• Title/Summary/Keyword: integrated group

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The effectiveness of group combined intervention using animal-assisted therapy and integrated elderly play therapy

  • Kil, Taeyoung;Kim, Hak-man;Kim, Minkyu
    • Journal of Animal Science and Technology
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    • v.61 no.6
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    • pp.371-378
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    • 2019
  • The purpose of this study was to investigate the effects of group combined intervention that combined animal-assisted therapy and integrated elderly play therapy on the depression, self-esteem, and emotional expression of geriatric patients residing in nursing homes. This was achieved by providing cognitive, physical, and emotional activities and social interaction at the same time. The group combined intervention method was applied to twelve elderly patients (six in the control group, six in the experimental group) aged 65 or older who live in a nursing home for the elderly in C province, from May 3, 2019 to June 21, 2019, for a total of 8 times (once a week, 50 minutes at a time). The quantitative evaluation was analyzed through SPSS 21.0 for comparison before and after the program was implemented, using the Korean version of the depression and the self-esteem scale. The qualitative evaluation compared emotional expression pre-test and post-test. The major results of the study were as follows: First, the group combined intervention was effective in reducing depression levels of the experimental group among the elderly patients. Second, it was effective in improving the self-esteem of the experimental group among the elderly patients. Third, it showed a significant difference in the emotional expression of the experimental group among the elderly patients. Therefore, it was found that group combined intervention reduces depression and improves self-esteem and emotional expression of the elderly. Based on these results, it is hoped that this study will be a cornerstone in the development of concrete programs for the benefit of elderly patients living in facilities.

Effectiveness of a Positive Psychology-based and Character Strengths-integrated Activity Program on Depression, Vitality, Life Satisfaction in Elderly Living Alone in Rural Areas (긍정심리기반 성격강점 통합활동 프로그램이 농촌 독거노인의 우울, 활력, 생활만족도에 미치는 효과)

  • Han, Sang Mi;Ha, Yeongmi
    • Research in Community and Public Health Nursing
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    • v.27 no.4
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    • pp.299-308
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    • 2016
  • Purpose: The purpose of this study was to develop a positive psychology-based and character strengths-integrated activity program for elders living alone in rural areas, and then to examine the effectiveness of the program. Methods: A quasi-experimental pre- and post-test design with a nonequivalent control group was used. The participants included 59 elders in total, of whom 30 were assigned to the experimental group and 29 to the control group. positive psychology-based and character strengths-integrated activity program for elders consists of sixty-minute sessions held twice per week during 6 weeks, hence 12 sessions in total. Results: There were significant differences between the experimental and control groups in depression, vitality and life satisfaction (all p<.001). Conclusion: The positive psychology-based and character strengths-integrated activity program for elders living alone in rural areas is effective in that it decreased the degree of depression and increased the vitality and life satisfaction in the participants.

Effects of Integrated Dementia Managing Programme for the Elderly with Mild Dementia in Nursing Home (요양시설 입소 경증치매노인의 통합 치매관리 프로그램의 적용 효과)

  • Ahn, Meung Sook;Jo, Hyun Sook
    • Research in Community and Public Health Nursing
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    • v.30 no.4
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    • pp.550-559
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    • 2019
  • Purpose: The purpose of this study was to verify the effects of the integrated dementia managing programme for the elderly with mild dementia in which the physiological, cognitive, emotional, sociological and spiritual aspects have considered. Methods: This study employed non-equivalent control group pre-post tests with the repeated measure design. The subjects of the study were 39 elderly with mild dementia (20 in the experimental group and 19 in the control group) who have admitted to two nursing homes in B city. The data were analyzed by repeated measures ANOVA. Results: There were significant interactions between two groups and times in self-efficacy (p=.011), cognitive function (p<.001), depression (p=.005), spiritual well-being (p=.002), and quality of life (p=.037). The integrated dementia managing programme of this study showed significant positive effects on the quality of life for the elderly with mild dementia. Conclusion: On considering the current trends of aging and increasing number of the elderly with dementia, this integrated programme would be highly recommended to be used in nursing homes for the elderly with mild dementia, and contribute to improving their quality of life, and saving the social and medical expenses as well.

