• Journal of Korean Academy of Nursing
• /
• v.20 no.2
• /
• pp.227-248
• /
• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

• Restorative Dentistry and Endodontics
• /
• v.36 no.6
• /
• pp.483-489
• /
• 2011

Objectives: The purpose of this study was to examine the effect of glycerin topical application on the surface hardness of composite after curing. Materials and Methods: A composite (Z-250, 3M ESPE) was packed into a disc-shaped brass mold and light cured according to one of the following protocols. Group 1 (control) was exposed to air and light cured for 40 sec, group 2 was covered with a Mylar strip and light cured for 40 sec, group 3 was surface coated with glycerin and light cured for 40 sec, and group 4 was exposed to air and light cured for 20 sec and then surface coated with glycerin and cured for additional 20 sec. Twenty specimens were prepared for each group. The surface hardnesses of specimens were measured with or without polishing. Five days later, the surface hardness of each specimen was measured again. Data were analyzed by three-way ANOVA and Tukey's post hoc tests. Results: The surface hardnesses of the unpolished specimens immediately after curing decreased in the following order: group 2 > 3 > 4 > 1. For the polished specimens, there was no significant difference among the groups. Within the same group, the hardness measured after five days was increased compared to that immediately after curing, and the polished specimens showed greater hardness than did the unpolished specimens. Conclusions: The most effective way to increase the surface hardness of composite is polishing after curing. The uses of a Mylar strip or glycerin topical application before curing is recommended.

• Journal of the Institute of Electronics Engineers of Korea TC
• /
• v.45 no.10
• /
• pp.40-48
• /
• 2008

Security of self organized mobile ad hoc networks is an important issue because administration information in the networks is managed by the constituent nodes. Especially authentication mechanism is necessary for trust setup between newly joining nodes and the network. The authentication models and protocols which are based on the wireline infrastructure could not be practical for mobile ad hoc network. Although public key algorithm-based method is widely used for authentication, it is not easy to be applied to mobile ad hoc networks because they do not have infrastructure such as centralized CA which is needed for certificate verification. In this paper, we consider the public key based random CA group method proposed in [1] to provide efficient authentication scheme to mobile ad hoc networks and analyze the performance of the method, which is then compared to the home CA method. From the analysis results, we see that the random CA method where the function of CA is distributed to some mobile nodes and the authentication information is propagated to randomly chosen CAs shows higher reliability and lower cost than home CA method.

• Korean journal of communication and information
• /
• v.78
• /
• pp.35-78
• /
• 2016

This study pays attention to the assumption that the governance including the appointment of CEO is a key factor in the internal colonialism of local broadcasting. To evaluate the tendencies, it collects and analyzes the profile of CEOs, directors, and shareholders of the 17 regional affiliates of MBC and 9 local commercial broadcasting companies between the early and mid-1990s and 2015. It also discusses the local broadcasting personnel and its operations. By doing so, the study attempts to reveal how the internal colonialism of local broadcasting works. It finds out that the governance of regional broadcasters of MBC is controlled by the head office located in Seoul. At the same time, the governance of local commercial broadcasters is encroached by the tyrannical practices of major shareholders caused by the non-separation of ownership and management. These kinds of abnormal management of governance tend to constrain the investment on personnel and production. Finally, this study suggests some desirable directions of governance focusing on the appointment of CEO in terms of both legislative system and self-regulation. They include establishing a new proviso for programming protocols in local broadcasting, introducing a CEO & non-executive director nomination committee, and so forth.

