• Title/Summary/Keyword: Case Study

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A qualitative study on the case managers' experiences of implementing Assertive Community Treatment model in Korea (한국에서의 ACT(Assertive Community Treatment) 적용에 대한 사례관리자의 경험에 관한 연구)

  • Ha, kyung-hee
    • Korean Journal of Social Welfare Studies
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    • v.41 no.3
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    • pp.107-133
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    • 2010
  • The attention of case management currently has been highlighted and its importance has been highly emphasized in mental heath field. At this point, We conducted a qualitative study on the experience of case managers from the Suwon Community Mental Health Center where it has implemented the ACT model. Through the result of this study, we verified feasibility of ACT model into Korea. and it has shown that assertive service and team approach has been a critical ingredients of ACT and it extended case manager's ability and brought improvement in relationship between clients and them. the clients has brought a positive changes. However case managers have experienced the dilemma between experts initiatives and clients dependency, and they empathised the importance of the familism and mental health system in Korea. In order to implement ACT extensively, we suggested several implications.

Experiences of Transitional Care for Medicaid Case Managers (의료급여관리사의 재가전환관리 경험)

  • Hwang, Yunhee;Lee, Gaeon
    • Journal of Korean Academy of Nursing
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    • v.53 no.5
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    • pp.556-569
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    • 2023
  • Purpose: This phenomenological study tried to understand the essence of the transitional care experience of medicaid case managers and its structural meaning. In addition, it was attempted to establish a system of transitional care and seek support measures for medicaid case managers. Methods: The participants of this study were 7 medicaid case managers who had spent more than 1 year and 6 months in medicaid pilot project. Data were collected with individual in-depth interviews from June to December 2021. The data were analyzed by Giorgi's phenomenological analysis method. Results: The seven constituents derived from the results of this study were 'struggle to establish a living environment', 'dedication to supporting independent living', 'anxiety about safety', 'pressure on care responsibilities', 'distress in building the pilot project', 'pride in role', and 'expectation for improvement'. Conclusion: The study results provide a comprehensive understanding of the transition care reality for medicaid case managers. They also shed light on managers' perceptions and attitudes. These findings can serve as fundamental information for establishing support measures for medicaid case managers and transitional care systems.

A case report form based on Shanghanlun six clinical patterns and provisions (『상한론(傷寒論)』 육경(六經) 제강(提綱)과 조문(條文)에 근거한 증례(證例) 작성법(作成法))

  • Lim, Jae Eun;Lee, Seong Jun
    • 대한상한금궤의학회지
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    • v.5 no.1
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    • pp.1-17
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    • 2013
  • Objective : The purpose of this study is to help korean medical doctors write case reports based on Shanghanlun six clinical patterns and provisions accurately and effectively. Methods : To achieve the purpose of this study, we reviewed Shanghanlun six clinical patterns and provisions. After this, we formed a case report form according to the importance of Korean medical terms in Shanghanlun. Results : Through this study, we got the consistency and unity of case reports based on Shanghanlun six clinical patterns and provisions. Conclusions : This case report form is designed for gathering clinical data which are organized clearly according to the diagnostic system based on Shanghanlun six clinical patterns and provisions.

A study for Decision Method of Human Body Safety according to Power Load Fluctuation of the Chechon Area (제천지역 전력부하변동에 따른 인체 전 판단 방법에 대한 연구)

  • 김상철;김두현
    • Journal of the Korean Society of Safety
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    • v.15 no.4
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    • pp.69-77
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    • 2000
  • This paper presents a study for decision method of human body safety according to power load fluctuation of the Chechon area. To cope with substantial electromagnetics analysis, the safety assessments were analyzed the double 154 [kV] T/L, 345 [kV] T/L, Chechon-Ichon, Chechon-Youngju, respectively. As the results of case study, in case of 345 [kV] T/L, the electric field value was 11.4927 [kV/m], magnetic field value was 0.4622 [G] at the point about 7 [m] away from the line in severest case. The results showed that the membership of a proposition fuzzy '11.4937 [kV/m] is hazardous' is 0.7063 for the severest case in case of 345 [kV] T/L. As the analytic results using the fuzzy qualifier term, the membership in case of very false is 0.0862 and fairly false is 0.5419, respectively.

