for hospice was conducted to enhance the quality of life for the terminal patients and their family and to activate hospice service. It is required to train professional hospice cyber counselors and to establish systematic promotional strategies for activation of the cyber counseling site.

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CD Program Development Applied Logotherapy to Improve Quality of Life of Older School-age Children with Terminal Cancer (학령후기 말기 암 환아의 삶의 질 증진을 위한 의미요법 CD 프로그램 개발)

  • Kang, Kyung-Ah;Kim, Shin-Jeong;Song, Mi-Kyung
    • Journal of Hospice and Palliative Care
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    • v.11 no.2
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    • pp.82-90
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    • 2008
  • Purpose: The purpose of this study was to develop a CD program of applied logotherapy to improve the quality of life of older school-age children with terminal cancer. Methods: Keller's ARCS (Attention, Relevance, Confidence, Satisfaction) theory and a model for developing learning materials (Dick and Cray) were applied to develop this program which comprised four distinct phases: planning, developing, applying, and evaluation stages. Results: This program was entitled 'Finding treasures in my mind' and consisted of 5 sessions, and its educational contents were made up as follows: "Treasure One" is 'learning three natures of the human mind', "Treasure Two" is 'learning creative value as first method to find meaning of life', "Treasure Three" is 'learning experiential value as second method to find meaning of life', "Treasure Four" is 'learning attitudinal value as third method to find meaning of life', and "Treasure Five" is 'Becoming the master of my life'. The sub-menu was made up of 'Beginning', 'What is it?', 'Travelling'. 'Laughing Song', and 'End'. Conclusion: This CD program is an applied logotherapy with flash animation technique as an emotional and spiritual intervention program for easier and more scientific application in pediatric oncology and hospice area.

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