• Title/Summary/Keyword: multi-institutional study

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Current Status and Factors Related to Physical Activity of Older Nursing Home Residents with and without Dementia: Effects of Individual and Institutional Characteristics (장기요양시설 거주노인의 치매 여부에 따른 신체활동수준과 관련 요인: 개인 및 기관 특성의 영향)

  • Chun, Seungyeon;Kim, Hongsoo
    • Health Policy and Management
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    • v.28 no.4
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    • pp.392-401
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    • 2018
  • Background: Physical activity (PA) is critical for maintaining the health and well-being of older people in community and also institutional settings. The purpose of this study was to examine the current status of PA and related individual and organizational factors among older nursing home residents with and without dementia. Methods: This is a secondary data analysis study of a nationwide survey of 92 long-term care facilities in Korea, and the study sample includes older residents with dementia (n= 753) and without dementia (n= 480). The level of PA was measured by PA time and whether or not residents had an outdoor activity over the past 3 days. Multi-variate, multi-level analyses were conducted. Results: More than half of the sample in both groups had no or less than 1 hour of PA. About one out of four older people in our sample had no outdoor activity over the past 3 days regardless of whether or not they had dementia. Among the people without dementia, several individual-level factors were associated with PA, including dependency for activities of daily living, social activity participation, and caregivers' belief in the functional improvement of residents. Unlike the non-dementia group, individual- and organizationallevel factors including staffing level and having the relevant equipment for PA were associated with PA among those with dementia. Conclusion: Study findings provide evidence on the lack of PA among older nursing home residents, and the importance of institutional capacity with regard to human resources and physical equipment for promoting PA among people with dementia, in particular. Policies and supports are needed to promote the implementation of healthy aging programs including PA for older nursing home residents. Such programs should be person-centered with consideration to the physical and cognitive status of individual residents.

Recognition of Multi-Cultural Families in Certain Areas (일 지역 다문화 가족에 대한 인식도 조사 연구)

  • Kim, Jong-Sun;Park, Kyung-Soon;Kim, Tae-Yong
    • Journal of Home Health Care Nursing
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    • v.16 no.1
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    • pp.59-66
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    • 2009
  • Purpose & Method: Based on a large amount of research concerning the recognition of local residents in an era of an increasing number of multi-cultural families, this study aimed to provide fundamental data for program development and policies. As well, the data was stratified based on understanding of multi-cultural society, recognition of multi-cultural families, and social and economic adaptability of multi-cultural families. Result: The available literature supports the view that an understanding of a multi-cultural society and recognition of multi-cultural families encourages an emphasis on maintaining ethnicity and respect for diverse cultures. Parental approval for friendships with members of multi-cultural families tends to be encouraged, although there is still resistance to marital ties with such families. The literature indicates that immigrant women participate in economic activities of their adopted locale and adapt to the new societal structure. A positive correlation between recognition and interests in social and economic adaptiveness was apparent. Conclusion: Findings of the study suggest that complement, development, and application of realistic programs and institutional policies are required to understand multi-cultural families and establish a multi-cultural society. Ongoing research will be valuable in resolving outstanding questions and clarifying political alternatives.

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Reality of Housing for Multi-Cultural Families from the Perspectives of Social Constructionism and Critical Social Constructionism (사회구성주의와 비판적 사회구성주의 관점으로 본 다문화가정 주거의 실재)

  • Hong, Hyung Ock
    • Human Ecology Research
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    • v.52 no.6
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    • pp.573-586
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    • 2014
  • The purpose of this study was to review the conceptual framework of social constructionism and critical social constructionism in the research area of multi-cultural family homes, using a literature review. Fopp argued that social constructionism had an objectivation problem that only considered the actor side as a policy object; therefore he suggested a weaker social constructionist perspective with moderate relativism and the application of feminist epistemology to marginal life for maximizing objectivity. This article explores a conceptual framework for studying the reality of housing of multi-cultural families in Korea in the light of constructionist ideas and presents a review of empirical positivist data to support the framework. Based on results, using the social constructionist framework, five contexts (structural, institutional, organizational, operational, and intersubjective) were reviewed and ideas were suggested to develop an appropriate future situation for multi-cultural family homes. For a weaker social constructionist framework, three National Survey of Multi-Cultural Family Homes data sets were reviewed to determine the real condition of multi-cultural family homes. Further, from a feminist perspective, the empirical data of marginalized multi-cultural family homes were reviewed from the perspectives of gender inequality of decision making, cultural adaptation, and differentiation in housing related areas. In conclusion, two perspectives were useful for understanding multi-cultural family housing in Korea but must be compensated with substantial empirical data for a holistic approach.

