• Title/Summary/Keyword: 진단적 모형

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A Diagnostic Study on the Registered Beneficiaries of Health Centers - From the Perspective of the Precede Model - (보건소 건강관리회원의 진단적 연구 - PRECEDE 모형을 중심으로 -)

  • Yun, Soon-Nyung;Park, Jung-Ho;Park, Sung-Ae;Park, Hyeoun-Ae;Kim, Chun-Mi
    • Research in Community and Public Health Nursing
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    • v.13 no.2
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    • pp.292-305
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    • 2002
  • Purpose: The purpose of this study was to conduct a systematic assessment on the level of health status, and quality of life of the health care beneficiaries registered in health management programs of public health centers. In order to investigate the level of health status and the quality of life and to find factors affecting them, the PRECEDE model, that was developed by Green, et al. for the purpose of a comprehensive diagnostic research, was used. Method: The subjects were 81 residents who resided K-gu, Seoul. Data were collected from September, 1999 to August, 2000 using a self reported questionnaire. The data were analyzed by descriptive statistics, t-test, Kruskall-Wallis test, Pearson's correlation coefficient. and path analysis. Results: 1. The quality of life and the level of health promoting lifestyle were moderate or more, but were not significantly different by sex, age, marital status, educational level. occupation, and monthly household income. 2. Self-efficacy was significantly correlated to be a perceived benefit, social support and health-promoting lifestyle. Perceived benefit had a significant correlation with social support and health promoting lifestyle. There was also a significant correlation between the level of satisfaction, and the availability of the health promotion program. 3. Social support, health promoting lifestyle, and health status were found to influence the quality of life directly, whereas self efficacy and perceived benefit affected the quality of life indirectly through social support. Conclusion: The results of this study suggest that the health promotion program should include strategies to strengthen self efficacy and perceived benefit to enhance social support, and to encourage health promoting behaviors in order to improve the quality of life of the health care beneficiary.

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A Diagnostic Study for Health Management on Workers in Small Scale Enterprises from the Perspective of the PRECEDE Model (소규모 사업장 근로자의 건강관리를 위한 진단적 연구 - PRECEDE 모형을 중심으로 -)

  • Kim, Chun-Mi;Choi, Jeong-Myung;Jung, Hye-Sun;Kim, Hee-Girl;Kim, Soon-Lae;Yun, Soon-Nyung
    • Korean Journal of Occupational Health Nursing
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    • v.12 no.2
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    • pp.110-122
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    • 2003
  • Purpose: The purpose of this study is to make a systemic assessment on the level of self-efficacy, social support, and accessibility to medical services, health status, health promoting behaviors, and the quality of life of workers in small scale enterprises. RECEDE model developed by Green and Kreuter for the purpose of a comprehensive assessment research was used. Method: The number of subjects was 199 workers in small scale enterprises at Youngdeungpo-gu and Sungdonggu, Seoul. Data were collected between October and December, 200 through a self-reported questionnaire. And data were analyzed by descriptive statistics, t-test, and F-test. Result: 1. The level of quality of life was 3.08, and general health status was 2.75. There was no significant difference by sex, age, marital status, job, and perceived health status. 2. The level of health promotion life style was 2.09. There was no significant difference by sex, age, marital status, and job. But there was significant difference by perceived health status. 3. The level of self-efficacy, social support and accessibility to medical services were 3.04, 2.85, and 1.45. Conclusion: The results of this study suggest that it is necessary to develop the systematic health promotion programs that can strengthen self-efficacy and health status, and supplement social support and accessibility to medical services, and to encourage health promoting behavior in order to improve quality of life for workers in small scale enterprise.

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Characteristics of Dynamic Compaction Energy for a Non-plastic Dredged Soil (비소성 준설토의 동다짐 에너지 특성 연구)

  • Hwang, Seong Chun;Yoon, Sang Chun
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.15 no.6
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    • pp.110-117
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    • 2011
  • Seashore landfill projects use undersea pump dredging method for construction of airport and factory site. Coarse grain soil from the dredging is considered for use at inland. West sea shore bottom consists of primarily coarser grained silt-sand and this component contains far more percentage than is the case with East sea and South sea area. This soil shows very different characteristic at consolidation and compaction behavior. This research targets to utilize this type of dredging soil. Test specimen is from West sea (Saemangum) dredged soil landfill site. Model analysis is done for getting prediction of original soil relative density and N-value from dynamic compaction energy variance. Dynamic compaction energy is calculated for efficient foundation design.

