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Home Care Services Utilization and Satisfaction for Clients with Cancer (항암화학요법 환자의 가정간호 이용 양상과 간호 만족도)

  • Kim, Yun-Ok;Baek, Hee-Chong
    • Journal of Home Health Care Nursing
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    • v.10 no.2
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    • pp.132-140
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    • 2003
  • This study was to identify the utilization of home care service and home care nursing satisfaction for clients with cancer who had completed secondary and tertiary chemotherapy session. Raw data was collected by reviewing charts and questionnaire of 23 clients with cancer between September, 2002 and November 2002 at an university hospital located in Seoul. Korea. The result are as follows: 1. Characteristics in the use of home care: After applying for home care service, patients were visiting an average of 1.88 days later. The major purpose of using home care service was to help recovery after hospitalization or to maintain present health. The average period for home care service was 14.6 days, with 4 visits over this period, for 35.78 minutes per visit. 2. Content of home care service: A total of 47 items of service were provided - basic nursing care, education and counseling, and therapeutic nursing care. On every visit, an average of 19 items of home care service were provided, and the majority (7 items) were therapeutic nursing care. 3. Satisfaction with home care services: Satisfaction was very high, an average of 3.88 on a scale of 4 points. Both patients and families expressed high satisfaction with all sub-domains of nursing care: guidance by the home care nurses, knowledge, skill, attitude, interpersonal relationships, emotional support, and accessibility. In conclusion, home care served basic nursing care, teaching and counseling, and therapeutic nursing to clients with cancer going through secondary or tertiary chemotherapy. Therefore they changed knowledge and attitude to disease and treatment which were difficult to change.

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Analysis of the undergraduate GIS course for Accreditation (공학인증에 대비한 학부 GIS 교과과정 분석)

  • Koh, June-Hwan
    • Spatial Information Research
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    • v.17 no.1
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    • pp.145-157
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    • 2009
  • Rapidly evolving field of GIS and the social demand for university education to address the gap in the training of human resources, and future-oriented, engineering accreditation system based on the introduction of measures in the field of GIS is the need. In this thesis, the domestic and international undergraduate curriculum including University of Seoul's was analysed. A GIS curriculum of the domestic and abroad department course was analyzed. The present status of the domestic engineering accreditation and problems were analyzed and a desirable casting plan was shown through the abroad GIS related accreditation case analysis to analyze the validity of the engineering accreditation introduction of the GIS field. A standardized GIS curriculum was shown through the analysis of the core curriculum and the body of knowledge of the GIS field shown at the advanced of foreign countries all together. The industry-academia cooperation forum which made the Surveying and GIS related society the center by a political alternative, the construction of the caucus and the argument to execute this effectively are needed.

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A survey of the satisfaction of patients who have undergone implant surgery with and without employing a computer-guided implant surgical template

  • Youk, Shin-Young;Lee, Jee-Ho;Park, Ji-Man;Heo, Seong-Joo;Roh, Hyun-Ki;Park, Eun-Jin;Shin, Im Hee
    • The Journal of Advanced Prosthodontics
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    • v.6 no.5
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    • pp.395-405
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    • 2014
  • PURPOSE. This study aims to investigate the degree of subjective pain and the satisfaction of patients who have undergone an implant treatment using a computer-guided template. MATERIALS AND METHODS. A survey was conducted for 135 patients who have undergone implant surgery with and without the use of the computerguided template during the period of 2012 and 2013 in university hospitals, dental hospitals and dental clinics that practiced implant surgery using the computer-guided template. Likert scale and VAS score were used in the survey questions, and the independent t-test and One-Way ANOVA were performed (${\alpha}=.05$). RESULTS. The route that the subjects were introduced to the computer-guided implant surgery using a surgical template was mostly advices by dentists, and the most common reason for which they chose to undergo such surgery was that it was accurate and safe. Most of them gave an answer that they were willing to recommend it to others. The patients who have undergone the computer-guided implant surgery felt less pain during the operation and showed higher satisfaction than those who have undergone conventional implant surgery. Among the patients who have undergone computer-guided implant surgery, those who also had prior experience of surgery without a computer-guided template expressed higher satisfaction with the former (P<.05). CONCLUSION. In this study, it could be seen that the patients who have undergone computer-guided implant surgery employing a surgical template felt less pain and had higher satisfaction than those with the conventional one, and the dentist's description could provide the confidence about the safety of surgery.

