• Journal of Korean Clinical Nursing Research
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• v.16 no.2
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• pp.117-126
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• 2010

Purpose: This research was aimed to investigate the effect of postpartum breastfeeding support on breastfeeding rates. Methods: The participants of this study were 43 mothers who admitted to the delivery room of a university hospital which was selected as a Baby-Friendly Hospital Initiative (BFHI) in Daegu. Data collection period was from September 17, 2008 to September 20, 2009. Twenty three mothers were assigned to the experimental group and 20 mothers, to the control group. During hospitalization, breastfeeding education was given to the both groups. But postpartum breastfeeding support by nurse's phone call to the experimental group was provided once a week for 4 weeks postpartum. Data regarding breastfeeding rates at postpartum 1, 2, 3, 4 weeks and 3 months were collected by phone call. Results: The breastfeeding rate of the experimental group was significantly higher than that of the control group at postpartum week 2, 3, 4 and 3 months. Conclusion: Postpartum breastfeeding support may be a useful intervention to increase breastfeeding rate and the first month is the most important time to establish breastfeeding.

• Proceedings of the Korea Information Processing Society Conference
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• 2011.11a
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• pp.1218-1221
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• 2011

전 세계적으로 인터넷 보급률이 높아지고 전자상거래가 활발해지면서 직접 발품을 팔아가며 보다 비싼 가격에 물건을 구입하는 일보다는 인터넷몰을 이용하여 제품을 구매하는 일이 늘어나고 있다. 특히 인터넷몰 중에서도 의류를 판매하는 인터넷 쇼핑몰은 새로운 산업으로 각광받으며 하루가 다르게 새로운 사이트가 우후죽순 생겨나고 있다. 자리에 앉아 직원의 직접적인 홍보에 대한 부담을 갖지 않고 차분히 제품을 싼 가격에 구입할 수 있다는 이점을 갖고 있는 인터넷 쇼핑몰이지만 직접 제품을 눈으로 확인하지 못하기 때문에 실제 제품과 동일한 제품인지 조작된 사진인지의 여부를 확인하기 힘들고 직원과의 상담 역시 전화나 인터넷을 통해 진행되기 때문에 환불이나 교환과 같은 의사소통에 문제가 생기고는 한다. 이에 본 논문에서는 오피니언 마이닝을 통해 웹 서버에 저장되어 있는 수많은 쇼핑몰의 리뷰를 정리하고 각 사이트의 서비스, 품질 등에 대한 평가를 카테고리 별로 분석하여 소비자가 현명하고 효율적인 소비 결정을 내릴 수 있도록 도울 방법을 제안하고자 한다.

• Clinical and Experimental Pediatrics
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• v.53 no.3
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• pp.307-313
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• 2010

Purpose : Results of the Korea National Health Screening Program for Infants and Children, which was launched in November 2007, were evaluated for future research and policy development. Methods : Data from a total of 2,729,340 cases were analyzed. Five visiting ages, such as 4, 9, 18, 30, and 60 months, were included. Several parameters such as stunting, obesity, and positive rate of developmental screening were also analyzed. Telephone survey was performed in 1,035 users. For the provider survey, 262 doctors participated in our study. Results : The overall participation rate of users was 35.3%. This participation rate showed a decrement tendency to old age and low income. Only 6.9% of users participated in oral screening. Health screening was performed mainly in private clinics (82.6%). The recall rate of 4 months program users at the age of 9 months was 57.3%. The positive rate of screening was 3.1%, and was higher in the low-income group. By telephone survey, users reported that questionnaires were not difficult (94%) and overall satisfaction was good (73%). Longer duration of counseling was related with more satisfied users. Counseling and health education were helpful to users (73.2%). Doctors agreed that this program was helpful to children (98.5%). Conclusion : Korea National Health Screening Program for Infants and Children was launched successfully. Participation rate should be improved, and a quality control program needs to be developed. More intensive support following this program for children of low-income families may lead to effective interventions in controlling health inequality. Periodic update of guidelines is also needed.

