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A Case Study of Home Health Care for Postpartum Women and their Newborns (산욕부와 신생아의 가정간호 사례연구)

  • Jun, Eun-Mi
    • 모자간호학회지
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    • v.4 no.1
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    • pp.3-11
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    • 1994
  • Presently there is an increasing demand for home health care services due to changes in the demographic structure as a result of an increasing elderly population, socio-economic improvements, and changes in the family structure, as well as the growing number of people with degenerative diseases. In addition to these reasons, rising medical costs and there a shortage of patient beds space in the hospital, particularly since introduction of national medical insurance. There has been an increasing demand for health care health care services. This study was done to identify the basic data for home health care management. It focused on developing client selection criteria, assessment tools, and recording methods. This was accomplished by the researchers visiting the patients in their homes. The research process included preparation investigation, tool development, training of the project researcher, and visiting the clients in their homes. The research tools are as follows : 1. Record development : a) The selection criteria tool for home health care of postpartum women was a structured tool and consisted of four parts. b) The structured assessment tool consisted of a general items, obstetric history, past medical history, methods of feeding, medications taken before admission, laboratory test results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of postpartum women and their newborns. c) The visit note I consisted of the frequency of visits. Visit note II consisted of the date ; nursing problems ; nursing process including the initial assessment ; nursing goal ; visit plan ; postpartum women and their neonate health status, diagnosis, goal, implementation, evaluation, summary, next plan, for visit revision. d) Problem note consisted of the date, problem numbers, nursing diagnosis, problem appearance date problem resolution date. The research results are as follows : 1. Nursing problems : The nursing problems of the postpartum women and their neonates were evaluated by the number of nursing diagnoses and the change in the pattern of nursing diagnosis related to the number of visits. a) Nursing diagnosis The nursing diagnosis was classified according to physical function, psychosocial function, family system maintained function. b) The changes of nursing diagnosis related to the number of visits. As the type of nursing diagnosis changed related to the number of visits the number of nursing diagnoses decreased. 2. Contents of home health care : The content was categorized according to assessment, direct care, counseling, education, family care, reporting to with the attending doctor. The recommendations based on the research results are as follows : 1. Tool development Replication of this study is needed to test the validity of the assessment tools used. 2. Home visit a) Home health care nurses should be licensed and qualified. A referral form from the attending doctor is needed for legal protection of nurses. b) The first home visit need to be within 24 hours of discharge from the hospital to decrease the anxiety of frightened postpartum women. c) When the changes occur in the newborn's status, home health care nurses should consult a pediatrician. Communication within the home healthcare team is essential and needs to consistent and done smoothly. 3. Home health care A Study is required to develop protocols for education of staff and for operation of all aspects of this program.

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Factors influencing the return of spontaneous circulation of patients with out-of-hospital cardiac arrest (병원외 심정지 환자의 자발적 순환 회복에 영향을 미치는 요인)

  • Park, Il-Su;Kim, Eun-Ju;Sohn, Hae-Sook;Kang, Sung-Hong
    • Journal of Digital Convergence
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    • v.11 no.9
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    • pp.229-238
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    • 2013
  • Out-of-hospital cardiac arrest is a major public health problem in Korea. The survival rate to discharge remains at approximately 3.5% and only 1% have good neurological function. To increase the survival rate, prehospital care should restore spontaneous circulation. The purpose of this study was to analyze the factors associated with return of spontaneous circulation(ROSC) after out-of-hospital cardiac arrest. Data used for this study were collected from KCDC Out-of-Hospital Cardiac Arrest Surveillance 2009. As for the results of decision tree analysis, it is clear that prehospital CPR, cardiac arrest witness, activity, past history(cancer/heart disease/stroke), place, bystander CPR, response time, age, etc are significant contributing factors in ROSC. Among 16 cardiac arrest types from decision tree classification, the ROSC rate of type 1 is the highest(29.6%). Also notable is the fact that bystander CPR was strongly correlated with ROSC of patents with cardiac arrest occurring in non-public places. Community resources should be concentrated on increasing bystander CPR and early prehospital emergency care.

