• Title/Summary/Keyword: 초기중재

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Effects of Hearing Recorded Mother's Voice on Physiological Reactions and Behavioral State of Sleep, Weight of Very Low Birth Weight Infants (녹음된 엄마목소리 들려주기가 극소저체중출생아의 생리적 반응, 수면행동상태 및 체중에 미치는 영향)

  • Choi, Mi-Hyang;Kang, In-Soon;Kim, Young-Hae
    • Child Health Nursing Research
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    • v.20 no.3
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    • pp.185-195
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    • 2014
  • Purpose: The purpose of this study was to identify whether hearing a recording of mother's voice affected physiological reactions, behavioral state related to sleep and weight of very low birth weight (VLBW) infants. Methods: This was a nonequivalent control group pre-post test quasiexperimental design. The participants were 11 VLBW infants in the experimental group and 11 in the control group. In the experimental group, a recording of mother's voice was played to her infant by voice recorder four times each day for five minutes over 10 consecutive days in the incubator. Results: For physiological response (heart rate, respiration rate, oxygen saturation), there were statistically significant differences between the experimental and control groups. Behavioral state during sleep was more very quiet and quiet in the experimental group. In the daily weight change, there was no significant difference between the experimental and control groups. Conclusion: The findings suggest that, for VLBW infants, the intervention of hearing a recording of mother's voice had some significance as a nursing intervention having a positive impact. Such interventions can help pediatric nurses to stabilize the physiological response and maintenance more very quiet sleep state and improve VLBW infants' growth.

A Study on the Revitalizing Community through Corporate Community Investment: In Case of 1 Company - 1 Village Campaign (농촌지역활성화를 위한 기업의 지역사회투자활동과 중간지원조직의 역할: 농촌사랑국민운동본부의 1사1촌 운동을 사례로)

  • Kim, Jae-Hyun;Chang, Chu-Youn;Lee, Hyo-Jung
    • Journal of the Economic Geographical Society of Korea
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    • v.14 no.2
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    • pp.211-224
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    • 2011
  • The purpose of this study is to investigate exchange between companies and rural communities in 1 company - 1 village campaign and assess functions of NACF(National Agricultural Cooperative Federation)'s 'I Farm Love' as intermediary organization. The result shows that Korea companies participated in 1 company - 1 village campaign to understand rural area and revitalize economic condition in rural community. Most of exchange programs are volunteer works and direct dealing of farm products. The functions of NACF was highly assessed as an informant and intermediary. However establishing networks or promoting exchanges between corporation and rural village were low assessed. It is necessary of NACF to make up for advanced mediation and intermediary between rural villages and companies so that 1 company - 1 village campaign become corporate community investment. Moreover functions to develop programs suited characteristic of companies and set up networks of multi-stakeholders are needed.

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Noninvasive Evaluation of Coronary Artery Bypass Graft Patency by Electron Beam Tomography (전자선 단층 촬영을 이용한 관상동맥 우회로 개존의 비침습적 평가)

  • 최규옥;김호석;조범구
    • Journal of Chest Surgery
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    • v.32 no.8
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    • pp.693-701
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    • 1999
  • Recently non-invasive diagnostic imaging replaced the invasive catheter angiography in the diagnosis of vascular disease. Catheter methods are now almost confined to the purpose of intervention. Coronary artery or coronary artery bypass graft still needs catheter technique because of small diameter and the cardiac motion. The last challenge for radiologists in this domain is to obtain a non-invasive imaging. Electron beam tomography(EBT) for high temporal resolution is able to obtain a coronary arteriogram or coronary artery bypass graft (CABG), of which CABG imaging is quite useful for the evaluation of patency. In our experience as well as others, the accuracy of EBT angiogram in evaluating CABG patency revealed that the accuracy of patency of saphenous vein grafts(SVG) is high due to relatively wide lumen, short and straight course and less influence from cardiac motion. The sensitivity and specificity of patency of SVGs were 92%, 97% respectively in the prospective evaluat on and 100% each in the retrospective evaluation. A false positive and a false negative case are rudimentary errors in the initial learing period. In contrast the analysis of left internal mammary artery(LIMA) graft was difficult due to the inherent small size and the adjacent surgical clips provoking beam-hardening artifact; therefore, the method of combining 3 dimensional reconstruction and flow mode study was important in improving the accuracy of LIMA patency. The sensitivity and specificity of LIMA patency were 100% and 80% in both prospective and retrospective evaluation. Therefore, EBT angiography is an accurate non-invasive diagnostic modality for evaluating the patency of CABG, particularly in SVGs. The accuracy can be improved with the improvement of the EBT and the development of the image reconstruction software.