A Study on the Selection of a Bridge Structure Type Using DEA and LCC (DEA기법과 LCC개념을 활용한 교량형식 선정 방법에 관한 연구)

  • Han, Sam-Heui;Kim, Jong-Gil
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.17 no.4
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    • pp.101-111
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    • 2013
  • In this study, DEA (Data Envelopment Analysis) was carried out on the four bridges, which have the same extension (L=1,615m), in order to select the most superior, economical method of construction using the LCC concept of each bridge structure in the case of the Ulsan-Pohang double track railway which is scheduled to be constructed. DEA models were analyzed with the CCR model, which was designed for the evaluation of relative efficiency of each model. The initial construction costs, maintenance costs, indirect costs (user costs + indirect loss of social costs), and life cycle costs were used as input variables, and average duration was applied as the output variable. LCC was applied to calculate the input variables, and to get the costs of LCC, 100 years of period and 4.83% of real discount rate were applied, and the costs are classified into initial construction, maintenance, user, and indirect loss of social cost. The analysis results showed that the Method 2 and 3 were evaluated as the most efficient, and the other alternatives were evaluated as the following order; Method 1, the default, and Method 4.

A Study on the Influence of Behavior of Underground Cavern to Cavern Size and Joint Orientation (공동 규모와 절리 방향성이 지하공동의 거동에 미치는 영향에 대한 연구)

  • Kim, Sang-Hwan;Shin, Beom-Seok
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.14 no.1
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    • pp.84-92
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    • 2010
  • This paper presents the influence of the underground structure (such as cavern and tunnels) behavior according to the rock joint orientation and underground cavern size. In order to perform this research, numerical and experimental studies are carried out. Stress aspect was assessed by quantitative according two kind of factor. In the experimental study, the laboratory model tests are performed in the several ground conditions with different underground cavern size. The results obtained from the model tests are also verified and evaluated using the numerical analysis. Due to the underground cavern, it is found from this study that the stresses developed in archcrown, side wall of underground are increased with increasing the underground cavern size. It is also investigated that the rock joint direction is one of main influence factor as risk factor, to maintain the underground cavern stability. It may be expected that this research will provide the very useful information to evaluate the underground cavern stability.

Evaluation of Bond Strength of Deformed Bars in Pull-out Specimens Depending on Stirrups Spacing, Rebar diameter and Corrosion Rate (스터럽간격, 철근직경 및 부식률에 따른 인발 실험체의 부착강도 평가)

  • Seong-Woo Ji;Hoseong Jeong;Cha-Young Yoon;Jae-Yeon Lee;Kang Su Kim
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.27 no.3
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    • pp.47-57
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    • 2023
  • In this study, pull-out tests were performed to investigate the effects of stirrup spacing, rebar diameter, and corrosion rate on bond strength of deformed bars in reinforced concrete. Twelve pull-out specimens with different stirrup spacing, rebar diameter, and corrosion rate were prepared following the RILEM RC6 guidelines. The test results showed that the bond strength of specimens with stirrups increased when the corrosion rate was less than 3%, whereas it decreased when the corrosion rate was more than 3%. On the other hand, the bond strength of specimens without stirrups decreased as the corrosion rate increased. The effect of rebar diameter was less significant compared to those of stirrup spacing and corrosion rate. A bond strength model for pull-out specimens was proposed considering stirrup ratio and corrosion rate, and the model showed the lowest error among the previous models.

Dynamic Behavior Analysis of PSC Train Bridge Friction Bearings for Considering Next-generation High-speed Train (차세대 고속철의 증속을 고려한 PSC 철도교 마찰 교량받침의 동적 거동 해석)

  • Soon-Taek Oh;Seong-Tae Yi
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.27 no.6
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    • pp.39-46
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    • 2023
  • In this study, the dynamic behavior of friction bearings of PSC (Pre-Stressed Concrete) box train continuous bridge was numerically analyzed at 10 km/h intervals up to 600 km/h according to the increasing speed of the next-generation high-speed train. A frame model was generated targeting the 40-meter single-span and two-span continuous PSC box bridges in the Gyeongbu High-Speed Railway section. The interaction forces including the inertial mass vehicle model with 38 degrees of freedom and the irregularities of the bridge and track were considered. It was calculated the longitudinal displacement, cumulative sliding distance and displacement speed of the bridge bearings at each running speed so that compared with the dynamic behavior trend analysis of the bridge. In addition, long-term friction test standards were applied to evaluate the durability of friction plates.

