• Title/Summary/Keyword: Five-Factors Analysis

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Need of Health Center-based Integrated Healthcare Services for the Elderly in Rural Area (농촌지역 보건소 중심의 노인 통합보건의료서비스 필요도)

  • Won, Eun-Sook;Chang, Sei-Jin;Park, Jong-Ku;Hyun, Sook-Jung;Kim, Chun-Bae
    • Journal of agricultural medicine and community health
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    • v.32 no.1
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    • pp.27-39
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    • 2007
  • Objectives: The challenge of an increasing elderly population has coupled with everpresent social concerns in Korea. A major problem in health center for the frail older people is that medical, healthcare, and welfare services are often fragmented in terms of providers and settings without appropriate coordination. The purpose of this study was to investigate the need of health center-based integrated healthcare services and its related factors for the elderly. Methods: A total of 110 elderly people who had visited at a county Health Center were interviewed using a self-administered questionnaire from November to December, 2005. The questionnaire consists of five domains according to the Program of All-inclusive Care for the Elderly. Results: Respondents had high need (total mean score with the 5-point Likert-type sacle: 3.67) of health center-based integrated healthcare services including home visiting service (mean: 4.08), chronic disease care service (mean: 4.06), and transportation service (mean 4.05). According to the results of hierarchical multiple regression analysis, among three regression models the magnititude of the variance of full model that is explained by the need of welfare-domain service was significantly larger than two reduced model. Income was a significant variable in increasing the need of health care and welfare services. Conclusions: This study suggests that the health center-based integrated healthcare services for the elderly must be continuously developed and provided for the health promotion and improved the quality of life of the elderly who live in rural area in Korea.

Variation Characteristics of the Groundwater Level of Natural Vegetation and Sandy Beaches (식생/모래기반 자연해빈에서의 지하수위 변동특성)

  • Park, JungHyun;Yoon, Han-sam
    • Journal of the Korean Society for Marine Environment & Energy
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    • v.19 no.1
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    • pp.62-73
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    • 2016
  • The variation of groundwater by wave, tide and precipitation conditions is closely related to the vegetation environment at the natural vegetation and sandy based beach, and it has a significant impact on the vegetation development and ground stabilization. In this study, the water temperature, electrical conductivity, and pressure were monitored at five observational stations normal to the Jinu-do(Island) shoreline of Nakdong river estuary from March 2012 to September 2014 (approximately 799 days) with the aim of measuring the variation in groundwater-table characteristics. The purpose of the study was to identify factors (tide, wave etc.) affecting groundwater-table variation using time series and correlation analysis, and to record spatial variations in the groundwater level and electrical conductivity as a result of storm events. The observational station in the intertidal zone was strongly affected by wave period and tide level. During the storm period, the groundwater-table and electrical conductivity were stabilized at the edge of sand dunes, vegetation, and areas of transition between freshwater and seawater.

Development of Borough Road Pavement Condition Evaluation Criteria and Prediction Index (자치구 포장상태평가등급 기준 개선 및 포장상태 예측지수 개발)

  • Lee, Sang Yum;Jeon, Jin Ho
    • International Journal of Highway Engineering
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    • v.18 no.6
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    • pp.115-122
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    • 2016
  • OBJECTIVES : This study develops an evaluation method, which is useful to inspect pavement condition of specific boroughs. This is because pavement condition is broadly divided into five grades via visual inspection, which does not consider the types of deteriorations, and is decided by an investigator having a subjective viewpoint. This visual inspection method is not a satisfactory method for accurate maintenance when various deteriorations occur. METHODS : The performance model considers several factors such as crack, rutting, and IRI. This method is also modified from borough SPI based on SPI (Seoul Pavement Index). Considering limited budget of borough, PI (prediction index) is suggested, which is related to the grade of pavement condition evaluation and type of materials. Practical correlation review is also conducted with statistical verification by using the Monte Carlo simulation. RESULTS : The results of the study show that modified criteria are reasonable. First, the comparison between the visual inspection result and the SPI result indicates that the R-square value is sufficiently high. Second, through the common section, each evaluation method could be compared, and the result shows considerable similarity, which increases when the range is modified. Finally, PI for predicting remaining life and the random number SPI have common parts, which means that each indicator would be adequate to be used as an evaluation method. CONCLUSIONS : Comparison and analysis results show that the developed evaluation method is reasonable for specific boroughs where financial support is inadequate for the evaluation process by using the newer equipment. Moreover, for more accurate evaluation method, previous visual inspection data should be utilized, and the database of inspection equipment have to be collected.

