• Journal of Korean Academy of Fundamentals of Nursing
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• v.6 no.1
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• pp.78-95
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• 1999

The grafting of a kidney has been found to be the best medical treatment for patients who have renal insufficiency failure, but the patients still have experienced much trouble and apprehension. This study was done to further nursing theory developing for patients who have has a kidney graft from another person. The research method followed grounded theory methodology of Strauss and Corbin. The subjects were three female and four male patients. This study done befween Oct. 1997 and Mar. 1998. All of the subjects were interviewed by the author. Interview were done by the long interview technique and observation. In the process of data analysis, 'heart-boiling' was found to be the core phenomenon. The results were composed to 101 concepts. These concepts were grouped into nineteen categories, and then to twelve categories. There were 12 super-class categories as follows ; 'pain', 'heart-boiling', 'experience of dialysis', 'term of admission to a hospital', 'support of other person', 'dependence on God', 'direction', 'negative reaction', 'positive reaction', 'comfortable', 'lacking', 'acceptance'. In this process, 14 hypotheses were derived from the categories as follows ; (1) The more experience with dialysis that the patients have, the stronger the heart-boiling will tend to be. (2) The less experience with dialysis the patients have, the weaker the heart-boiling will tend to be. (3) The longer admission to hospital the patients have, the stronger the heart-boiling will be. (4) The shorter the admission to hospital the patients have, the weaker the heart-boiling will be. (5) The weaker the intense-grief is, the more positive the reaction to heart-boiling the patients wll have. (6) The stronger the intense-grief is, the more negative the reaction to heart-boiling the patients will have. (7) The stronger the support of other persons that the patients have, the more positive the reaction to heart-boiling the patients will have. (8) The weaker the support of other person that the patients have, the more negative the reaction to heart-boiling the patients will have. (9) The stronger the dependence on God that the patients have, the mure positive reaction to heart-boiling the patients will have. (10) The weaker the dependence on God that the patients have, the more negative reaction to heart-boiling the patients will have. (11) The more positive thoughts that the patients have, the more positive reaction to heart-boiling the patinets will have. (12) The more negative thoughts that the patients have, the more negative reaction to heart-boiling the patients will have. (13) The more positive reaction the patients have, the more free from heart-boiling the patients tend to be. (14) The more negative reaction the patients have, the less free from heart-boiling the patients tend to be. From the analysis of observed data and comparing each class, I concluded that there are four formula relation types between reaction of patients and heart-boiling. (1) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, depend on God, have positive thoughts and another's strong support, they experience release by positive reaction to the intense-grief. (2) If patients have the experience of dialysis, have a short term admission to hospital, are weak in heart-boiling, do not depend on God, have negative thoughts, and have few supports from others, they experience attachment to heart-boiling though a negative reaction. (3) If patients have the experience of dialysis, have a long term admission to hospital, are strong in heart-boiling, do not depend on God, and have negative thoughts, they experience attachment to heart-boiling through negative reaction in spite of support from another. (4) If patients have the experience of dialysis, have a long term admission into hospital, are strong in heart-boiling and satisfaction is low, but they have positive thoughts, then they experience acceptance and harmony through the positive reaction to heart-boiling. The results of this study are expected to help the way nurses care for patients who have had a kidney graft from another.

• Research in Community and Public Health Nursing
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• v.13 no.4
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• pp.668-678
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• 2002

Purpose: The number of nursing home residents has been increasing in Korea. Nurses need to know the lived experience of relocation of the elderly to long-term care facilities. However, studies on this issue has not yet been conducted in Korea. Therefore, this study was carried out to understand the experience of institutionalization of the elderly using a phenomenological approach. Method: There were 11 participants who consisted of 5 men and 6 women living in 3 different nursing homes. The data was collected through in-depth interviews and participant observation from June 1999 to October 2001, and analyzed by Colaizzi's phenomenological method. Result: A total of 275 meaningful statements related to the experience of institutionalization by the elderly were obtained. Of the 275 statements, 175 were found as the statements with more general forms. 28 themes were grouped into 8 theme clusters. These theme clusters included' resentment at their sons', irresistible admission', 'humiliation on institutionalization', 'being unbearable to shock', 'grief to unfamiliarity', 'being in agony of outwards', 'regret for self-life' and 'comfort for new residence'. Conclusion: Based on these results. we can understand the lived experience of institutionalization of the Korean elderly. We need to develop a nursing program to help the elderly cope with this crisis, and studies about the familys experience on their parents admission to institutionalized facility warrant further exploration.