The Analysis of Factors Affecting the Roadmap for Participation in Renewable Energy Projects Using a Multi-Level Model (다층모형을 활용한 신재생 에너지 사업 참여 로드맵에 미치는 영향 요인 분석)

  • Kim, Han-Jib
    • The Journal of the Korea Contents Association
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    • v.21 no.10
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    • pp.422-433
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    • 2021
  • At this point in time when active participation in renewable energy projects is required, basic information on growth engines and substantial promotion strategies for participation in renewable energy projects is needed. According to the this study tried to provide basic information for vitalizing participation in the renewable energy business by analyzing the factors affecting the new energy business participation roadmap using the multi-layered model. As a result of this study, it can be seen that in order to achieve an effective new energy business participation roadmap, it is necessary to re-establish the new and renewable energy business participation factors by industry. Specifically, it is necessary to prepare appropriate countermeasures such as the leading organization of the project, profit distribution method, green industry financial support, project implementation method, power plant location, and comprehensive long-term strategy, and there is an institutional approach that can promote the development of related industries. found to be necessary. Above all, it suggested that in order to achieve an effective new energy project participation roadmap, an institutional approach is needed that can expand the supply of new and renewable energy while minimizing the burden on the national economy and promote the development of related industries.

A Study in the Differences between Commercial Arbitration and Investment Treaty Arbitration (상사중재와 투자조약중재에 관한 비교연구)

  • Kim, Sung-Ryong;Ahn, Keon-Hyung
    • Journal of Arbitration Studies
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    • v.24 no.1
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    • pp.59-83
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    • 2014
  • In the past, the mention of "international arbitration" would have brought to mind only commercial arbitration. However, the frequency of investment treaty arbitration has seen remarkable grow thanks to the rise of globalization and the spread of multi-national corporations. Reflecting on the current state of the world, this paper introduces the meaning, characteristics, and differences between commercial arbitration and investment treaty arbitration in the context of procedural considerations. To this end, this paper examines some major procedural differences among the said types of arbitration, by dividing commercial arbitration into institutional arbitration and ad hoc arbitration, and dividing investment treaty arbitration into ICSID arbitration and UNCITRAL Rules arbitration.

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Multi-dimensional Utilization of a Railway Facility Site and the Need for Institutional Support: The Multi-dimensional Project of the Gyeongbu Line (철도시설 부지 입체적 활용 및 제도적 지원의 필요성 - 경부선 철도 입체화 사업을 대상으로 -)

  • Shin, Eun ho;Kim, Jong gu;Kang, Youn won;Keum, Yun geon;Kwon, Young soo
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.42 no.6
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    • pp.879-885
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    • 2022
  • Of increasing global popularity is the multi-dimensional use and development of cities to address land use and urban issues caused by high urban density and challenging topography. In Korea, the city of Busan has a large proportion of mountainous areas, and the Gyeongbu Line that runs through the city's center has been interrupting this urban area for over 117 years. Because a lack of usable land is hindering the development of the city, introducing a multi-dimensional approach to urban development is seen as important. Accordingly, the Gyeongbu Line underground project is attempting to solve the problem of disconnection of Busan's city center and increase the amount of usable land for varied multi-dimensional use. In this study, by conducting a preference survey among those who live near the underground project sites of the Gyeongbu Line stations in Busan, the planned use of each available land arearesulting from the multi-dimensional development of railroadsand railway stations was investigated. However, in order to further the results of the survey, legal and institutional support is needed. There are limits to the multi-dimensional use of land, such as the lack of interconnection between individual laws and the lack of specific guidelines for multi-dimensional development.

