• Title/Summary/Keyword: Individualized Support

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Convergence for adherence: Subjectivity of immunosuppressive medication adherence after kidney transplantation patient (이행증진을 위한 융복합: 신장이식 환자의 면역억제제 투약이행에 대한 주관성)

  • Kim, Min-Young;Lee, Eun-Ju;Park, Euna
    • Journal of Digital Convergence
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    • v.13 no.6
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    • pp.235-246
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    • 2015
  • After kidney transplantation, immunosuppressive medication is essential to enhance the quality of life and survival of the transplanted patient. To promote the medication adherence, subjects are required to have converged attitude with open mind. Medication adherence will depend on the attitude of the psychosocial characteristics and treatment guidelines. The purpose of this study was to identify the specific types and characteristics of medication adherence in the view of kidney transplanted patients. Q-methodology, a technique for extracting subjective opinions, was used. Forty participants completed the Q-sort activity, rating each statement relative to the others. The collected data were analyzed by QUANL PC program. Four types of medication adherence of kidney transplanted patients were identified: 'positive lifestyle management type', 'vigilant appearance management type', 'somber oblivion type', 'vigilant family support type'. Through the identification of attitudes to medication adherence, repeated and individualized medication adherence program will help to prevent graft rejection.

The Types of Coping Strageties in Family Caregivers of Demented Elderly (치매노인을 돌보는 가족의 대처유형)

  • Kim, Chun-Mi
    • Research in Community and Public Health Nursing
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    • v.14 no.2
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    • pp.351-361
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    • 2003
  • Purpose: The purposes of this study were to understand the types of coping strategies that family caregivers experience during the process of caring demented elderly: to grasp the coping strategies used for resolving this problem: and to develop a substantive theory by analyzing the coping types of the family caregivers of demented elderly. Method: The methodology of data collection and analysis used in this study was grounded theory proposed by Strauss and Corbin (1990). The data was collected through in-depth interviews with participants using open-ended and descriptive questions about their coping experiences. All data were were audio-taped and transcribed. The data were collected from February, 2000 to February, 2001. The participants of this study were 17 women. Results: Caregiver's coping types varied according to 'family's support', 'the condition of caregiver's health', 'the relationship with dementia elderly', 'family perception of dementia', 'fixed idea of traditional female role' and 'economic state'. In this study, five types of coping strategies were emerged: active role allotment tyle, meaning grant tyle, devotion tyle, duty defense type, and pessimism type. Among these, those who belong to the types of active role allotment, meaning grant, and devotion, including caregiver's good health were found to adapt themselves to caregiver roles. Conclusion: The results of this study may be helpful for developing effective and individualized nursing strategies suitable for individual caregivers coping types. It is suggested to practice nursing mediation and to analyze the changes in nursing effect and family members' adaptation based on coping types of the well-adapted caregivers as we as on their affirmative coping strategy.

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Learning Effects of Flipped Learning based on Learning Analytics in SW Coding Education (SW 코딩교육에서의 학습분석기반 플립러닝의 학습효과)

  • Pi, Su-Young
    • Journal of Digital Convergence
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    • v.18 no.11
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    • pp.19-29
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    • 2020
  • The study aims to examine the effectiveness of flipped learning teaching methods by using learning analytics to enable effective programming learning for non-major students. After designing a flipped learning programming class model applied with the ADDIE model, learning-related data of the lecture support system operated by the school was processed with crawling. By providing data processed with crawling through a dashboard so that the instructor can understand it easily, the instructor can design classes more efficiently and provide individually tailored learning based on this. As a result of analysis based on the learning-related data collected through one semester class, it was found that the department, academic year, attendance, assignment submission, and preliminary/review attendance had an effect on academic achievement. As a result of survey analysis, they responded that the individualized feedback of instructors through learning analysis was very helpful in self-directed learning. It is expected that it will serve as an opportunity for instructors to provide a foundation for enhancing teaching activities. In the future, the contents of social network services related to learners' learning will be processed with crawling to analyze learners' learning situations.