• Journal of dental hygiene science
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• v.10 no.1
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• pp.55-61
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• 2010

The main purpose of this study was to identify the service quality of some dental clinics located in Gwangju and find an association between service quality and patient's intention to re-visit the same dental clinic. The search objects were 197 patients from five dental clinics, and data collected by self-administered questionnaire which was composed general characteristics, characteristics relating to visit of clinics, quality of service, patients satisfaction and intentions to re-visit. The used statistical analysis to find the association between quality of service and intention to re-visit was multiple regression analysis. This study looked at relations between quality of dental service, service satisfaction and intentions to visit again, and found that quality of service including six service areas had a statistically significant positive correlations with satisfaction and intentions of re-visit. When this study conducted a multiple regression analysis to identify variables that influence intentions of re-visit, it found that patients revisited the dental clinic only when quality of service was included. In conclusion, quality of service evaluated by patients influenced on their intention of re-visit and especially. Therefore, this study concludes that improvement in satisfaction and intentions of re-visit relies on Accessibility, that is, providing of medical information, consultant telephone, how delivery the dental medical system is. Service quality of dental institutes measured by SERVQUAL model and intention to re-visit.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.11 no.8
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• pp.2876-2881
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• 2010

This paper attempts to find out implications based on the comparative analysis of overseas expansion model between the Korean insurance companies and the German one. There are three types of the strategies of the overseas-expansion-model of insurer, i.e. customer-oriented localized strategy, niche market-oriented strategy, and growing market-oriented strategy. From the review of related literatures and through an interview conducted by the insurance specialist, the findings are some differences between Korean and German insurance companies, when they go into foreign insurance markets. Th significant differences between Korean and German insurers are a customer oriented localized strategy and niche market oriented strategy. The Korean insurer shows a strength on the overseas-expansion-strategy, but the most clients of the Korean insurer on overseas markets are also Korean companies and Korean immigrants. The Korean legal expenses insurance market is yet in its embryonic stage, while the German legal expenses insurance company is pushing ahead with a strategy focused on localization and niche market on the legal expenses insurance product. In conclusion, like a case of the German legal expenses insurance company, the Korean insurer needs a customer oriented localized strategy as well as a niche market oriented strategy on the overseas insurance market.

• Journal of Hospice and Palliative Care
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• v.19 no.2
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• pp.145-153
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• 2016

Purpose: This study was conducted to investigate patients' characteristics and actual conditions of home-based services offered by a free-standing hospice center. Methods: A retrospective review was performed with the medical records of 75 patients who received home-based hospice care from a free-standing hospice center from January 2014 through December 2014. Results: Most patients (54.7%) were enrolled via self-directed referral. The reason for the service termination was death at home 25.3%, admission to a hospice ward 50.7%, hospitalization 22.6% and patients' refusal 2.7%. Seventy three patients had cancer, and two patients had ALS. Among all, 58.7% were in a dying phase, and 34.7% were almost completely bedfast at the time of their enrollment in this study. When they enrolled, the patients' physical symptoms were characterized as pain (89.4%), sleep disturbance (71.2%), urinary difficulties (35.8%) and defecation difficulties (47.8%). Among all, 77.4% terminated the home visit service within one month. The mean frequency of the home visits was 3.25 (${\pm}3.98$), and less than five in 82.7% of patients. The mean frequency of the phone service was 3.40 (${\pm}3.12$). The frequency of doctor's home visits was $1.21{\pm}0.79$ on average, and the figure increased when patients' conditions turned unstable. Conclusion: It is necessary to develop a home-based hospice care model with consideration of patients' characteristics and the actual service conditions delivered by free-standing hospice facilities.

• The Journal of the Korea Contents Association
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• v.15 no.11
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• pp.338-346
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• 2015

The purpose of this study was to develop a motivational enhancement therapy(MET) for impaired fasting glucose(IFG) patients in early stages of health behavior change and evaluate its effects on health promotion lifestyle, the stages of change and HbAlc. Data was collected in Health Center of U city, December 2011 to March 2012, conducted on 78 IFG patients who visited to the Health center, they randomized to intervention group(n=27) and control group(n=33). The intervention group received the MET, the control group received standard care. This MET programe was applied from MET programe. After developing, it confirmed content validity. Data was analyzed using descriptive statistics, $x^2-test$ and t-test with the SPSS WIN 20.0 program. Participants in the intervention group reported significantly increased scores of the stage of change(t=-20.224, p=.000) compared to those of the control group but no difference of health behaviors(t=-1.297, p=.200) and HbAlc(t=.794, p=.431). The findings indicate that the MET is an effective intervention in improving ealth behaviors and expect to be applied effectively to the preparation for implementation of health care interventions.