A Study on the Utilization Pattern and Consciousness of Aroma Therapy (피부관리실 이용자의 아로마 인식도 및 이용행태)

  • Park, Mi-Kyung;Yoo, Wang-Keun
    • Journal of the Korean Society of Fashion and Beauty
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    • v.2 no.2 s.2
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    • pp.81-92
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    • 2004
  • This paper examined the utilization pattern of aroma-therapy and relating factors after visiting about 100 skin-care shops registered to the Central Estheticism's Association in Daegu.Kyungbuk areas, in 200. This questionnaire survey was put into practice from September 1st to September 30th, 2003 for one month, study subjects were 643 skin-care-shop users. As for the experience of Aroma-use. while 85.4% of respondents experienced Aroma-use or has been using Aromat, 14.6% had no experience of Aroma-use. As for average frequency of Aroma-use, 32.8% used Aroma one time a week,23.7% everyday, 20.4% one time a month, 12.0% 3 times a week, 11.1% 2 times a week. As for the route of getting information on aroma, 49.5% of Aroma users got the information in skin-care-shop, 28.6% from mass-media such as internet, TV, newspaper, magazine. Regarding the type of preference aromas, 65.4% answered Lavender, 35.3% Rosemary, 35.2% Peppermint, 25.5% Rose, 23.7% Tea tree, 21.1% Jasmin, 19.5% Lemon. As for purposes of Aroma-use, 36.8% answered problematic-skin-control & fatness-control, 33.5% stress-relaxation, 14.8% physical-symptom-relaxation, 12.4% muscle-relaxation, 2.6% other purposes.

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An Interactive e-HealthCare Framework Utilizing Online Hierarchical Clustering Method (온라인 계층적 군집화 기법을 활용한 양방향 헬스케어 프레임워크)

  • Musa, Ibrahim Musa Ishag;Jung, Sukho;Shin, DongMun;Yi, Gyeong Min;Lee, Dong Gyu;Sohn, Gyoyong;Ryu, Keun Ho
    • Proceedings of the Korea Information Processing Society Conference
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    • 2009.04a
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    • pp.399-400
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    • 2009
  • As a part of the era of human centric applications people started to care about their well being utilizing any possible mean. This paper proposes a framework for real time on-body sensor health-care system, addresses the current issues in such systems, and utilizes an enhanced online divisive agglomerative clustering algorithm (EODAC); an algorithm that builds a top-down tree-like structure of clusters that evolves with streaming data to rationally cluster on-body sensor data and give accurate diagnoses remotely, guaranteeing high performance, and scalability. Furthermore it does not depend on the number of data points.

Predicting Discharge Rate of After-care patient using Hierarchy Analysis

  • Jung, Yong Gyu;Kim, Hee-Wan;Kang, Min Soo
    • International Journal of Advanced Culture Technology
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    • v.4 no.2
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    • pp.38-42
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    • 2016
  • In the growing data saturated world, the question of "whether data can be used" has shifted to "can it be utilized effectively?" More data is being generated and utilized than ever before. As the collection of data increases, data mining techniques also must become more and more accurate. Thus, to ensure this data is effectively utilized, the analysis of the data must be efficient. Interpretation of results from the analysis of the data set presented, have their own on the basis it is possible to obtain the desired data. In the data mining method a decision tree, clustering, there is such a relationship has not yet been fully developed algorithm actually still impact of various factors. In this experiment, the classification method of data mining techniques is used with easy decision tree. Also, it is used special technology of one R and J48 classification technique in the decision tree. After selecting a rule that a small error in the "one rule" in one R classification, to create one of the rules of the prediction data, it is simple and accurate classification algorithm. To create a rule for the prediction, we make up a frequency table of each prediction of the goal. This is then displayed by creating rules with one R, state-of-the-art, classification algorithm while creating a simple rule to be interpreted by the researcher. While the following can be correctly classified the pattern specified in the classification J48, using the concept of a simple decision tree information theory for configuring information theory. To compare the one R algorithm, it can be analyzed error rate and accuracy. One R and J48 are generally frequently used two classifications${\ldots}$

Utilization of the Old Big Tree and Its Surrounding Space Pertaining to Cultural Value in Seoul (서울시 보호수를 대상으로 한 노거수 공간의 문화적 활용 가치 연구)

