• 제목/요약/키워드: Labor stage

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분만과정중 산모 체위변경에 따른 간호효과의 실질적 연구 (An Experimental Study on the Effects of Nursing Care According to Change of Position During Labor)

  • 조원분
    • 대한간호학회지
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    • 제8권1호
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    • pp.139-151
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    • 1978
  • This study is to observe the effects of nursing care according to change of position for comfort during labor and safe delivery of newborn infants and perturbment women. Fifty antepartal primipara with labor pain who were admitted to the delivery room of H University Medical Center from September 1, 1976 to November 15, 1976 (Estimate Delivery Confinement) were selected for this investigation. Among the 50 parturiencys, the experimental group (28 primipara) were placed in 30 degree upright sitting position and the control group (22 primipara) were placed in the supine position. following placement, both groups were observed. The summarized findings of the study were as follows; 1. There was a noticeably significant difference in the duration of the first stage of labor (defined as 4 cm. dilatation of the cervical os with the fetal presenting part engaged to full or 10 cm. dilatation) , between the two groups. For women in the 30 degree upright sitting position, the first stage of labor was close to 33.66 minutes shorter. than for the women in the supine position. (t : 32.79, D.F : 48, p<0.0,i) 2. Although slight differences were observed between the Apgar Scores of the newborn infants of primipara in the two groups, these were not significant. The mean Apgar Score among the newborn infants of primipara in the 30 degree upright sitting position was 9.64 compared with 9.04 for the newborn infants of primipara in the supine position, a difference of 0.6. (x$^2$= 2.44, D.F : 2, p〉0.05) 3. There was a significant difference in the conformability of the perturbment women between the two groups because the shortened duration of the first stage and the high level of comfort score calculated for six factors (body activity, serving bed pan, serving kidney basin, pushing, deep breathing and perturbment women's feelings), that affect nursing care.

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분만지지간호에 대한 개념분석 (A Concept Analysis of Labor Support)

  • 채미영;박호란
    • 여성건강간호학회지
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    • 제24권2호
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    • pp.138-149
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    • 2018
  • Purpose: To identify and clarify the concept of labor support. Methods: This study used Schwartz-Barcott & Kim's hybrid model to identify the main attributes and indicators. In the fieldwork stage, data were collected in Seoul and Chenmam, Korea. The participants were five nurses working in the delivery room and four women who delivered more than two children by vaginal delivery. Results: The concept of labor support was found to have nine attributes and 23 indicators in two dimensions. For the physical intervention dimension, five attributes were derived. They were pain relief, selective use of technology, ambulation/positioning, physiological pushing, and increasing comfort. For the labor support practices dimension the attributeswereprovidinginformation, relief and encouragement, family support, and presence. Conclusion: The concept analysis of labor support in this study could provide guidelines for 'labor support' nursing practice and be useful for research in the women's health field.

Comparison of Nitrogen Application Methods at the 4th Leaf Stage in Direct-Seeded Rice Field

  • Chun, Nam-Jin;Kang, Yang-Soon;Park, Jeong-Hwa;Yoon, Yong-Hwan;Kim, Chung-Kon
    • 한국작물학회지
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    • 제46권2호
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    • pp.84-88
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    • 2001
  • Two methods of nitrogen application at the 4th leaf stage were evaluated in direct-seeding rice cultivation on dry paddy soil: one was the top dressing of nitrogen on dry paddy condition before irrigation (TNDP) for labor saving, and the other was the top dressing of nitrogen on dry paddy with mechanical rotavation of the inter-row space (TNDPIR) for increasing the efficiency of nitrogen. To evaluate these two application methods, leaf chlorophyll contents, growth characteristics and yields were compared with two conventional methods, basal application (BA) and top dressing on flooded paddy condition at the 4th leaf stage (TNFP). The SPAD value of rice in TNDP was similar with that in TNFP throughout the whole growth stage of rice. Also, there were no differences in rice growth and yield between the two methods. However, in TNDPIR, the SPAD value was the highest during tillering stage among the four application methods, and the tiller number, LAI at heading stage and the panicle number were higher than the two conventional methods.