Design Methodology for Transformers Including Integrated and Center-tapped Structures for LLC Resonant Converters

  • Jung, Jee-Hoon;Choi, Jong-Moon;Kwon, Joong-Gi
    • Journal of Power Electronics
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    • v.9 no.2
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    • pp.215-223
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    • 2009
  • A design methodology for transformers including integrated and center-tapped structures for LLC resonant converters is proposed. In the LLC resonant converter, the resonant inductor in the primary side can be merged in the transformer as a leakage inductance. And, the absence of the secondary filter inductor creates low voltage stress on the secondary rectifiers and is cost-effective. A center-tapped structure of the transformer secondary side is widely used in commercial applications because of its higher efficiency and lower cost than full-bridge structures in the rectifying stages. However, this transformer structure has problems of resonance imbalance and transformer inefficiency caused by leakage inductance imbalance in the secondary side and the position of the air-gap in the transformer, respectively. In this paper, gain curves and soft-switching conditions are derived by first harmonic approximation (FHA) and operating circuit simulation. In addition, the effects of the transformer including integrated and center-tapped structures are analyzed by new FHA models and simulations to obtain an optimal design. Finally, the effects of the air-gap position are analyzed by an electromagnetic field simulator. The proposed analysis and design are verified by experimental results with a 385W LLC resonant converter.

Effect of Linker for Immobilization of Glutathione on BSA-Assembled Controlled Pore Glass Beads

  • Chen, Li-Hua;Choi, Young-Seo;Park, Jung-Won;Kwon, Joseph;Wang, Rong-Shun;Lee, Tae-Hoon;Ryu, Sung-Ho;Park, Joon-Won
    • Bulletin of the Korean Chemical Society
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    • v.25 no.9
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    • pp.1366-1370
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    • 2004
  • Controlled pore glass bead was modified with bovine serum albumin (BSA), and glutathione (GSH) was immobilized through three kinds of linkers on top of BSA. Bis(3-sulfo-N-hydroxysuccinimide suberate) sodium salt $(BS^3)$, N-hydroxysuccinimide 3-(2-pyridyldithio)propionate (SPDP), or N-hydroxysuccinimide 4-maleimidobutyrate (GMBS) was introduced into the BSA-bound matrix. Subsequently, GSH was immobilized by addition of thiol side chain into the maleimido moiety, replacing a disulfide group, or formation of an amide group upon releasing 3-sulfo-N-hydroxysuccimide group. It was observed that conjugation methodology played a critical role for activity of the immobilized GSH. SDS-PAGE chromatogram showed that the matrix of glutathione immobilized on BSA through GMBS manifested high selectivity towards glutathione-S-transferase (GST) in cell lysate.

TOAST Distribution of Ischemic Stroke Patients Admitted to Oriental Hospitals (한방 의료기관에 입원한 허혈성 뇌졸중 환자의 아형 분포)

  • Lee, Jung-Sup;Ko, Mi-Mi;Lee, Ju-Ah;Kang, Byoung-Kab;Cha, Min-Ho;Oh, Dal-Seok;Bang, Ok-Sun
    • The Journal of Korean Medicine
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    • v.31 no.5
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    • pp.82-89
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    • 2010
  • Objectives: The aim of this study was to determine distribution patterns of TOAST subtypes of ischemic stroke patients admitted to oriental hospitals and to get a better understanding of present conditions in oriental medicine by comparing with the Korea stroke registry (KSR), the largest and representative data. Methods: Clinical data were collected from acute ischemic stoke patients. MRI studies including vascular images were performed in all cases. TOAST criteria were used to determine subtypes of ischemic stroke patients. According to the duration from disease onset to hospital admission time, patients were assigned to 3 groups (Group I0 to 3 d, Group II4 to 7 d, Group III8 to 28 d) and the distribution of TOAST subtypes were compared among these three groups. Results: We collected 514 sets of clinical data from 10 oriental hospitals between May 2007 and September 2009. Small vessel occlusion (SVO) subtype was the most common (57.62%), followed by large artery atherosclerosis (LAA, 29.98%). Compared with TOAST distribution of KSR, the proportion of ischemic stroke patients with SVO subtype was higher than that of KSR. On the other hand the proportion of patients with stroke of undetermined etiology (SUE) was lower. Distributions of SVO, LAA and cardioembolism (CE) in group were I 66.4%, 23.8% and 8.9%, respectively; those in group IIIwere 51.03%, 34.71% and 11.57%, respectively. Conclusions: In oriental hospitals, the proportion of ischemic stroke patients diagnosed as SVO type was higher than that of KSR. At early stage (from onset to 2 d) proportion of SVO was very high, however after 7 days from onset it decreased with concomitant increases in proportions of LAA and CE. These phenomena may be due to the facts that 1) at early stage emergency treatments are limited in oriental hospitals, 2) after early stage many patients prefer oriental treatments, including rehabilitation.

