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A Study on Effectiveness of the Hospital-based Home Nursing Care of the Early Discharged Surgical Patients and its Cost Analysis (조기퇴원 수술환자의 병원중심 가정간호 효과 및 비용분석에 관한 연구)

  • 박경숙;정연강
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.545-556
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    • 1994
  • Medical insurance and health care delivery system enabled Korean people to get the necessary medical service, but it caused increased needs for medical service, and resulted in the occurence of some problems such as a lack of manpower and medical facilities. In order to solve these problems, many countries, which already had medical insurance system had developed home care system and it has been regarded effective both in reducing costs and in increasing the rates of turnover of bed. Recently, Korea has included home nursing care in its health care delivery system, and some models of the hospital based home nursing care had been tried and its effects had been evaluated. So, author tried to run a home nursing care for the Cesarean section mothers and evaluate Its effects both in the mother's health and costs. This study was designed as a Quasi-experimental study. Subjects were thirty mothers who got Cesarean section operation in hospital in Seoul. Experimental group consisted of 15 volunteers, and control group were selected by means of matching technique. Data were gathered from February 1st to March 26th by two assistants who were trained by author. Experimental group were discharged on the 4th day after their operation, and got nursing care and assessment about their home three times on the 5th, 6th, and 7th day. Control group stayed in the hospital until 7th day as usual and were checked on the same day as above mentioned To evaluate the state of physiological recovery, vital signs, H.O.F, presence of edema in the legs, bathing, appetite, sleep, presence of pain or discomfort in the breasts, amount of lochia, color of lochia, defecation urination. To compare incidence of complication in experimental group with that in control group, specific assessment was done such variables as smell of lochia, presence of inflammation of operation wound, dizziness, and presence of immobilization in the extremities. The activities of daily living were checked Satisfaction of nursing were checked To calculate costs, author asked subjects to specify expenditure including hospital charge, traffic enpenses, and food expenses. The results were as fellows. 1. On effectiveness of home nursing careThere were n significant differences between experimental and control group in incidence of abnormal symptoms and any complication. The number of taking a bath [POD #5 P=0.001, #6 P=0.0003, #7 P=0.001] and the degree of appetite [POD #5 P=0.03, #6 P=0.02, #7 P=0.013] were significantly higher in experimental group than in control group. Contrary to author's expectation, the degree of the activities of daily living in experimental group was not higher than that of control group. All of the experimental group said they were satisfied with the home nursing care. 2. Cost analysis 1) Hospital charge of experimental group was lower than that of control group. [P=0.009] By taking home nursing care, average period of hospitalization was shortened to 3.1 days, and family members could save 22.8 hours. Total amount of money saved by early discharge was 3,443,093 Won. It is estimated that total amount of money saved by early discharge in a year will be 40,398,956 Won. 2) Home nursing care charge of 15 mothers was 1,781,633 Won. It is estimated that total amount of money Saved by it in a year Will be 20,904,493 Won. It was lower altogether than hospital charge of the three days which is 5th, 6th, 7th day of operation. The average cost of single home visit was calculated 10,940 Won. It took 87 minutes per round and it costed 1,017.3 Won. The average hour of home care was 39.0 minutes. 3) It is expected that early discharge can bring forth the increase of hospital income. On the condition that the rate of running bed is 100%, the expected increase of hospital income will be 202,374, 026 Won in a year. Suggestions for further study and nursing practice are as follows : 1. For the welfare of patients and the increased rates of running bed, home nursing care system should be included in the hospital nursing care system. 2. Studies to test effect of home nursing care on the patients with other diseases are needed. 3. Establishment of law on the practice of home nursing care is strongly recommended.

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Effect of Self-Development during Military Service on Returning University Students' Self-directed Learning and Job Preparation Behavior (군 복무 중의 자기개발이 대학 복학생의 자기주도학습과 취업준비행동에 미치는 영향)

  • Cho, Sang-Hyeok
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.241-252
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    • 2020
  • The purpose of this research is to study the effect of soldiers' self-development during military service on returning university students' self-directed learning and job preparation Behavior. The object of this study are 323 students among second, third and fourth graders of about 15 universities' nationalwide by online stratified clusterrandom sampling. SPSS 25.0 program was used for data analysis and factor analysis, frequency analysis, independent t-test, one way ANOVA, multiple regression analysis were done. The rusult are as follows :First, self-directed learning and job preparation behavior according to personal characters have meaningful differences in university location, grade, degree of self-development during military service, degree of self-development during military service, self-development during military service, e-learning study during military service, gaining credits during military service, gaining national licence during military service and receiving money for self-development during military service. Second, The experience of self-development during military service has meanigful difference in returnig university students' self-directed learning and job preparation behavior.

