• Journal of the Korea Academia-Industrial cooperation Society
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• v.21 no.5
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• pp.523-531
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• 2020

The aim of this study was to determine the mediating effects in the relationships among nursing organizational culture, workplace bullying, and job stress of nurses. For the descriptive correlational study design, data were collected using a structured questionnaire from nurses at university hospitals (N=130). Statistical analysis was performed on the collected data using SPSS 22.0 statistics program. The mean scores of nurses for nursing organizational culture, workplace bullying, and job stress were 2.99±0.74, 1.85±0.65, and 2.50±0.35, respectively. Nursing organizational culture of nurses had a negative correlation with both workplace bullying (r=-0.45, p=0.001) and job stress (r=-0.61, p=0.001), whereas workplace bullying showed a positive correlation with job stress (r=0.42, p=0.001). Sobel test was conducted to verify the mediating effects, and nursing organizational culture was statistically significant as a partial mediating effect of 0.13 (sobel'z=-2.287, p<0.05) on the effect of workplace bullying of nurses on job stress. These results indicate that nursing organizational cultures need to be established to reduce workplace bullying. It is important to create a nursing work environment that can reduce job stress, a better understanding of the nursing organization cultures related to nursing tasks is crucial, and it is necessary to develop an institutional education strategy for prevention education in hospital organizations.

• Journal of Advanced Navigation Technology
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• v.6 no.1
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• pp.37-43
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• 2002

This paper describes the performance evaluation and analysis of Wireless Local Area Network (W-LAN) in the 5 GHz ISM-band in compliance with IEEE 802.11a. At present, most W-LAN products are based on 2.4 GHz band, but low speed (11Mbps) has the limitation to serve systems demanding high-speed data transmission. To solve this problem, it is necessary to design next generation W-LAN system with 54Mbps in the 5GHz. It is sure that implementation of next generation W-LAN will bring competitive advantages. In particular, it will support telecommunications for high-speed mobile environments as well as for fixed places such as a school zone, a lecture room, a hospital and other premises. A few simulation methods are applied to more accurate and reliable performance analysis of next generation W-LAN. To verify if continuous data service is supported for a high-speed mobile notebook, multi-path fading channels between wireless Access Point (AP) and wireless Network Interface Card (NIC) are modeled. In addition, low interference is analyzed via convolutional codes and Orthogonal Frequency-Division Multiplexing (OFDM). Also, to obtain reliable Bit Error Rate (BER), a single tap Least Mean Square (LMS) equalizer is applied. Given the above simulation, next generation W-LAN is an ideal solution for continuous data transmission in high-speed mobile environments.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.10 no.5
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• pp.1126-1132
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• 2009

We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.16 no.3
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• pp.2055-2063
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• 2015

The purpose of this study is to have a preliminary study in order to identify changes in occupational performance skills and visual perception of patients with mild dementia, who have been provided with a group occupational therapy program, within community day-care center. The subjects of this study were 9 people with mild dementia living in a community. The period of administration was for 60 minutes per session three times a week during four weeks. We assessed their visual perception function(MVPT) and occupational performance(AMPS). One group pre-post test design was implemented as an experimental study to compare the results between before and after applying the group occupational therapy program within sensory, physical, creative activity. While a statistically significant difference between before and after the program of motor skills(occupational performance skill) is not shown, the visual perception function and occupational performance of patients with mild dementia improved significantly after receiving occupational therapy program(p<0.01, p<0.05). Therefore, it is possible to conclude that the group occupational therapy program is helpful to manage the occupational performance skills and visual perception of patients with mild dementia in community day-care center.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.11
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• pp.746-754
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• 2016

Smart healthcare systems, a convergent industry based on information and communications technologies (ICT), has emerged from personal health management to remote medical treatment as a distinguished industry. The smart healthcare environment provides technology to deliver vital information, such as pulse rate, body temperature, health status, and so on, from wearable devices to the hospital network where the physician is located. However, since it deals with the patient's personal medical information, there is a security issue for personal information management, and the system may be vulnerable to cyber-attacks in wireless networks. Therefore, this study focuses on a key-development and device-management system to generate keys in the smart environment to safely manage devices. The protocol is designed to provide safe communications with the generated key and to manage the devices, as well as the generated key. The security level is analyzed against attack methods that may occur in a healthcare environment, and it was compared with existing key methods and coding capabilities. In the performance evaluation, we analyze the security against attacks occurring in a smart healthcare environment, and the security and efficiency of the existing key encryption method, and we confirmed an improvement of about 15%, compared to the existing cipher systems.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.12
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• pp.352-362
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• 2016

