• Title/Summary/Keyword: Family as a unit

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Effect of an Intervention Using Voice Recording of a Family Member on Patients Undergoing Mechanical Ventilator Weaning Process (녹음된 목소리를 통한 가족중재가 인공호흡기 이탈 과정 환자에게 미치는 효과)

  • Choi, Ah Young;Kim, Min Young;Song, Eun Kyeung
    • Journal of Korean Academy of Nursing
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    • v.54 no.1
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    • pp.32-43
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    • 2024
  • Purpose: This study aimed to determine the impact of an intervention using voice recording of family members on pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. Methods: A randomized control pre-post experimental design was implemented to 53 participants, with 27 and 26 participants in the experimental and control groups, respectively. A 70-second voice recording of a family member, repeated three times at 10-minute intervals was used as an intervention for the experimental group. Meanwhile, participants in the control group used headset for 30 minutes. Structured instruments were utilized to measure pain, anxiety, agitation, and the weaning process. Wilcoxon Signed Ranks test and the Mann-Whitney U test, or χ2 test, were used for data analysis. Results: The experimental group exhibited significant decrease in pain (Z = - 3.53, p < .001), anxiety (t = 5.45, p < .001), and agitation (Z = - 2.99, p = .003) scores compared with those of the control group. However, there was no significant difference between groups in the weaning process' simplification (χ2 = 0.63, p = .727). Conclusion: Intervention using family members' voice recording effectively reduces pain, anxiety, and agitation in patients undergoing weaning from mechanical ventilation. This can be actively utilized to provide a more comfortable process for patients.

The Impact of Chronic Illness on Children and their Families (아동의 만성질환이 환아 및 환아 가족의 일상생활에 미치는 영향)

  • Han, Kyung-Ja;Park, Yeun-Hwan
    • Journal of Home Health Care Nursing
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    • v.8 no.2
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    • pp.135-147
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    • 2001
  • The aim of this descriptive study was to identify the impact of chronic illness on children and their families. Mothers of 177 children with chronic disease were recruited from aged one to 17 years hospitalizing the pediatric nursing unit at one university hospital. 28 questions. a self-complete maternal questionnaire developed by researchers based on literatures and 'The Impact of Childhood Illness Scale' (Hoare & Russell, 1995) assess four aspects of the child's and family's lifestyle with two dimensions for each question. the frequency of the problem and its importance of concern that it cause. In the data analysis. Pearson correlation coefficients and analysis of variance were used to test any association and a statistical comparisons. between individual variables and the impact on child's and family's lifestyle. The results were as follows: 1) There were the higher mean scores on the importance dimension than on the frequency dimension on total impact on child's and family's lifestyle. On the importance dimension. mothers had much higher levels of concern about impact on child's development and adjustment among subscales. On the frequency dimension, mothers had much higher levels of concern about impact on the family daily living on subscales. 2) The impact on child's and family's lifestyle related on individual variables were: (1) On the importance dimension. there was statistically significant low in the impact on child's development and adjustment among subscales in older parent group compared with it of younger parent group. (2) On the frequency dimension. there were statistically significant high in the impact on child's development and adjustment among subscales in the children with leukemia or cancer compared with it of the other children who had another chronic illnesses. And there were statistically significant high in the impact on child's development and adjustment among subscales in less than high school educated mothers compared with it of mothers who was educated college level. (3) On the frequency dimension. There were statistically significant high in the impact on family's daily living among subscales and total impact on child's and family's lifestyle in female children. (4) There was positive correlation between impact on parents daily living and frequency of child's hospitalization on the frequency dimension. but there was negative correlation between the two variables on the importance dimension. (5) There was positive correlation between impact of chronic illness and its treatment and duration of child's hospitalization on the frequency dimension. In conclusion. these results were reflected by the high level of concerns about impact on child's development and adjustment although mothers had frequently responded about the impact on the family daily living. We suggest consistent intervening program that help the family empowering to make children live with and adjust to their chronic illnesses from the point of diagnosis and after discharge from the hospital. We also suggest these results can be utilized as a useful data in the practice of home health nursing for children who have chronic illnesses and their families.

