Purpose: The purpose of this study was to examine the association between utilization of home care services under the national long-term care insurance system and family caregiver distress. Methods: A secondary data analysis was conducted in this study using data collected in 2011 and 2012 from the Korean version of International Resident Assessment Instrument (interRAI) Home Care assessment system. The study sample included 228 clients receiving community based home care and their family caregivers in Korea. Descriptive statistics, $x^2$ test, t-test, and Heckman selection model analysis were conducted using SAS 9.3. Results: Presence of family caregiver distress was significantly associated with days of nurse visits (${\beta}$=-.89, p=<.001) and home helper visits (${\beta}$=-.53, p=.014). Level of caregiver distress was also significantly associated with days of nurse visits (${\beta}$=-.66, p=.028). Other factors which were significantly associated with caregiver distress were depression, cognitive function, inadequate pain control, social support for older adult, and caregiver relationship to the older adult. Conclusion: The results of this study show that visiting nurse service and appropriate support programs for Older Adults and family caregivers experiencing caregiver distress should be developed and provided to families based on the health care needs of older adults and their family caregivers for effective and sustainable home care.
Purpose: This study aimed to utilize concept analysis to obtain a better understanding of the concept of "continuity of care" in chronic diseases. Methods: The concept of continuity of care was analyzed using the Walker and Avant method. Covering literature in English from 1930 to 2018, the data sources included CINAHL Complete, Academic Search Complete, MEDLINE, PsyARTICLES, Health Source: Nursing/Academic Edition, Google Scholar, Science Direct, and the Cochrane Library. Results: A comprehensive definition of concept of continuity of care was developed based on a systematic search and synthesis. The key defining attributes were identified as (a) care over time, (b) the relationship between an individual patient and a care team, (c) information transfer, (d) coordination, and (e) meeting changing needs. The antecedents of continuity of care were having a chronic disease, inexperienced with disease management, a poorly coordinated healthcare system, and medical care limitations. The consequences of continuity of care were decreasing hospital admissions, reducing costs, reducing emergency room visits, improving the quality of life, improving patient satisfaction, and delivering good healthcare. Conclusion: The thorough concept analysis provides insight into the nature of "continuity of care" in chronic diseases and also helps ground the concept in healthcare.
Kadkhodazadeh, Mahdi;Baghani, Zahra;Ebadian, Ahmad Reza;Kaghazchi, Zahra;Amid, Reza
Journal of Periodontal and Implant Science
/
v.44
no.3
/
pp.141-146
/
2014
Purpose: Peri-implantitis and periodontitis are inflammatory and infectious diseases of implant and tooth-supporting tissues. Recently, the role of gene polymorphisms of immune response components in the relevant pathogenesis has been investigated. The present study was the first to evaluate the relationship between two known single nucleotide polymorphisms (SNPs) of the receptor activator of nuclear factor kappa-${\beta}$ (RANK) gene (rs3018362 and rs35211496) in chronic periodontitis and peri-implantitis patients in an Iranian population. Methods: Eighty-one periodontally healthy patients, 38 patients with peri-implantitis, and 74 patients with chronic periodontitis were enrolled in this study. DNA was extracted from blood arm vein samples by using Miller's salting out technique according to the manufacturer's instructions given in the extraction kit. The concentration of DNA samples was measured using a spectrophotometer. The genetic polymorphisms of the RANK gene were evaluated using a competitive allele specific polymerase chain reaction (KBioscience allele specific PCR) technique. Differences in the frequencies of genotypes and alleles in the diseased and healthy groups were analyzed using chi-squared statistical tests (P<0.05). Results: Analysis of rs35211496 revealed statistically significant differences in the expression of the TT, TC, and CC genotypes among the three groups (P=0.00). No statistically significant difference was detected in this respect between the control group and the chronic periodontitis group. The expression of the GG, GA, and AA genotypes and allele frequencies (rs3018362) showed no statistically significant difference among the three groups (P=0.21). Conclusions: The results of this study indicate that the CC genotype of the rs35211496 RANK gene polymorphism was significantly associated with peri-implantitis and may be considered a genetic determinant for peri-implantitis, but this needs to be confirmed by further studies in other populations.
The present study was initially designed to figure out the general condition of care giving system for the elderly women who need long term care and the level of their depression according to the conditions of care. And This research is intented to present appropriate policy that could help the establishment of supporting system for the fragile elderly women.1 used the data from <2001 National Study on the Needs for the Long-Term Care Elderly> by Korea Health and Population Institute. The results are as follows: First, Two third of all the respondents had serious problems (2-9 activities limits) in Instrumental Daily Living Ability(DAL). Most respondents reported “low” in satisfaction level related to receiving care, meaning the elderly had negative perception for the care from the family. The elderly expected their children to be as the primary care giver and mostly wanted to live with them in the future. Second, The majority of the long term care elderly women haven't used community service facilities very often and said they are not likely going to use the facilities in the future. Third, The respondents reported high in depression level as to lower satisfaction with their children's support, poorer health condition, more reluctant to use service facilities due to the cost, and fewer friends and neighbors resources around them. Therefore I could say that negative factors for the elderly women's psychological health were having unsatisfactory relationship with intimate people, developing physical illness, being in economic difficulties. That is, receiving less help from close family members, shrinking social network, and experiencing economic hardship would have negative effects on elderly women's psychological health. In the basis of these results, I suggest that in the mean time we shouldn't overlook the importance of the private support when we develop the public elderly support system.
