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Characteristics of Individuals Seeking Comprehensive Health Check-ups (종합 건강검진을 원하는 피검진자의 건강특성에 관한 연구)

  • 성미혜
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.563-576
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    • 1997
  • This study was carried out to identify basic data for more efficient operation of comprehensive health check-up centers in the national health care system. The researcher reviewed and analyzed the main symptoms of the subjects according to sex, age, occupation and positive rate in the screening tests of a comprehensive health check-up, performed at one comprehensive health check-up center in located in a hospital. The subjects were 512 persons who had a check-up at the comprehensive health check-up, center in K university hospital in Seoul from October 2, 1996 to March 30, 1997. A questionaire developed by the researcher to obtain subject's general characteristics, main symptoms, medical examination, diagnosed disease was used as the tool for the study. The researcher analyzed the data with SPSS PC/sup +/ program. : the distribution of the subject's general characteristics and main symptoms was described with percentages and the difference between main symptoms and screening tests analyzed with X²-test, t-test, ANOVA. The result of this study are as follows : 1. For the distribution of diagnosis in males. liver disease was most frequent and hypertension was second : in females, hypertention and liver disease were not common in that order. 2. The most common complaints were indigestion in the digestive system, sputum in the respiratory system, irregular heart beat in the cardiovascular system, frequent urine in the urinary system vertigo in the hematologic system. 3. The main symptoms according to sex were for females, a statistically siguificant higher rate of complaints in the digestive system, cardiovascular system, urinary system, hematologic system, musculoskeletal, mental & nervous system as compared to males. 4. The main symptoms according to age were that in the the second decade there wara higher rate of complaints in the digestive system, and cardiovascular system than in the older age groups : and in the fifth decade more in the musculoskeletal system. 5. The main symptoms according to occupation were that formers and fishers had a higher rate of complaints in the mental and nervous system as compared to other occupation groups : and office workers, in gynecology. 6. The main symptoms according to diagnosis, were symptoms of the digestive system, frequent in liver disease : symptoms of the cardiovascular system in allergic disease. 7. The screening tests which showed the highest rates were UGI /FGS, PFT : In males a higher rate of abnormality was seen in abdominal ultrasono- graphy and in, females, in mammography. 8. In screening tests according to sex, males showed a higher positive rate for chest X-rays, and LFT, and females, in mammography, pap smear, CBC. 9. In screening tests according to age, higher positive rates of obesity, high blood pressure, chest X-ray, mammography, pap smear, FBS, CBC, urine test were seen in the fifth decade : PFT and abdominal ultrasonography in the third decade. The subjects who wanted comprehensive health check-up were not asymptomatic but had an illness with several symptoms. It is found that the most frequent diagnosed diseases were hypertention and liver disease. So proper observations must be done for them. Comprehensive health check-ups should be changed to a comprehensive examination including treatment beyond examination for those subjects with positive results.

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A Structural Model for Quality of Life in Individuals with Rheumatoid Arthritis (류마치스성 관절염 환자의 삶의 질에 대한 구조 모형)

  • 오현수;김영란
    • Journal of Korean Academy of Nursing
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    • v.27 no.3
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    • pp.614-626
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    • 1997
  • The main purposes of the study were to develop and test a model which explains the dynamic relationship among factors reported as affecting to the quality of life of individuals with rheumatoid arthritis and to examine the relationship between self-help response and quaility of life. Data for the study were collected from March 1996 to December 1996 from 153 female patients who regularly visited a clinic for people with rheumatism. The patients were introduced to the investigators by nurses who worked at that clinic, and then the investigator interviewed the patients for 30 to 40 minutes to collect the data. Instruments used in the study were modified self-report questionaires from the ones which were already developed in previous studies or from related literature. Data analysis were performed using LISREL(Lineal Structural Relations) 8 program to test whether the proposed hypothesized model fit the collected data. To test the fitablity of the hypothesized model both a general fit measure and a detailed fit measure were used. Based on the test results from the various fit measures, the hypothesized model was found to be well suited to the real data. As characteristics related to illness becomes severe, the feasibility for these characteristics leading to the perception of uncertainty about the illness tend to increase, but, the direct effects from the illness characteristics(such as level of physical symptoms, sense of social-psychologic change, limitations of action) as they are related to the other intrinsic variables (self-efficacy or self-help behavior and quality of life), were found to be not significant. It was found that uncertainty had a direct effect on self-efficacy but did not have a direct effect on self-help behavior or quality of life. Also, it is noted that self-efficacy had a positive effect on self-help behavior and quality of life and there was a bilateral relationship between self-efficacy and self-help behavior. Lastly, the hypothesis proposed from the theoretical model in this study was supported basis of the results that self-help behavior provides both direct and positive effects to quality of life. Particularity, since a bilateral relationship was also found between self-help behavior and quality of life in the modified model, as self-help behavior increased, so did quality of life. And, reversely, as quality of life increased, so did self-help behavior. In conclusion, the results of this study suggest that focusing on both acquirement and reinforcement of adjustment factors or self-help behavior is more efficient than focusing on the characteristics of illness in establishing the stategies for improving quality of life of individuals with rheumatoid arthritis.

