• Title/Summary/Keyword: two dimensions

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Healthcare Workers' Mental Health in Pandemic Times: The Predict Role of Psychosocial Risks

  • Carla Barros;Pilar Baylina;Ruben Fernandes;Susana Ramalho;Pedro Arezes
    • Safety and Health at Work
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    • v.13 no.4
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    • pp.415-420
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    • 2022
  • Background: Healthcare workers perform an emotionally exhausting daily work activity, making them prone to occupational hazards, namely psychosocial ones. This study aims to assess the impact of psychosocial risk factors on healthcare workers' mental health. Methods: A cross-sectional study was developed between May and June of 2021 with 479 healthcare workers from Portuguese hospitals. The Depression, Anxiety and Stress Scale was used to assess mental health, and psychosocial risks were assessed through the Health and Work Survey - INSAT. Statistical analysis was performed to identify the psychosocial risk factors related to anxiety, depression, and stress. Subsequently, a multiple linear regression was performed to identify the models that better explained psychosocial risk factors' relationship with anxiety, depression, and stress. Results: Data showed a strong exposure to psychosocial risks. Work pace and intensity, work relationships, and emotional demands stood out with higher global average percentages for yes answers to "exposure and discomfort." The analysis of the b values and p-values from the multiple linear regression shows that some cross-sectional psychosocial risks are predictors of anxiety and stress dimensions, and other psychosocial risks differ in the two mental health dimensions. However, it is important to highlight that healthcare workers still showed great joy and pleasure in performing their work activities. Conclusion: Support network development in the work environment is needed to prevent healthcare workers' emotional stress and promote their psychological well-being. Therefore, new research is essential to understand the psychosocial risks that affect healthcare workers and assess the less visible effects of work-health relationships.

A Study on the Characteristics of the Delivery System in Welfare to Work : the Case of the Employment Partnerships in United Kingdom (근로연계복지정책의 전달체계 성격에 관한 연구 - 영국 뉴딜정책(New Deal)의 파트너십전략을 중심으로 -)

  • Lim, Su Kyoung;Kwon, Hyeok Chang
    • Korean Journal of Social Welfare Studies
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    • v.42 no.2
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    • pp.71-96
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    • 2011
  • This study explores the characteristics of the delivery system of the New Deal, with a particular attention to the partnerships and welfare governance. The study analyzes the partnerships of the New Deal policy in Britain, which consist of two dimensions of partnerships. The results are: First, the method of the transformation of delivery in central government dimension is the unity of the governmental organizations, Another outcome of reform in the central government dimension is the establishment of the Jobcentre Plus. Second, the characteristic of delivery system in public-private dimension is the contract through competition, which means the introduction of market paradigm. Especially, the reform of the delivery system in the local dimension is to deliver integrated services through the introduction of labour market paradigm in demand-side. The central government also supports the reform in the local level. This study also explores the forms of welfare governance in these dimensions, This study suggests the importance of united services in the Korean welfare to work.

Proximally based sural artery flap for the reconstruction of soft tissue defects around the knee and proximal third of the leg in India: a clinical study

  • Palukuri Lakshmi;Sreedharala Srinivas;Dharmapuri Madhulika;Sanujit Pawde;Ajo Sebastian;Swathi Sankar;Sandeep Reddy Chintha
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.369-375
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    • 2023
  • Purpose: The reconstruction of defects around the knee and the proximal third of the leg necessitates thin, pliable skin with a stable and sensate soft tissue cover. This study analyzed the use of a proximally based sural artery flap for the coverage of such defects. Methods: This prospective clinical interventional study involved 10 patients who had soft tissue defects over the knee and the proximal third of the leg. These patients underwent reconstruction with a proximally based sural artery flap. The study analyzed various factors including age, sex, etiology, location and presentation of the defect, defect dimensions, flap particulars, postoperative complications, and follow-up. Results: There were 10 cases, all of which involved men aged 20 to 65 years. The most common cause of injury was trauma resulting from road traffic accidents. The majority of defects were found in the proximal third of the leg, particularly on the anterolateral aspect. Defect dimensions varied from 6×3 to 15×13 cm2, and extensive defects as large as 16 cm×14 cm could be covered using this flap. The size of the flaps ranged from 7×4 to 16×14 cm2, and the pedicle length was 10 to 15 cm. In all cases, donor site closure was achieved with split skin grafting. This flap consistently provided a thin, pliable, stable, and durable soft tissue cover over the defect with no functional deficit and minimal donor site morbidity. Complications, including distal flap necrosis and donor site graft loss, were observed in two cases. Conclusions: The proximally based sural fasciocutaneous flap serves as the primary method for reconstructing medium to large soft tissue defects around the knee and the proximal third of the leg. This technique offers thin, reliable, sensate, and stable soft tissue coverage, and can cover larger defects with minimal complications.

