• Title/Summary/Keyword: Hospital design

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A Study on Self-Expression Improvement of Children through Orff Activities (유아의 자기표현능력 증진을 위한 오르프 음악활동의 적용)

  • Kwon, Se mi
    • Journal of Music and Human Behavior
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    • v.6 no.1
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    • pp.55-80
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    • 2009
  • The objective of this study was to improve the self-expression of children through Orff activities. In this study, three (3) children from D day care center in Seoul who demonstrated withdrawn behaviors were chosen as research subjects, based on a self-expression test score of 50 points. The activities were conducted for 6 weeks, totaling fourteen (14) sessions, with each session being scheduled for forty (40) minutes. Across 14 sessions, the researcher conducted, analyzed and compared the self-expression scale of subjects, measured during the third and the last session. The researcher then qualitatively analyzed verbal and non-verbal self-expression behaviors of subjects by video recording the session. The analysis results shown by the study are as follows. First, the results of a quantitative analysis of the self-expression scale showed significant changes in self expression. Furthermore, the results of a qualitative analysis of verbal self-expression showed positive changes in self-perception and an increase in feelings of independence and activity than that of initial sessions.

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Biomechanical Efficacy of a Combined Flexible Cage with Pedicle Screws with Spring rods: A Finite Element Analysis (Spring rod를 사용한 척추경 나사못과 동반 시술된 Flexible cage의 생체역학적 효과)

  • Kim, Y.H.;Park, E.Y.;Kim, W.H.;Hwang, S.P.;Park, K.W.;Lee, Sung-Jae
    • Journal of Biomedical Engineering Research
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    • v.38 no.1
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    • pp.9-15
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    • 2017
  • Recently, flexible cages have been introduced in an attempt to absorb and reduce the abnormal load transfer along the anterior parts of the spine. They are designed to be used with the pedicle screw systems to allow some mobility at the index level while containing ROM at the adjacent level. In this study, a finite element (FE) study was performed to assess biomechanical efficacies of the flexible cage when combined with pedicle screws with flexible rods. The post-operated models were constructed by modifying the L4-5 of a previously-validated 3-D FE model of the intact lumbar spine (L2-S1): (1) Type 1, flexible cage only; (2) Type 2, pedicle screws with flexible rods; (3) Type 3, interbody fusion cage plus pedicle screws with rigid rods; (4) Type 4, interbody fusion cage plus Type 2; (5) Type 5, Type 1 plus Type 2. Flexion/extension of 10 Nm with a compressive follower load of 400N was applied. As compared to the Type 3 (62~65%) and Type 4 (59~62%), Type 5 (53~55%) was able to limit the motion at the operated level effectively, despite moderate reduction at the adjacent level. It was also able to shift the load back to the anterior portions of the spine thus relieving excessively high posterior load transfer and to reduce stress on the endplate by absorbing the load with its flexible shape design features. The likelihood of component failure of flexble cage remained less than 30% regardless of loading conditions when combined with pedicle screws with flexible rods. Our study demonstrated that flexible cages when combined with posterior dynamic system may help reduce subsidence of cage and degeneration process at the adjacent levels while effectively providing stability at the operated level.

The Mediating Effects in the Relationship among Workplace Bullying, Job Stress, and Nursing Organizational Culture after completing the course of 'Workplace Bullying Prevention Law' ('직장 내 괴롭힘 방지법' 교육을 이수한 간호사의 직장 내 괴롭힘과 직무스트레스 관계에서 간호조직문화의 매개효과)

  • Park, Inhee;Cho, Eunjeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.5
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    • pp.523-531
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    • 2020
  • The aim of this study was to determine the mediating effects in the relationships among nursing organizational culture, workplace bullying, and job stress of nurses. For the descriptive correlational study design, data were collected using a structured questionnaire from nurses at university hospitals (N=130). Statistical analysis was performed on the collected data using SPSS 22.0 statistics program. The mean scores of nurses for nursing organizational culture, workplace bullying, and job stress were 2.99±0.74, 1.85±0.65, and 2.50±0.35, respectively. Nursing organizational culture of nurses had a negative correlation with both workplace bullying (r=-0.45, p=0.001) and job stress (r=-0.61, p=0.001), whereas workplace bullying showed a positive correlation with job stress (r=0.42, p=0.001). Sobel test was conducted to verify the mediating effects, and nursing organizational culture was statistically significant as a partial mediating effect of 0.13 (sobel'z=-2.287, p<0.05) on the effect of workplace bullying of nurses on job stress. These results indicate that nursing organizational cultures need to be established to reduce workplace bullying. It is important to create a nursing work environment that can reduce job stress, a better understanding of the nursing organization cultures related to nursing tasks is crucial, and it is necessary to develop an institutional education strategy for prevention education in hospital organizations.

