• Research in Community and Public Health Nursing
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• v.9 no.1
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• pp.163-180
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• 1998

The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

• The Journal of the Institute of Internet, Broadcasting and Communication
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• v.13 no.6
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• pp.173-186
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• 2013

New information technologies make it easy to access and acquire information in various ways. However, It also enable powerful and various threat to system security. To challenge these threats, various extended access control methods are being studied. We suggest a new extended access control method that make it possible to conform to security policies enforcement even with discrepancy between policy based constraints rules and query based constraints rules via their semantic relationship. New our approach derives semantic implications using tree hierarchy structure and coordinates the exceed privileges using semantic gap factor calculating the degree of the discrepancy. In addition, we illustrate prototype system architecture and make performance comparison with existing access control methods.

• Industry Promotion Research
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• v.5 no.1
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• pp.107-115
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• 2020

This study is to find social welfare practices that married women migrant can provide to them in order to relieve the stress of cultural differences and enjoy a good family life. Results,First, action plans to overcome intercultural differences are needed. To overcome effective cross-cultural differences, interventions and goals are set for culturally diverse clients that match their racial, cultural, ethnic, gender and sexual orientation.Second, it is necessary to cultivate professional education personnel. In order to train professionals, cultural diversity should be addressed in existing social welfare courses.Third, the related laws need to be rearranged. The Multicultural Family Support Act continues to emerge as a need for supplementation, including the understanding of Korean family culture and the lack of counseling for immigrant women.As a result, married women immigrants recognize that Korean life is different from their own in many aspects of their daily lives, so they endeavor to have a lot of patience and high level of effort in the adaptation process. Therefore, there is a need for a social welfare practice that can support this.

• Physical Therapy Korea
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• v.8 no.3
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• pp.63-76
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• 2001

Many studies have shown that the initial median frequency (MDF) and slope correlate with the muscle fiber composition. This study tested the hypothesis that the initial MDF and slope are fixed, regardless of the interval at which data are collected. MDF data using moving fast Fourier transformation of EMG signals, following local fatigue induced by isotonic exercise, were obtained. An inverse FFT was used to eliminate noise, and characteristic decreasing regression lines were obtained. The regression analysis was done in three different periods, the first one third, first half, and full period, looking at variance in the initial MDF, slope, and fatigue index. Data from surface EMG signals during fatiguing isotonic exercise of the biceps brachii and vastus lateralis in 20 normal subjects were collected. The loads tested were 30% and 60% maximum voluntary contraction (MVC) in the biceps brachii and 40% and 80% MVC in the vastus lateralis. The rate was 25 flexions per minute. There were no significant differences in the initial MDF or slope during the early or full periods of the regression, but there was a significant difference in the fatigue index. Therefore, to observe the change in the initial MDF and slope of the MDF regression line during isotonic exercise, this study suggest that only the early interval need to be observed.

• Journal of the Korean Society of Radiology
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• v.11 no.4
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• pp.263-271
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• 2017

The purpose of this study was to investigate the relationship between general characteristics, job stress and job satisfaction of 150 sonographer working in Busan and Ulsan area and to identify the predictors of job satisfaction. As a result, the higher the age, experienced job change, the more job satisfaction increased. The sub-factors of job stress and job satisfaction are significantly negative correlated with organizational system, lack of reward, occupational climate, job insecurity, insufficient job control, job demand. The most influential variables in job satisfaction were organizational system and lack of reward. Therefore in order to increase the job satisfaction of the sonographer, it is important to establish and institutional device related to effective organization, manpower management and compensation to reduce job stress.

• Childhood Kidney Diseases
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• v.24 no.1
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• pp.1-13
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• 2020