A Survey on Current Status and Introduction of Single Institutional Review Board (IRB) in Korea (국내 Single IRB 현황 및 도입에 대한 설문조사 연구)

  • Park, Sinyoung;Noh, Yang Hee;Cho, Su jin;Shim, Kyu Young;Park, Eun Young;Kim, Jin Seok
    • The Journal of KAIRB
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    • v.2 no.1
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    • pp.6-22
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    • 2020
  • Purpose: Clinical studies require institutional review board (IRB) approval based on the ethical principle and regulations. While the number of clinical studies has been increased and diversified, duplicated IRB review for multi-center studies has become a major issue. Therefore, single IRB system has been suggested in revised Common Rule. This study aimed to identify and assess the current status of single IRB in Korea and the anticipated needs of single IRB from researchers and IRB member or administrators. Methods: We developed 14 questions including perceived advantages and disadvantages of single IRB, and anticipated problems. The online survey collected opinions on single IRB from researchers, IRB members and IRB administrators. We also interviewed five IRB administrators who have an experience of single IRB. Results: A total of 80 responses were analyzed in this study. Although efficiencies were suggested for the advantages of single IRB in terms of reducing burden of duplicated review, respondents also perceived that the different review criteria between single IRB and each IRB would be a major hurdle for adopting single IRB system. Therefore, the standardization of standard of procedures (SOP) and the standardization of IRB submission materials should be preceded. According to the small group experiences of single IRB in Korea, we also observed the similar anticipated problems of single IRB. Conclusion: Single IRB system has many advantages for conducting multi-center trial. However, many specialists still have a lot of concerns about introducing a single IRB system in Korea. Therefore, a gradual, step-by-step process for conducting a single IRB system in Korea will be needed. Many studies for improving currently suggested single IRB system and the improvement of awareness about the essential of single IRB system would be needed.

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Going Abroad for Urban Management Projects: A Case Study of Kuwait New Town (도시관리사업의 해외 진출방안 연구: 쿠웨이트 신도시를 대상으로)

  • Lee, Sangheon;Jeong, Yeun-Woo
    • Land and Housing Review
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    • v.13 no.2
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    • pp.1-15
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    • 2022
  • This study reviews urban infrastructure and housing management in Kuwait to establish a strategy for going abroad in an urban management sector after the construction of the Kuwait New Town. This study reviews legal systems and governance related to urban infrastructure and housing management as well, offering implications that are collated from international and Korean case studies. By doing so, this paper proposes a governance structure for urban infrastructure and housing management along with key agendas for local institutional improvements. This study suggests that the establishment of a legal system equivalent to the Korean Multi-family Housing Management Act is a key to institutional improvements. The (tentatively entitled) 'Housing Management Act' is proposed to specify the scope and the ways of management in mandatory management subject to local conditions. The direction of going abroad, such as the management scope and the implementation system, discussed in this study can be used as a reference when expanding into other countries in the Middle East that have similar institutional environments to Kuwait in urban infrastructure and housing management.

The effect of acupuncture on hot flushes : A study protocol of multi-center randomized controlled clinical trial (갱년기 여성의 안면홍조에 대한 침치료 다기관 임상시험 : 프로토콜)

  • Park, Ji-Eun;Oh, Dal-Seok;Kang, Kyung-Won;Kim, Dong-Il;Choi, Sun-Mi
    • Korean Journal of Acupuncture
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    • v.24 no.3
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    • pp.33-45
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    • 2007
  • Background : Hot flushes are general postmenopausal symptoms which about 75% of climacteric women undergo. They affect hotness, perspirations, systemic weakness, panic disorders, insomnia. Acupuncture is effective in alleviating hot flushes in practice. Assessment effectiveness and safety of acupuncture in hot flushes would be needed through multi-center trial. Objectives : Purpose of this study is to develope the protocol of effects of acupuncture on hot flushes, a postmenopausal symptom in climacteric women. Methods & Results : It will be a multi-centered, randomized, sham controlled, comparative trial. It will be performed by Good Clinical Practice after approval of Institutional Review Board. Selection criteria will be set according those of FDA above moderate degree. There will be a notice on concomitant medication, other herbs, dietary supplements. Superficial needling on sham points will be used for control group. Treatment period will be 8 weeks with 12 weeks' follow up. Some questionnaire scale will be used as the primary and secondary outcome. Conclusions : The clinical trials based on this protocol will be performed.

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