This study explores how players' characteristic factors affect on trolling behaviors. The data was collected through online survey from online communities of League of Legends(N=914, male=770, female=144, average of age=22.19, SD of age=4.78). Questionnaire includes age, level/tier, self-esteem, basic psychological needs, aggression, and trolling behaviors. Result shows that player characteristic factors which influence on players trolling behavior are 'age', 'physical aggression', 'verbal aggression'. Discussion suggests that the understanding of player's characteristics which influence on trolling behaviors has to precede the improvement of system structure in order to eradicate trolling behaviors.
Objectives: The purpose of this study was to develop strategies for creating health promoting school and to evaluate the implementation and its effect on the school. Methods: Based on WHO's Health Promoting School, we developed 5 strategies and implementing process for creating health promoting school and undertook The implementation process included workshops to raise awareness of the health promoting school, establishment of a school health team, review of the health needs of its community, development of an action plan, and practice of activities and reflect on program. Seventeen teachers (male 35.3%, female 64.7%) and 248 students (male 51.2%, female 47,6%) had completed pretest and posttest. Results: It was increasing in school's social environment, community relationship, personal skill and health service among components of HPS. However, there were no significant differences in self-reported health status and health behaviors among teachers. Although there were no significant changes in self-esteem, self-efficacy and BMI, there were significantly increasing in health knowledge, physical activities and fruit and vegetable intakes among students of a pilot school. Conclusion: Strategies for a creating health promoting school were appropriate to implement in school and they would also make a contribution to improve health knowledge and health behaviors in elementary school students.
Park, Jun-Tae;Lee, Soo-Beom;Kim, Do-Kyung;Sung, Jung-Gon
Journal of the Korean Society of Safety
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v.26
no.6
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pp.130-136
/
2011
Since out of a lot of traffic problems traffic accidents cause damage to life and properties of people, it stands out as one of traffic problems which needs improvement, and the loss due to traffic accident negatively affects not only the parties to the accident but also the national economy. Thus, continual concern of the government toward traffic safety is getting bigger and lately each local government is preparing a basic plan for traffic safety and vitalizing traffic safety policies. As expanding the responsibility and role of local governments for traffic safety, traffic safety measures which are based on the characteristics of each local government should be studied. Most of analytical methods in the existing traffic accidents prediction models with macroscopic vision focus on socioeconomic variables such as local population and the number of registered vehicles, and present a great deal of prediction error when they are applied in practice. In this context, this study proposed a traffic accident prediction model in respect of macroscopic level for autonomous districts (administrative districts) of Seoul City. The model development was not based on the entire city but on the type of local land usage (development density) whose relationship with traffic accident frequency was analyzed.
According to critics and architects, non-linear structure is not only an organic form of space, but also a form of space detached from modem style. Accordingly, non-linear structure can be accepted as an alternative to what has remained unsolved by deconstructionist. However, they are criticized for not clarifying the interdependent relationship between non-linearity of space and cognitive structure of human being. They ended up remaining the hypothesis just an intuitive and abstract one. This research began on the basis that their hypothesis is hard to be objectified, and it needs further inquiry. The purpose of this thesis is to explore how the redundant factors constitute non-linear structures of digital media centered space design. Geometric compositions of space structure were analyzed to define what types of redundant factors are contrived in the process of visual information. This study about the visual form, researching the Information Theory, and then offer a quantitative analysis that makes those more objective. Space structure and geometric composition were analyzed to define what types of redundancy are contrived in the process of visual information. In particular, I put higher theoretical emphasis on what characteristics are ensued in the process of structuring spaces than any other subjects. Followings are the conclusion of analysis. First, as a result of examining, we can assume that NOX' space structure is not a chaotic form, but has an operating the form of its own. Second, in case of curvilinear, the structure was found redundancy on mid deviation ratio and discontinuous circular fabric. Although most of their structures appeared complex with a higher coherent constant, they were found to be stable factors because of the low deviation ratio between systems. The amount of surplus information was stable structure as well.
Contemporary society is lately going through various changes in social, economic, and cultural aspects due to rapid growth of information and computer technology. The digital revolution generated from the development of network reflects the decentralizing characteristic that connects local and personal interconnections. The following paper is designed to develop a basic understanding of digital architecture and show that digital virtual reality is not accidental phenomenon but it is actually evolved from nature and recreated in cyber space. The relationship between nature and digital architecture will be explained through the background research of how digital architecture was born and how it has been transformed. Also, it is designed to find out modern trends of digital architecture through diagrams and virtual space of hyper architecture and follow up the new phenomena appearing in the field of architecture. It is said that digital architecture is a new trend of architecture created from computer bit but all architecture that has form and shape cannot be independent of nature. Nature is the root of everything and even mechanical abstraction such as 'digital' can find its form in the immanence melted in the pure essence of nature. The research found that the nature approach of digital architecture also needs no more than 5 sequential references to find its genuine sketch as the hypertext theory shows we need only 5 sequential references to prove we are all related. Additionally, the cyber space that is become a general living space and a indispensable factor of digital architecture is a space that has obscurity and more open culture. It represents the characteristics of contemporaries in various aspects of society.
Geographic Information System(CIS) deal with data which can potentially be useful for a wide range of applications. The information needed by each application can be vary, specially in resolution, detail level, application view, and representation style, as defined in the modeling phase of the geographic database design. To be able to deal with such diverse needs, GIS must offer features that allow multiple representation for each geographic entity of phenomenon. This paper addresses on the problem of formal definition of the objects and their relationships on the geographical information systems. The geographical data is divided into two main classes : geo-objects and geo-fields, which describe discrete and continuous representations of spatial reality. I studied the attributes and the relationship roles over geo-object and nongeo-object. Therefore, this paper contributed on the efficient design of geographical class hierarchy schema by means of formalizing attribute-domains of classes.
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