• Title/Summary/Keyword: pre-support method

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Effect of a Breastfeeding Management Program on Breastfeeding Duration (모유수유관리 프로그램이 모유수유지속에 미치는 효과)

  • Choi, Yang-Ja;Kim, Mi-Ok
    • Women's Health Nursing
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    • v.13 no.4
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    • pp.245-253
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    • 2007
  • Purpose: The purpose of this study was to measure the effects of a breastfeeding management program for promotion of breastfeeding. Method: The study design was a non-equivalent control group pre-post test. The study subjects were pregnant women receiving a breastfeeding education class in one hospital in Ilsan. The total number of study subjects was 153 pregnant women, namely 75 mothers in the experimental group and 78 in the control group. Data was collected between June and November, 2006. A breastfeeding management program was provided to the experimental group while admitted for delivery, and in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. The rates of breastfeeding were measured in weeks 2, 4, 8, 12, 16, 20, and 24 of the postpartum period. Result: There were significant differences in the scores of rate of breastfeeding between the two groups(all cases), which were 93.1 in the experimental group and 85.8 in the control group at week 4; 88.1 vs 71.8 at week 8; 83.4 vs 56.7 at week 12; 71.4 vs 53.9 at week 16; and 65.7 vs 48.4 at week 20 respectively. However, there were not significant differences in the scores of rate of breast-feeding between the two groups, which were 97.7 in the experimental group and 96.0 in the control group in the early postpartum period at week 2, and 59.6 vs 45.3 at week 24. Add to this, the study analyzed only people who had jobs. As a result, the scores of rate of breastfeeding were 94.8 in the experimental group which were significantly higher than 88.5 in the control group at week 4; 93.2 vs 73.3 at week 8; 89.6 vs 57.2 at week 12; and 75.0 vs 46.0 at week 20 respectively. However, there were not significant differences at week 2, week 16 and week 24. Conclusion: The results of this study suggest that a breastfeeding management program during the last trimester of the perinatal period and postpartum period may increase the duration of breastfeeding in postpartum clients who intend to breastfeed. This study supports the literature which found that prenatal education and postpartum support are important to the outcome of breastfeeding.

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The Effectiveness of the Practice for the Arts and Crafts by machine for Project Based Learning upon Improving Industrial High School Students' Key Competency for Vocation (공업계 고등학교 기계공작실습에서 프로젝트 학습법의 적용이 학생들의 직업초능력 향상에 미치는 효과)

  • Lee, Young-Min
    • 대한공업교육학회지
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    • v.35 no.2
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    • pp.1-24
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    • 2010
  • The purpose of this study is to investigate provedly the effectiveness of the practice for the arts and crafts by machine for project based learning upon improving industrial high school students' key competency for vocation, and to provide the incumbent teachers and future teachers who want to conduct research, a similar study with the basic reference materials. The vocational key competencies interested in this study are communication ability, information usage skills, team work skills, problem solving skills, tool usage skills, and responsibility and confidence areas. Because the result of pre and post testing over these six areas has insignificant differences statistically, we reach a conclusion which project based learning is more effective than traditional practice methods at improving the vocational key competencies of industrial students. On the basis of the results of this study, I would like to suggest some kinds of things needed to improve the vocational key competencies of industrial high school students. First, we require the diverse research to investigate the best teaching and learning methods to cultivate people of ability with the vocational key competencies Second, it is required that to measure the extent of the improvement of the vocational key competencies of industrial high school students, we have to develop a more objective test tool than that used in this study. Third, in the light of facts that project based learning influences on improving the vocational key competencies of the industrial high school student, we will have to make an effort actively to find the best teaching and learning methods, like project based learning. Therefore, we need to give diverse training opportunities and financial support so that teachers can conduct research to find the best teaching and learning method at improving the vocational key competencies for industrial high school students.

