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The impact of a quality improvement effort in reducing admission hypothermia in preterm infants following delivery

  • Choi, Han Saem;Lee, Soon Min;Eun, Hoseon;Park, Minsoo;Park, Kook-In;Namgung, Ran
    • Clinical and Experimental Pediatrics
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    • v.61 no.8
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    • pp.239-244
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    • 2018
  • Purpose: Hypothermia at admission is associated with increased mortality and morbidity in preterm infants. We performed a quality improvement (QI) effort to determine the impact of a decrease in admission hypothermia in preterm infants. Methods: The study enrolled very low birth weight (VLBW) infants born at Gangnam Severance Hospital between January 2013 and December 2016. This multidisciplinary QI effort included the use of occlusive wraps, warm blankets, and caps; the delivery room temperature was maintained above $23.0^{\circ}C$, and a check-list was used for feedback. Results: Among 259 preterm infants, the incidence of hypothermia (defined as body temperature <$36.0^{\circ}C$) decreased significantly from 68% to 41%, and the mean body temperature on neonatal intensive care unit admission increased significantly from $35.5^{\circ}C$ to $36.0^{\circ}C$. In subgroup analysis of VLBW infants, admission hypothermia and neonatal outcomes were compared between the pre-QI (n=55) and post-QI groups (n=75). Body temperature on admission increased significantly from $35.4^{\circ}C$ to $35.9^{\circ}C$ and the number of infants with hypothermia decreased significantly from 71% to 45%. There were no cases of neonatal hyperthermia. The incidence of pulmonary hemorrhage was significantly decreased (P=0.017). Interaction analysis showed that birth weight and gestational age were not correlated with hypothermia following implementation of the protocol. Conclusion: Our study demonstrated a significant reduction in admission hypothermia following the introduction of a standardized protocol in our QI effort. This resulted in an effective reduction in the incidence of massive pulmonary hemorrhage.

A Study on the Characteristics of Vocational Experience Facilities in Accordance with Experience Marketing - Focused on Vocational Experience Facilities for Children - (체험 마케팅에 의한 직업체험관의 특성에 관한 연구 - 어린이 직업체험 중심으로 -)

  • Joo, Hee-Moon;Byun, Dae-Joong
    • Korean Institute of Interior Design Journal
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    • v.22 no.3
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    • pp.108-116
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    • 2013
  • This study has the purpose to review the way of experience element and property of space design appearing in vocational experience space and accumulate basic study material for children's vocational experience space and build systematic and specialized modules. Analysing the marketing elements of experience space through pilot research to arrange frame of analysis, and in a determined range, experimental marketing's property appearing in children's vocational experience center is analysed. This researcher analysed experimental displaying space's function of recognition, emotional, behavior, sense marketing and experimental marketing induced from pilot research on space design expressive elements of experimental marketing when it is applied to spaces through the frame of analysis with the combination of total 8 kind's experience display space function such as investigative, conceptional, aesthetic, entertaining, logical, relative, participating, and comprehensive experience based on 5 vocational experience spaces located in Seoul and Gyeonggi, opened after 2010, being operated at present with more than 500 pyeong (about 1,650 square meter) and targeted for children, after this researcher visited the site directly to make check list with the frame of analysis together with the staff and administrator in charge of vocational experience education. As a conclusion, vocational experience center is a space of edutainment helping children experience various profession more easily to find their interest and to bring up their dream. By analysing current vocational experience center through the element called experimental marketing, current status of vocational experience center could be known. the experience itself in vocational experience center becomes a merchandise. Instead of mere experience, so as to get professional experience and new information, new experiences should be provided by incessant variation and development. This study is to build basic research data for children's vocational experience space, however not only drawing specialty of vocational experience center through the connection of enterprises based on the contents arranged above but also systematic and specialized modules are expected to be built in next researches.

