• Title/Summary/Keyword: Intervention Strategies

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Long-term follow-up study and long-term care of childhood cancer survivors

  • Park, Hyeon-Jin
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.465-470
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    • 2010
  • The number of long-term survivors is increasing in the western countries due to remarkable improvements in the treatment of childhood cancer. The long-term complications of childhood cancer survivors in these countries were brought to light by the childhood cancer survivor studies. In Korea, the 5-year survival rate of childhood cancer patients is approaching 70%; therefore, it is extremely important to undertake similar long-term follow-up studies and comprehensive long-term care for our population. On the basis of the experiences of childhood cancer survivorship care of the western countries and the current Korean status of childhood cancer survivors, long-term follow-up study and long-term care systems need to be established in Korea in the near future. This system might contribute to the improvement of the quality of life of childhood cancer survivors through effective intervention strategies.

Lesion development and functional recovery after spinal cord injury (척수 손상 후 병변의 발달과 기능의 회복)

  • Jun Kyong-hee;Park Rae-Joon
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.441-453
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    • 2002
  • The purpose of this study was to characterize lesion development, neural plasticity, and motor learing after spinal cord injury. Facilitatory intervention such as weight bearing and locomotor training after SCI may be more effective than compensatory strategies at inducing neuroplasticity and motor recovery. Minimal tissue sparing has a profound impact on segmental systems and recovery of function Spinal animal could functional locomotion when subjected to repetitive stimulation. task-specific learning of isolated lumbar spinal could improve motor performance more then other task learning.

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Potential Immunotherapeutics for Immunosuppression in Sepsis

  • Shin, Jinwook;Jin, Mirim
    • Biomolecules & Therapeutics
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    • v.25 no.6
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    • pp.569-577
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    • 2017
  • Sepsis is a syndrome characterized by systemic inflammatory responses to a severe infection. Acute hyper-inflammatory reactions in the acute phase of sepsis have been considered as a primary reason for organ dysfunction and mortality, and advances in emergency intervention and improved intensive care management have reduced mortalities in the early phase. However it has been recognized that increased deaths in the late phase still maintain sepsis mortality high worldwide. Patients recovered from early severe illness are unable to control immune system with sepsis-induced immunosuppression such as immunological tolerance, exhaustion and apoptosis, which make them vulnerable to nosocomial and opportunistic infections ultimately leading to threat to life. Based on strategies to reverse immunosuppression, recent developments in sepsis therapy are focused on molecules having immune enhancing activities. These efforts are focused on defining and revising the immunocompromised status associated with long-term mortality.

Analysis of Policy Leverages Linked to Functional Changes of Local Educational Authority: Application of Systems Thinking (시스템 사고를 활용한 지역교육청 기능전환정책의 정책 지렛대(Policy Leverage) 분석)

  • Choi, Young-Chool;Park, Soo-Jung
    • Korean System Dynamics Review
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    • v.11 no.1
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    • pp.85-102
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    • 2010
  • This paper explores the ways in which the functions of local educational authority in Korea can be analyzed by systems thinking, and puts forward some policy leverage strategies to enhance predictability of education policy effects and also to prevent unanticipated side effects arising from it. In dong so, we sketch causal diagrams to depict functional changes of local educational authority, based on before and after comparison, and attempt to derive policy intervention points to minimize unforseen reactions from the stake-holders concerned. These diagrams make it possible for educational policy-makers to capture the feedback, stocks and flows, time delays, and non-linearities they identify, although they have some limitations. This paper concludes that newly-designed functions and structures for local educational authority may be accepted by the stake-holders including teachers and unions, only if complex systems surrounding functional changes regarding local educational authority can be clearly understood and relevant policy measures can be effectively taken before the functional changes happen.

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Psychosocial Adjustment of Adolescents with Hematologic : Self-integration from Deviated Life (혈액종양이 있는 청소년의 사회심리적 적응:이탈되어진 삶에서 자아통합 해나가기)

  • Son, Sun-Young
    • Child Health Nursing Research
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    • v.15 no.3
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    • pp.282-290
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    • 2009
  • Purpose: The main purpose of this study was to observe the adaptation experience process of adolescents with hematologic malignancies. Methods: The Grounded Theory Method, developed by Strauss & Corbin (1998), was used in this study. The data were collected through in-depth. interviews with 10 adolescents with cancer. Data collection and analysis occurred concurrently. Theoretical sampling technique was used until the data reached saturation. Results: "A deviated life" was verified as the central phenomenon for adolescents with cancer. The adaptation experience process was divided into 3 steps: "Self-confusion", "Reinterpretation", and "Regeneration of self". Through these 3 steps, the adolescents with hematologic malignancies fitted a new life by self-integration. Conclusion: The results of this study provide a frame for individualized nursing intervention strategies in helping with the psychosocial adaptation of adolescents with hematologic malignancies.