Reliability and Validity of A Korean Version of the Practice Skills Inventory I (한국어판 사회복지실천기술 척도(Practice Skills Inventory)의 신뢰도와 타당도 평가 I - 의료사회복지사와 정신보건사회복지사를 대상으로 -)

  • Kim, Yong-Seok;Kim, Jang-Bae;Lee, Young-Sook;Lee, Hyun-Ju
    • Korean Journal of Social Welfare
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    • v.62 no.4
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    • pp.5-32
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    • 2010
  • Although social work practice skills are one of the important components of social work practice, research on social work practice skills has been very scarce. It seems that the reason might be a lack of standardized instruments used to measure social work practice skills. The purpose of this study is to validate a Korean version of the Practice Skills Inventory(PSI) developed by O'Hare and colleagues. The PSI is the only instrument developed in the field of social work to measure the frequency of social work practice skills that social workers use. A total of 310 social workers working in medical or mental health field were participated in this study. A result of confirmatory factor analysis showed that the Korean version of the PSI is composed of 4 factors like its english version. The Korean version of the PSI was also reliable and valid. Implications for social work research, practice and education are provided.

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Study on Fatigue Property of Material for Oil Hydraulic Piston Pump (유압 피스톤 펌프 소재의 피로특성 연구)

  • Kim, Nam-Seok;Nam, Ki-Woo;Kim, Hyun-Soo
    • Transactions of the Korean Society of Mechanical Engineers A
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    • v.35 no.5
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    • pp.555-559
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    • 2011
  • Oil hydraulic piston pumps are extensively used worldwide because of their simple design, light weight, and cost effectiveness. However, an oil hydraulic pump is likely to have high leakage, friction, and low energy efficiency after long-term use. In oil hydraulic piston pumps the clearance between the valve block and the piston plays an important role in the volumetric and overall efficiency. We studied the wear property of the SACM645 material used in hydraulic piston pumps via experiments with different heat treatments. We prepared three different specimens. The maximum tensile strengths of the QT and QT-nitration specimens are similar (about 820 MPa), but the strains are significantly different. However, the fatigue characteristic depended on the heat treatment.

Use Case Development for Next Generation Electronic Nursing Record Systems Utilizing Clinical Workflow Analysis and a Delphi Survey (차세대 전자간호기록 시스템 유스케이스 개발: 업무흐름 분석과 전문가 델파이 기법 적용)

  • Cho, Insook;Choi, Woan Heui;Hyun, Misuk;Park, Yonok;Lee, Yoona;Lee, Sooyoun;Hwang, Okhee
    • Journal of Korean Clinical Nursing Research
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    • v.21 no.3
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    • pp.377-388
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    • 2015
  • Purpose: To identify user requirements for electronic nursing record (ENR) systems so as to ensure system usability. Methods: A mixed methods approach were applied in three steps : (i) task and workflow analysis with literature review of nursing documentation, (ii) literature reviews of system usability, and (iii) Use Case idenfication and consensus-based validation. We analyzed the nursing activity logs collected from a time-motion investigation of six hospitals. The Use Cases were validated by eight clinical experts from different hospitals and two experts from academia in a sequential Delphi survey. Consensus was achieved for the significance score and agreement among the panel. Results: Eight task groups and patterns of task flow were observed, which were translated into nine Use Cases. The specification of Use Cases was derived from principles, guidelines, and recommendations on nursing documentation and electronic health record systems, which was organized into three requirements of each Use Case: functionality, information, and design characteristics. Each Use Case achieved an agreement of 50~70%, and significance scores of 4 or 5 on a 5-point Likert scale. Conclusion: The nine Use Case identified were considered to be important and adequate in terms of both clinical and informatics contexts.

Reliability and validity of a personal computer based muscle viewer for measuring upper trapezius and transverses abdominis muscle thickness

  • Jeong, Ju-Ri;Han, Ju Hee;Cho, Ji-Eun;Lee, Wan-hee
    • Physical Therapy Rehabilitation Science
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    • v.5 no.3
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    • pp.155-161
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    • 2016
  • Objective: This study aimed to investigate the reliability and validity of a personal computer-based muscle viewer (PC-BMW) compared with that of a portable ultrasound (P-US) for measuring upper trapezius (UT) and transversus abdominis (TrA) muscle thickness at rest and during contraction. Design: Observational inter-rater reliability study. Methods: Fifty-five healthy participants (25 men, 30 women) participated in this study. PC-BMW and P-US were randomly measured at the UT and TrA muscles. Two examiners randomly obtained the images of all participants in 3 test sessions lasting 2 days. Intra-class correlation coefficients (ICCs), standard error of measurement, contraction ratio, and correlation were used to estimate reliability and validity. Pearson's correlation coefficients were used to analyze the relationship between muscle thickness measures taken from PC-BMW and P-US. Results: The intra-rater reliability ICCs of UT and TrA muscle thickness for the PC-BMW were >0.995, indicating excellent reliability. Inter-rater reliability ICCs for the PC-BMW ranged from 0.963 to 0.987. The P-US also exhibited high reliability. A high correlation was found between the measurements of the two muscles in PC-BMW and P-US (p<0.01). Conclusions: PC-BMW provides clear and excellent images, is pocket-sized and less expensive than a conventional ultrasound imaging system. PC-BMW can be utilized variously and has the advantage of rehabilitative ultrasound imaging. More research is needed to evaluate the utility of PC-BMW for rehabilitation.