A Parametric Study of Flexural Stiffness Ratio on Floor Slabs for Seismic Design of Shear Wall Structures (전단벽식 구조물의 내진설계 시 합리적인 바닥판의 휨강성비 적용에 대한 연구)

  • Oh, Soon-Taek;Lee, Dong-Jun;Em, Young-Hoon
    • Journal of the Korea institute for structural maintenance and inspection
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    • v.13 no.6 s.58
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    • pp.148-155
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    • 2009
  • A remarkable discrepancy of lateral deformation of shear wall structures for seismic loads due to a rigid diaphragm assumption without floor slab modelling asks a study how much effective the slab stiffness ratio is to the lateral behaviour. Typical shear wall type 15 stories structure is selected to analysis using MIDAS-ADS2008 commercial softwares modelling three types; 1) rigid diaphragm (RD model) 2) considered out-of plane slab flexural stiffness (DB model), and 3) considered in and out of plane slab flexural stiffness (SRC model). Based on National Code of KBC2005, the Equivalent Static and Response Spectrum seismic analysis are undertaken to compare each responses of the three models. The differences of lateral responses due to the three slab stiffness ratios applied on the models are compared and discussed.

Development of Work-related Musculoskeletal Disorder Questionnaire Using Receiver Operating Characteristic Analysis (Receiver Operating Characteristic 분석법을 이용한 업무관련성 근골격계질환 설문지 개발)

  • Kwon, Ho-Jang;Ju, Yeong-Su;Cho, Soo-Hun;Kang, Dae-Hee;Sung, Joo-Hon;Choi, Seong-Woo;Choi, Jae-Wook;Kim, Jae-Young;Kim, Don-Gyu;Kim, Jai-Yong
    • Journal of Preventive Medicine and Public Health
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    • v.32 no.3
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    • pp.361-373
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    • 1999
  • Objectives: Receive Operating Characteristic(ROC) curve with the area under the ROC curve(AUC) is one of the most popular indicator to evaluate the criterion validity of the measurement tool. This study was conducted to develop a standardized questionnaire to discriminate workers at high-risk of work-related musculoskeletal disorders using ROC analysis. Methods: The diagnostic results determined by rehabilitation medicine specialists in 370 persons(89 shipyard CAD workers, 113 telephone directory assistant operators, 79 women with occupation, and 89 housewives) were compared with participant's own replies to 'the questionnair on the worker's subjective physical symptoms'(Kwon, 1996). The AUC's from four models with different methods in item selection and weighting were compared with each other. These 4 models were applied to 225 persons, working in an assembly line of motor vehicle, for the purpose of AUC reliability test. Results: In a weighted model with 11 items, the AUC was 0.8155 in the primary study population, and 0.8026 in the secondary study population(p=0.3780). It was superior in the aspects of discriminability, reliability and convenience. A new questionnaire of musculoskeletal disorder could be constructed by this model. Conclusion: A more valid questionnaire with a small number of items and the quantitative weight scores useful for the relative comparisons are the main results of this study. While the absolute reference value applicable to the wide range of populations was not estimated, the basic intent of this study, developing a surveillance fool through quantitative validation of the measures, would serve for the systematic disease prevention activities.

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Convergent Study of the Factors Affecting the Quality of Sleep among Elderly Insomnia Patients (노인 불면증 환자의 수면의 질에 영향을 미치는 요인에 관한 융합연구)

  • Han, Eun Kyoung
    • Journal of the Korea Convergence Society
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    • v.8 no.3
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    • pp.141-150
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    • 2017
  • The purpose of this study was to identify relationship among the depression, social support and quality of sleep in elderly insomnia patients. A total of 143 patients with insomnia diagnosed according to DSM-IV criteria. Quality of sleep, depression, and social support were measured using a self structured questionnaire and participant's medical records were reviewed for obtaining their clinical information. Quality of sleep was positively associated with depression(r=.255, p<.05), and negative correlation with social support(r=-.270, p<.001). The significant factors for quality of sleep were information support(${\beta}=-0.406$, p<.05) and affectionate support(${\beta}=-0.525$, p<.05). These factors explained 13.2% of the variance in quality of sleep. The elderly patients suffering the insomnia need the nursing interventions considering information support and affectionate support in order to improve sleep quality.