A Study on Satisfaction of New Nurse Orientation Program Applying CIPP Evaluation Model Focusing on Affiliated Hospitals of an Educational Foundation in South Korea. (CIPP평가모형을 적용한 신규 간호사 입문교육 만족도에 관한 연구: 일 학교법인 산하 대학병원을 중심으로)

  • Kim, Young-Jin;Son, Eun-Gyo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.9
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    • pp.226-235
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    • 2017
  • This study was conducted to analyze new nurse satisfaction and factors of the new nurse orientation program and improve their effectiveness. The CIPP evaluation model was applied in this study to assess each module of the program systematically. The respondents of the survey were 452 of five affiliated hospitals of an educational foundation. The respondents' perceptions were 'Senior', 'Operating', 'Introduction', 'Unity', 'Usefulness', and 'Needs' (from highest to lowest). Multiple regression analysis indicated that 'Operating', 'Unity', 'Usefulness', and 'Hospital Introduction' had a significant impact on satisfaction. The results presented herein indicate that planners and operators should improve effectiveness of new nurse orientation programs by enhancing sense of unity, instilling confidence as a nurse, and increasing personal utilization of subjects.

A Study of Nurses' Knowledge, Attitude and Practice Regarding Medical Waste (Busan and Kyongnam Province University Hospitals) (간호사의 의료폐기물에 대한 지식, 태도 및 실천에 관한 연구(부산, 경남지역 대학병원을 중심으로))

  • Yu, Su-Jeong;Ha, Won-Chun;Park, Young-Mi;Ha, Yoon-Ok;Bae, Kyung-Hee
    • The Korean Journal of Health Service Management
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    • v.11 no.1
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    • pp.79-89
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    • 2017
  • Objectives : As a descriptive study, the present research investigated the knowledge, attitude, and practice regarding medical waste and factors influencing these variables, based on nurses working at university hospitals in Busan and Gyoengnam provinces. Methods : The 508 participants were selected from five university hospitals in Busan and Kyongnam provinces and consented to participate in the study between June 1 and July 15, 2016. The collected data were analyzed by using SPSS 23.0 based on descriptive statistics, t-test, ANOVA, Scheffe's test, Person correlation coefficients, and hierarchical analysis. Results : The average scores for knowledge, attitude, and practice regarding medical waste among the participants were 15.88 (1.71), 4.38 (0.45), and 4.24 (0.40) respectively. When the scores for the knowledge and attitude related to medical waste were higher, the score for practice (r=.500, p<.001) increased, and the most influential factor on practice regarding medical waste was attitude toward medical waste (${\beta}=.45$, p<.001). Conclusions : Thus, to reinforce a positive attitude toward medical waste management, continuous education and a systematic approach to minimize health and environmental hazards are needed.

Extension of Typical Meteorological Data and Energy Demand Analysis for Building Energy Efficiency Rating Certification System

  • Lee, Sung-Jin;Kim, Jonghun;Jeong, Hakgeun;Yoo, Seunghwan;Lee, Junghun
    • KIEAE Journal
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    • v.17 no.2
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    • pp.13-20
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    • 2017
  • Meteorological data is one of the important factors in the calculation of building energy demand. The purposes of this study are to review the limitations of the typical meteorological data of ECO2 program and to create the new typical meteorological data and then analyze the building energy demands for additional regions which are not included in the existing 13 region in the ECO2 program. The extended typical meteorological data to a total of 33 regions were based on IWEC(International Weather for Energy Calculations) data files and were created in the form applicable to the building energy efficiency rating certification system. As a result of comparing the heating energy demands of a representative region with the surrounding regions in each of five regions in Korea, the variance of Cv(RMSE) ranged from 36% to 344% and MBE ranged from -32% to 190% for the whole regions. This suggests that the difference of heating energy demand may vary greatly depending on the region where the meteorological data is used and the meteorological data of more detailed regions is needed for reliable calculation of building energy demand.

CT Findings of Persistent Pure Ground Glass Opacity: Can We Predict the Invasiveness?

  • Liu, Li-Heng;Liu, Ming;Wei, Ran;Jin, Er-Hu;Liu, Yu-Hui;Xu, Liang;Li, Wen-Wu;Huang, Yong
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.5
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    • pp.1925-1928
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    • 2015
  • Background: To investigate whether CT findings can predict the invasiveness of persistent cancerous pure ground glass opacity (pGGO) by correlating the CT imaging features of persistent pGGO with pathological changes. Materials and Methods: Ninety five patients with persistent pGGOs were included. Three radiologists evaluated the morphologic features of these pGGOs at high resolution CT (HRCT). Binary logistic regression was used to assess the association between CT findings and histopathological classification (pre-invasive and invasive groups). Receiver operating characteristic (ROC) curve analysis was performed to evaluate the diagnostic performance of diameters. Results: A total of 105 pGGOs were identified. Between pre-invasive (atypical adenomatous hyperplasia, AAH, and adenocarcinoma in situ, AIS) and invasive group (minimally invasive adenocarcinoma, MIA and invasive lung adenocarcinomas, ILA), there were significant differences in diameter, spiculation and vessel dilatation (p<0.05). No difference was found in air-bronchogram, bubble-lucency, lobulated-margin, pleural indentation or vascular convergence (p>0.05). The optimal threshold value of the diameters to predict the invasiveness of pGGO was 12.50mm. Conclusions: HRCT features can predict the invasiveness of persistent pGGO. The pGGO with a diameter more than 12.50mm, presences of spiculation and vessel dilatation are important factors to differentiate invasive adenocarcinoma from pre-invasive cancerous lesions.