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Testing The Healing Environment Conditions for Nurses with two Independent Variables: Visibility Enhancement along with Shortening the Walking Distance of the Nurses to Patient - Focused on LogWare stop sequence and space syntax for U-Shape, L- Shape and I-Shape NS-

  • Shaikh, Javaria Manzoor;Park, Jae Seung
    • KIEAE Journal
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    • v.15 no.2
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    • pp.19-26
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    • 2015
  • Purpose: Maximizing human comfort in design of medical environments depends immensely on specialized architects particularly critical care design; the study proposes Evidence-Based Design as an apparent analog to Evidence-Based Medicine. Healthcare facility designs are substantially based on the findings of study in an effort to design environments that augment care by improving patient safety and being therapeutic. On SPSS (Statistical Package for Social Science) t-test is applied to simulate two independent variables of PDR (Pre Design-Research) and POE (Post- Occupancy Evaluation). PDR is conducted on relatively new hospital Hallym University Dongtan Sacred Heart Hospital to analyse visibility from researchers' point of view, here the ICU is arranged in I-Shape. POE is applied on Dongguk University Ilsan Hospital to simulate walking on LogWare where two NS are designed based on L- Shape and Seoul St. Mary's Hospital, The Catholic University of Korea where five NS are functional for ICU Intensive Care Unit, Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), Critical Care Unit (CCU), Korean Oriental Medical Care Unit which are mostly arranged in U-Shape, and walking pattern is recognized to be in a zigzag path. Method: T-Test is applied on two dependent communication variables: walkability and visibility, with confidence interval of 95%. This study systematically analyses the Nurse Station (NS) typo-morphology, and simulates nurse horizontal circulation, by computing round route visits to patient's bed, then estimating minimum round route on LogWare stop sequence software. The visual connectivity is measured on depth map graphs. Hence the aim is to reduce staff stress and fatigue for better patients care by minimizing staff horizontal travel time and to facilitate nurse walk path and support space distribution by increasing effectiveness in delivering care. Result: Applying visibility graph and isovist field on space syntax on I- Shape, L- Shape and U- Shape ICU (SICU, MICU and CCU) configuration, I-shape facilitated 20% more patients in linear view as they stir to rise from their beds from nurse station compared to U-shape. In conclusion, it was proved that U-Shape supply minimum walking and maximum visibility; and L shape provides just visibility as the nurse is at pivot. I shape provides panoramic view from the Nurse Station but very rigorous walking.

The Study on the Risk Predict Method and Government Funds Supporting for Small and Medium Enterprises (로짓분석을 통한 중소기업 정책자금 지원의 위험예측력에 대한 연구)

  • Choi, Chang-Yeoul;Ham, Hyung-Bum
    • Management & Information Systems Review
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    • v.28 no.3
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    • pp.1-23
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    • 2009
  • Prior bankruptcy studies have established that bankrupt firm's pre-filing financial ratios are different from those of healthy firms or of randomly selected going concerns. However, they may not be sufficiently different from the financial ratios of other firms in financial distress to allow the development of a ratio-based model that predicts bankruptcy with reasonable accuracy. As the result, in the multiple discriminant model, independent variables divided firms into bankrupt firms and healthy firms are retained earnings to total asset, receivable turnover, net income to sales, financial expenses, inventory turnover, owner's equity to total asset, cash flow to current liability, and current asset to current liability. Moreover four variables Retained earnings to total asset, net income to sales, total asset turnover, owner's equity to total asset indicate that these valuables classify bankrupt firms and distress firms. On the other hand, Owner's Equity to borrowed capital, Ordinary income to Net Sales, Operating Income to Total Asset, Total Asset Turnover and Inventory Turnover are selected to predict bankruptcy possibility in the Logistic regression model.