Perceived Family Support and Mental Health of Middle school students (중학생이 지각한 가족지지와 정신건강)

  • Suh, Soon-Rim;Kim, Jeong-Bok
    • Journal of the Korean Society of School Health
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    • v.15 no.2
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    • pp.219-232
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    • 2002
  • This study was conducted to identify the relationship between the perceived family support and mental health of middle school students and provide basic data to develop a nursing program for prevention of mental disease and mental health promotion in adolescent. The subjects for this study were 427 students in their first, second and third year of two middle school in K city. The data were collected from December 12th to 19th, 2001. The instruments used for this study were the family support scale by Kang and the mental health assessment scale was the Symptom Check List-90-R. The data were analyzed by frequency, percentage, mean, standard deviation, Pearson Correlation Coefficient, ANOVA, and Duncan test with SPSS program. The results were as follows: The mean score of the perceived family support was 42.26 and the mean score of mental health was 52.24. As a subarea of mental health was analyses, the scores of obsessive-compulsive reaction and hostility were respectively higher but the scores of phobia were lower than others. Family support was significantly different according to student's grade, religion and economic status, and educational level, the relationship between them, and living in parents. the characteristic influence on the level of mental health were sex, grade, and economic status of students and the relationship between them of parents. There was a significant correlation between the perceived family support and the level of mental health was revealed a significant correlation(r=-.35(P=0.001)). In conclusion, this study was found that family support was an important factor for promoting mental health of middle school students. In order to increase mental health of middle school students effectively, family support must be increased. Efforts to promote mental health of students are required in home and school. School authorities have to search a plans like "family support-class program" as one countermeasure to increase family support. teachers have to make educational programs to promote mental health constantly with participating parents.

A Study on the Reliability Quality Testing Model of Game Software (게임 소프트웨어의 신뢰성 품질 평가 모델에 대한 연구)

  • Jung Hye-Jung
    • Journal of Internet Computing and Services
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    • v.6 no.4
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    • pp.37-46
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    • 2005
  • Computer are being used in an increasingly wide variety of application areas, and their correct operation is often critical for business success and humasn safety. Developing high quality software products is therefore of prime important. The recent game software become popular, so we are interest in the game software testing. According to the kinds of game software, because it has the different characters, so game software testing is very difficult. According to enviroment change, Recently, online game is popular, so online game trade in the world market. In the company, developers try to develop the reliable game software. But we can experience many fault of game software in spite of the beta testing. Especially, Testing is very difficult on the game software because of various environment and functionality. We tried the survey for game user. In this paper, we study the quality testing metric of game software fault basis on the ISO/IEC 9126. Also, we consist of the check list of game software a point of view user. It apply for the reliability testing metrics of ISO/IEC 9126.

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Development and Evaluation of Multilingual Education Materials to Promote Immigrant Women's Adaptation to Pregnancy (이주여성의 임신적응증진을 위한 다국어 교육자료 개발과 평가)

  • Kim, Kyung Won;Baik, Sung Hee;Jeong, Geum Hee
    • Women's Health Nursing
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    • v.20 no.4
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    • pp.235-245
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    • 2014
  • Purpose: This study was done to develop and evaluate multilingual education materials to promote health and adaptation to pregnancy for immigrant women in Korea. Methods: This study had three procedures: First, contents of the education materials were developed according to pregnant women's needs, literature reviews, and group discussion. Details in contents were constructed based on Roy's adaptation model; Second, validity verification and translation of education materials were accomplished; Third, evaluation of the education materials was done through a survey of immigrant women. Results: The education materials were developed in six languages (Korean, English, Chinese, Vietnamese, Filipino, and Cambodian). The title is "Healthy mother, happy family: eight-step guide to a healthy pregnancy". It was composed of an eight-step guide to healthy pregnancy, self-examination check list, websites for childbirth education and information, and guidelines on education materials in a brochure. In the evaluation, the average response score for the questionnaire items was high (3.23 on a four-point Likert scale). The average score for Cambodian immigrants was the highest of all immigrant women. Conclusion: Multilingual education materials developed in this research will help community health nurses to manage pregnancies for immigrant women and will be useful for health education for these women.