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A Study on Verifying the Effect of Thermal Environment Control of Street Canyons based on Application of Green Wall System (거리협곡 벽면녹화 조성유형에 따른 미기상 변화 및 열환경 평가)

  • Kim, Jeong-Ho;Choi, Won-Jun;Yoon, Yong-Han
    • Journal of Environmental Science International
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    • v.25 no.2
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    • pp.311-322
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    • 2016
  • This study reduced and built Street Canyons created by skyscrapers in order to verify effect of Street Canyons by green wall within the city centre and analysed influence factors on temperature reduction according to applicative types of green wall in the lab. Applicative types were divided into three types such as non- greening type(Case A), one-side greening type(Case B), both side greening type(Case C). The result of analysis of each types showed that average temperature of Case B and Case C is respectively $1.0^{\circ}C$ and $1.7^{\circ}C$ lower than Case A. The result of analysis of WBGT was that the highest temperature was given by Case A($40.2^{\circ}C$) and second one was from Case B($39.8^{\circ}C$) and third one was from ($39.1^{\circ}C$) and in UTCI Case A records the highest temperature of $34.7^{\circ}C$ and Case B provided the second highest temperature of $33.9^{\circ}C$ and Case B gave the lowest temperature of $32.7^{\circ}C$. In PMV the highest temperature of 2.65 was from Case B and second one of 2.61 was from Case A and third one of 2.54 was from Case C. Duncan analysis of each types based on solar radiation and thermal comfort generated that there was analytical significance between Case A and Case B and Case B in terms of each types of average temperature reduction. The significance of thermal comfort in WBGT, MRT, PMV showed non-significance but, In UTCI it was analysed that there was significance between Case C and Case A.

Sample Size and Statistical Power Calculation in Genetic Association Studies

  • Hong, Eun-Pyo;Park, Ji-Wan
    • Genomics & Informatics
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    • v.10 no.2
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    • pp.117-122
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    • 2012
  • A sample size with sufficient statistical power is critical to the success of genetic association studies to detect causal genes of human complex diseases. Genome-wide association studies require much larger sample sizes to achieve an adequate statistical power. We estimated the statistical power with increasing numbers of markers analyzed and compared the sample sizes that were required in case-control studies and case-parent studies. We computed the effective sample size and statistical power using Genetic Power Calculator. An analysis using a larger number of markers requires a larger sample size. Testing a single-nucleotide polymorphism (SNP) marker requires 248 cases, while testing 500,000 SNPs and 1 million markers requires 1,206 cases and 1,255 cases, respectively, under the assumption of an odds ratio of 2, 5% disease prevalence, 5% minor allele frequency, complete linkage disequilibrium (LD), 1:1 case/control ratio, and a 5% error rate in an allelic test. Under a dominant model, a smaller sample size is required to achieve 80% power than other genetic models. We found that a much lower sample size was required with a strong effect size, common SNP, and increased LD. In addition, studying a common disease in a case-control study of a 1:4 case-control ratio is one way to achieve higher statistical power. We also found that case-parent studies require more samples than case-control studies. Although we have not covered all plausible cases in study design, the estimates of sample size and statistical power computed under various assumptions in this study may be useful to determine the sample size in designing a population-based genetic association study.

A Qualitative Case Study of the Medical Doctor-Patient Therapeutic Relationship (의사-환자의 치료적 관계에 대한 질적 사례연구)