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Comparative Study on Head Nurses간 Role Perception to own Role and Staff Nurses간 Role Expectation to their Head Nurse between University Hospitals and General Hospitals (수간호사의 역할인식과 간호사의 수간호사에 대한 역할기대 연구(대학부속병원과 일반종합병원의 비교))

  • 이숙현
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.281-299
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    • 1990
  • The organization of nursing department Significantly effects the hospital management. Especially, The head nurse is one of the most important position because head nurse is a first-line manager in the hospital level, a middle manager in nursing service organizations level and the top manager in each nursing unit level. This study was attempted to show the ideal model and nile by compare head nurses' role perception with staff nurses' role expectation according to two types of hospital. The survey was conducted among 94 head nurses and 233 staff nurses who are working at 5 different University Hospitals over 600 beds and 93 head nurses and 218 staff nurses Who are working at 12 different General Hospitals between 100∼300 beds in Seoul. The data was collected in a period from 8th September to 13th October in 1989 and the instrument used for this study was based on Han's one and reffered back to many literary sources and revised. The collected data was analysed by computer using S.P.S.S. program as a Mean, Percentage, Cronbach's alpha, Chi-Square, t-test and ANOVA. 1. The study was compared to the difference of the two subject group's general characteristics according to a type of hospital. As a relult, there were significant differences in age, educational background and career. 2. This Study was compared to the difference of the two subject group's role perception and role expection about each question according to a type of hospital. The result of this comparisons as follows : First, These were the most important issue between both groups : “Head nurse has to know about her staff's events and problems and then help them to solve that promptly.” Second, These were the least important issue between both groups : “Head nurse has an interview with patient's family and visitors”, “Head nurse is interested in her staff's privacy.” 3. This study was compared to the differences of each role areas according to a type of hospital. As a result, there were no significant differences both two subject groups except nursing manager role in staff nurses' group(t=-2.893, df=449.0, p=0.004). 4. This study was tested to the difference of the two subject groups according to general characteristics. As a result, All of that there were no significant differences.

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Health Status of Elderly Persons in Korea (한국노인의 건강상태에 대한 조사연구)

  • 최영희;김문실;변영순;원종순
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.307-323
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    • 1990
  • This Study was done to design and test an instrument to measure the health status of the elderly including physical, psychologyical and social dimensions. Data collection was done from July 18 to August 17, 1990. Subjects were 412 older persons in Korea. A convenience sample was used but the place of residence was stratified into large, medium and small city and rural areas. Participants located in Sudaemun-Gu, Mapo-Gu, and Kangnam-Gu, Seoul were interviewed by brained nursing students, and those in Chungju, Jonju, Chuncheon, and Jinju by professors of nursing colleges. Rural residents were interviewed by community health practioners working in Kungsang-Buk-Do, Kyngsang- Nam - Bo, Jonla Buk -Do, and Kyung Ki- Do. The tool developed for this study was a structured questionnaire based on previous literature and then tested for reliability and validity. This tool contained 20 physical health status items, 17 mental-emotional health status items and 38 social health status items. Physical health status items clustered in to six factors such as personal hygiene, activity, home management, digestive, sexual, sensory, and climination functions. Mental-emotional health status items clustered into two factors, mental health and emotional health. Social health status items clustered into seven factors, grandparent, parent, spouse, friend, kinships, group member and religious role functions. Data analysis included percentage, average, S.D., t-test and ANOVA. The results of the analysis were as follows : 1. The tool measuring the health status of the elderly and developed for this research had a relatively high reliavility indicated by a cronbach=0.97793. 2. Average score of the subjects physical health status was 4, 054 in a 5 point likert scale, mentalemotional health status was 3.803, social health status was 2.939 and the total average was 3.521. The social status of the subjects was the lowest and the next was mental-emotional health status ; physical health status was the highest. 3. Educational background, perceived health status, the amount of pocket money were related to physical and mental-emotional health status and family structure was related mental-emotional physical and social health status. Occupation was related to physical and mental-emotional status. Area of residence was related to metal-emotional and social status. Source of living in the expeneses was related to physical and mental-emotional health status marital status to mental-emotional and social health status, and the number living in the home physical health status and religion to social health status. The following conciusions were derived from the above results ; 1. The health status of Korean elderly was relatively sound but social health status was the most vulnerable. The Social activity for Korean elderly is needed to improve social health. 2. Educational background, perceived health status and the amount of pocket money must be considered in the health assessment criteria of the elderly, Family structure, marial status, occupation, residence variables and sources of living expense must also be considered as significant. 3. A health education program based on the educational background of the elderly, and provision of an occupational socioeconomic welfare policy will be useful in order to increase social health status of Korean elderly.