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A Development of System for Efficient Quantitative Risk Assessment on Natural Gas Supply Facilities (천연가스 공급시설에 대한 효율적 정량적 위험성 평가를 위한 시스템 구축과 적용)

  • Yoon, Ik-Keun;Oh, Shin-Kyu;Seo, Jae-Min;Lim, Dong-Yeon;Yoon, En-Sup
    • Journal of the Korean Institute of Gas
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    • v.16 no.1
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    • pp.39-45
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    • 2012
  • While the natural gas supply industry has continuously been growing, its potential hazard has also risen since the natural gas facilities essentially require installations that carry highly flammable and pressurized gas close to the populated areas, posing a serious consequence of significant property damage as well as human casualties in the event of accident. Therefore Quantitative Risk Assessment (QAR) has been recognized as a appropriate method to reduce the risk as far as possible, considering the reality of unachievable zero-risk. However, it is hard to perform effective QRA on hundreds of gas facilities because of insufficient number of expert and long-term analysis. In this paper, we suggest a conceptual QRA system framework to support more efficient risk analysis in gas supply facilities. In this system, the experts make questionnaires and internal calculation formula needed in accident frequency/consequence analysis of the facility through pre-analysis on the point of analysis, called incident point, and general users locate the point on the map and input the value required by the questionnaire to obtain the risk. Ultimately, this is suggested based on the idea that the specialization is available in QRA analysis process and the validity of the system is verified through actual system construction and application.

A Study on Community-dwelling Elders with Dementia, their Primary Caregiver, and Living Environments (재가 치매노인의 주 수발자와 환경 실태)

  • Kim Nam Cho;Kim Jung Hee;Lim Young Mi
    • Journal of Korean Public Health Nursing
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    • v.16 no.1
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    • pp.13-29
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    • 2002
  • The purpose of this study was to describe about elders with dementia, their families, and their living environment by visiting the households where demented elders resided. The findings will be used as a basis to develop future individualized adjustment programs for demented elders and their families living in communities. The study participants were 64 demented elders and their families who were registered to a dementia counseling center at Nam-Gu community health center located in Inchon, Korea. Data were collected for two months, from May to June 2001. The length of data collection for each home visit ranged from 1.5 to 2.5 hours. Conclusion are as follows based on these study findings: Those demented elders had more than one chronic health problem in addition to their pre-existing dementia condition. Two thirds of the demented elders were not receiving any specific treatment for dementia. They showed a moderate level of independence in basic ADL, but were mostly residing at home because of lack of ability to perform more delicate and complicate routine daily activities by themselves. In addition, the primary caregivers were not well adjusted to the care-giving activities for their demented family members due to the lack of knowledge and information about dementia. The caregivers were mostly women including daughters-in-law, woman spouses and daughters, over a half of whom perceived their physical and mental health status as poor. Their image toward the demented elders was considerably negative. while their level of knowledge on dementia was moderate. The burden for the care-giving was high, whereas their coping method was passive. As the difference in image toward elderly before and after the onset of dementia in their family member increases, the caregiver burden also increased. The main resource of social support for the caregivers was their children. The caregivers showed high level of needs for knowledge and information on dementia, and day care service was the most preferred type of service by the caregivers. There was lack of safety in the living environments for the demented elders and their families, and in the surrounding environments to prevent dementia-related symptoms. Considering that home-based family care-giving is the most culturally appropriate model of providing care for the demented elders in Korea, we need to develop and apply an individualized adjustment program for the demented elders and their families.

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A Study on the Systematic Integration of WASP5 Water Quality Model with a GIS (GIS와 WASP5 수질모델의 유기적 통합에 관한 연구)

  • 최성규;김계현
    • Spatial Information Research
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    • v.9 no.2
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    • pp.291-307
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    • 2001
  • In today's environmental engineering practice, many technologies such as GIS have been adopted to analyze chemical and biological process in water bodies and pollutants movements on the land surface. However, the linkage between spatially represented land surface pollutants and the in-stream processes has been relatively weak. This lack of continuity needs to develop a method in order to link the spatially-based pollutant source characterization with the water quality modeling. The objective of this thesis was to develop a two-way(forward and backward) link between ArcView GIS software and the USEPA water quality model, WASP5. This thesis includes a literature review, the determination of the point source and non-point source loadings from WASP5 modeling, and the linkage of a GIS with WASP5 model. The GIS and model linkage includes pre-processing of the input data within a GIS to provide necessary information for running a model in the forms of external input files. The model results has been post-processed and stored in the GIS database to be reviewed in a user defined form such as a chart, or a table. The interface developed from this study would provide efficient environment to support the easier decision making form water quality management.