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A Study of a Singing Program for Decreasing Withdrawal Behaviors of Children in Low-Income Families (저소득층 가정 아동의 위축행동 감소를 위한 가창 프로그램 연구)

  • Kim, Soo Hee
    • Journal of Music and Human Behavior
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    • v.6 no.1
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    • pp.33-53
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    • 2009
  • The purpose of this study is to examine the effects of a singing program on withdrawal behaviors of children in low-income families. To measure the effects of the singing program, the researcher compared the results of K-YSR and TRF withdrawal scales before and after the program. Finally, the researcher did research on the subjects' musical and non-musical behaviors related to withdrawal through a record of behavior observation. The results of this study were asfollows: First, after comparing the results of K-YSR and TRF withdrawal scales conducted before and after the singing program, the mean of the scores was decreased by 6.4 and 3.6 points respectively (p = .042). Second, an analysis of withdrawal-related behavioral changes in music activities after the program showed an increase in frequency of eye contact, as well as tone and volume of subjects' voices. The results of this study indicate that the singing program has positive effects on withdrawal behaviors of children in low-income familiesin addition, it is effective in alleviating withdrawal-related behaviors.

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Factors Influencing Post Stroke Depression in Acute Stroke Patients (급성기 뇌졸중 환자의 뇌졸중 후 우울에 영향을 미치는 요인)

  • Park, Soonjoo
    • The Journal of the Korea Contents Association
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    • v.20 no.10
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    • pp.385-394
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    • 2020
  • This study was carried out to investigate the post stroke depression (PSD) occurrence in acute stroke patients and to identify the factors that influence PSD. The study subjects were 104 adults in their 20s or older who were scheduled to be discharged due to inpatient treatment for ischemic stroke in two hospitals. Data were collected using Post Stroke Depression Scale for PSD, Multidimensional Scale of Perceived Social Support for social support, National Institutes of Health Stroke Scale for stroke severity, and Modified Rankin Scale for disability. The average length of stay after stroke onset of the study subjects was 5.9±2.1 days, and 79.8% were within 7 days. Stroke severity score was an average of 2.4±2.5 out of 42 points, and disability score was an average of 1.6±1.1 out of 6 points. Among the subjects, 32.7% had mild or more severe depression after stroke. The subjects with no religion, severe disability, high stroke severity, and less family support had a higher likelihood of experiencing PSD. These results show that depression can appear in the early stages of stroke onset. Therefore, it is necessary to develop nursing guidelines for depression intervention after acute stroke, including continuous early assessment of depression from the acute phase of stroke and religion or family support.

Factors Influencing Quality of Life in the Community Dwelling Vulnerable Older women with Chronic Joint Pain (만성 관절통증이 있는 취약계층 재가 여성노인의 삶의 질에 영향을 미치는 요인)

  • Yoo, Jae-Soon;Ham, In-Suk
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.355-367
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    • 2018
  • The purpose of this study was to identify the predictors of the quality of life in community dwelling vulnerable older women with chronic joint pain. A cross-sectional study was conducted on 234 participants registered at a visiting health care service in the public health center of C-city. The structured questionnaire were used to collect data on the general characteristics, pain rating index, pain intensity, perceived health status, functional independence, sleep pattern, depression, and quality of life from February 16 to March 13, 2017. The data were analyzed using a t-test, ANOVA, Pearson's correlation coefficients, and hierarchical multiple regression analysis. The significant factors of the quality of life including general characteristics were depression (${\beta}=-.60$, p<.001), pain intensity scale (${\beta}=-.15$, p=.007), health insurance type (${\beta}=.15$, p=.001), perceived health status (${\beta}=.14$, p=.007), duration of pain (${\beta}=-.10$, p=.019), marital status (${\beta}=.10$, p=.024), and functional independence (${\beta}=.09$, p=.036). These factors accounted for 63.1% of the total variance in the quality of life. The findings suggest that a public healthcare program on managing depression is effective in improving the quality of life in community dwelling older women with chronic joint pain. Public health nurses should intervene in nursing care for economically vulnerable aged and pain management based on a precise assessment from the beginning of pain.

An Evolutionary Concept Analysis of Helicopter Parenting (헬리콥터 양육에 대한 진화론적 개념분석)

  • Lee, Yong-Wha;Kim, Ji-Hyun;Yim, So-Youn;Chae, Myung-Ock;Lee, Hye-Rim;Oh, Jina
    • Child Health Nursing Research
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    • v.20 no.4
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    • pp.237-246
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    • 2014
  • Purpose: Helicopter parenting is an emerging concept as a way of rearing adolescents and adult children. However, helicopter parenting from a nursing perspective has not been elucidated. Therefore, we undertook a concept analysis to understand the attributes, antecedents and consequences of helicopter parenting in the context of nursing. Methods: Using Rodgers' evolutionary concept analysis, we analyzed literature on helicopter parenting to discover critical attributes, antecedents, and consequences of this phenomenon. Data were collected from seven electronic search engines. Twelve studies matching inclusion criteria were reviewed. Results: Three core attributes of helicopter parenting were hovering, highly deep involvement, and proxy decision making. The antecedents and consequences were retrieved from three important domains including social, parent, and child aspects. Surrogate terms were black hawk, hummingbird, and hovercraft parenting, and related terms were stealth fighter and Kamikaze parenting. Conclusion: Based on the results of this study, helicopter parenting has both positive and negative effects on both children and parents. To enhance the positive effects, measurement tools for helicopter parenting and nursing interventions on parenting need to be developed.