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Quality of life of Middle -Aged Persons Who have cancer (중년기 암환자의 삶의 질에 관한 연구)

  • 한윤복;노유자;김남초;김희승
    • Journal of Korean Academy of Nursing
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    • v.20 no.3
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    • pp.399-413
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    • 1990
  • This descriptive study was under taken to explore relationships among the quality of life, health locus of control and perceived state of health persons with cancer to contribute theoretical understanding about these phenomenon of interest to the quality of nursing care. The subjects of this were 200 persons with cancer (100- in patients and 100- out patients), both male and female, between 30 and 59 years of age. Data were obtained using a convenience sample technique from two university hospitals in seoul from August, 1989, to June, 1990. The instruments used for this study were the Quality of life scale developed by Ro, You - Ja and the Health Locus of Control scale developed by Wallston & Wallston. Data were analyzed using a SAS program for ANOVA, t-test, Schefffe test, Pearson Correlation Coefficients and Stepwise multiple regression. The results were as follows : 1. The scores on the quality of life scale ranged from 95 to 191 with as mean of 147.85(range 47 to 235). The Mean scores(range 1-5) on the different dimensions were family relationships 3.50, relationships with neighbours 3.48, self - esteem 3.17, physical state and function 2.99, economic life 2.93 and emotional life 2.91. 2. Significantly higher scores on the quality of life and demographic characteristics were as follows : the quality of life for women(t=2.80, p= .006), for those without complications(t=2.54, p= .013), and for those who perceived their illness as mild(F=4.85, p= .009). Higher scores on quality of life were correlated with the following : 1) emotional state and the age group 50-59(F=3.43, p= .34). 2) economic life and higher income(F=6.72, p= .002), those without complications(t=2.68, p= .00), and those who perceived their illness as mild(F=3.11, p= .05). 3) self-esteem and marriage(F=3.64, p=.028), those without complications(t=2.18, p=.03), and those who perceived their illness as mild(F=7.72, p=.000). 4) physical state and funciton and the age group 30-39(F=4.65, p=.010), those without complications (t=2.00, p=.05), and those who perceived their illness as mild(F=3.38, p=.04). 5) family relationship and those who live with their spouse(t=2.82, p=.005). 3. There was a significant positive correlation between the subjects perceptions of their current state of health and the quality of life score(r=.4364, p=.0001). 4. There was no relationship between Locus of control and quality of life in this sample. 5. Stepwise multiple regression analysis showed that: 1) the perception of current health status was the main predictor and accounted for 20.11% of the total variance. 2) sex and educational level accounted for an additional 21.71% of the total variance. 6. The quality of life and the perception of their current health status of these patients with cancer were generally lower than those of healthy adults as noted in previous studies. In conclusion, the quality of life for these cancer patients was generally low especially in regard to their emotional state. The current perceived state of health, sex, complications and perceived degree of illness were important variables relatiog to quality of life.