Association of Higher Continuity of Primary Care with Lower Risk of Hospitalization among Children and Adolescent Patients (어린이와 청소년 환자에서 일차의료의 지속성과 입원 위험도의 관련성)

  • Choi, Yong-Jun;Kang, Sung-Hyun;Kim, Yong-Ik
    • Health Policy and Management
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    • v.18 no.1
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    • pp.85-107
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    • 2008
  • This study aims to describe levels and distribution of the continuity of primary care among children and adolescent patients who are 2-19 years old, and analyze the effects of it on the risk of hospitalization. Study population was 2-19 year old child and adolescent patients as of 2002, who had more than three ambulatory care visits in the years of 2002-3 and whose most frequent provider was the primary care practices (189,660 persons). Association of levels of primary care with the risk of hospitalization was evaluated using multiple event survival analysis. Outcome variables were whether the patient had hospitalized or not, and whether the patient had hospitalized due to ambulatory care-sensitive conditions or not. Multiple event survival analysis revealed statistically significant association of the levels of primary care with the risk of hospitalization. Hazard ratio was 1.34 [1.27-1.41] at the medium level of continuity and 1.47 [1.39-1.55] at the lower level where outcome variable was whether the patient had been hospitalized or not. Hazard ratios were 1.35 [1.21-1.50] at the medium level of continuity and 1.60 [1.44-1.78] at the lower level, where outcome variable was whether the patient been had hospitalized due to ambulatory care-sensitive conditions or not. This study produced some evidences on the benefits of continuity of care, which will in turn support the introduction of personal doctor registration program in the future.

Optimization of annealing conditions in oxide-precursor-based MOD process for YBCO thin films (산화물 전구체를 이용한 YBCO 박막제조에서 열처리조건의 최적화)

  • Heo S. Y.;Kim Y. K.;Yoo J. M.;Ko J. W.;Hong G. W.;Lee H. G.;Yoo S. I.
    • Progress in Superconductivity
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    • v.6 no.2
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    • pp.118-123
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    • 2005
  • A low cost YBCO oxide powder was employed as a starting precursor for MOD process. YBCO oxide is advantageous over metal acetates or TFA salts which are popular starting precursors for conventional MOD-TFA process because that YBCO oxide precursor is cheap and easy to control molar ratio. YBCO thin films were prepared by this oxide-precursor-based MOD process and annealing condition was optimized. The YBCO thin film annealed at below $780^{\circ}C$ shows no transport $I_c$ and poor microstructure. Raman spectroscopic study of YBCO thin film indicates that YBCO thin film prepared at below $780^{\circ}C$ contains a number of imperfections such as non-superconducting $BaCuO_2$ phase, cation disorder, etc. However, the YBCO thin film treated at above $800^{\circ}C$ shows improvement in microstructure and current transport properties. This research was supported by a grant from Center for Applied Superconductivity Technology of the 21st Century Frontier R&D Program funded by the Ministry of Science and Technology, Republic of Korea.

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Slant Estimation and Correction for the Off-Line Handwritten Hangul String Using Hough transform (Hough 변환을 이용한 오프라인 필기 한글 문자열의 기울기 추정 및 교정)

  • 이성환;이동준
    • Korean Journal of Cognitive Science
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    • v.4 no.1
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    • pp.243-260
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    • 1993
  • This paper presents an efficient method for estimationg and correcting the slant of off-line handwritten Hangul strings.In the proposed method,after extracting contours from input image.Hough tranform is applied to the contours to detect lines and estimate slants of the lines.When Hough trans form is applied to the contours,pixels which are not parts of the same stroke could be detected as a line.In order to exclude these lines from slant estimation process,detected lines which have the length less than threshold are eliminated.Experiments have been performed with address images which were extracted from live envelopes provided by Seoul Mail Center.Experimental results show that the proposed method is superior to the previous methods,which had been done with handwritten English strings.in estimation the slant of off-line handwritten Hangul strings.