• Korean Journal of Psychosomatic Medicine
• /
• v.11 no.1
• /
• pp.60-68
• /
• 2003

Objectives: The purpose of this study was to develop a Korean version of the Levels of Emotional Awareness Scale(LEAS-K) and to examine its validity and reliability. Methods: LEAS-K was developed from translating original LEAS into Korean. The subjects were 476 Korean medical students(322 males and 154 females). The internal consistency was evaluated with the Cronbach's alpha coefficients and 40 protocols were independently scored by two raters to confirm interrater reliability. Additionally, a Korean version of 20-item Toronto Alexithymia Scale(TAS-20K), Korean versions of the Openness to Experience Inventory(OE), the Marlowe-Crowne Scale (MCS), the Bendig short form of the Taylor Manifest Anxiety Scale(TMAS) and the Emotional Expressivity Scale(EES) were rated to evaluate concurrent validity. Results: The internal consistency measured by Cronbach's alpha was 0.81 and interrater reliability was high{r(40)=0.99}. Correlation coefficients for concurrent validity were nonsignificant with TMAS and EES. LEAS-K correlated significantly with TAS-20K{r(476)=-0.10, p<0.05}, OE {r(476)=0.10, p<0.05} and MCS {r(476)=0.10, p<0.05}. Conclusion: LEAS-K was demonstrated to have high reliability and validity.

• The KIPS Transactions:PartD
• /
• v.8D no.2
• /
• pp.132-144
• /
• 2001

The broadcast environment is asymmetric communication aspect that is typically much greater communication capacity available from server to clients than in the opposite direction. In addition, most of mobile computing systems only allow the generation of read-only transactions from mobile clients for retrieving different types of information such as stock data, traffic information and news updates. Since previous concurrency control protocols, however, do not consider such a particular characteristics, the performance degradation occurs when those schemes are applied to the broadcast environment having quite a high data contention. In this paper, we propose OCC/2VTS (Optimistic Concurrency Control based on 2-Version and TimeStamp) that is most appropriate for broadcast environment. OCC/2VTS lets each client process and commit query transactions for itself by using two version data in cache. If the values of appropriate data items are not changed twice by invalidation report after a query transaction starts, the query transaction is committed safely independent of commitment of update transactions. OCC/2VTS decreases the number of informing server for the purpose of commitment. Due to broadcasting the validation reports including updated recent values, it reduces the opportunity of requesting a recent data values of server as well. As a result, OCC/2VTS makes full use of the asymmetric bandwidth. It also improves transaction throughput by increasing the query transaction commit ratio as much as possible.

• Journal of Community Nutrition
• /
• v.5 no.2
• /
• pp.105-111
• /
• 2003

Balanced intake of appropriate nutrients is the key to sustaining and promoting health as well as preventing and treating diseases. It is not always easy, however, to take balanced nutrition and various related factors must be taken into consideration. This report provides a summary of studies that have examined the nutrient intakes of Japanese middle-aged men and the relationship of this intake to drinking, job-related separation from families, and health practices. The alcohol consumption of Japanese middle-aged men has more than tripled in the last forty years. When nutrient intake was examined in relation to alcohol consumption, it was discovered that the maximum acceptable alcohol consumption was approximately 23 grams (about two drinks) of pure alcohol, provided the level of nutrient intake for drinkers was equal to that of non-drinkers. The alcohol energy ratio was approximately 5％. It was also discovered that middle-aged men's eating habits deteriorate when they relocate to new posts without their families and live by themselves. Compared to those living with their families, a higher proportion of those living alone have unfavorable eating habits including skipping breakfast or lunch, having a late lunch, and eating and drinking after dinner until bedtime. When Breslow's seven health practices, nutrient intake, and consumption weight by food group were examined, it was discovered that the group that had many beneficial eating and living habits consumed plenty of legume, pulses, fruit, green yellow vegetables and milk products. Their intake of vitamins and minerals was high and the results of a physical examination proved to be excellent. According to nutrition surveys conducted in Japan, China, the United Kingdom and the United States using a 24-hour recall method with common protocols and strict controls to ensure high levels of accuracy and cross-study validity, the Japanese had the highest cholesterol intake and the lowest dietary fiber intake among the four countries. Also, the alcohol energy ratio of the Japanese exceeded 8％, the highest among the four countries, while their intake of magnesium and iron was the lowest These results indicate that it is necessary to enhance nutritional education for middle-aged men and to reinforce the social environments in which they live and work in order to promote proper diet and nutrition in Japan. (J Community Nutrition 5(2) : 105-111, 2003)