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ROENTGENOCEPHALOMETRIC STUDY ON FACIAL HEIGHT AND OCCLUSAL PLANE INCLINATION IN CLASS II MALOCCLUSION GROUP (성인 II 급 환자의 안면 수직고경및 교합평면의 특징에 관한 두부방사선학적 연구)

  • Nahm, Dong-Seok;Jeong, Mi-Hyang
    • The korean journal of orthodontics
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    • v.28 no.2 s.67
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    • pp.255-268
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    • 1998
  • This study was investigated to assess the difference of facial height and occlusal plane inclination between normal occlusion group and class II malocclusion group. The subjects consisted of 50 normal occlusion (male 25, female 25) and 50 class II(male 25, female 25) malocclusion patients. All subjects are adult. lateral cephalogram was taken with standard method traced, and digitized for each subjects. The computerized statiscal analysis was carried out with SPSS program. The results were as follows 1. In class II malocclusion group, variables significant different from normal occlusion group were as follows ; SN-FOP, FH-BOP, MP-BOP, AB-BOP, AB-FOP, Facial plane-BOP, FP-FOP 2. In class II malocclusion group, the posterior facial height -especially posterior lower facial height-was significantly smaller than normal occlusion group.(P<0.05) 3. In class II malocclusion group, the angles between occlusal plane and upper and lower incisor, the angle between upper molar and bisected occlusal plane were significantly larger than those of normal occlusion group. (P<0.05) 4. L1 to Mandibular plane (mm) was a unique factor of occlusal plane position that showed significant difference in class II malocclusion group. 5. The correlation between overbite and occlusal plane inclination existed in class II malocclusion group, but the correlation didn't exist in normal occlusion group.

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Assessment Method of Step-by-Step Cyber Security in the Software Development Life Cycle (소프트웨어 생명주기 단계별 사이버보안 평가 방법론 제안)

  • Seo, Dal-Mi;Cha, Ki-Jong;Shin, Yo-Soon;Jeong, Choong-Heui;Kim, Young-Mi
    • Journal of the Korea Institute of Information Security & Cryptology
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    • v.25 no.2
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    • pp.363-374
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    • 2015
  • Instrumentation and control(I&C) system has been mainly designed and operated based on analog technologies in existing Nuclear Power Plants(NPPs). However, As the development of Information Technology(IT), digital technologies are gradually being adopted in newly built NPPs. I&C System based on digital technologies has many advantages but it is vulnerable to cyber threat. For this reason, cyber threat adversely affects on safety and reliability of I&C system as well as the entire NPPs. Therefore, the software equipped to NPPs should be developed with cyber security attributes from the initiation phase of software development life cycle. Moreover through cyber security assessment, the degree of confidence concerning cyber security should be measured and if managerial, technical and operational work measures are implemented as intended should be reviewed in order to protect the I&C systems and information. Currently the overall cyber security program, including cyber security assessment, is not established on I&C systems. In this paper, we propose cyber security assessment methods in the Software Development Life Cycle by drawing cyber security activities and assessment items based on regulatory guides and standard technologies concerned with NPPs.

A Dog Park Planning Model for Promoting Animal Welfare Culture in Regional Community, Korea (지역사회의 동물복지문화 증진을 위한 도그파크 계획 모형)

  • Lim Soo-Hee;Lee Gwan-Gyu;Yang Byoung-E;Park Jong-Hwa;Sin Nam-Sik
    • Journal of the Korean Institute of Landscape Architecture
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    • v.33 no.4 s.111
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    • pp.129-142
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    • 2005
  • Korea's pet-related society has been fast growing without the base and preparations of socio-cultural animal welfare. For the most part, Korea's current public parks, in particular, have a space structure in which a lot of friction between the general public who are not fond of dogs and dog owners in public places has been happening unavoidably. A lot of countries that are taking a lead role in animal welfare have built dog parte that the general public and dogs can enjoy together. This research starts with the realization that the concept of 'dog park' needs to be introduced in Korea as more and more Koreans own dogs and other pets. This research aims to provide guidance for dog park planning by drawing a dog park planning model and to promote basics for co-existence of dogs and people in a park and set in place animal welfare early and raise the level of awareness. Total 7 types of dog put 56 planning items including dog zone, dog playground, and agility, and a selective matrix by which it is possible to select essential recommendatory optional items by each type of dog park were drawn in this research. Overall there were the highest needs in separated area for dogs in park. A dog park planning model is designed as follows. 1) To select a dog park type that was introduced. 2) To set up facilities applicable in common and planning items desired in advance by each type. 3) To zone dog park areas by the priority order of planning items that were introduced and to position necessary facilities. 4) To plan program that should be were introduced. A dog park was expected to take some positive roles such as providing opportunities to socialize dogs, activating social communities, more effective park management by participating local community members and so on.

