• Title/Summary/Keyword: care-method

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A study on the optimum range of reinforcement in tunneling adjacent to structures (구조물 근접 터널시공시 최적의 보강범위에 관한 연구)

  • Lee, Hong-Sung;Kim, Dae-Young;Chun, Byung-Sik;Jung, Hyuk-Sang
    • Journal of Korean Tunnelling and Underground Space Association
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    • v.11 no.2
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    • pp.199-211
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    • 2009
  • Development of underground space is actively performed globally for better life in the surface, and the scale of the space is increasing. Extreme care should be taken in the construction of the underground space in urban areas in order to avoid damage of adjacent structures and interference with existing underground space. In case of shallow tunnels, reinforcement of ground and structures is necessary to minimize the damage to structures due to excavation but any standard for optimum range of the reinforcement has not been established yet. In this paper, a series of numerical analyses have been performed for a 20 m diameter tunnel excavated underneath a structure to investigate the degree of damage of the structure according to vertical and horizontal spacing between the tunnel and structure. In addition to that, optimum range of reinforcement is presented for each case where reinforcement is required. It has been observed that the reinforcement is necessary for the ground condition adapted in the analyses as follows: (1) if horizontal spacing ($S_{H}$) approaches to 0D (D: equivalent diameter of tunnel) for vertical spacing (Sv) of 0.5D, and (2) if tunnel exists underneath the structure for vertical spacing (Sv) of 0.75D. The reinforcement is not necessary for Sv of 10 regardless of $S_{H}$. It also has been obtained that the optimum ranges of the reinforcement around structure foundation are 7 m in depth and whole width of the structure and 5 m beyond tunnel sidewall. These reinforcememt ranges have been confirmed to be enough for stability of the structure if types of reinforcement method is appropriately selected.

The Influence of Make Up Program on the Self-esteem and Anxiety Status of the Elderly Female Dementia Patients (외모가꾸기 프로그램이 여성치매노인의 자아존중감과 불안에 미치는 효과)

  • Kong, Eun Suk;Kim, Eun Ju
    • 한국노년학
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    • v.30 no.3
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    • pp.815-830
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    • 2010
  • This study is a nonequivalent control group pretest-posttest study to determine the effects of a make up program on the self-esteem and anxiety of the elderly female dementia patients. This research was done between April 13th and May 1st, 2009. The subjects were 41 dementia patients in an elderly hospital in Honam Area. Twenty dementia patients in the experimental group got the make up measures during the two week experimental period and twenty one dementia patients in the contrast group didn't get any measure during the two week period. Make up measures were given to the experimental group 10 times for the two week period. This study used the self-esteemscale which was developed by Rosenberg(1965) and was translated and modified by Jeon Pyung Je(1974) into Korean. The anxiety status scale which this study used was developed by Spielberger(1970) and was translated and modified by Kim Jeong Taek(1991) into Korean. Collected data were analyzed with SPSS Win 12.0. T-test and multivariate analysis were done to test the hypothesis. This study also used a method of observation. The results of this study are following. After the two week make up measures, the experimental group had more self esteem and less anxiety status than the contrast group. The differences were statistically significant. The result of the observation also supported the research hypothesis. Based on this result, we suggest the make up program as an appropriate and useful nursing care intervention program for female dementia patients.

The Relationship among Attitude toward DNR Orders, Depression and Self-esteem in the Elderly (노인의 심폐소생술 금지(DNR)에 대한 태도와 우울 및 자아존중감과의 관계)

  • Lee, Mi Hi;Kang, Hee Sun
    • 한국노년학
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    • v.27 no.2
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    • pp.323-334
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    • 2007
  • This cross-sectional descriptive study was performed to investigate the relationship among attitude toward DNR orders, depression, and self-esteem in the elderly. Method: The participants of this study were 99 elderly individuals who were hospitalized in four university hospitals in Seoul and Kangwon-do from October 1, 2006 to October 21, 2006. The data were collected using self-administered questionnaires. Results: The mean scores were 3.99 for attitude toward DNR orders(range of 1-5), 6.64 for depression(range of 1-15), and 26.83 for self-esteem(range of 10-40). Self-esteem was significantly correlated with attitude toward DNR orders(r=.200, p=.047). About half of the participants(49.5%) responded that the proper time for obtaining DNR consent was when they were healthy and could express their own intentions and make the decision by themselves. Most of the participants showed a positive attitude toward DNR orders. The participants preferred to make the DNR decision when they were healthy. Therefore, health care providers working with the elderly should try to discuss the DNR decision with their patients when they are conscious and able to make the DNR decision by themselves rather than leaving the decisions up to the patient's family members

An Empirical Study for Model Development Concerning Advance Directive (사전의료지시서(Advance Directives) 모형 개발을 위한 실증 연구)