Bayesian Cognizance of RFID Tags (Bayes 풍의 RFID Tag 인식)

  • Park, Jin-Kyung;Ha, Jun;Choi, Cheon-Won
    • Journal of the Institute of Electronics Engineers of Korea TC
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    • v.46 no.5
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    • pp.70-77
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    • 2009
  • In an RFID network consisting of a single reader and many tags, a framed and slotted ALOHA, which provides a number of slots for the tags to respond, was introduced for arbitrating a collision among tags' responses. In a framed and slotted ALOHA, the number of slots in each frame should be optimized to attain the maximal efficiency in tag cognizance. While such an optimization necessitates the knowledge about the number of tags, the reader hardly knows it. In this paper, we propose a tag cognizance scheme based on framed and slotted ALOHA, which is characterized by directly taking a Bayes action on the number of slots without estimating the number of tags separately. Specifically, a Bayes action is yielded by solving a decision problem which incorporates the prior distribution the number of tags, the observation on the number of slots in which no tag responds and the loss function reflecting the cognizance rate. Also, a Bayes action in each frame is supported by an evolution of prior distribution for the number of tags. From the simulation results, we observe that the pair of evolving prior distribution and Bayes action forms a robust scheme which attains a certain level of cognizance rate in spite of a high discrepancy between the Due and initially believed numbers of tags. Also, the proposed scheme is confirmed to be able to achieve higher cognizance completion probability than a scheme using classical estimate of the number of tags separately.

Effect of Self-differentiation and Self-esteem on School Adjustment among Adolescents (청소년의 자아분화 수준 및 자아존중감이 학교생활 적응에 미치는 영향)

  • Lee, Hea-Shoon
    • The Journal of the Korea Contents Association
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    • v.13 no.1
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    • pp.333-341
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    • 2013
  • Purpose: The purpose of this study was to identify the relationship of self-differentiation, self-esteem and school adjustment among adolescents. Methods: The data were collected from 508 adolescents and analyzed using n (%), t-test, ANOVA, Scheffe test, Pearson correlation coefficient and multiple regression with the SPSS 16.0program. Results: First, School adjustment was different for grade, gender, level of mother's education, and economics level. Second, Subjects of self-differentiation was the average score 102 points, self-esteem average score 27.3 points and school adjustment average score 63.6 points.. Third, Self-differentiation and self-esteem had a significant positive correlation with school adjustment. Fourth, Stepwise multiple regression analysis showed that family regression, emotional cutoff, recognition emotional function and family projection in self-differentiation, self-esteem and gender(female), level of mother's education(above university), and grade(high) explained 46.5% of the total variance in school adjustment. Conclusion: Self-differentiation and self-esteem were confirmed as having an influence on school adjustment. We need to develop a nursing intervention program that can manage adolescent's school adjustment. When providing such programs, the family must be included.

A Study on the Post-Evaluation of Landscape Design Competition based on Ground Theory - Case of Gwanggyo Lake Park in Korea - (근거이론을 활용한 조경현상설계의 사후평가 - 광교호수공원을 사례로 -)

  • Hong, Youn-Soon;Park, Jae-Min
    • Journal of the Korean Institute of Landscape Architecture
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    • v.44 no.5
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    • pp.92-102
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    • 2016
  • While there have many completions of large parks recently under development, there has been a dearth of quality assessments. Studies focused on post-evaluation have been made to resolve this, but most of these are biased toward user satisfaction after completion and therefore behaviour analysis has limitations on solving problemsduring the actual design implementation processes. Therefore, this study examined the internal phenomenon and structure of the implementation process of design competition through the ground theory and microscopic independent perspective. As a result, maintaining the identity and differentiation of parks derived from the preserved design competition scheme contributed greatly to completeness and satisfaction. Outcomes were mainly caused by the trust of public officials as the ordering organization, the will of policy decision-makers, and the competence of operational enterprises, etc. Negative factors such as undermining the whole concept of the park and landscape occurred as external pressure and related subjects intruded on change design factors due to variations in social conditions. Additionally, illogical construction processes occurred, such as a reinvestigation of the budget for restoration after damaging on original landscape. There have been needs for the improvement of the work processing system. On balance, an interventional role is very important in the park construction process, especially the PA and operation committee in terms of maintaining the basic direction, landscape design supervision for detailed designs, and expert construction management on LA in terms of rational work management in the field. The study, using the microscopic perspective of the designer and ground theory, deliver significant meaning as an early study by suggesting alternative methods for the after-evaluation of large parks and structurally looking into main influence factors driven during the construction process.