• Journal of Fisheries and Marine Sciences Education
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• v.27 no.3
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• pp.804-812
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• 2015

The purpose of this study was to analyze the perception of a high school teacher on Admission Officer System. The subjects were limited to 324 high school teachers of Busan, Ulsan, and Gyeongsangnam-do regions. The major research question for the study was how are the perceptions of high school teachers about the Admission Officer System. The main results were as follows: first, high school teachers showed high understanding of the admissions overall. Second, high school teachers with counseling experience about applying to colleges considered the score of the College Scholastic Ability Test less important. Third, high school teachers have recognized that there is a distance between high school education activities and the Admission Officer System. Eliciting sympathy from the high school teachers for the Admission Officer System is a very important task. Negative perceptions of high school teachers on the Admission Officer System is still remained. The cooperation between leading universities and high schools would help the Admission Officer System work with its original purpose or goal.

• Journal of the Korean Data and Information Science Society
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• v.24 no.6
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• pp.1359-1368
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• 2013

An "admission officer system" has been introduced for the purpose of changing the paradigm from the "current admission system". This is because the current admission system mainly reflects the scholastic ability test (SAT) score regulating student selection for entering university. The admission officer system focuses on not only the students' school records but also, their potential. In addition, this system lets the university screen the students according to its own founding philosophy. One feature of the admission officer system is to cultivate men of ability by caring for the selected students consistently. Typically, students are selected by an admission officer system according to document screening which includes curriculum and non-curriculum scores, discussions, and interviews. On the other hand, the admission officer system might create a lack of objectivity in the way a student is selected because of the admission officer's own subjectivity. In this study, an algorithm in which the admission officer system can maintain the objectivity on student selection is presented. This is so that the student does not experience any disadvantage from the process of the admission officer system.

• Health Policy and Management
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• v.29 no.2
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• pp.237-244
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• 2019

Background: Weekend admission is known for having association with increased mortality attributed by poor quality of care and severe patients. We investigated the association between hospital admission on weekends and the in-hospital mortality rates of patients with cardiovascular disease. Furthermore, we examined this association stratified by admission via emergency room or not. Methods: We analyzed claim data provided by the Health Insurance Review & Assessment in 2013. In total, 80,817 cardiovascular patients were included in this study, which treated in-hospital mortality (early and during total length of stay) as a dependent variable. A generalized linear mixed effects model was used. We conducted subgroup analyses stratified by admission via emergency room or not. Results: Patients who admitted on weekend showed higher in-hospital mortality both early (odds ratio [OR], 1.48; 95% confidence interval [CI], 1.23-1.78) and during total length of stay (OR, 1.17; 95% CI, 1.02-1.33) compared to those admitted on weekdays. Patients who were admitted to the hospital on a weekend by emergency room were more likely to experience early in-hospital mortality compared to those admitted on weekdays. Furthermore, we found that patients not admitted to the hospital through the emergency department were more likely to experience both early and total length of stay in-hospital mortality. Conclusion: Our study shows higher in-hospital mortality rates for cardiovascular patients admitted on weekends. Efforts to improve the quality of care on weekend are important to mitigate the 'weekend effect' and improve patient outcomes.

• Korean Journal of Adult Nursing
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• v.19 no.2
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• pp.178-190
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• 2007

Purpose: This study aimed to explore the constituents and structure of adaptation experiences in their everyday life among senior patients of a nursing home in order to provide nursing intervention data for the satisfaction and the improvement of life of senior patients by appreciating the nature of their adaptational experience. Methods: The participants were five female and one male senior patients who were 65-years old or older and admitted at a nursing home in a metropolitan city. The interview data were analyzed by the Giorgi's phenomenological analysis method. Results: As the results of analysis, the following three constituents have been found out: retrospective focus based on the meaning of admission, expanding a view and facing up to the reality, reconstructing views about the meaning of life and the world. Conclusion: With the increasing number of senior in facilities, nurses not only play a key role in caring for seniors but also in managing their maladaptation. Thus, it is considered that the results obtained from the this study provide valuable information for both the senior patients and their families as well as for the nurses, by presenting the data about senior patients' adaptational experiences of nursing home admission.