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노동통계조사를 위한 표본설계 - 매월노동통계조사, 노동력수요동향조사를 중심으로 - (A Study on the Sample Design for the Labor Statistics - Monthly Labor Statistics Survey and Labor Demand Survey -)

  • 이기재;전종우
    • 응용통계연구
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    • 제10권2호
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    • pp.215-226
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    • 1997
  • 노동통계조사(매월노동통계조사, 노동력수요동향조사)는 사업체를 조사대상으로 임금, 근로시간, 근로자수 등을 조사하여 이들의 현황과 변동추이의 파악을 목적으로 한다. 본 연구에서는 신뢰성 높은 전국의 노동통계 산출을 위하여 산업대분류와 사업체 규모를 층화변수로 사용하였으며, 각 산업대분류내의 각 사업체 규모에서 평균임금과 상용근로자수를 정도 높게 추정할 수 있는 표본설계를 제시하였다. 또한 지역 노동통계 작성을 위해 각 시,도를 부차모집단으로 간주하여 산업대분류별, 사업체규모별로 노동통계 작성이 가능하도록 하였다.

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Labor Productivity Model for Reinforced Concrete Construction Projects

  • Ho Myun Jang;Kyong Hoon Kim;Sang Hyeon Kim;Kyung Hwan Kim;Jae Jun Kim
    • 국제학술발표논문집
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    • The 3th International Conference on Construction Engineering and Project Management
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    • pp.983-989
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    • 2009
  • This study aims to systematically identify direct and indirect factors that influence labor productivity and to build a model that mathematically quantifies them so as to efficiently manage and increase labor productivity in the construction work. This study was performed based on the productivity model for workers in reinforced concrete construction projects, because it aims to establish a general construction labor productivity model that reflects many factors that influence labor productivity. Using statistical analysis, we found that the components that significantly influence productivity were the worker component, the work characteristic component, the work technique component, the work management component, the equipment & materials component, and the work guide component, while the work delay components did not significantly influence productivity. In addition, a priority analysis was performed based on the components that showed statistically significant effects. The results of the analysis indicated that the influence of work management component and the work technique component is more than that of the worker component and the work characteristic component. The construction labor productivity model that was formulated in this study could be used for the determining the standard productivity during the initial planning stage, so the best strategy for increasing labor productivity could be formulated.

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지방의료원의 재무성과 영향요인 (Some Factors Affecting Profitability of Local Public Hospitals)

  • 박종영
    • 한국병원경영학회지
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    • 제12권3호
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    • pp.47-67
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    • 2007
  • This paper aims at suggesting several ways lo change financial vulnerability and to improve managerial capability of local public hospitals (LPHs) in Korea through the identification of factors affecting profitability. Several findings of the research are as follows: To begin with, LPHs exhibited a statistically significant difference in their profitability from one another, according to tile analyses of their profitable margins from tile general characteristics. It depends on the number of hospitals in the area, the population of the hospital-built area, the number of competing hospitals, the number of staff per 100 beds, the opening of special clinic, the educational function, and the capacity of rooms. However, there was no variable in the managerial characteristics, presenting a significant difference, in contrast with hospitals which have been managed by private companies and made a great amount of profits. Second, according to the analyses of profit differences in behavioral effort-characteristics, a statistically significant difference was revealed upon the basis of the efforts to improve the clinic service, invite special patients, and shorten the period of being hospitalized. Third, the result of analyses about the difference of profitability from medical care and finance is statistically significant in the rate of labor cost, the rate of management cost, bed-occupancy rate, and the period of being hospitalized. Fourth, according to the analyses of the factors influencing the net profit ratio of the entire capital, Adjusted explanatory power(Adjusted $R^2$) was shown up to 65.2%, which is high. To compare the adjusted explanatory power stage by stage, the first stage model applying only two variables such as structural and strategic characteristics exhibited 23.8%, and the second stage model adding financial characteristics showed 51.5%. The explanatory power was much improved up to 65.2% when the third stage model incorporated the outcome of medical care performance. When the return on investment(ROI) was examined by using the multi-variate linear regression analysis at the final model of third stage, it was found that ROI had a positive relationship with the increase rate of patients, labor costs per doctor, and medical care rate of socially protected inpatients. However, it revealed that ROI had a negative relationship with the ratio of labor costs, the number of patients per managerial staff, and occupancy rate of rooms, respectively. The research suggests that in order for LPHs to increase profitability, LPH, should make efforts not only to attract patients to the hospitals without any discrimination of the patients depending on their financial status, but also to develop efficient management methods to reduce labor costs.