Immunoglobulin (Ig)A vasculitis nephritis (IgAVN), also referred to as Henoch-Schönlein purpura nephritis, is a relatively benign disease in children. However, two 24-year European cohort studies have reported high sustained rates of hypertension, severe proteinuria, and renal dysfunction in patients with IgAVN. Notably, the incidence and exacerbation rates of proteinuria, hypertension, and renal dysfunction during pregnancy were high even in women who recovered from IgAVN before pregnancy. Patients with IgAVN need lifelong care. Trials have been performed to investigate early biomarkers and genes associated with poor prognosis to identify high-risk patients in whom IgAVN may progress to severe renal disease. Urinary IgA/cr, IgM/cr levels, and HLAB35 and angiotensinogen gene expression were shown to be predictors of progression of IgAVN to severe renal dysfunction. The 2019 Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) initiative group published guidelines for pediatric IgAVN, following the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines established in 2012. Compared with the KDIGO guidelines, the SHARE guidelines recommend earlier corticosteroid administration in cases of mild proteinuria (>0.5 g/d). Clinical trials of targeted budesonide delivery to the distal ileum, monoclonal antibody targeting C5, eculizumab and anti-CD20 monoclonal antibody administration, among others are currently underway in patients with IgA nephropathy. It is expected that newer therapeutic agents would become available for IgAVN in the near future. This review summarizes IgAVN with emphasis on recently published literature, including possible preventive strategies, predictive biomarkers for progression of IgAVN, and various treatments.

• Korean Journal of Adult Nursing
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• v.13 no.4
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• pp.632-640
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• 2001

Purpose: This study was to examine the effects of supportive nursing care on surgical patients in the operating room. Method: This study was nonequivalent control group none-synchronized design. The data were collected during the period of July 26 through October 8, 1999 at K hospital in Kwangju. The subjects for the study were selected from those patients who were admitted to K hospital for abdominal surgery. Forty-eight adult subjects were selected and evenly divided into two groups: 24 for the experimental group and the other 24 for the control group, respectively. The tool used for measuring state and trait anxiety was the one originally worked out by Spilberger(1976), and translated by Kim Jung- Taek and Shin Dong-Kyun(1978) for suitable application for Koreans. Data were analyzed by $\chi^2$- test, t-test, Chronbach's ${\alpha}$ coefficient using SAS/PC+. Result: Results were as follows : 1. The degree of State anxiety was found to be lower in the experimental group who received supportive nursing care in the operating room immediately before an operation than the control group who did not."(p<.001). 2. There was no significant difference on the post-test blood pressure and pulse rate immediately before operation between the two groups(p>.05). Conclusion: Results of the above study reveals that the supportive nursing care in the operating room is effective in alleviating the anxiety of patients. I suggest that it is highly desirable to apply supportive nursing care for those patients who are waiting for immediate surgery.

• Journal of Agricultural Extension & Community Development
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• v.4 no.1
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• pp.339-351
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• 1997

This study intended to enhance the quality of life of rural adolescents through survey 185 young people in YeonChun County, in the course of measuring the level of life of adolescents and finding several variables related with the level and drawing some applications for enhancement. As a result of this study we had some findings 1) the most young people were belonging to the second (vital feeling value) level and third (mental value) level 2) Sex, religion, tendency oriented to other person were three related variables with the level. The more the people having other-oriented tendency the higher the level of value. Female, Christian is higher in the level. 3) Many adolescents showed little hearty satisfaction concering their own life 4) The level of act in their real life were corresponded with the level of value 5) Characteristics of high value-level adolescents against low value-level ones were that they had high level of value-recognition, less family member. The hit ratio was 83.7 percent. On the basis of this study the following suggestions for the improvement of quality of life for youth in the rural area in the future. First, we should make a great effort in value education in order to clearly get the goal of the true life. The quality improvement such as the education of mental life and religion for the young people by developing programs to continously improve the value of life. Second, the necessity of behavior guiding other oriented tendency should be emphasized. We should connect adolescents with value recognition through more interest in actions. And third, it is necessary to make a professional effort for the improvement of level of value, that is, an in depth study of the theoretical systemization.

• Journal of Convergence for Information Technology
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• v.10 no.6
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• pp.49-58
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• 2020

This study was conducted to identify the changes in academic self-efficacy and self-directed learning ability after applying flipped learning using media convergence to the basic nursing practice courses. It is offering flipped learning to 22 students from the experimental group and 26 students from the control group. Data were collected from August 27 to December 3, 2019. The difference in academic self-efficacy before and after the flipped learning was no significant difference between the two groups. However, the difference in self-directed learning ability was 11.32 points in the experimental group and 0.23 points in the control group (t=2.32, p=.027). According to the results of this study, flipped learning using media convergence was found to be an effective teaching method to improve self-directed learning ability of students. Therefore, it is necessary to study the expanded application of flipped learning using media convergence to various nursing subjects.

• Korean Journal of Adult Nursing
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• v.28 no.2
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• pp.169-179
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• 2016

Purpose: The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR). Methods: The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's ${\alpha}$, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test. Results: The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008). Conclusion: The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.