A study for innovation of Adult nursing assessment tool (간호정보조사지 개선을 위한 연구)

  • Park, Kyung Sook;Chi, Sung Ai;Chung, Hae Kyung
    • Korean Journal of Adult Nursing
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    • v.12 no.1
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    • pp.77-87
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    • 2000
  • This study tried to suggest the basic materials that can be efficiently applied in clinical cases by understanding problems through a content analysis of an adult nursing assessment tool and opinion agreement about nurse's practical usage presently used in the hospital. The study was carried out in 36 attached hospitals in nationwide universities from May to December, 1999, the two hundred and twenty five reports were for analysis. The contents of the collected nursing assessment tool were analyzed. It was found that the tool had been used with various names and content and there were instances of partial omission of a number of items, such as documentation and time records. Other results revealed that they mostly had a systematic classification of items, formation of details a form of a check list, and the effect of saving time. In spite of the adult nursing assessment tool, it was suggested that its style be subdivided according to the specialized of a department and that standardized style be amended and supplemented. The respondents also answered that there had to be education about continuous and sufficient health assessment skills on the physical examination record. The most frequently suggested items to be added were: past history, marital status, patient and caregiver's address and telephone number. It was found that a patient's education career, economic status, religion, hygienic practice, sexual life and hobby were the most frequently omitted items on record. The reason given wes because the items were associated with his/her privacy. These results highlight the importance of analyzing the content with an complete data collection, supplying basic content for a more accurate nursing record, computerization, sharing information and standardization of the form.

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Modeling of Influential Predictors of Gastric Cancer Incidence Rates in Golestan Province, North Iran

  • Behnampour, Nasser;Hajizadeh, Ebrahim;Zayeri, Farid;Semnani, Shahriar
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.3
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    • pp.1111-1117
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    • 2014
  • Golestan province has a reputation for relatively high incidence rates of gastric cancer in Iran. Along with dietary, lifestyle and environmental influential factors, soil selenium and high levels of pesticide used may exert influence in this region. The present study was designed for modeling the influential predictors on incidence of gastric cancer in Golestan. All registered cases of gastric cancer from March 2009 to March 2010 (49 females and 107 males) were investigated. Data were gathered by both check list and researcher made questionnaire (demographic, clinical and lifestyle characteristics) and analysed using logistic regression. Mean (${\pm}SD$) age at diagnosis was $62.9{\pm}13.8$ years. CIR and ASR of gastric cancer showed 9.16 and 13.9 per 100,000 people, respectively. Based on univariate logistic regression, a history of smoking (OR= 2.076), unwashed hands after defecation (OR= 2.612), history of cancer in relatives (OR= 2.473), history of gastric cancer in first-degree relatives (OR= 2.278), numbers of gastric cancers in first-degree relatives (OR= 2.078), history of X-ray and dye exposure (OR= 2.395), history of CT scan encounter (OR= 2.915), improper food habits (OR= 3.320), specific eating behavior (OR= 0.740), consumption of probable high risk foods (OR= 2.942), charred flesh (OR= 1.945), and animal fat (OR= 2.716) were confirmed as a risk factors. Changes in lifestyle may be expected to increase gastric cancer incidence dramatically in the near future. Therefore, appropriate educational interventions should be designed and implemented by competent authorities.

Relationship between Job Stress and Mental Health of Caretakers (간병인의 직무스트레스와 정신건강과의 상관관계)

  • Ro, Hyo-Lyun;Kim, Sung-Joong;Lee, Moon-Hwan
    • The Journal of the Korea Contents Association
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    • v.9 no.11
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    • pp.297-308
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    • 2009
  • The purpose of this study is to explore the relationship between job stress and mental health of caretakers by SCL-90-R. This study are to offer basic information for patients the quality of service interventions. The sample for the study consisted of 247 caretakers who work in Busan. The results of this study are as follows: 1) Caretakers' mental health and job stress was not serious level. 2) There was an important factor in job stress, which was suitable pay. 3) Caretakers' job stress was positively related to mental health. There is a statistical correlation between the relationship with mental health and job stress. 4) Caretakers' mental health was affected by job stress level. Therefore, We need training and program that focuses on management job stress in caretakers.