• Proceedings of the IEEK Conference
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• 1998.06a
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• pp.909-912
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• 1998

In this paper, a new connection admission controller using neural network is presented. The controller measures traffic flow, cell loss rate, and cell delay periodically. Using those measured information, it learns the distributions of traffics of each traffic. Also the proposed controller is able to measure and manage the delays that source traffics experience through the network by using DWRR multiplexer with buffers dedicated to each traffic source. Experimental result show that the heterogeneous traffic sources with various QoS requirement.

• Proceedings of the IEEK Conference
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• 1999.06a
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• pp.94-97
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• 1999

In this paper, a new real-time neural network connection admission controller is proposed. The proposed controller measures traffic flows, cell loss rate and cell delay periodically each classes. The Neural network learns the relation between those measured information and service quality by real-time. Also the proposed controller uses the DWRR multiplexer with buffer dedicated to every traffic source in order to measure the delay that cells experience in buffer. Experimental result shows that the proposed method can control effectively heterogeneous traffic sources with diverse QoS requirement.

• Journal of Chest Surgery
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• v.20 no.3
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• pp.570-573
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• 1987

A surgical operation on a patient with infected left atrial myxoma is presented. The patient was a 50-year-old woman who was admitted to the Kyung Hee Medical Center Hospital on March 7 1987 with complaints of high fever, cough and dyspnea that occurred a few days prior to admission. She, who no definite history of the previous cardiac-related problems was obtained from, had visited a dentist to have her eight teeth pulled out a few months prior to this admission. A preoperative 2-D echocardiogram revealed a left atrial tumor, strongly suggesting myxoma and two blood cultures drawn prior to surgery yielded streptococcus viridans. Under the preoperative impression of an infected left atrial myxoma, the tumor was removed through a biatrial approach after establishing CPB and cold cardioplegic. Pathologic examination of the tumor demonstrated a typical myxoma with bacterial colonies within. Postoperative course was uneventful and she was completely well at discharge from the hospital. To our best knowledge, this report is the first surgical experience of infected left atrial myxoma in the Korean literature.

• The Korean Journal of Emergency Medical Services
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• v.11 no.2
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• pp.19-27
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• 2007

Purpose: By identifying the actual profile of emergency medical personnel's pre-admission infection control practices, this study intended to provide a basic reference material for the improvement and reorientation of pre-admission infection control measures, and thereby help establish an effective plan for pre-admission infection control activities. Methods: Total 119 EMT's working for Jeollabuk-do Provincial Fire Defense HQ were asked to join a structured questionnaire survey from June to August 2006. Results: 1. It was found that 56.1% respondents answered no guideline available on the prevention of infection. Out of our rescue brigade members who knew about relevant guideline available, 34.2% respondents answered that their department conducted quality control program for the guideline. 2. For protective outfit in emergency practice, it was found that most respondents put on gloves or nothing at all(38%), which was followed by sterile gloves(29.2%), disposable mask(26.9%), gown(4.3%) and protective goggle(1.6%). And it was noted that all respondents(100%) washed out any clothing contaminated with somatic secretion on their own. 3. For a question about any experience in emergency activities exposed to infectious diseases, it was found that most of all respondents(77.9%) answered 'No', which was followed by 'Don't Know'(18.6%) and Yes(3.9 %). 4. For a question about any experience in inquiring of patients about infectious diseases, it was found that most respondents(49.4%) answered 'Yes' and 'Sometimes'(9.1%). It was noted that 20.2% respondents had extra medical examination in medical institution in terms of whether they were exposed to infectious diseases, apart from regular medical examination. Conclusions: In order to protect 119 EMT's from infectious diseases, it will be necessary to acquire emergency medical staffs specializing in infection control and organize corresponding personnel training units to keep providing reorientation and evaluation. In addition, it will be also necessary to supply them with a full set personal protection apparatuses and other equipments required for disinfection and sterilization.