Pilot Study Results of a Longitudinal Integrated Clerkship in a Single Institution (일개 의과대학 장기추적통합임상실습 시범과정 운영경험과 고찰)

  • Yoon, Hyun Bae;Moon, Sang Hui;Myung, Sun-Jung;Park, Jun-Bean;Park, Wan Beom
    • Korean Medical Education Review
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    • v.20 no.1
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    • pp.15-19
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    • 2018
  • The longitudinal integrated clerkship is an innovative approach in medical education that emphasizes continuity as a key principle to provide student-centered experiences and learning. Seoul National University College of Medicine decided to adapt longitudinal integrated clerkships to the new curriculum beginning in 2018, and therefore conducted pilot studies in 2016 and 2017. This study aimed to analyze the program evaluation results of the two pilot programs and discuss issues related to the successful implementation of longitudinal integrated clerkships in Korea. We conducted a focus group interview with nine students who participated in the 2016 pilot program and 13 students who participated in the 2017 pilot program. We also conducted a focus group interview with 11 faculty members who either participated in the pilot program or will participate in the main program. From the 2016 experience, we found that it is not appropriate to assign each patient to a single student and let the students contact their patients personally for feasibility and safety reasons. In the 2017 pilot program, we assigned each patient to a group of students, which made it more feasible for the students to follow-up with their patients. The students were satisfied with their new experience of longitudinal patient follow-up and regular meetings in the pilot program. Faculty emphasized the importance of establishing the course objectives and holding an orientation for the students and the faculty. Further study is planned to evaluate the early outcomes of the main longitudinal integrated clerkship.

The Integrated Design Optimization Technique for Spatial Structures

  • Lee, Sang-Jin
    • Architectural research
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    • v.14 no.1
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    • pp.19-26
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    • 2012
  • The technique of integrated design optimization is proposed to design spatial structures. Various element technologies such as topology optimization, layout editing and size optimization processes are used in an integrated manner to improve the performance of spatial structures. In order to demonstrate the present technique, a unit spatial structure is optimized and numerical results are described here.

Research of Integrated System Design Process for Concurrency Design Activity (동시적 업무수행을 위한 통합된 시스템 설계 프로세스연구)

  • 김진훈;박영원
    • Proceedings of the Korean Society for Quality Management Conference
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    • 2004.04a
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    • pp.103-108
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    • 2004
  • This paper will describe integrated system design process and its application. Integrated design process is performed activities concurrently and sequentially for product development. For a group of activities to be truly integrated, the flow of deliverables among them must be well defined, and committed to. For this purpose, the study will suggest procedure that is executed context analysis of standard process, interface definition from activity decomposition, integration of related activities, and definition of concurrency & sequential activities flow, This procedure and method will contribute to minimize time loss that is emerged from activities iteration by not definitely definition of activities interface.

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An Analysis of Empathy Represented in Students' Group Journal of Integrated English Class Using Literature (문학을 활용한 통합영어수업의 학습자 그룹저널에 나타난 공감성 분석)

  • Choi, Minju;Kim, Jeong-ryeol
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.228-234
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    • 2018
  • The aim of this study was to analyze the empathy represented in the learners' group journal of integrated English class using literature. 15 high school students participated in this class. In this study, integrated English class using literature was carried out by supplementing the point that amount of the English classes using literature had been focused on reading activities. In addition, not only communicative abilities but also learners' empathy to the main character in the literary was taught. In order to analyze the empathy expressed in learners' group journal, the integrated English class using literature was conducted in the second period and the class was recorded by video. The empathy was based on the community competence mentioned in the 2015 revised curriculum, and learners were asked to write the group journal. As a result of the research, the learners showed an understanding of the context in the novel and learners' group journal showed that their empathy to the main character in the novel. It is expected that the data on the empathy represented in the learner group journal of the integrated English class using literature will be used in English class.