The purpose of this study was to examine the level of stress, healthcare accreditation related job stress, adaptation, and turnover intentions, as well as to identify influencing factors of turnover intentions for operating room nurses. This study employed a descriptive correlational design. The data were collected from 163 operating room nurses using a structural questionnaire. Stress was different by age (F=5.629, p=.004), marital status (t=-2.907, p=.004), and children (t=-2.623, p=.010). Healthcare accreditation related job stress was different by age (F=11.924, p<.001), marital status (t=-4.747, p<.001), children (t=-4.434, p<.001), work experience in the OR (F=6.000, p=.003), and work reasons in the OR (t=-2.543, p=.012). Turnover intention was different by age (F=21.472, p<.001), education level (F=4.997, p<.008), religion (t=3.235, p=.001), work experience in the OR (F=13.599, p<.001), position (t=3.222, p=.002), work reasons in the OR (t=-3.001, p=.003), and a shift pattern of duties (t=-2.797, p=.006). Turnover intention was significantly correlated with stress, healthcare accreditation related job stress, and adaptation. Factors affecting turnover intention were healthcare accreditation related job stress, adaptation, and age. These factors accounted for 36.2% of turnover intention. These results suggest that relief of stress and healthcare accreditation related job stress and interventions for improving stress management.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.18 no.5
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• pp.436-444
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• 2017

The purpose of this study is to investigate the research trends related to work rehabilitation in the field of occupational therapy based on studies published in the American Journal of Occupational Therapy (AJOT). Thirty five articles in the AJOT from January, 2000, to June, 2016, were reviewed. Descriptive statistics were used to classify the articles according to their study methodology, evidence level, study subjects, and so on. When they were categorized according to the study methodology, eight studies (22.9%) were published as review or meta-analyses and 7 studies (20%) as qualitative and naturalistic inquiries. Group comparison/correlational and experimental outcome methods were used in 4 studies (11.4%). 3 studies (8.6%) were conducted using a case study/single-subject design or survey. 14 studies (40.0%) were evidence level V ones and 7 studies (33.3%) dealt with mental illness. When they were classified according to the study subjects, 25 studies (71.4%) were related to the work-rehabilitation process and 10 studies (28.6%) were related to the meaning and value of work. Through this study, we were able to determine the main research trends, study methodology, study participants, and evidence level related to vocational rehabilitation in the field of occupational therapy. Additionally, it is necessary to examine studies in the field of vocational rehabilitation, which have a high level of evidence and include various kinds of participants, as well as the process of vocational rehabilitation.

• The Journal of Korean Society for School & Community Health Education
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• v.13 no.2
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• pp.93-105
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• 2012

This study aimed to provide the fundamental resources for developing an effective safety education program. We analyzed the condition of school accidents and safety awareness, and the condition of school safety education and the factors related to safety education. Ultimately, this study can lead the following studies to develop the safety education program realistically, which can effectively change the safety behaviors of Korean students. Methods: We carried out a questionnaire survey that was targeted at the schools - three elementary, three middle, and three high schools - located in Chung-nam, from April 1, 2012 to May 2, 2012. Totally, the questionnaires of 578 students were fully filled out. The design of this study is a descriptive research. Results: 1. 64.5% of elementary school students, 33% of middle school students and 32% of high school students had experienced more than one safety accident. The frequency of occurrence was the highest in playgrounds for elementary and middle school students, and in stairs for high school students. The most safety accidents occurred during lunch time and at recess in elementary and middle school, and at recess in high school. Further, most of the students who had experienced the safety accidents had been treated in infirmary (school nurse's office) for elementary school students, and in a hospital for middle and high school students. 2. There was statistical significance in the safety consciousness for students in elementary school (18.09 points), middle school (17.68 points), and high school (17.26 points), on a twenty-point scale. (F=3.754, p=0.024). 3. Comparing the factors related to school safety education with safety consciousness, students in elementary school that gave an answer of the usefulness of safety education showed a high standard in the safety consciousness level. (F=12.347, p=0.002) For the need of safety education, the students in the elementary school and high school that expressed the necessity of safety education showed a high standard in the safety consciousness level. Conclusions: Accordingly, it is true that there are the differences at safety awareness among elementary middle high school students. This study is meaningful enough in that it provides the fundamental resources for developing the effective safety education methods for the subjects.