  • Hong, Seongae
    • 한국노년학
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    • v.30 no.4
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    • pp.1197-1211
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    • 2010
  • This research was concucted to present a model of advance directives(AD) when a patient, who is in consciousness, shows a preference for an end of life care as an act of preparing for an uncertain situation that may arise in the forseeable future. The subjects of the research are 383 doctors/nurese and adults, who live in six cities and provinces, to investigate the status of AD, attitude regarding a meaningless life-prolonging treatment, and moreover, an understanding of and a preference for AD. The research was done by the well-structured questionnaire. Also, SPSS 14.0 is used to analyse the collected data, focused on frequency analysis, avearage and standard deviation, X2 test. As the results of the study, the most of the surveyed doctors/nurese knew DNR orders and AD and a few of them used DNR orders and AD practically. Also, the result shows that there is a negative conception of meaningless life-prolonging treatment among the responents, in addition, most of them agreed upon the idea of introducing AD to Korea, filling it out and making it legally effective. As a method of making AD out, the respondents wanted to use a form that mixed living will with an Power of Attorney in a document. Also, considering the appropriate time, respondents prefered when they are diagnosed with terminal illness. At the moment, the introductory model for AD, which is suitable for the Korean culture and current situation is presented based on the result of this research. In the future, other researches should deal with specific measures that can lead to a social consensus to adopt AD in Korea.

An Ethnography on Stigma of Families Having Old People Admitted to Nursing Home in Korea (요양원 입소노인 가족의 오명에 대한 문화기술지)

  • Lee, Yun Jung;Kim, Jeong Hee;Kim, Kwuy Bun
    • 한국노년학
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    • v.30 no.3
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    • pp.1005-1020
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    • 2010
  • This study was conducted to explore and understand the meaning of stigma of families having old people admitted to nursing home within the Korean culture. Data collection was performed through in-depth interviews and participant observations which were recorded and transcribed verbatim with the consent of the participants. The key informants were 12 people having the aged family member in nursing home. The data was collected from October 2008 to February 2009 until completed. Data were analyzed utilizing the taxonomic analysis method developed by Spradley. As a result, 24 themes, 8 categories and 4 cultural domains are founded from the cases. The cultural domains resulted from the analysis are: 『Incompetence of Oneself: 'Adaptation to Inevitable Realities', 'Difficulty of Economic Independence', 'Difficulty of the Subjective Self-assertion'』, 『Contradictoriness of Decision Making: 'Decision Making Different from Own Mind', 'Conflicts between Neighboring'』, 『Self-rationalization of Decision Making: 'Self-comfort of Decision Making'』, 『Shifting Responsibility: 'Services Different from that of Family', 'Laking in Sincerity of Responsible Institution'』. Theoretical model about stigma of the family having old people admitted to nursing home by the research result in the above was able to be confirmed that it was expressed with the original form of thought of recursive system which continuously showing the inconsistency of decision making, rationalizing decision making, and shifting one's own responsibility in the process of accomplishing the duty of supporting old people. Based on the results, I discussed the meaning of stigma of families having old people admitted to nursing home and provided recommendations for future research.

A Study on Elderly People in Health Inequality in Vulnerable Health Areas Centering around Agriculture and Fisheries Areas (농어촌 건강취약지역 노인의 건강불평등 관련요인 연구)

  • An, Sung A;Sim, Mi Young;Jeong, Baek Geun;Kim, Jang-Rak;Kang, Yun Sik;Park, Ki-Soo;Yeum, Dong Moon
    • 한국노년학
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    • v.31 no.3
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    • pp.673-689
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    • 2011
  • It is a qualitative study based on a focus group with an aim to figure out elderly people's experiences in health inequality in vulnerable health zones in agriculture and fisheries areas. Of eups, myeons and dongs selected as 40 vulnerable areas where standardized death rates had continued to be high from 2004 to 2007 in 20 counties and cities in Gyeongsang-do, 15 agriculture and fisheries areas were randomly chosen to extract 8 to 10 elderly people. Explanations were given to study subjects, and 7 to 8 people who agreed to take part in the study joined a regional focus group. Contents of interviews were analyzed with a phenomenological method by Colaizzi (1978) in order to accurately describe pertinent phenomena. The study has found four categories including ecological environmental problems, insufficient services for local community & harmful environmental problems, worsening economic conditions and insufficient health care management in terms of health behavior.

Study on the Policy of Supporting University Students in the Beauty Field through Social Big Data Analysis: Based on exploratory data analytics (소셜 빅 데이터 분석을 통한 미용분야 대학생 창업지원 정책에 관한 연구 -탐색적 데이터 분석법을 기반으로-)

  • Mi-Yun Yoon;Nam-hoon Park
    • Journal of the Korean Applied Science and Technology
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    • v.39 no.6
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    • pp.853-863
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    • 2022
  • In order to revitalize start-ups in the beauty field, this study attempted to derive characteristic patterns of changes in demand and differences in emotions and meaning for 'beauty start-ups' by dividing the period by year from 2019 to 2021 based on exploratory data analysis (EDA). Most of the search terms related to the keyword "beauty start-up" showed more interest in institutions or certificates that can learn beauty skills than professional start-up education, which still does not recognize the importance of start-up education, and as an alternative, it is necessary to develop customized start-up education programs for each major. We establish hypotheses through exploratory data analysis and verify hypotheses by combining traditional corroborative data analysis (CDA). There has never been an exploratory data analysis method for beauty startups, and rather than mentioning the need for formal start-up education, analyzing changes in interest in beauty startups and the requirements of prospective start-ups with exploratory data will help develop customized start-up programs.