Structural Shocks of the Korean Economy: A Structural VAR Approach (통화(通貨)·물가(物價)·명목임금(名目賃金)의 장단기(長短期) 동학(動學)에 관한 연구(硏究))

  • Jun, Sung-in
    • KDI Journal of Economic Policy
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    • v.14 no.1
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    • pp.37-60
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    • 1992
  • This paper applies a Structural VAR approach to a 4 variable system in real GNP, M2, GNP deflator and nominal monthly earnings, disentangling 4 structural shocks, i.e., aggregate demand and supply shocks, wage pushes and various forms of regulations reinforced especially during stabilization process. Preliminary diagnostic tests confirm that the log level of each time series has at least one unit root, though the evidence is somewhat ambiguous for real GNP. One co-integration relationship is found among 4 variables, while no co-integration is found in a subsystem consisting of nomina) variables. The absence of co-integration among nominal variables strongly suggested that money is not neutral even in the long-run. The reduced form is estimated and the structural form is recovered using 6 additional identifying restrictions. Recovered structural shocks are able to capture main episodes of past 20 years, ranging from first and second oil shocks, to strong stabilization policy of early 80's and rapid wage hikes of late 80's. Overall responses of the economy to each structural shock are usually consistent with the standard Keynesian predictions, though some responses seem to be specific to Korean economic environment.

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Nutrition Status of the Rural Elderly Living in Kyungnam-Focusing on Health-Related Habits , Dietary Behaviors of Nutrient Intakes- (경남 일부 지역 노임의 영양실태조사-생활습관, 식행동 및 영양소 섭취 실태를 중심으로-)

  • 박미경;이경혜;윤현숙
    • Korean Journal of Community Nutrition
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    • v.6 no.3
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    • pp.527-541
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    • 2001
  • This study was conducted to provide basic information on the nutritional status and health status of the rural elderly. The food intake, food habits and others health related factors were surveryed by interview method. The subjects was 200 people(71 male, 129 female) aged over 65 year in the Han-an area. The obtained results as follows; Their average age is 73.5$\pm$5.6. Mean height and weight of elderly men were 163 cm and 58.1 kg. respectively and 148.7 cm and 50.0 kg for women. The regularity appetite and frequency of eating snacks and eating out were higher in men than in women. The favorite snacks for men were alcohol fruit coffee and for women was fruit, candy, cookies and coffee. The daily alcohol drinking and smoking ration were 50.0%, 60.6% for men, respectively and 14.0%, 24.8 % for women. The nutritional intake ratio to RDA of men was significantly higher than women. Especially, the intakes of energy, Ca, Vit.A, Vit B$_1$, Vit B$_2$ niacin were extremely low in women. The frequency of alcohol intake was related to nutrient intake of women . There was a negative correlation between age. smoking rate and the nutritional intake. The pocket money, weight height appetite, and frequency of snacks showed a positive relation to nutritional intake. In conclusion the study shows that gender did influence food intake in the elderly, Food intake of women was extremely in deficit, because the most elderly rural women live alone. For successful aging. a program for rural elderly is needed on the govermment level, i.e actions to provide minimum economic life, food delivery and psychological/ physical health care through regional pubilc health centers.

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College Students' Perceptions on Electronic Commerce (전자상거래에 대한 대학생의 인식과 구매태도)

  • Shim, Jong-Seop
    • Korean Business Review
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    • v.12
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    • pp.29-66
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    • 1999
  • Electronic Commerce is rapidly expanding with the development of internet and will be very useful for the consumers in the future. However, we could not find many studies on consumers' attitudes and behaviors in the cybermarket. The purpose of this study is to analyze perceptions of college students in Seoul and Chunchon on Electronic Commerce. The main findings are as follows. First, they prefer surfing on the net with search engines like Simmamai or Yahoo to directly looking over the homepages of department stores and advertisement sites. Students in Chunchon, especially, tend to check out banners at E-mail sites. Second, most of the students get information about shopping mall sites and products from their friends, newspapers or magazines. And they want to have information (advertisements) classified by brand names of the products. Third, students in Seoul rely on brand names more than those in Chunchon do. Students in Chunchon, compared with those in Seoul, believe more kinds of products are available in the internet shopping mall. They complain, however, deficiencies of information about the products and high prices. They want the price information compared with those in traditional markets. Fourth, they feel very uncomfortable about informing their credit card numbers, and thus prefer payments with Electronic Money. And finally, they are not satisfied with return and exchange policies and after-sale services. They also complain that the products are not delivered safely when they are not home. They want the delivery-date indicated.