A Study of the Fluctuation factors and Model of Daily Visitors of National Park (국립공원의 이용자수 변동요인 및 추정모형에 관한 연구)

  • 안성노
    • Journal of the Korean Institute of Landscape Architecture
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    • v.17 no.2
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    • pp.27-39
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    • 1989
  • The purpose of this study is to prove the factors affecting the fluctuation of daily visitors in five mountainous national park(Kayasan, kyeryongsan, Naejangsan, Soraksan, Songnisan), and to analyze the relationship between these factors and daily visitors in Korea. "Three Factors and Nine Categories"(Aoki, K. & Aoki, Y. : 1974, 1979) has been applied to this study, and statistical analysis method was carried out by computer program SAS and SPSS. The number of daily visitors is calculated based on the data of "Daily entrance ticket sale report" by administration office in each national park. The scope of time period is during the last 5years(1982∼1986: 1825days) and the results were as follows: 1) There were significant differences in the number of daily visitors of each national park among months, days of a week and weather-the same as the previous study of urban park case. But it wold be better for their category classification to be adjusted according to the fluctuation pattern of each national park. 2) The peak of monthly visitors comes in May(Kayasan, Soraksan, Songnisan) or October(Kyeryongsan, Naejangsan). These months are specified as group tour season. On the basis of monthly fluctuation pattern, Each national park were classified into seasonal type, that is, kayasan, Soraksan were proved to be three-season type(Spring, Summer, Autumn), Songnisan to be two-season type(Spring, Autumn), and Naejangsan to be one-season type(Autumn). 3) The weekly pattern differs from three category (weekday, weekend, holiday: Eom, Choi 1986) in the case of urban park study. And there is no significant difference in daily fluctuation pattern by weather (fine, cloudy and rainy day), but significant difference between snowy and the others. This result is due to the characteristics of visitors, which is, the major visits of national park are planned in a advance of the tour, therefore it is difficult to change the plan by the weather. 4) the result of correlation analysis showed that the most influential factor on national park use in Kayasan, Naejangsan, Soraksan and Songnisan is ′Monthly characters (M)′, on the contrary ′Day of week(D)′ in Kyeryongsan only. From the result, The more parks are resource-based, the more ′Monthly characters′-factor is supposed to affect the number of daily visitors rather than ′Day of the week′-factor. This means that kayasan, naejangsan, Sorakson and Songnisan are classified into resource-based type, but on the other hand Kyeryongsan should be classified into intermediate type.

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An Aesthetic Interpretation of Post-industrial Parks with a Perspective of the Sublime (숭고의 개념에 기초한 포스트 인더스트리얼 공원의 미학적 해석)

  • Lee, Myeong-Jun;Pae, Jeong-Hann
    • Journal of the Korean Institute of Landscape Architecture
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    • v.40 no.4
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    • pp.78-89
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    • 2012
  • This study aimed to interpret aesthetic properties of post-industrial parks with a perspective of the sublime. It examined the roles of the sublime related to landscape architectural history and traced aesthetic characteristics of post-industrial parks based on aesthetic issues of the sublime. In the history of landscape architecture, the sublime had expanded the scope of aesthetic enjoyment. It had operated as an alternative aesthetic category against conventional landscape design. At the same time, it had been associated with the original role of landscape architecture, which created artworks by taming wild and terrible qualities of wilderness or brown field. This study discovered sublime characteristics of post-industrial parks, inquiring into the relationship between the aged industrial infrastructures and wild plants. First, the sense of industrial structure and the sense of plants have conflict dialectically, constructing an aesthetic field of unique sensory experiences. Second, the dialectical relationship produced an uncertainty in time so that people can experience the complexity of time. Third, post-industrial parks proposed an alternative view of nature. Post-industrial parks presented healing power to restore contaminated land through ecological design strategy so that people can find the quality of wilderness in the brown field of urban landscape. As a result, an aesthetic experience of post-industrial parks produced a sublime impression.