• Journal of Digital Convergence
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• v.18 no.12
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• pp.445-457
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• 2020

The purpose of this study is to analyze various issues that may arise from the recent deregulation of telemedicine implemented by the government, propose initiative preparations for the implementation of telemedicine policies, and suggest implications for the basic conditions and direction of the deregulation of telemedicine. Recently, deregulation policy cases in telemedicine include that designation of a special zone for regulatory freedom in Gangwon Province, allowing physician-patient telemedicine and telephone counseling and prescription cases in the COVID-19 crisis. There are four main issues that could arise with the deregulation of telemedicine: safety, effectiveness, differences in access to health care and the economic industry, and legal responsibility. As a initiative preparation, this study proposed a pilot project for telemedicine and enhanced support for face-to-face care complementary tools, vitalizing remote co-operation, policy model that do not disrupt the medical delivery system, and legal maintenance. In conclusion, as a suggestion of basic premise and direction in the implementation of telemedicine deregulation, the implementation of initiative measures to address issues concerning telemedicine, the review and regulation of conditions to be considered in the implementation of telemedicine, and the establishment of a close communication and cooperative sturcture with medical providers.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.17 no.8
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• pp.369-378
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• 2016

The purpose of this study was to determine the effects of mother's education about amblyopia occlusion therapy on parenting stress and efficacy and the visual acuity improvement of the amblyopia child. The study was designed as a nonequivalent control group pretest posttest quasi-experimental study. The mothers with amblyopia children who signed the consent form were assigned to one of two groups, the experimental group (29) and control group (31). The data were collected from March 5 to October 5, 2010, at G university hospital outpatient department located in G city. The subjects in the experimental group participated in the Mothers Education about Amblyopia Occlusion Therapy for 24 weeks, which included face to face consultations, telephone counseling, etc.. The degree of parenting stress and efficacy were measured by using questionnaires and the visual acuity was measured by visual examination. The data were analyzed using the ${\chi}^2-test$, Fisher's exact probability test, t-test and Repeated Measure ANOVA using SPSS PC+20.0 for Windows. The following results were found after the therapy. The experimental group had statistically significantly higher visual acuity (Rt, F=40.64, p<.001, Lt, F=10.28, p<.001), lower parenting stress scores (F=9.85, p=.003) and higher parenting efficacy scores (F=22.19, p<.001) than the control group. In conclusion, the Mothers about Amblyopia. Occlusion Therapy Education Program was effective in improving the visual acuity of the amblyopia children, and decreasing the parenting stress and enhancing the parenting efficacy of their parents.

• The Journal of the Acoustical Society of Korea
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• v.39 no.5
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• pp.461-467
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• 2020

In noisy and multi-speaker environments, the performance of speech recognition is unavoidably lower than in a clean environment. To improve speech recognition, in this paper, the signal of the speaker of interest is extracted from the mixed speech signals with multiple speakers. The VoiceFilter model is used to effectively separate overlapped speech signals. In this work, clustering by Probabilistic Linear Discriminant Analysis (PLDA) similarity score was employed to detect the speech signal of the interested speaker, which is used as the reference speaker to VoiceFilter-based separation. Therefore, by utilizing the speaker feature extracted from the detected speech by the proposed clustering method, this paper propose a speaker diarization system using only the mixed speech without an explicit reference speaker signal. We use phone-dataset consisting of two speakers to evaluate the performance of the speaker diarization system. Source to Distortion Ratio (SDR) of the operator (Rx) speech and customer speech (Tx) are 5.22 dB and -5.22 dB respectively before separation, and the results of the proposed separation system show 11.26 dB and 8.53 dB respectively.