The Performance Evaluation and Analysis of Next Generation Wireless LAN with OFDM (OFDM을 적용한 차세대 무선 LAN의 성능 평가 및 분석)

  • Han, Kyung-Su;Youn, Hee-Sang
    • Journal of Advanced Navigation Technology
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    • v.6 no.1
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    • pp.37-43
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    • 2002
  • This paper describes the performance evaluation and analysis of Wireless Local Area Network (W-LAN) in the 5 GHz ISM-band in compliance with IEEE 802.11a. At present, most W-LAN products are based on 2.4 GHz band, but low speed (11Mbps) has the limitation to serve systems demanding high-speed data transmission. To solve this problem, it is necessary to design next generation W-LAN system with 54Mbps in the 5GHz. It is sure that implementation of next generation W-LAN will bring competitive advantages. In particular, it will support telecommunications for high-speed mobile environments as well as for fixed places such as a school zone, a lecture room, a hospital and other premises. A few simulation methods are applied to more accurate and reliable performance analysis of next generation W-LAN. To verify if continuous data service is supported for a high-speed mobile notebook, multi-path fading channels between wireless Access Point (AP) and wireless Network Interface Card (NIC) are modeled. In addition, low interference is analyzed via convolutional codes and Orthogonal Frequency-Division Multiplexing (OFDM). Also, to obtain reliable Bit Error Rate (BER), a single tap Least Mean Square (LMS) equalizer is applied. Given the above simulation, next generation W-LAN is an ideal solution for continuous data transmission in high-speed mobile environments.

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Development of Nursing Process Information System for the Home Health Care (가정간호를 위한 간호과정 정보시스템 개발)

  • Cho, Hyun;Kang, In-Soon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.5
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    • pp.1126-1132
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    • 2009
  • We carried out this study to reduce the gaps between medical institutes and between medical personnels and help to improve medical service quality, by classifying diagnoses and related intervention through the development of standard nursing intervention and by computerizing protocols. We considered two processes: one is the development process of home nursing standard intervention, and the other is the process of computerizing its related protocols. For the former, research covered analysis of home health care practices, development of client assessment protocol, of patients diagnosis protocols, and of patients intervention protocol. For the latter, strategies for home health care information systems should be set up and it constituted four research contents of analysis, design, management and evaluation of the systems. We also trained and educated home nurses who work at home health service center, by making them use the manual of home health care information systems at a certain city of P. In this study, therefore, we developed elements of standard home health care mediation so that they could be included in the forms of home health information note, home health progress note, and home health progress summary, home health discharge summary. Because standard home health care intervention has been developed, it became easier to exchange information between different home heath service center offices, can prevent from missing or redundant information, and contribute to standardization of hospital terminologies when EMR and HMR are developed.

A preliminary study on the Effectiveness of Group Occupational therapy program for Dementia Patient in Day-care center (주간보호시설 치매환자의 집단작업치료프로그램 효과-예비연구)

  • Lee, Seong-A;Jeong, Won-Mee;Hwang, Yun-Jung;Park, Chung-A
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.16 no.3
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    • pp.2055-2063
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    • 2015
  • The purpose of this study is to have a preliminary study in order to identify changes in occupational performance skills and visual perception of patients with mild dementia, who have been provided with a group occupational therapy program, within community day-care center. The subjects of this study were 9 people with mild dementia living in a community. The period of administration was for 60 minutes per session three times a week during four weeks. We assessed their visual perception function(MVPT) and occupational performance(AMPS). One group pre-post test design was implemented as an experimental study to compare the results between before and after applying the group occupational therapy program within sensory, physical, creative activity. While a statistically significant difference between before and after the program of motor skills(occupational performance skill) is not shown, the visual perception function and occupational performance of patients with mild dementia improved significantly after receiving occupational therapy program(p<0.01, p<0.05). Therefore, it is possible to conclude that the group occupational therapy program is helpful to manage the occupational performance skills and visual perception of patients with mild dementia in community day-care center.

A Design of Key Generation and Communication for Device Access Control based on Smart Health Care (스마트 헬스케어 기반의 디바이스 접근제어를 위한 키 생성 및 통신기법 설계)

  • Min, So-Yeon;Lee, Kwang-Hyong;Jin, Byung-Wook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.11
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    • pp.746-754
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    • 2016
  • Smart healthcare systems, a convergent industry based on information and communications technologies (ICT), has emerged from personal health management to remote medical treatment as a distinguished industry. The smart healthcare environment provides technology to deliver vital information, such as pulse rate, body temperature, health status, and so on, from wearable devices to the hospital network where the physician is located. However, since it deals with the patient's personal medical information, there is a security issue for personal information management, and the system may be vulnerable to cyber-attacks in wireless networks. Therefore, this study focuses on a key-development and device-management system to generate keys in the smart environment to safely manage devices. The protocol is designed to provide safe communications with the generated key and to manage the devices, as well as the generated key. The security level is analyzed against attack methods that may occur in a healthcare environment, and it was compared with existing key methods and coding capabilities. In the performance evaluation, we analyze the security against attacks occurring in a smart healthcare environment, and the security and efficiency of the existing key encryption method, and we confirmed an improvement of about 15%, compared to the existing cipher systems.