  • Sung Hyun Kang;Do-Eun Lee;Junghyun Choi;Gwang Woo Kim;Yeoung Su Lyu;Hyung Won Kang;Moon Joo Cheong
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.3
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    • pp.319-334
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    • 2023
  • Objectives: The purpose of this study was to identify the doctor-patient relationship perceived by doctors in clinical settings and the effect of doctor-patient relationships on treatment schemes. A qualitative case study was conducted for this purpose. Methods: In-depth interviews were conducted with five oriental medicine doctors and doctors working in clinical settings using a semi-structured questionnaire. Transcription and coding were performed to analyze the data. By analyzing each case individually through within-case analysis, we attempted to find themes that emerged from the research subjects' experiences with establishing relationships with patients. Afterward, a cross-case analysis was conducted to identify the meaning of the experiences through commonalities and differences. Results: Within-case analysis confirmed the thoughts and emotions of the research participants in recognizing, defining, and participating in doctor-patient relationships while delivering treatments. Case-to-case analysis derived two themes, seven categories, and 20 meaningful units for doctor-patient relationships. Conclusions: The study found that a doctor-patient relationship regarding patient treatment could be established based on the doctor's 'professional qualifications' and 'human qualities'. In the future, it is necessary to present an educational model for relationship-based intervention techniques and personality maturity. Follow-up research should be conducted to enable the establishment of therapeutic relationships between doctors and patients.

A Study on the Effectiveness of Team Approach In Case Management Service for the Elderly in Puchon : A Pretest-Posttest Study (재가 노인을 위한 사례관리 서비스의 효과성 연구 - 팀접근 모델을 중심으로 -)

  • Chung, Soon-Dool;Ko, Me-Young
    • Korean Journal of Social Welfare
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    • v.54
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    • pp.273-294
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    • 2003
  • The outcome of study has shown that team approach in case management in the community welfare center has shown a fair amount of effectiveness in increasing the quality of life for the elderly. 30 elderly people who had complex difficulties in life were selected and given case management for a 6 month period. The student volunteers supervised by a case manager visited the clients once a week and arranged a series of community resources following assessment of the clients' needs. A group of professionals active in the community was invited for supervision. Compared to the clients in the comparison group, those clients who case management showed the increase in the quality of life and life satisfaction scale. The results of the study suggest that face-to-face service for the elderly is one important factor for successful case management intervention. Also, a team approach in case management utilizing professionals and volunteers can be useful for the case manager in the community welfare center who is overwhelmed with too many case loads.

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A study on the improvement of cleaning performance in bag-filter (여과집진기의 탈진 거동 개선에 관한 연구)

  • Hong, Sung-Gil;Kum, Young-Ho;Shon, Byung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.2
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    • pp.1571-1578
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    • 2015
  • The cleaning characteristics of pulse air jet type cleaning system which is widely applied in the industries were identified by utilizing the computational fluid dynamics (CFD) and the cleaning performance in modified shape of dedusting unit was compared in this study. The review on each shape of cleaning part showed that the case of installing the nozzle on the blow tube (Case-3) and the case of installing the double intaking tube to the venturi (Case-4 and Case-5) were more excellent than the structure (Case-1). Also, the optimal venturi shape was designed and examined its applicability to the site in a pilot scale plant. A combined system of a blow tube and a venturi proposed by this study turned out to be very effective for concentrating an cleaning air compared to existing systems, such as using only blow tube and combines the blow tube and venturi. In addition, as a result of installing and testing a venturi proposed by this study, the cleaning frequency and cleaning time were much improved compared to a case of using a commercial venturi that is under use at the industrial sites.

Experience of Case Management Practice for the housing vulnerable group living in public low-income housing in Seoul (주거취약계층 매입임대주택의 사례관리자 경험)

  • Min, So-Young;Kim, Soyoung
    • Korean Journal of Social Welfare Studies
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    • v.49 no.1
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    • pp.263-296
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    • 2018
  • The purpose of this study is to examine the experience of case management practice for residents of low - income housing. The importance of the house for the vulnerable residents with homelessness is absolute, and case management that supports them to live as residents in the community is also very important. Nevertheless, the research so far has focused on the supply of affordable housing, the residential environment, the quality of life of the tenants, and the health, but there was a lack of interest in case management practices. In this study, we investigated the experience of case management practice by listening 10 case managers's experiences through FGI interview. As a result of the study, the case manager's experience is divided into four themes: 'Dilemma of support for the independent housing life after the facilities', 'Role competition between rent management and case management', 'Lonely practice for linkage and cooperation with the mainstream community support system', 'Double employment relationship and poor working environment' respectively. Based on their experiences, this study suggests practical and practical suggestions for case management of rental housing.