Investigation of the association between sleep problems and food allergies in preschool children with/without siblings: a cross-sectional study in Chongqing, China

  • Tingting Wu ;Mi Jeong Kim
    • Journal of Nutrition and Health
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    • v.56 no.5
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    • pp.523-536
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    • 2023
  • Purpose: This study investigated the association between sleep problems and food allergies (FAs) in Chinese preschoolers and assessed whether there is a difference in this association among children with/without siblings. Methods: A cluster-stratified sampling approach was employed to select four districts in Chongqing based on demographic considerations. A total of 16 kindergartens (n = 966 parents) participated in this study. Parents completed the Children's Sleep Habits Questionnaire (CSHQ) and a standard FAs questionnaire. Analysis of covariance and multiple logistic regression were used to assess the associations between sleep problems and FAs after adjusting for relevant confounders. Results: The study found that 16.3% of children had FAs, with eggs, shellfish, and fruit being the most common allergenic foods. The prevalence of FAs was significantly higher in single children (20.63%) than in children with siblings (13.36%). A total of 70.39% of children had CSHQ scores above the clinical cut-off for sleep disorder. Factor analysis revealed five underlying dimensions from the CSHQ. Factor scores, except for the 'difficulty morning waking' factor, were not significantly different between the two groups. Remarkably, the factor scores of 'parasomnias' and 'sleep anxiety' were significantly higher when children had both siblings and FAs. For all subjects, the odds ratios (ORs) of FAs significantly increased with the presence of sleep disorder (OR, 2.35; 95% confidence interval [CI],1.50-3.68) and 'difficulty falling asleep' (OR, 1.34; 95% CI, 1.22-1.48). The subgroup analysis showed that the probability of FAs significantly increased with the 'difficulty falling asleep' (OR, 1.32 vs. 1.38) and sleep disorder (OR, 2.48 vs. 2.14) in children with and without siblings, respectively. The 'parasomnias' was positively associated only with children with siblings. Conclusion: This study suggests that children with siblings might be more susceptible to FAs when accompanied by certain sleep problems. Further studies are warranted to address the underlying dimensions and possible mediation effects of having siblings with sleep problems.

Presenting an advanced component-based method to investigate flexural behavior and optimize the end-plate connection cost

  • Ali Sadeghi;Mohammad Reza Sohrabi;Seyed Morteza Kazemi
    • Steel and Composite Structures
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    • v.52 no.1
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    • pp.31-43
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    • 2024
  • A very widely used analytical method (mathematical model), mentioned in Eurocode 3, to examine the connections' bending behavior is the component-based method that has certain weak points shown in the plastic behavior part of the moment-rotation curves. In the component method available in Eurocode 3, for simplicity, the effect of strain hardening is omitted, and the bending behavior of the connection is modeled with the help of a two-line diagram. To make the component method more efficient and reliable, this research proposed its advanced version, wherein the plastic part of the diagram was developed beyond the guidelines of the mentioned Regulation, implemented to connect the end plate, and verified with the moment-rotation curves found from the laboratory model and the finite element method in ABAQUS. The findings indicated that the advanced component method (the method developed in this research) could predict the plastic part of the moment-rotation curve as well as the conventional component-based method in Eurocode 3. The comparison between the laboratory model and the outputs of the conventional and advanced component methods, as well as the outputs of the finite elements approach using ABAQUS, revealed a different percentage in the ultimate moment for bolt-extended end-plate connections. Specifically, the difference percentages were -31.56%, 2.46%, and 9.84%, respectively. Another aim of this research was to determine the optimal dimensions of the end plate joint to reduce costs without letting the mechanical constraints related to the bending moment and the resulting initial stiffness, are not compromised as well as the safety and integrity of the connection. In this research, the thickness and dimensions of the end plate and the location and diameter of the bolts were the design variables, which were optimized using Particle Swarm Optimization (PSO), Snake Optimization (SO), and Teaching Learning-Based Optimization (TLBO) to minimization the connection cost of the end plate connection. According to the results, the TLBO method yielded better solutions than others, reducing the connection costs from 43.97 to 17.45€ (60.3%), which shows the method's proper efficiency.