• Maxillofacial Plastic and Reconstructive Surgery
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• v.32 no.4
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• pp.324-331
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• 2010

The radial forearm free flap (RFFF) has become a workhorse flap as a means of reconstructing surgical defects in the head and neck region. We have transferred 12 RFFFs with fasciocutaneous type on oral cavity defects in 12 patients after cancer resection and submucous fibrotic lesion ablation from 2005 to 2007 at Department of oral and maxillofacial surgery, Pusan National University Hospital. We reviewed retrospectively patients' charts and followed up the patients. Clinical analysis on the cases with RFFFs focusing on flap morbidity, indications and available vessels was done. The results of study are follows: 1. RFFF could be applied for all kind of defects after resection of tongue, floor of mouth, buccal mucosa, denuded bone of palate, maxilla, and mandible. 2. All free flaps could be used for primary reconstruction. The survival rate of 12 RFFFs was 92%. Partial marginal loss of the flaps was shown as 3 cases among 12 cases. Large size-vessels like superior thyroid artery, facial artery, internal jugular vein were favorable for microvascular anastomosis. 3. Parenteral nutrition instead of nasal L-tube also can be favorable for postoperative a week for better healing of the flap if the patients couldn't be tolerable with nasal tubing. 4. Donor sites with thigh skin graft were repaired with wrist band for 2 weeks. The complications included scarring, abnormal sensation on hand, and reduced grip strength in few patients, but those didn't induce major side effects. 5. Most RFFFs were well healed even if mortality rate of cancer patients was shown as 50% (5/10 persons). The mortality of patients was not correlated with morbidity of the flaps. We could identify the usefulness of RFFF for restoration of oral function, esthetics if the flap design, tissue transfer indications, and well controlled operation are proceeded.

• Korean Parent-Child Health Journal
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• v.5 no.2
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• pp.253-276
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• 2002

Mother and infant relationship has a great influence on child's developments. Expecially, mother and infant relationship is affected by mother and infant interactions during one year after birth and an omen of mother-infant interaction after birth is mother-fetus interaction. This study was conducted to develop mother-fetus interaction promotion program of talking and tactual stimulation aimed at enhancing sensitivity of primiparas and to evaluate the effect of the nursing intervention program on mother-fetus interaction and mother-infant play interaction. Non-eguivalent control group posttest design was used, and Blumer's symbolic interaction theory and Barnard's mother-infant interaction model was used a conceptual framework of this study. Fifty primiparas and infant(26 mother-infant dyads for intervention group and 24 dyads for control group) were recruited from three general hospital and an OBGY clinic located in Kwang Nung city. Data was collected from January 30th to December 20th in 2001. For the intervention group, programed education which focused on mother-fetus interaction in the 1st trimester. Telephone counselling was provided with interval of two weeks. For two groups, home visiting for data collection of mother- fetus interaction was conducted at 36 to 38 weeks of gestational age. And mother-infant play interactions were assessed at 4 to 6 weeks after birth using videotapes. Play situations were videotaped and two trained observers analyzed the tapes. The data were analyzed using chi-square test and Fisher's Exact Test to test the equivalence of two groups, and the effect of intervention progrom was determined with t-test and Wilcoxon Rank Sum test. The results were as follows: 1. The significant difference was found in mother-fetus interaction between two groups(t=2.085, P=0.0425). It indicated that intervention progrom was effective in improving mother-fetus interaction. 2. The significant difference was found in mother-infant play interaction between two groups(W=347.5, P=0.0001). In subscale analysis, three subscales showed significant differences between the groups: interactional behavior of mother(t=5.921, P=0.0001), interactional behavior of infant(t=5.736, P= 0.0000), and synchronic interactional behavior of mother and infant(t=7.940, P= 0.0000). In conclusion, this study has shown that the applied nursing intervention aimed at enhancing sensitivity of primiparas promoted mother-fetus interaction and mother-infant play interaction. Therefore, this study suggests that this nursing interventions to increase maternal sensitivity to the fetus's movement should be broadly applied to primiparas, which can be beneficial for formation of mother - infant relationship, and for promotion the social, affective, and cognitive developments of their children.