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Analysis on the Importance Degree of Design Checklist for the Elderly Housing Unit (노인공동주거시설 단위주호의 설계지침 중요도 분석)

  • Ju Seo Ryeung;Cho You Jin
    • Journal of Families and Better Life
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    • v.22 no.6 s.72
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    • pp.111-119
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    • 2004
  • A rapid increase of the elderly population and changes in the social structure, family type and lifestyle bring us to the moment for considering the various aspects of supporting the elderly including the elderly housing facilities. Traditionally it is considered as a merit for a son to support parents in his own house. Hut recently the elderly increasingly want to live independently without support from their children. To satisfy these needs, new housing facilities for the elderly were developed by private non-profit foundations. A number of outstanding housing facilities for the elderly have been built in the last five years. These facilities show significant progress in housing for the elderly. Unfortunately, there u e no standard design checklists or guidelines for housing for the elderly available in Korea. The housing facilities were built based on foreign design guidelines or architect's experience. This research aims to develop an affordable design checklist that can meet the needs of the Korean elderly lifestyle. This study evaluated the senior residential facilities using Woo's checklist which consolidated the guidelines available here and abroad. As the result of this study, we presented the checklist subject in upper group $25\%, middle group, lower group $25\% distribution and 6, 5, 4, categories in order to importance. When designing the future senior residential facilities, a constraint can be made based on the scope and financial factors of the facility first and the determine how extensive the application of the checklist should be.

An Examination of Needs for the Reuse Planning of Deteriorated Multi-family Housing (노후공동주택의 재사용계획을 위한 요구성 조사)

  • 현택수;장석하;이병태
    • Journal of the Korean housing association
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    • v.10 no.1
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    • pp.137-144
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    • 1999
  • This study examines the general reuse plan for deteriorated multi-family housing (apartrtments) in the urban fringe of Taegu City. The apartments which were built in the 1970's have to be improved. It is necessary to carry out the actual investigation for alternatives of reconstruction or reuse. From the above point of view, the study lays its purpose to find pertinent directions for the reasonable reuse plan, and gets on as follows; 1) Analize the residential state for users' needs of detoriorated aprtments through an investigation. 2) Synthesize the experts' opinions about matters related to reuse planning through a questionnaire. 3) Suggest the general solutions in three areas; unit dwelling, housing site, equipment and facilities, Finally, in the future housing development projects, concepts of reuse planning should be reflected beforehand.

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TOEPLITZ DETERMINANTS FOR λ-PSEUDO-STARLIKE FUNCTIONS

  • Murat Caglar;Ismaila O. Ibrahim;Timilehin Gideon Shaba;Abbas Kareem Wanas
    • Communications of the Korean Mathematical Society
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    • v.39 no.3
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    • pp.647-655
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    • 2024
  • In this article, by making use of the λ-pseudo-starlike functions, we introduce a certain family of normalized analytic functions in the open unit disk U and we establish coefficient estimates for the first four determinants of the Toeplitz matrices T2(2), T2(3), T3(2) and T3(1) for the functions belonging to this family. Further, some known and new results which follow as special cases of our results are also mentioned.

An Empirical Analysis of Optimal Size Combination in the Small Crop-Livestock Cycling Organic Farm (소규모 경축순환 유기농가의 경제적 최적규모 조합 실증 분석)