Selected Characteristics and Degree of Physical Disability of Stroke Survivors at Discharge from Five General Hospitals in Seoul, 1975 (중추 신경계 혈관질환(C. V. A)환자 중 퇴원환자의 신체기능장애정도와 그 특성에 관한 고찰)

  • 이선옥
    • Journal of Korean Academy of Nursing
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    • v.6 no.1
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    • pp.23-28
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    • 1976
  • This study was undertaken to obtain information about selected characteristics and the degree of physical disability of patients with a diagnosis of cerebrovascular accident upon their discharge from a general hospital. It was hoped that this information would contribute to the assessment of their needs for follow-up nursing care. Nurse's and Physician's Progress Notes of all stroke patients discharged from five general hospitals in Seoul from January to December 1975 were analysed using a prepared check list. Patients with other complicating diagnosis such as diabetes, tuberculosis or heart disease were excluded from the sample. According to six factors used to grade the total sample of 334 stroke victims degree of physical ability at discharge, 144 (43%) of the Survivors had good functional ability, 72 (22%) fair, 62 (18%) poor, and 57(17%) very Poor. Certain clinical diagnosis correlated with the degree of physical ability. Intra cranial Hemorrhage and Subarachnoid Hemorrhage tended to be related to poor and very poor outcome categories. There was no significant correlation between nae and ability outcome, women had revealed a significantly positive correlation with poor and very poor ability outcomes. The hospitalization period was less than three days for 37.5% of the total group, and more than one month for 4.7%. Those patients with less than three days hospitalization accounted for the highest relationship with poor and very poor ability outcomes. Of the total groups 175(50.99%), were discharged with a diagnosis of condition improved (though not necessarily with good physical ability). The results suggest serious need for comprehensive follow- up nursing care for stroke survivors discharged a from general hospitals in Seoul.

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Analysis of Relationships between Parenting Stress, Maternal Depression, and Behavioral Problems in Children at Risk for Attention Deficit Hyperactive Disorder (주의력결핍 과잉행동장애 위험요인에 따른 어머니의 양육스트레스, 우울 및 아동문제행동 간의 관계분석)

  • Shin, Hee-Sun;Kim, Jeong-Mee
    • Journal of Korean Academy of Nursing
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    • v.40 no.3
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    • pp.453-461
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    • 2010
  • Purpose: In this study differences in behavioral problems between children at risk for Attention Deficit Hyperactive Disorder (ADHD) and normally developing children were identified. Further, relationships between parental stress, depression, and child behavioral problems according to ADHD symptoms were explored. Methods: Participants were 222 elementary school children and their parents. The ADHD risk group was determined by the Korean-ADHD Rating Scale. Data were collected using the Korean-ADHD Rating Scale, Korean version of Child Behavior CheckList (K-CBCL), Parenting Stress Index, and Beck Depression Inventory. Data were analyzed using t-test, Pearson correlation coefficients, and regression analysis. Results: 1) The ADHD risk group showed higher levels of behavioral problems, parenting stress, and maternal depression than the normal group. 2) There were significant relationships between ADHD scores and parenting stress (r=.66), maternal depression (r=.35), internal behavioral problems (r=.47), and external problems (r=.55), but, ADHD risk scores were negatively correlated with social competence (r=-.40). 3) The regression analysis revealed that ADHD levels affected the child's internal behavioral problems, mediated by maternal depression ($\beta$=.29, p<.001). Conclusion: The study results show that higher risk scores for ADHD indicate a significant effect for behavioral problems. Also, parenting stress and depression influence child's behavioral problems. These results suggest that identification of children at risk for ADHD and development of parental education programs would contribute to the prevention of behavioral problems and aggravation of the ADHD symptoms.