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Factors associated with nutrition label use among female college students applying the theory of planned behavior

  • Lim, Hyun Jeong;Kim, Min Ju;Kim, Kyung Won
    • Nutrition Research and Practice
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    • v.9 no.1
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    • pp.63-70
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    • 2015
  • BACKGROUND/OBJECTIVES: Use of nutrition labels in food selection is recommended for consumers. The aim of this study is to examine factors, mainly beliefs explaining nutrition label use in female college students based on the Theory of Planned Behavior (TPB). SUBJECTS/METHODS: The subjects were female college students from a university in Seoul, Korea. The survey questionnaire was composed of items examining general characteristics, nutrition label use, behavioral beliefs, normative beliefs, corresponding motivation to comply, and control beliefs. The subjects (n = 300) responded to the questionnaire by self-report, and data from 275 students were analyzed using t-test or ${\chi}^2$-test. RESULTS: The results showed that 37.8% of subjects were nutrition label users. Three out of 15 behavioral beliefs differed significantly by nutrition label use. Nutrition label users agreed more strongly on the benefits of using nutrition labels including 'comparing and selecting better foods' (P < 0.001), 'selecting healthy foods' (P < 0.05). The negative belief of 'annoying' was stronger in non-users than in users (P < 0.001). Three out of 7 sources (parents, siblings, best friend) were important in nutrition label use. Twelve out of 15 control beliefs differed significantly by nutrition label use. These included beliefs regarding constraints of using nutrition labels (e.g., time, spending money for healthy foods) and lack of nutrition knowledge (P < 0.001). Perceived confidence in understanding and applying the specifics of nutrition labels in food selection was also significantly related to nutrition label use (P < 0.001). CONCLUSIONS: This study found that the beliefs, especially control beliefs, suggested in the TPB were important in explaining nutrition label use. To promote nutrition label use, nutrition education might focus on increasing perceived control over constraints of using nutrition labels, acquiring skills for checking nutrition labels, as well as the benefits of using nutrition labels and receiving support from significant others for nutrition label use.

A Prediction System on User Interest Degree to Web Sites Using the Concept of the Moving Averages (이동평균 개념을 이용한 웹 사이트 사용자 관심도 예측 시스템)

  • 박기현;유상진
    • Korean Management Science Review
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    • v.20 no.1
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    • pp.25-36
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    • 2003
  • Now that many organizations have invested a tremendous amount of money and efforts to operate Web sites on the Internet, there is a strong demand to understand the effectiveness of such investments. In other words, one of most frequent and important questions about their Web sites is "Will the current Web site management policy be effective enough to have more visitors come to our Web site\ulcorner" In this paper, a system which predicts the degree of user interest in the future to Web sites is constructed. The degree of user interest to a Web site is defined to be the visit counts for the Web site in the system. With higher the visit counts, the related site is considered to be more interesting. However, the figures of the visit counts themselves cannot explain properly the degree of user Interest in the future to the related Web sites (i.e. the effectiveness of the related Web sites). Therefore, the system also uses mechanisms which use the concept of the Moving Averages, which have been used frequently in the stock exchanges. In this paper. two prediction mechanisms are proposed and compared. The first mechanism uses the Golden Cross/the Dead Cross of the Moving Averages, while the second mechanism uses the changes of upward/downward direction of the Moving Averages. Experimental results show that the two prediction mechanisms proposed in this paper predict the degree of user interest in the future to the related Web sites very well in most cases. However, the first one is considered to be better than the second one In the sense that the second one is too much sensitive to the changes of visit counts.it counts.