A Survey on Korean Medicine Treatment of Autonomic Dysfunction: Preliminary Research for Clinical Practice Guidelines (자율신경실조증 한의표준임상진료지침 개발을 위한 한의임상 실태조사)

  • Hui-Yeong Park;Geum-Ju Song;Hyun Woo Lee;Chan Park;Seok-In Yoon;Jung Hwan Park;Sun-Yong Chung;Jong Woo Kim
    • Journal of Oriental Neuropsychiatry
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    • v.34 no.4
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    • pp.335-347
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    • 2023
  • Objectives: The study aimed to understand the current treatment patterns in Korean medicine to develop clinical practice guidelines for autonomic dysfunction in Korean medicine. Methods: This study sent an online survey vai text message to 25,900 Korean medicine doctors whose contact information was registered with the Association of Korean Medicine. A total of 1,410 Korean medical doctors completed the online survey. Results: When autonomic treating dysfunction clinically, 77% of the cases included only a description without entering a diagnosis code. The most commonly used information to diagnose o autonomic dysfunction was history-taking and symptoms (79%), and the main symptoms of autonomic dysfunction were palpitations, dizziness, sleeping difficulties, anxiety/nervousness, and depression/lethargy. The most frequently mentioned cause of autonomic dysfunction was mental problems (54%). The most commonly used Korean medicine treatment method for autonomic dysfunction was herbal medicine (70%), and Soyo-san/Gamisoyo-san is the most frequently used herbal medicine preparation. Liver qi depression used to indicate the most often mentioned Korean medicine pattern identification used to indicate autonomic dysfunction (31%). When asked whether cardiac neurosis in Chinese medicine can be considered autonomic dysfunction, opinions for and against it are determined almost equally. Conclusions: Our results serve are a foundation for developing clinical practice guidelines for autonomic dysfunction in Korean medicine and are expected to catalyst promoting future clinical research on autonomic dysfunction.

Current Status and Health Empowerment of North Korean Women Defectors (북한이탈여성의 현황 및 건강 임파워먼트)

  • Semi Lim;Kyungmi Lee
    • Journal of Industrial Convergence
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    • v.21 no.12
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    • pp.83-90
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    • 2023
  • The purpose of this study is a descriptive research study to confirm the difference in health empowerment according to the current status and general characteristics of North Korean women defectors residing in South Korea. The subjects of the study were 201 North Korean women defectors living in the local community, and data were collected from September 16 to September 21, 2020 using a structured questionnaire. The collected data were analyzed by descriptive statistics, t-test, ANOVA, pearson's correlation coefficients using the SPSS/WIN 23.0 program. As a result of the study, the domain with the lowest score in the health empowerment of North Korean women defectors was "I know a positive method to cope with stress related to my health care." in the stress management question. Statistically significant differences were found in North Korean repatriation experience(t=3.77, p<.001), education(F=4.56, p=.012), economic status(t=-2.95, p=.004), subjective health status(t=-4.75, p<.001) and subjective stress(t=-2.47, p=.015). Based on the results of this study, alternatives should be prepared to strengthen the health empowerment of North Korean women defectors according to their individual characteristics.

Change and Characteristics of Interactions in a Homogeneous Group on Scientific Inquiry Experiments (동질모둠이 수행한 과학탐구실험에서 실험 진행에 따른 상호작용의 변화와 특성)

  • Seong, Suk-Kyoung;Choi, Byung-Soon
    • Journal of The Korean Association For Science Education
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    • v.28 no.1
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    • pp.75-88
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    • 2008
  • The purpose of this study was to understand the factors affecting interactions as well as the students' learning process in small group activities. For this purpose, the changes and characteristics of students' interactions in scientific inquiry experiments were analyzed. This study focused on 2 homogeneous small groups of eighth graders. Students were involved in 13 inquiry experiments for one year and students' interactions in each experiments were observed and recorded using video/audio and the data recorded were transcribed. The analysis of data was based on the method of making a note by looking on and listening to the data repeatedly. Changes in the interactions of the two homogeneous groups differ remarkably. In small group A, owing to the conflicts of students' emotions, learning through social interactions became to be impossible. On the other hand, the interactions in small group B became more active. It seems that this changes are affected largely by the existence of peers who are able to mediate different opinions or feelings among group members. In general, middle school students were poor at receiving peers' opinion, cared a lot about writing reports. The less able students tended to be placed at a disadvantageous position in experiment lessons emphasizing social interactions. Four factors that affected the change of interactions were identified: Is the aim of experiments the understanding or completion of report? Is there any attitude towards peers' suggestions? Is there a disposition to care about peers? Is there any peer to mediate on peers' opinions or feelings? Educational implications of the progression of activities emphasizing interactions and the organization of grouping were drawn.