A Study of the Estimation of Additional Costs on the Car Accident for Senior People Due to Interaction Effects (상호작용효과에 의한 고령자 사고 추가발생비용 추정에 대한 연구)

  • Yoon, Byoung-Jo
    • Journal of Urban Science
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    • v.6 no.2
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    • pp.59-72
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    • 2017
  • Studies on the calculation of accident costs include the approach on calculating damage costs covering all accidents regardless of first or secondary party and the one calculating damage costs generated by a single victim. These two approaches have a limitation of considering a subject for costs analysis as a single entity. In addition, research on estimating the interaction effects caused in the relationship between diverse traffic accident features and factors remains inadequate since most studies focused on calculating costs incurred in a single entity such as a victim, damaged building, or social organization in charge of managing car accident. This study intends to identify the expected range of old age where a specific interaction effect would remain, compare accidents between old age section and the entire age section, and discover an exogenous variable to be applied in accident drop effects in senior people and reduced benefits by calculating and testing additional accident costs in case the first party and the second party all pertain to the senior age section. By classifying the entire accidents caused by old drivers according to the types of cars, significant coefficients representing the influence that affects car accidents according to the characteristics are calculated and set them as the representative variables by selecting top variable in accordance with from low to high order. Furthermore, characteristics on five age groups such as a group of over 65 and less than 70, a group of over 70 and less than 75, a group of over 75 and less than 80, a group of over 80 and less than 85, and a group of over 85 are elicited and compared them with these preselected accident characteristics variables, thereby identifying what changing effects come out.

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Concurrent chemoradiotherapy improves survival outcome in muscle-invasive bladder cancer

  • Byun, Sang Jun;Kim, Jin Hee;Oh, Young Kee;Kim, Byung Hoon
    • Radiation Oncology Journal
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    • v.33 no.4
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    • pp.294-300
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    • 2015
  • Purpose: To evaluate survival rates and prognostic factors related to treatment outcomes after bladder preserving therapy including transurethral resection of bladder tumor, radiotherapy (RT) with or without concurrent chemotherapy in bladder cancer with a curative intent. Materials and Methods: We retrospectively studied 50 bladder cancer patients treated with bladder-preserving therapy at Keimyung University Dongsan Medical Center from January 1999 to December 2010. Age ranged from 46 to 89 years (median, 71.5 years). Bladder cancer was the American Joint Committee on Cancer (AJCC) stage II, III, and IV in 9, 27, and 14 patients, respectively. Thirty patients were treated with concurrent chemoradiotherapy (CCRT) and 20 patients with RT alone. Nine patients received chemotherapy prior to CCRT or RT alone. Radiation was delivered with a four-field box technique (median, 63 Gy; range, 48.6 to 70.2 Gy). The follow-up periods ranged from 2 to 169 months (median, 34 months). Results: Thirty patients (60%) showed complete response and 13 (26%) a partial response. All patients could have their own bladder preserved. Five-year overall survival (OS) rate was 37.2%, and the 5-year disease-free survival (DFS) rate was 30.2%. In multivariate analysis, tumor grade and CCRT were statistically significant in OS. Conclusion: Tumor grade was a significant prognostic factor related to OS. CCRT is also considered to improve survival outcomes. Further multi-institutional studies are needed to elucidate the impact of RT in bladder cancer.

A Study on the Development of Criteria to Assess the Business Performance of the Development Fund for Women and the Organizations it Supports - focusing on the Assessment of the Seoul Metropolitan Government's Development Fund for Women - (여성발전기금의 평가도구 개발 및 지원단체의 사업수행능력 평가에 대한 연구 - 서울특별시 여성발전기금 지원사업 평가를 중심으로 -)

  • Lee, Bong-Wha;Kim, Kyoung-A
    • Journal of the Korean Home Economics Association
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    • v.44 no.3 s.217
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    • pp.127-141
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    • 2006
  • This study aims to create assessment tools for the development fund for women, and to assess the business performance of the organizations using this development fund for women on the basis of such tools. A total of 57 projects by 58 organizations were assessed for a period of eight months. The assessment was carried out by using five tools: 1) examining the weight of the assessment tools, 2) visiting and inspecting project sites, 3) visiting and inspecting the offices of the participating organizations, 4) cooperating with the Seoul Metropolitan Government for municipal administration, and 5) assessing the final project report. Each tool was comprised of three elements: ability of relevant organizations, operational procedure, and projects results. The assessment results are summarized below: 1. According to the examination of the general trends in assessing the organizations that received the Development Fund for Women, it was found that the assessment emphasized performance more than the process involved in the project. Thus, the result suggested that the projects should be carried out more aggressively. 2. Regression analysis was conducted to identify the capability of the organizations in performing the projects with the development fund for women and the capability of the subjects as an independent variable. It was observed that such capabilities were affected by the degree of role sharing and the utilization of internal organizations. It suggested the importance of human resources. 3. To motivate the subjects involved in executing the projects with the use of the Development Fund for Women, the requirements and the satisfaction factors suggested strengthening the scope of financial support and activating the project environment. In conclusion, it is considered that the findings would provide practical ways to improve the system in using the Development Fund for Women, and in setting relevant policies in the future.