Factors Affecting on Turnover Intentions among Operating Room Nurses (수술실 간호사의 이직의도에 영향을 미치는 요인)

  • Kim, Yeo-Jin;Park, Keum-Sook;Yang, Eun-Ja
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.12
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    • pp.352-362
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    • 2016
  • The purpose of this study was to examine the level of stress, healthcare accreditation related job stress, adaptation, and turnover intentions, as well as to identify influencing factors of turnover intentions for operating room nurses. This study employed a descriptive correlational design. The data were collected from 163 operating room nurses using a structural questionnaire. Stress was different by age (F=5.629, p=.004), marital status (t=-2.907, p=.004), and children (t=-2.623, p=.010). Healthcare accreditation related job stress was different by age (F=11.924, p<.001), marital status (t=-4.747, p<.001), children (t=-4.434, p<.001), work experience in the OR (F=6.000, p=.003), and work reasons in the OR (t=-2.543, p=.012). Turnover intention was different by age (F=21.472, p<.001), education level (F=4.997, p<.008), religion (t=3.235, p=.001), work experience in the OR (F=13.599, p<.001), position (t=3.222, p=.002), work reasons in the OR (t=-3.001, p=.003), and a shift pattern of duties (t=-2.797, p=.006). Turnover intention was significantly correlated with stress, healthcare accreditation related job stress, and adaptation. Factors affecting turnover intention were healthcare accreditation related job stress, adaptation, and age. These factors accounted for 36.2% of turnover intention. These results suggest that relief of stress and healthcare accreditation related job stress and interventions for improving stress management.

Research Trends in Vocational Rehabilitation: Through Analysis of Studies in American Journal of Occupational Therapy (미국작업치료학회지(AJOT)에 나타난 직업재활에 관한 연구동향)

  • Noh, Dong-hee;Jo, Eun-Ju;Kam, Kyung-Yoon
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.5
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    • pp.436-444
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    • 2017
  • The purpose of this study is to investigate the research trends related to work rehabilitation in the field of occupational therapy based on studies published in the American Journal of Occupational Therapy (AJOT). Thirty five articles in the AJOT from January, 2000, to June, 2016, were reviewed. Descriptive statistics were used to classify the articles according to their study methodology, evidence level, study subjects, and so on. When they were categorized according to the study methodology, eight studies (22.9%) were published as review or meta-analyses and 7 studies (20%) as qualitative and naturalistic inquiries. Group comparison/correlational and experimental outcome methods were used in 4 studies (11.4%). 3 studies (8.6%) were conducted using a case study/single-subject design or survey. 14 studies (40.0%) were evidence level V ones and 7 studies (33.3%) dealt with mental illness. When they were classified according to the study subjects, 25 studies (71.4%) were related to the work-rehabilitation process and 10 studies (28.6%) were related to the meaning and value of work. Through this study, we were able to determine the main research trends, study methodology, study participants, and evidence level related to vocational rehabilitation in the field of occupational therapy. Additionally, it is necessary to examine studies in the field of vocational rehabilitation, which have a high level of evidence and include various kinds of participants, as well as the process of vocational rehabilitation.

The Influence of School Safety Education on Safety Awareness of Students - Based on Study of Elementary, Middle, and High Schools in Chung-nam - (안전사고 예방교육이 학생들의 안전의식에 미치는 영향 - 충남지역 일부 초.중.고등학생을 중심으로 -)

  • Lee, Myung-Sun;Choi, Hye-Jung;Kim, Mi-Hee;Park, Yae-Jin
    • The Journal of Korean Society for School & Community Health Education
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    • v.13 no.2
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    • pp.93-105
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    • 2012
  • This study aimed to provide the fundamental resources for developing an effective safety education program. We analyzed the condition of school accidents and safety awareness, and the condition of school safety education and the factors related to safety education. Ultimately, this study can lead the following studies to develop the safety education program realistically, which can effectively change the safety behaviors of Korean students. Methods: We carried out a questionnaire survey that was targeted at the schools - three elementary, three middle, and three high schools - located in Chung-nam, from April 1, 2012 to May 2, 2012. Totally, the questionnaires of 578 students were fully filled out. The design of this study is a descriptive research. Results: 1. 64.5% of elementary school students, 33% of middle school students and 32% of high school students had experienced more than one safety accident. The frequency of occurrence was the highest in playgrounds for elementary and middle school students, and in stairs for high school students. The most safety accidents occurred during lunch time and at recess in elementary and middle school, and at recess in high school. Further, most of the students who had experienced the safety accidents had been treated in infirmary (school nurse's office) for elementary school students, and in a hospital for middle and high school students. 2. There was statistical significance in the safety consciousness for students in elementary school (18.09 points), middle school (17.68 points), and high school (17.26 points), on a twenty-point scale. (F=3.754, p=0.024). 3. Comparing the factors related to school safety education with safety consciousness, students in elementary school that gave an answer of the usefulness of safety education showed a high standard in the safety consciousness level. (F=12.347, p=0.002) For the need of safety education, the students in the elementary school and high school that expressed the necessity of safety education showed a high standard in the safety consciousness level. Conclusions: Accordingly, it is true that there are the differences at safety awareness among elementary middle high school students. This study is meaningful enough in that it provides the fundamental resources for developing the effective safety education methods for the subjects.

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