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Structural Design Optimization of Lightweight Offshore Helidecks Using a Genetic Algorithm and AISC Standard Sections (유전 알고리듬 및 AISC 표준 단면을 사용한 경량화 헬리데크 구조 최적설계)

  • Sim, Kichan;Kim, Byungmo;Kim, Chanyeong;Ha, Seung-Hyun
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.32 no.6
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    • pp.383-390
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    • 2019
  • A helideck is one of the essential structures in offshore platforms for the transportation of goods and operating personnel between land and offshore sites. As such, it should be carefully designed and installed for the safety of the offshore platform. In this study, a structural design optimization method for a lightweight offshore helideck is developed based on a genetic algorithm and an attainable design set concept. A helideck consists of several types of structural members such as plates, girders, stiffeners, trusses, and support elements, and the dimensions of these members are typically pre-defined by manufacturers. Therefore, design sets are defined by collecting the standard section data for these members from the American Institute of Steel Construction (AISC), and integer section labels are assigned as design variables in the genetic algorithm. The objective is to minimize the total weight of the offshore helideck while satisfying the maximum allowable stress criterion under various loading conditions including self-weight, wind direction, landing position, and landing condition. In addition, the unity check process is also utilized for additional verification of structural safety against buckling failure of the helideck.

Automated Functional Morphology Measurement Using Cardiac SPECT Images (SPECT 영상을 사용한 기능적 심근형태의 자동 계측법 개발)

  • Choi, Seok-Yoon;Ko, Seong-Jin;Kang, Se-Sik;Kim, Chang-Soo;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.133-139
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    • 2012
  • For the examination of nuclear medicine, myocardial scan is a good method to evaluate a hemodynamic importance of coronary heart disease. but, the automatized qualitative measurement is additionally necessary to improve the decoding efficiency. we suggests the creation of cardiac three-dimensional model and model of three-dimensional cardiac thickness as a new measurement. For the experiment, cardiac reduced cross section was obtained from SPECT. Next, the pre-process was performed and image segmentation was fulfilled by level set. for the modeling of left cardiac thickness, it was realized by applying difference equation of two-dimensional laplace equation. As the result of experiment, it was successful to measure internal wall and external wall and three-dimensional modeling was realized by coordinate. and, with laplace formula, it was successful to develop the thickness of cardiac wall. through the three-dimensional model, defects were observed easily and position of lesion was grasped rapidly by the revolution of model. The model which was developed as the support index of decoding will provide decoding information to doctor additionally and reduce the rate of false diagnosis as well as play a great role for diagnosing IHD early.

Evaluation of Search Functions of the Standard Records Management Systems (표준 기록관리시스템 검색 기능 평가)

  • Lee, Kyung Nam
    • The Korean Journal of Archival Studies
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    • no.37
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    • pp.273-305
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    • 2013
  • In order to actively use of records and information in current digital record management systems, we have to check whether a system is designed to fully support the user of records and whether the good use of the system is being. This study analyzed the status of the use of the search function of Records Management System(RMS) for public agencies, and evaluated them. In order to investigate the status of the use of the search function, it surveyed records managers of public agencies using the RMS. The result showed that records managers unsatisfied with the usability and the search performance of the RMS. To evaluate the search function, it identified the functional requirement of the system and develops a checklist that can be used for evaluation. Two assessments were conducted. Firstly, as pre-evaluation, it assessed the degree of implementation of the current RMS according to the checklist as an inspection chart using document examination method. Secondly, it assessed the degree of implementation using a survey of records managers of public agencies that use the RMS. Assessment results show the improvement of the basic features that are essential to the system is required. In particular, the search function is required to improve user-friendliness for the user. For the advance of RMS, this study discusses the necessity for improvement of the search functions, the build of continuous maintenance and management system, and the user education.