  • Jeong, Wook-Ju;Yoon, Sang-Jun
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.17 no.1
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    • pp.215-233
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    • 2014
  • Seoul is an ancient city with a long history but there is hesitancy over referring to as a historic city due to the lack of traceable historic urban landscape elements which resulted from numerous invasions and general destruction. From a diachronic perspective, the nature which was survived the influence of development, could be the key element that links the past with the city's radically changed image in modern times. Although "old big trees" may be not a dominant influence with regards to the historical authenticity of the city, they are objects which contribute towards the historical authenticity by providing a sense of place in terms of connected narratives, as well as their natural image. However, the protection policy for an "old big tree" would place too much emphasis on the aspect of the ecological value rather than its cultural value. Generally, trees have been protected by installing a fence and a signboard around them as well as receiving additional care. However, it is difficult to find that surrounding space around the "law-protected tree" is connected with its original historical and cultural values. Even though the space around trees are no longer utilized in the same way as was so in the past, they still have high-potential in terms of cultural utilization. Therefore, the subject of this study is the "old big tree" as a natural object which contributed to the historical authenticity of Seoul. The current status of these "old big trees", aged between 100 and 800 years old, currently indicate that there are 215 trees designated as "law-protected tree" by the Seoul metropolitan government. This study aims to investigate the status of protection and utilization of the existing "law-protected trees" in the city of Seoul and find a way to increase both ecological preservation and cultural utilization for the high-potential "law-protected trees" within the city itself. In order to achieve this, previously researched papers shall be reviewed and surveyed pertaining to present usage patterns of the 215 "law-protected trees". In addition, five cases have been reviewed which focus on a few of utilizing the "protected trees" and their surrounding spaces. The results of the research indicate that 21 "old big trees" have high-potential in terms of cultural utilization as well as ecological value. However, it was revealed that there are limitations to pursue the value of preservation and utilization simultaneously throughout current regimental management. In order to cope with the current situation, it is pointed out that management facilities should be designed and installed by creative and flexible methods of organizing with consideration to the surrounding space and context. Even though in the case where there may not be a connecting history or legendary stories, the "old big trees" can serve as the fundamental features of small scale parks -dependent on their location, condition and environment- which will be of value to the local communities. This study could serve as a practical reference for the management and utilization of "old big trees" nationwide with numbers reaching 12,300 besides the city of Seoul.

A Case Analysis of Home Health Care for Cesarean Postpartum Women and Their Newborns (제왕절개분만 산욕부와 신생아의 가정간호 사례분석)

  • 김혜숙;최연순;전은미
    • Journal of Korean Academy of Nursing
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    • v.24 no.4
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    • pp.696-705
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    • 1994
  • This study was done to provide a basis for home health care management for women following Cesarean delivery. Furthermore it was initiated as an possible application of home health care in the future. In this study, client selection criteria was developed by the researcher and assessment tools for home health care, recording system and problem oriented recording system were revised from Jun's(1993) methods. The selection criteria tool for home health care for women who had a Cesarean delivery was structured and consisted of five areas : physical status, functional status, psychological-emetional status, educational needs status and environmental status. The structured assessment tool consisted of general items, obstetric history, past medical history, methods of feeding, medications taken before ad-mission, laboratory results, discharge instructions, discharge medications, family tree, economic status, environmental status, a map, health assessment of women and their newborns. The visit note consisted of the date : nursing problems : nursing process including initial assessment : nursing goals : visit plan : health status of the postpartum women and their newborn : nursing diagnoses : nursing implementation evaluation : summary : next visit plan and revision. The problem oriented recording system consisted of the date, problem numbers, nursing diagnoses, problem appearance date, problem resolution date. The results of the research are as follows : The seven cases having had a Cesarean delivery were discharged on an average on the 5th day after the Cesarean birth. The total number of home visits was 13. According to Cordon's functional health patterns the total possible nursing diagnoses was 34 diagnoses for the methers and their newborns. Among the 34 diagnoses, there were 13 diagnoses in the health perception /management pattern, 7 in the psychosocial health perception / management pattern, 8 in the psychosocial self-perception, 2 in the nutrition / metabolism pattern of physical function, 2 in the knowledge deficit of newborn management, anxiety related to newborn management, knowledge deficit related to disease process of new-born, anxiety related to disease process of newborn anxiety related to prognosis of baby's condition, knowledge deficit related to newborn jaundice each appeared once. The changes in the number of nursing diagnoses was related to not the number of visits but to the number of nursing diagnoses decreasing. The con-tent of the home health care was categorized ac-cording to assessment, direct care, counseling, education, family care. The recommendation based on the results of this research are Home health care nurses for Cesarean postpartum women and their neonates requires comprehensive knowledge of pregnancy, delivery, and the postpartum period and of the neonate so that they can provide appropriate care and holistic views. Most of cases terminated after the second visit, this outcome may be related to the subjects being discharged on the 5th day after delivery. Therefore, study done with earlier discharge after delivery may have different outcome. It is very hard to assess psychological aspects that need follow-up and to develop communication channels.