3-D Direction Finding Techniques Using Unmanned Aerial Vehicles (무인항공기를 이용한 3차원 방향탐지 기법 연구)

  • Hong-Rak Choi;Junsung Choi
    • Journal of Advanced Navigation Technology
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    • v.28 no.5
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    • pp.678-685
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    • 2024
  • The manual direction-finding method detects a target that emits radio waves using a base station or vehicle, utilizing various techniques. However, base stations and vehicles have many limitations in mobility and are heavily affected by environmental factors, and the techniques traditionally used could only detect the target's location in two dimensions. Therefore, this study presents a technique for detecting the target's location in three dimensions using an unmanned aerial vehicle(UAV), which is widely used for civilian and commercial purposes and combines mobility with a higher vantage point. We propose the method that estimates the target's location by generating a virtual 3D sphere using only the received power, and we conducted a simulation to analyze the results. The simulation was compared and analyzed with ground vehicle measurement data to evaluate the performance of 3D direction-finding when positioning the UAV at the same location.

A Study on the Nurse's Image Perceived by Nursing College Students (간호대학생이 지각한 간호사 이미지에 관한 연구)

  • Park, Mi-Hwa;Yang, Jin-Ju
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.1
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    • pp.107-121
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    • 2002
  • The purpose of this study was to identify how nurse's image was perceived by nursing college students. The subjects included were 315 students experienced clinical practice during $20{\sim}22$ weeks and 134 students not with a total of 449 nursing students in Gwangju and Chonnam. The data were collected from November 21 to December 5, 2001 by the structured questionnaires. The research tool was measured by 30 items divided into four dimensions; traditional, professional, social and personal image of nurse. Cronbach $\alpha$ for the tool of nurse's image was 0.8960. The data were analysed by SPSS 8.0 for Windows program using frequency, percentage, mean, standard deviation, t-test, ANOVA and scheffe. The results of this study were as follows; 1. In the nurse's image related to general characteristics, there were significant differences for school graduation, applicative motivation, interpersonal relationship and image forming factor. 2. In the Image forming factors, nursing college students perceived the nurse's image by visiting hospital or admission(37.9%), watching TV(25.8) and others; nurses' appearance during clinical experience(16.3). 3. The mean score for nurse's image of clinical experience group (2.76$\pm$0.28) was lower than that of non-clinical experience group(2.89$\pm$0.31) in significance (t=4.319, p=0.000). 4. In the nurse's image according to clinical experience, there were significant differences for traditional, professional, social, personal image between two groups and the lower mean scores were found in the clinical experience group in all dimensions. The ranks of dimensions were professional image(3.08), traditional image(2.76), social image(2.65), the personal image(2.59) in clinical experience group, whereas professional image(3.21), traditional image(2.93), social image(2.75), personal image(2.71) for non-clinical experience group.5. The high score items of nurse's image were 'worthwhile work(3.48)', 'always working hard(3.30)', 'profession(3.17)', 'strong responsibility toward work(3.08)', 'have a high technical skill(3.05)' in clinical experience group and 'worthwhile work(3.69)', 'always working hard(3.28)', 'clean and decent(3.22)', 'profession(3.21)', 'have a bountiful professional knowledge(3.18)' in non-clinical experience group. 6. The highest mean score for nurse's image related to the image forming factors was 86.8 by novels or literature and the second highest was 84.3 by visiting hospital or admission. And others(mean=82.1)was the most negative nurse's image by clinical experience. In conclusion, nurse's image perceived by nursing college students will be the mirror of themselves. And clinical experience will be the important opportunity to form the professional image with white uniformed nurses in future. Therefore it is important for clinical nurses to play professional roles rightly so that nursing students could form positive nurse's image.