Design and Implementation of WBI System for Test and Diagnoses based on WWW (WWW기반에서 테스트 및 진단을 위한 WBI 시스템의 설계 및 구현)

  • Kim, Du-Gyu;Lee, Jae-Mu
    • Journal of KIISE:Software and Applications
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    • v.28 no.12
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    • pp.938-946
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    • 2001
  • A web support open environment in which flexibility that allows it to be applied in the education field has gradually evolved but the WBI(Web Based Instruction) which compose it have many limitations and problems, as far as learning efficiency is concerned. In particular, existing web-based estimation systems just give information on whether learner's replies are 'correct' or 'incorrect' and offer the learners evaluations of results in terms of scores. Therefore it is difficult for the learners to get more detailed information about their shortcomings and errors. What is needed for the learners is that web based instruction systems diagnose learner's comprehension status, providing c causes: Why did the learners make the errors\ulcorner In this paper, we propose the development of a web-based instruction system that learners can access with their browsers at any time and no matter where they are. Our system has a facility that analyses learner's weak points and diagnoses error cause, giving advice to learners and more detailed error information than existing systems. By accumulating user behaviors, relevant individualized information on the learners can be given.

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A Qualitative Study on Attitude, Acceptability, and Adaptation for Home-delivered Meal Services in the Korean Elderly from the Perspective of Life Context (질적 연구를 통한 삶의 맥락적 관점에서의 노인의 도시락 및 밑반찬 배달 서비스에 대한 수용 태도 및 적응에 대한 이해)

  • Hwang, Ji-Yun;Kim, Bokyoung;Kim, Kirang
    • Korean Journal of Community Nutrition
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    • v.19 no.5
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    • pp.459-467
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    • 2014
  • Objectives: The purpose of this study was to suggest the strategies for improvement of home-delivered meal services for the elderly, to identify reasons for recipients to get started with the services and to evaluate the attitude, acceptability and adaptation of recipients to the services from the perspective of life context. Methods: The data was collected through face-to-face in-depth interviews with eighteen low-income elderly recipients of home-delivered meals and analyzed using a qualitative research method. Results: The results were deduced as four themes which comprised of long-term vulnerable socioeconomic contexts resulted in entry to the services, conflicting acceptability to the services, passive adaptation to taking the services, and positive practices to cope with supplement free meals or other services. The service participation was initiated because of a combination of prolonged, vulnerable socioeconomic contexts, including poverty and unexpected life events such as diseases, disability, living alone, aging and unemployment. With regard to taking the services, conflicting acceptability was observed: positive aspects including saving living cost and good quality of meals, and negative aspects including lack of a tailored service and feeling of stigma. Although the recipients needed an individualized service, they did not express their needs and demands for the services and they accepted the unavailability as an accustomed, prolonged vulnerable socioeconomic context. With regard to lack of tailored services, either self-solution such as modification of eating patterns or community-based network and services were used. Conclusions: We suggest that a system to concretely identify recipients' attitude, acceptability and adaptation for home-delivered meal services should be developed in the establishment of a tailored nutrition support system for the low-income elderly.

Perceptions toward Career Problems in Adolescents from Multicultural Families (다문화 청소년의 진로문제에 대한 인식 유형별 특성에 관한 연구)

  • Kim, Sora
    • The Journal of the Korea Contents Association
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    • v.19 no.8
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    • pp.427-439
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    • 2019
  • The purposes of the study were to introduce a new approach in overcoming career problems of adolescents with multicultural backgrounds, and to explore public views on their careers. Using the Q-methodology, the types of perception toward multicultural adolescents' careers and their features from diverse views were drawn, Data from 35 participants and 34 statements were analyzed by using the QUANL-PC program. The identified perception types were classified as four types: neutral perception type, economic hardship perception type, lack of career training perception type, and lack of professional support perception type. The results found that views toward career problem of adolescents with multicultural backgrounds are neither positive nor negative, and their perceptions were more varied and specific beyond the dichotomy. Therefore, to promote the careers development of adolescents with multicultural backgrounds, more individualized career supporting strategy should be provided based on the applicable perception types.

A Study on the Development of Curation Services of Specialized Library (특화도서관의 큐레이션 서비스 개발에 관한 연구)

  • Kwak, Woojung;Noh, Younghee
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.30 no.1
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    • pp.53-75
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    • 2019
  • This study has examined the policy status of the specialized libraries and analyzed the status of curation services of libraries and similar institutions and portals, and proposed policy directions for the curation services provision of the specialized libraries. As for the results of this study, first, curation information is collected and selected through the participation of various curators, and the curation information is regularly updated on the websites and online gateways toward maximizing the perception of the book collections in place and the use of collections. Second, the scope of the specialized libraries' curation services are diversified, such as research support services, one-on-one customized curation services, and book curation. Third, digital curation services are constructed in connection with specialized themes. Fourth, beacon is installed inside, and based on the information received from the information forwarding media, individualized user services are provided via such data as the scope of movement of the users and the time entailed for dwelling in a space.