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A Case Study on the Relationship between Children's Play Behaviors and Outdoor Play Environments of Child Care Center in Daejeon (실외놀이터 환경 특성과 아동 놀이행동과의 관계성 - 대전지역 어린이집의 사례분석을 중심으로 -)

  • Choi, Mock-Wha;Byun, Hea-Ryong
    • Korean Journal of Human Ecology
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    • v.15 no.6
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    • pp.919-935
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    • 2006
  • The purpose of this study was to analyze the relationship between outdoor play environments and child's play behaviors. The data were collected by field measurement survey, and non-participatory observation from 9 child care centers in Daejeon. The field measurement survey were conducted from June 20 to July 20, 2004, whereas non-participatory behavior observation were conducted from September 2 to October 10, 2004. The major results showed the following. 1) The characteristics of outdoor play environment in child care centers showed that most of them were too small and did not use the adequate surfacing to play various activities. In many cases, outdoor play settings was made of play equipment setting, play props and manipulative settings, and tree/vegetation. 2) Child's play behavior has been focused on functional play activity and construction play activity. 3) The relationship between outdoor play environments and child's play behaviors showed that small outside play environment with monotonous construction and multi-complex play equipments produced functional play behaviors on children. On the other hand, where various play areas were put together, we could observe relatively diverse play behaviors. However, in some cases, despite the small and monotonous play area, diverse play behaviors were observed. These playgrounds at least differed from others in that they provided the place where multi purpose play was possible. This finding shows that multi purpose play areas can be an alternative in small playground environment.

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A Target Selection Model for the Counseling Services in Long-Term Care Insurance (노인장기요양보험 이용지원 상담 대상자 선정모형 개발)

  • Han, Eun-Jeong;Kim, Dong-Geon
    • The Korean Journal of Applied Statistics
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    • v.28 no.6
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    • pp.1063-1073
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    • 2015
  • In the long-term care insurance (LTCI) system, National Health Insurance Service (NHIS) provide counseling services for beneficiaries and their family caregivers, which help them use LTC services appropriately. The purpose of this study was to develop a Target Selection Model for the Counseling Services based on needs of beneficiaries and their family caregivers. To develope models, we used data set of total 2,000 beneficiaries and family caregivers who have used the long-term care services in their home in March 2013 and completed questionnaires. The Target Selection Model was established through various data-mining models such as logistic regression, gradient boosting, Lasso, decision-tree model, Ensemble, and Neural network. Lasso model was selected as the final model because of the stability, high performance and availability. Our results might improve the satisfaction and the efficiency for the NHIS counseling services.

Development of Hypertension Predictive Model (고혈압 발생 예측 모형 개발)

  • Yong, Wang-Sik;Park, Il-Su;Kang, Sung-Hong;Kim, Won-Joong;Kim, Kong-Hyun;Kim, Kwang-Kee;Park, No-Yai
    • Korean Journal of Health Education and Promotion
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    • v.23 no.4
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    • pp.13-28
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    • 2006
  • Objectives: This study used the characteristics of the knowledge discovery and data mining algorithms to develop hypertension predictive model for hypertension management using the Korea National Health Insurance Corporation database(the insureds' screening and health care benefit data). Methods: This study validated the predictive power of data mining algorithms by comparing the performance of logistic regression, decision tree, and ensemble technique. On the basis of internal and external validation, it was found that the model performance of logistic regression method was the best among the above three techniques. Results: Major results of logistic regression analysis suggested that the probability of hypertension was: - lower for the female(compared with the male)(OR=0.834) - higher for the persons whose ages were 60 or above(compared with below 40)(OR=4.628) - higher for obese persons(compared with normal persons)(OR= 2.103) - higher for the persons with high level of glucose(compared with normal persons)(OR=1.086) - higher for the persons who had family history of hypertension(compared with the persons who had not)(OR=1.512) - higher for the persons who periodically drank alcohol(compared with the persons who did not)$(OR=1.037{\sim}1.291)$ Conclusions: This study produced several factors affecting the outbreak of hypertension using screening. It is considered to be a contributing factor towards the nation's building of a Hypertension Management System in the near future by bringing forth representative results on the rise and care of hypertension.