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A study on the skeletal and dentoalveolar dimensions in relation to vertical facial patterns (안모의 수직적 양태에 따른 골격 및 치조골의 위치 관계에 관한 연구)

  • Oh, JungSik;Yoon, Jung Hyun;Kook, Yoon-Ah;Kim, Sang-Cheol
    • The korean journal of orthodontics
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    • v.29 no.3 s.74
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    • pp.339-347
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    • 1999
  • The purpose of this study was to investigate the variations of the skeletal and dentoalveolar dimensions in relation to vertical facial patterns. Lateral cephalogram of 200 cases (100 cases of male and 100 cases of female, average age of which was 23.2 years) were traced and some measurements of skeletal and dentoalveolar dimensions were measured. The ratio of UAFH/LAFH was employed to classify the samples into groups of excess and short lower anterior facial height. And the comparison between two groups were taken statistacally. The following results were obtained. 1. The dentoalveolar height, lower anterior facial height, lower genial angle, and FMA in the excess-lower-anterior-facial-height group were significantly larger than those in short-lower-anterior-facial-height group. 2. The dentoalveolar height, facial height, ramus height, and Jarabak ratio in the male subjects were significantly larger than those in the female subjects. 3. The UAFH/LAFH ratio showed a significant correlation to upper, lower facial height, AUDH, PUDH, ALDH, PLDH, Lower gonial angle, FMA, and $Bj\"{o}rk's$ Sum.

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Towards Service Quality Improvement for University Library by LibQUAL+ Analysis for Multiple Years (LibQUAL+의 통시적 분석을 통한 대학도서관의 서비스 개선 방안에 관한 연구)

  • Choi, Bo-Yoon;Chung, EunKyung
    • Journal of the Korean Society for information Management
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    • v.32 no.3
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    • pp.131-154
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    • 2015
  • Users tend to perceive differently the service quality of library depending on the advance of digital information technologies. It is necessary to analyze the cumulative results of LibQUAL+ in order to identify the suggestions for improvement of library services. This study aims to comparatively analyze the results of LibQUAL+ and demonstrate the trends and changes for the services of university library. To achieve the purpose of this study, two university libraries were selected for analysis. The library of McGill University in Canada was selected with the six years' results of LibQUAL+. Another library located in Seoul was selected with the 2012 result of LibQUAL+ and a new LibQUAL+ in 20015 was conducted for this study. The results were analyzed with three dimensions and 22 items in terms of circular chart, bar chart, and graph. Findings of this study indicated that there were substantial differences in terms of years of LibQUAL+ survey and user groups with undergraduate/graduate students in three dimensions. In particular, the results of A library showed that users were likely to expect more from the university library, but they perceived low service quality. In addition, there was found considerable differences among users groups in terms of undergraduate and graduate students. The improvements for library services need to focus on three dimensions such as staff, resources, and facilities as well as customized services for individual user groups.

Concept Analysis of Fatigue in Hemodialysis Patients Based on Hybrid Model (혈액투석환자의 피로에 대한 개념분석 : 혼종모형)

  • Seo, Nam-Sook;Kang, Seung-Ja;Kim, Jae-Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.688-698
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    • 2017
  • This study was conducted to identify the conceptual definitions and attributes of fatigue in hemodialysis patients based on the Hybrid Model of concept development. The Hybrid Model was used to investigate the main attributes and indicators of the concept by applying three stages. After a literature review, data were collected through observation and interviews including qualitative research in the field work stage. The participants included 10 patients in hemodialysis center of two hospitals in Gwang-ju, Korea. The attributes of fatigue concept in the hemodialysis patients were divided into four dimensions, physical activity, affective mood, social role, and cognitive reflection. The definition of fatigue by hemodialysis patients was defined as 'subjective feeling usually experienced in four dimensions during the process to recognize and adjust energy deficiency and limited functions caused by uremia and repeated hemodialysis for chronic renal failure'. Considering the dimensions and attributes derived from this study, it may be possible to develop an effective intervention program for fatigue in hemodialysis patients.