Management for Gait Disturbance and Foot Pain in a Patient with Klippel-Trenaunay-Weber Syndrome : A case report

  • Choi, Yoon-Hee
    • Journal of The Korean Society of Integrative Medicine
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    • v.9 no.4
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    • pp.85-89
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    • 2021
  • Background : Klippel-Trenaunay-Weber syndrome (KTS) is a rare congenital medical condition characterized by complex vascular malformation. KTS consists of a classic triad of capillary malformation (hemangioma), venous malformations and bone or soft tissue hypertrophy causing limb asymmetry. The aim of this report is to describe management for gait disturbance and foot pain in a Patient with KTS using custom-made total contact insole. Case presentation : A 32-year-old man with KTS presented with a 3-year history of gait disturbance on hard surface due to right first toe pain and Achilles tendon tightness. The patient had soft tissue hypertrophy, varicose veins and port-wine stains over the right lower limb associated with KTS. True leg length discrepancy was 2 cm. We prescribed custom-made total contact insole to protect his deformed foot and correct leg length discrepancy. The insole of right side included wedge shaped heel lift and the insole of left side included full length lift to add extra support on unaffected side. Also, we provided compression stocking and physiotherapy including manual lymphatic drainage for lymphedema and stretching exercise for tightness in right lower extremity. At 3 years follow-up, postural alignment including pelvic obliquity was improved using a custom-made total contact insole. The degree of scoliosis and foot pain were also reduced. Conclusion : An individualized and multidisciplinary approach is essential regarding the complexity of comorbidities in patients with KTS. For patients with KTS, orthotic management should be considered to prevent and correct deformities related to KTS. Active orthotic management, compression stocking and physiotherapy can enhance the quality of life and function in patients.

A Study on Social Worker's Perception and Practice of the Right to Self-determination for Person with Developmental Disability: Application of Importance-Performance Analysis(IPA) (발달장애인의 자기결정권에 대한 사회복지사의 인식 및 실천에 관한 연구: 중요도-실행도분석(IPA)의 적용)

  • Lee, Nam-Jeong;Lee, Dong-Young
    • The Journal of the Korea Contents Association
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    • v.20 no.11
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    • pp.624-635
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    • 2020
  • This study focuses on the right to self-determination, which has a higher possibility of infringement on rights, for people with developmental disabilities, who are more vulnerable to rights protection than other types of disabilities, and seeks to obtain implications of the basis for academic discussion and practical strategies. To this end, data were collected through a structured survey on 302 social workers in Seoul, Gyeonggi, and Gangwon area to identify the importance and execution degree of self-determination components of the developmental disabled, and descriptive analysis, differences. analysis, matrix analysis was applied. As a result of the analysis, the importance and performance degree were evaluated at an absolute level lower than the positive level, and the overall average standard execution degree was found to be applied relatively later, and the difference between the two levels was statistically significant. Meanwhile, goal setting and achievement, self-management and regulation, branch recognition and perception, etc. were identified as under-action elements as disparity between importance and performance. Therefore, in order to improve the balanced positivity of social workers and people with developmental disabilities in consideration of the reciprocity of human rights protection, applied behavior analysis, positive behavior support, and individualized service plan based on the application of a person-centered program and self-determination improvement program are applied. Suggestions were made on detailed strategies such as accounting.

Need Assessment of Online Dementia Family Caregiver Education Program (치매환자 가족의 온라인 교육프로그램 요구도 조사)

  • Park, Myonghwa;Go, Younghye;Lee, Song Ja;Kim, Seon Hwa;Kim, Jinha;Lee, Dong Young
    • Journal of Digital Convergence
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    • v.15 no.9
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    • pp.301-309
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    • 2017
  • The purpose of this study was to explore family caregiver's need for online education for dementia caregiving. Participants in this study were 220 family caregivers from district dementia centers in Seoul. Family caregiver's usability and needs of online education program were assessed using self-administered questionnaires. Descriptive statistics and t-test comparisons were conducted. About 50% of family caregivers answered they could use and have intention to use online education. The results showed that there were the highest demand for the video lectures which give information about dementia and case video about caregiving skills. There were differences in needs of online program according to the gender and age. The use of online program offers users the opportunity to participate support program at their own time and pace. In order to maximize the effects of online support programs, it is important to establish the strategies of the customized programs considering the characteristics of the caregivers.