A Study on the Powerlessness, Perception of Health and Cognitive Level of Elderly Home Residents (재가노인들의 무력감, 건강상태 및 인지기능에 관한 조사 연구)

  • Lee, Kang-Yi
    • The Journal of Korean Academic Society of Nursing Education
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    • v.6 no.1
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    • pp.48-63
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    • 2000
  • This study was designed and undertaken to find out the degree of powerlessness, perception of health and cognitive level of elderly home residents and to determine the factors influencing powerlessness, perception of health and cognitive level. The data were collected from October 1st to 20th, 1998. The subjects in this study were 271 elderly home residents over the age 60 living in Taejon city. The study tool for measuring powerlessness was developed by S.E. Chung(1998), the other for measuring perception of health was a self-rating scale defined by Mossey & Shapiro (1982), and the tool for measuring cognitive level was developed by Kahn, Goldfarb, Pollack and Peck(1960). Data were analysed for percentage, mean, t-test, and ANOVA using the SPSS program. The results of this study were as follows ; 1. The degree of powerlessness, perception of health and cognitive level was scored above the median. 2. The degree of the elderly' powerlessness was statistically significantly different in three demographic variables; sex, one's state of health compared to other elderly' and living expense load. 3. Perception of one's health was statistically significantly different in four demographic variables; sex, marital status, educational level and monthly money. 4. Cognitive level of the elderly was statistically significantly different in three demographic variables; age, educational level and one's health of state compared to other elderly' health. In conclusion, the factors influencing the elderly' powerlessness, perception of health and cognitive level generally were age, sex, their economic independence, marital status, and educational level. Also, this study indicates that social welfare for the elderly could be effective in reducing their powerlessness and enhancing their health of state and cognitive level.

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Development of Integrated System for Virtual Design and Performance Testing of Automobile Seat (자동차 시트 가상설계와 성능평가를 위한 통합시스템 개발)

  • Im, O-Gang;Yu, Wan-Seok;Jeong, Yung-Ho;Kim, Gwang-Seok;Lee, Jin-Sik;No, Hyo-Cheol
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.24 no.7 s.178
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    • pp.1779-1786
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    • 2000
  • Most of traditional design processes of mechanical parts are regarded as sequential and discrete, since different kinds of softwas should be introduced. In this paper, we develop an integrated fram ework for virtual design and performance testing of an automobile seat. The system is composed of four modules, i.e. CAD, static analysis, dynamic analysis, and draft drawing module. In the CAD module, PRO/ENGINEER 3D seat model is created using parameters to be modified with the result of static and dynamic analysis. In the static analysis, headrest tere used in each design stage make it difficult to feedback their results to upstream process. These discrete processes may result in time loss and cost rise. In recent years, life cycle of product is reduced. To have competence with others, new concept design processt is simulated using ANSYS. In the dynamic analysis module, FMVSS201 test is simulated using DADS. Overall data flow is controlled by Motif. The advantage of the system is that even a novice can perform and review the whole design process, without a good hand at professional design/analysis S/W in each stage. The system also provides a virtual design space, where engineers in different development stage can access common data of design models. The concept could be applied to other fields and it could reduce time and money required in design process.

The opportunities of virtual reality in the rehabilitation of children with attention deficit hyperactivity disorder: a literature review

  • Bashiri, Azadeh;Ghazisaeedi, Marjan;Shahmoradi, Leila
    • Clinical and Experimental Pediatrics
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    • v.60 no.11
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    • pp.337-343
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    • 2017
  • Attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders in childhood. This disorder, in addition to its main symptoms, creates significant difficulties in education, social performance, and personal relationships. Given the importance of rehabilitation for these patients to combat the above issues, the use of virtual reality (VR) technology is helpful. The aim of this study was to highlight the opportunities for VR in the rehabilitation of children with ADHD. This narrative review was conducted by searching for articles in scientific databases and e-Journals, using keywords including VR, children, and ADHD. Various studies have shown that VR capabilities in the rehabilitation of children with ADHD include providing flexibility in accordance with the patients' requirements; removing distractions and creating an effective and safe environment away from real-life dangers; saving time and money; increasing patients' incentives based on their interests; providing suitable tools to perform different behavioral tests and increase ecological validity; facilitating better understanding of individuals' cognitive deficits and improving them; helping therapists with accurate diagnosis, assessment, and rehabilitation; and improving working memory, executive function, and cognitive processes such as attention in these children. Rehabilitation of children with ADHD is based on behavior and physical patterns and is thus suitable for VR interventions. This technology, by simulating and providing a virtual environment for diagnosis, training, monitoring, assessment and treatment, is effective in providing optimal rehabilitation of children with ADHD.