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The Protective Role of School Adjustment Between Risky Neighborhood Environment and Adolescent Drinking and Smoking (지역사회 유해환경과 청소년의 음주흡연 경험과의 관계에서 학교적응의 보호 작용)

  • Kim, Shinah;Han, Yoonsun
    • Korean Journal of Child Studies
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    • v.37 no.1
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    • pp.37-48
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    • 2016
  • Objective: To prevent adolescent drinking and smoking, this study proposed a strategy based on the ecological perspective. Methods: The study applied multilevel moderated logistic regression analysis on nationally representative individual-level (2,046 9th grade adolescents) and neighborhood-level (92 geographic areas) data. Results: There was a positive association between risky neighborhood environments (e.g., rate of smoking, drinking, and presence of saloon/bars accommodation) and rates of adolescent drinking and smoking. Furthermore, the interplay between risky neighborhood environments and school adjustment pointed to a possible protective effect of a high level of school adjustment in predicting smoking and drinking among adolescents. Conclusion: Findings highlighted the importance of considering multiple neighborhood social contexts surrounding adolescents to understand their risky behavior. Furthermore, positive intervention strategies that focus on adolescents' positive development within the school domain may act to protect adolescents from harmful neighborhood environments.

Influencing Factor on Social Support perceived by Patients with Rheumatoid Arthritis (류마티스 관절염 환자가 지각하는 사회적 지지와 영향요인에 관한 조사연구)

  • Yoo, Kyung Hee
    • Journal of muscle and joint health
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    • v.21 no.2
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    • pp.145-152
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    • 2014
  • Purpose: The purpose of this study was to investigate the influencing factors on the social support perceived by patients with rheumatoid arthritis. Methods: The subjects for this study were 468 patients registered in 2 general hospitals and the period of data collection was from October 20, 2013 to February 20, 2014. The data were analyzed with t-test, ANOVA and Pearson's correlation coefficients. Results: The mean of item of social support was 3.31 in patients. For social support, there were significant differences by gender and economics in patients with rheumatoid arthritis. Conclusion: Managing social support was important for patients with rheumatoid arthritis to promote health. To enhance social support of patients with rheumatoid arthritis, nursing intervention strategies must be developed for increasing economics or giving information about their activity of daily living.

Gender Differences in Physical Activity, Dietary Habit and Nutrient Intake of Upper Grade Students in Elementary School

  • Ro, Hee-Kyung
    • Preventive Nutrition and Food Science
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    • v.8 no.4
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    • pp.401-405
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    • 2003
  • This study was conducted to find gender differences in physical activity, dietary habit and nutrient intake in 4∼6th grade students in elementary school. Physical activity assessment showed that males significantly engaged in more vigorous activity with longer duration than females. It was found that females skipped their breakfast more often and had more snack than males. On the other hand, males were more indulged in peaky eating, despite their good practice of drinking milk. Twenty-four hour dietary recall revealed that energy intakes in both males and females were not sufficient. Furthermore, subjects, regardless of gender, consumed marginal intakes of Ca and Fe. Special attention should be given to marginal intakes of Ca in the subjects. Due to low Fe intake in females, more caution should be taken to include a meal which can enhance iron absorption. It might be suggested that effective intervention strategies need to be developed and implemented to choose nutrient dense foods and activities that lead to better health.

Impact of Working Environment, Job Identity, and Job Satisfaction on Turnover Intention among Child Care Providers (아이돌보미 여성의 근무환경, 직업정체성, 직무만족도가 이직의도에 미치는 영향)

  • Lee, Young Ran;Park, Sun Nam;Chu, Min Sun
    • Journal of Home Health Care Nursing
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    • v.23 no.1
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    • pp.62-70
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    • 2016
  • Purpose: This study examined the impact of working environment, job identity, and job satisfaction on turnover intention among child care providers. Methods: Data were collected from a sample of 146 child care providers using self-administered questionnaires from May 1 to July 20, 2014. The data were analyzed with SPSS 18.0. Results: Child care providers had a middle level of job identity, job satisfaction, and turnover intention. Turnover intention among child care providers was significantly predicted by age, job satisfaction, and income satisfaction. Conclusion: These results suggest that intervention and strategy development are needed to decrease turnover intention among child care providers. Exploration of strategies to increase the job satisfaction and income satisfaction are needed, in order to reduce turnover intention.

Factors Influencing Quality of Life of Home Care Patient's Primary Caregiver (가정간호대상자 주돌봄자의 삶의 질에 영향을 미치는 요인)

  • Han, Suk-Jung
    • Journal of Home Health Care Nursing
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    • v.17 no.2
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    • pp.144-155
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    • 2010
  • Purpose: This study investigated the factors affecting the quality of life (QOL) of the primary caregivers of home health care patients. Method: The subjects were 110 primary caregivers of patients who were receiving home health care from two home health care centers affiliated with general hospitals in Seoul. Data collection was conducted using five questionnaires. Results: Positive relationships were evident between QOL and social support and perceived health status of the primary caregiver. Negative relationships were evident between QOL and burden and depression. Multiple linear regression analysis for QOL revealed that the most powerful influencing factor was social support. Social support, burden, and depression explained 34.3% of the variance. Conclusion: Burden, depression, and social support are related with QOL of primary caregivers of home health care patients. Nursing intervention strategies directed at this caregiver population are needed.

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