• Journal of Korean Society of Environmental Engineers
• /
• v.39 no.7
• /
• pp.426-439
• /
• 2017

This review summarizes advantage and limitation in infrared spectroscopy and computational chemistry to understand rhizospheric interaction among organic acids, oxyanions and metal oxides. Since organic acids and metal oxides determine dynamics of oxyanions in the soil environment, knowledge of fundamental mechanisms is a prerequisite for understanding the interactions at soil-water interface. Attenuated total reflectance-fourier transform infrared spectroscopy (ATR-FTIR) is a powerful tool to measure the interfacial reactions. However, the ATR-FTIR measurements are abstruse, because the optical characteristics for measurements are variable depending on the experimental setup. In addition, spectral overlapping is a primary obstacle to the analysis of the interfacial reaction; thus, it is essential to detect and to deconvolute bands for signal interpretation. In this review, we expained the fundamental principle for spectrum processing, and four band identification methods, such as derivative spectroscopy, two-dimension correlation spectroscopy, multivariate curve resolution, and computational chemistry with example of aqueous phosphate speciation. As a result, spectrum processing and computational chemistry improved interpretation and spectral deconvolution of overlapped spectra in relatively simple systems, but it was still unsatisfactory for the problems in more complexed system like nature. Nevertheless, we believed that our challenge would contribute practically to develop adequate analytical procedure, signal processing and protocols that could help to improve interpretation and to understand the interfacial interactions of oxyanions in natural systems.

• Journal of the Institute of Electronics Engineers of Korea TC
• /
• v.46 no.3
• /
• pp.48-58
• /
• 2009

Geo-graphical routing protocols as GPSR are known to be very suitable and useful for vehicular ad-hoc networks. However, a corresponding node can include some stale neighbor nodes being out of a transmission range, and the stale nodes are pone to get a high priority to be a next relay node in the greedy mode. In addition, some useful redundant information can be eliminated during planarization in the recovery mode. This paper deals with a new recovery mode, the Greedy Border Superiority Routing(GBSR), along with an Adaptive Neighbor list Management(ANM) scheme. Each node can easily treat stale nodes on its neighbor list by means of comparing previous and current Position of a neighbor. When a node meets the local maximum, it makes use of a border superior graph to recover from it. This approach improve the packet delivery ratio while it decreases the time to recover from the local maximum. We evaluate the performance of the proposed methods using a network simulator. The results shown that the proposed protocol reveals much better performance than GPSR protocol. Please Put the of paper here.

• Journal of the Institute of Electronics and Information Engineers
• /
• v.51 no.5
• /
• pp.127-134
• /
• 2014

In DRDoS(Distributed Reflective Denial of Service) attacks, the victim is bombarded by packets from legitimate reflector unlike DDoS(Distributed Denial of Service) attacks through zombie, which is more dangerous than DDoS attack because it is in stronger disguise. Therefore, the method of filtering packet method on router are useless. Moreover SCTP(Stream Control Transmission Protocol) multi-homing feature, such as with an improved transmission protocol allows detecting attacks is more difficult and the effect of the attack can be maximized. In this paper we propose a DRDoS detection mechanism based on DRDoS utilizing attention to the characteristics of stateful protocols. The proposed scheme is backed by stateful firewall, and detect DRDoS attacks through a rules table and perform a defense treatment against DRDoS attack. Rules table with a simple structure is possible to easily adapt for any kind of stateful protocol can used by DRDoS attack. The experimental result confirm that our proposed scheme well detect DRDoS attacks using SCTP, the next-generation transmission protocol which not known by victim, and reduce the attacking packets rapidly.