  • Choi, Deog-Cheon
    • Korean Journal of Organic Agriculture
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    • v.26 no.1
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    • pp.57-72
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    • 2018
  • Organic agriculture seeks sustainable agriculture. Organic agriculture is based on circulating agriculture of a family farm unit. However, as of the end of 2016, only 33 out of the total organic farming farms were implementing Crop-Livestock cycling organic farming. The reason seems to be a matter of income after all. The optimal size combination refers to the scale by which family farms can maintain their quality of life while engaging in farming activities. In other words. it is a farm scale that maintains optimal income through stable labor costs. In the meantime, there has been no previous study on the optimal economical combination of Crop-Livestock cycling farming. Choi (2016) analyzed whether the economies of scope (EOS) were realized in the combined production by using the management data of the farmers who practiced Crop-Livestock cycling organic farming for four years. As a result, it has been revealed that the EOS measurement value is 0 or more so the economies of scope are being realized. Therefore, the purpose of this empirical analysis is to identify farm incomes under this circumstance. It is assumed that the optimum production is achieved by balancing the total income curve and the total cost curve in the optimal scale production range. The results of the analysis are as follows. First, the income after the conversion to Crop-Livestock cycling farming was 44,789,280 won, the sum of the seedling-livestock sector, which was 17,873,120 won higher when the non-Crop-Livestock cycling farming was assumed. The same is true for 2014 and 2015. The reason for this is that pig droppings were composted from organic seedlings, and the cost of selling pork was 150,000 won/per pig more expensive even though the manufacturing cost of organic feeds was higher than the purchasing cost. Secondly, this study simulated the result that the economic index varies when the farm size combination is changed by the farm size of 100% standard (S100) as of 2014. S130 is the increase in size from 100% of 2014, whereas S30 is the result of 3ha crop and 66 livestock (pigs). As a result of this simulation, Crop-Livestock cycling farming income decreased more than non-Crop-Livestock cycling farming as the farm size decreased, whereas the income decreased as the farm size increased. When the size was reduced below S50, the income tended to decrease. In this situation, EOS changed in the same direction. The results showed that when the farming size was reorganized and reduced to 50% compared to 2014, the income and income difference was the highest. At the same time, economies of scope (EOS) were the highest at 0.12985. In other words, it was found that the income of farm houses in a family farm unit sector was the best in the combination of 1.5ha crop agriculture and 110 livestock (pigs).

Characteristics Associated with Survival in Patients Receiving Continuous Deep Sedation in a Hospice Care Unit

  • Ahn, Hee Kyung;Ahn, Hong Yup;Park, So Jung;Hwang, In Cheol
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.254-260
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    • 2021
  • Continuous deep sedation (CDS) is an extreme form of palliative sedation to relieve refractory symptoms at the end of life. In this study, we shared our experiences with CDS and examined the clinical characteristics associated with survival in patients with terminal cancer who received CDS. We conducted a chart audit of 106 consecutive patients with terminal cancer who received CDS at a single hospice care unit between January 2014 and December 2016. Survival was defined as the first day of admission to the date of death. The associations between clinical characteristics and survival were presented as hazard ratios and 95% confidence intervals using a Cox proportional hazard model. The mean age of participants was 65.2 years, and 33.0% (n=35) were women. Diazepam was the most commonly administered drug, and haloperidol or lorazepam were also used if needed. One sedative was enough for a majority of the patients. Stepwise multivariate analysis identified poor functioning, a high Palliative Prognostic Index score, hyperbilirubinemia, high serum ferritin levels, and a low number of sedatives as independent poor prognostic factors. Our experiences and findings are expected to be helpful for shared decision-making and further research on palliative sedation.

Analysis of Home Economics Textbooks for High School (고등학교 가정 교과서 분석 연구)

  • 윤인경
    • Journal of Korean Home Economics Education Association
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    • v.10 no.2
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    • pp.87-99
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    • 1998
  • The purposes of the study are to see as to how much of changes has occurred in the newly revised high school Home Economics Textbooks required by the 6th Curriculum and to seek future policy directions which can be improved even better, if any, for further revision. To implement this proposal, the study employs 6 different textbooks published in 1996 geared for the 6th Curriculum for data base. The components of the contents divides into two major parts. The first part faUs into a category of holistic analysis of the textbooks, which gives a general perspective of the changes in the textbook revised. It includes those areas of changes in the total number of pacover page, illustrations, table of contents, appendices, unit cover, introductory remarks, summary and evaluation, etc. It also covers the information on authors of textbook. The latter part consists of several specific areas of major changes occurred in the textbooks for the 6th Curriculum. It covers such areas of changes in the composition of category and its weigh laboratory experiences, and illustrations and tables. To conclude the study, there found followings key features : 1) The new textbooks have adopted more of varieties in physical appearances and contents per se as to the older ones. And yet, there still found a weakness in numbers of authors participated to a full reflection of contents variety. In addition, the background of authors reflected on an unrealistic idealism which lacks the on-site information provided by the school teachers. 2) The content area consists of 3 major areas of Human Development & Family Relationship. Food and Nutrition. Clothing and Textiles with ratio of 23.8%, 23.1%, and 21.9% respectively. 3) Human Development & Family Relationship area ranked first with 71 times in the numbers of laboratory activities for each content area. followed by Food and Nutrition with 56 and Family Resorces & Consumerism with 54. These increased numbers of laboratory activities in textbooks represent the changing contents of Home Economics and imply the desirable and positive directions of Home Economics education in Korea. numbers of laboratory activities for each content area. followed by Food and Nutrition with 56 and Family Resorces & Consumerism with 54. These increased numbers of laboratory activities in textbooks represent the changing contents of Home Economics and imply the desirable and positive directions of Home Economics education in Korea.

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Development of Teaching and Learning Process Plans Based on the Use of the Metaverse ZEP Platform in Practical Arts (Technology & Home Economics) Focusing on the "Family Life" Unit (실과(기술·가정) 교과 '가족' 영역 메타버스 ZEP 플랫폼 기반 교수·학습 과정안 개발)

  • Eun Mi Ko;Sung Sook Kim;Hyoung Sun Kim;Yeon Jeong Kim;Jung Hyun Chae
    • Human Ecology Research
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    • v.61 no.4
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    • pp.543-563
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    • 2023
  • The purpose of this study is to design and develop a Metaverse ZEP platform-based teaching and learning process plan by selecting learning topics that are commonly dealt with among the core concepts of the "family" area of practical (technical and home) subjects. To this end, a teaching and learning process plan was developed through planning, Metaverse platform design, expert review, and revision stages. The Metaverse ZEP "Open Class Day" platform, a virtual learning space, was created and developed to further utilize EduTech programs, such as Padlet, Mentimeter, Jamboard, Miricanvas, and Spatial. The teaching and learning process plan developed in this study consists of a total of seven sessions, including approaching EduTech, Changing Families, Exploring Our Family, and Counseling Centers 1, 2, and 3. Among them, Geumji Counseling Center 1, 2, and 3 was designed as a class in which parents and children participate together in open classes using the ZEP platform. This platform can be used as part of parent classes as well as to encourage online participation in the open classes held periodically at each individual school. In terms of the content validity ratio (CVR) of the developed teaching and learning process verified through five experts, 12 out of 15 questions had a CVR of 1, while the remaining three questions had a CVR of 0.6. The three questions with lower validity were revised and supplemented.

A Study on Unit Modular Design Method of Urban-type Housing (도시형 생활주택의 유닛 모듈라 공법 설계에 관한 연구)

  • Lee, Ga-Kyung;Lim, Seok-Ho
    • Journal of the Korean housing association
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    • v.22 no.5
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    • pp.101-110
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    • 2011
  • The Ministry of Land, Transport and Maritime Affairs has announced a policy which can enable the building of urban type housing with the use of a prefabrication method 2010. However, such may possibly be at standstill owing to the prefabrication methodology that has not been currently developed in Korea. Moreover, small households of consisting of one or two family members have been steadily increasing, but the small housing units in which they reside has been decreasing. Due to this situation, urban type housing has been proposed. To expand the propagation of such urban type housing and to promote prefabrication methods, the top priority project is to develop a technology that is able to reduce construction costs, as well as to shorten the actual construction period. In consideration of this prefabrication system for an avenue to solve such problems, a series of systems and policies for the fostering of prefabricated urban type housing has been proposed. This study is to review a series of methods, technologies and policies that are required for such urban type housing and henceforth, to utilize such as preliminary data for further prefabricated urban type housing.