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임신 2삼분기 여성의 조기진통 증상과 조산에 영향을 미치는 다인성 요인 (Multiple Factors in the Second Trimester of Pregnancy on Preterm Labor Symptoms and Preterm Birth)

  • 김증임;조미옥;최규연
    • 대한간호학회지
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    • 제47권3호
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    • pp.357-366
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    • 2017
  • Purpose: The aim of this study was to determine the influence of various factors on preterm labor symptoms (PLS) and preterm birth (PB). Methods: This prospective cohort study included 193 women in the second stage of pregnancy. Multiple characteristics including body mass index (BMI), smoking, and pregnancy complications were collected through a self-report questionnaire. Pregnancy stress and PLS were each measured with a related scale. Cervical length and birth outcome were evaluated from medical charts. Multiple regression was used to predict PLS and logistic regression was used to predict PB. Results: Multiple regression showed smoking experience, pregnancy complications and pregnancy specific stress were predictors of PLS and accounted for 19.2% of the total variation. Logistic regression showed predictors of PB to be twins (OR=13.68, CI=3.72~50.33, p<.001), shorter cervix (<25mm) (OR=5.63, CI=1.29~24.54, p<.05), BMI >25 ($kg/m^2$) (OR=3.50, CI=1.35~9.04, p<.01) and a previous PB (OR=4.15, CI=1.07~16.03, p<.05). Conclusion: The results of this study show that the multiple factors affect stage II pregnant women can result in PLS or PB. And preterm labor may predict PB. These findings highlight differences in predicting variables for pretrm labor and for PB. Future research is needed to develop a screening tool to predict the risk of preterm birth in pregnant women.

노동개혁국면에 있어 노조운동의 대응전략에 관한 평가: 박근혜정부의 노동시장 구조개혁에 대한 양노총의 대응을 중심으로 (Evaluating the Strategic Reaction of Labor Union Movement toward Labor Reforms: The Two National Centers' Reaction toward Park, Guen-Hye Government's Labor Market Restructuring)

  • 이병훈
    • 한국사회정책
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    • 제23권1호
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    • pp.1-23
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    • 2016
  • 이 글에서는 박근혜 정부가 적극적으로 추진해온 노동시장 구조개혁을 둘러싼 노동정치의 국면에서 한국노총과 민주노총이 보여온 정책대안과 활동전략을 중심으로 우리 노조운동의 전략적 역량을 검토하며 비판적으로 평가하고 있다. 정부 주도의 노동시장유연화 정책이 계획대로 성사된 것은 아니지만, 노동계가 그들이 바라는 고용안정성을 강화하는 진보적인 노동개혁을 관철시키는'파워의 역설'을 이뤄내지 못하였을 뿐 아니라 정부의 개혁정책에 대해 전략적 역량을 제대로 발휘하지 못하였다. 특히, 양노총은 조합원대중의 결집된 동원(조직연대자원)과 시민사회 친노동정치 세력과의 광범한 연대(연결망자원), 우호적 지지여론의 확보-강화(담론자원), 그리고 활동체계 조직자원 등의 효능적 집행(인프라자원)을 이뤄낼 수 있는 전략적 역량을 제대로 행사하지 못해온 것으로 평가된다. 노동시장 구조개혁을 둘러싼 노동정치에 있어 행사되는 노조운동의 전략적 역량에는 대중적 담론의 형성과 확산이 무엇보다 중요하다. 왜냐하면, 제한된 운동자원과 불리한 권력지형의 제약에 놓여 있는 노조운동으로서는 조직 안의 대중적 결집과 강력한 동원을 이뤄냄과 동시에 조직 밖의 시민사회로부터 대중적 지지와 동참을 이끌어낼 수 있는가의 여부가 그들의 정치적 협상력이나 사회적 영향력을 더욱 중요하게 좌우하기 때문이다. 노동개혁을 둘러싼 노동정치의 국면에서 노조운동으로서는 조직안팎에 대한 프레밍 조정 총화 학습의 전략적 능력을 효과적으로 행사하는 것이 더욱 중요해진다. 최근의 노동개혁국면에서 우리 노조운동은 보유한 자원을 제대로 가동-활용치 못하고 타성적 방식으로 저항운동을 전개함으로써 스스로 조직 안팎의 대중으로부터 운동적 효능감을 잃어가고 있는 것에 대해 깊은 성찰이 요구된다. 또한, 노동시장의 진보적 개혁을 도모함에 있어 정 경 언의 보수 권력연합 앞에서 분열된 조직노동과 야당 및 시민사회의 각개적 대응이 무기력할 수 밖에 없는 만큼, 친노동 세력과 집단들간에 유기적 연대-공조 네트워크를 만들어내는 것이 필요하다.

1987년 이후 민주노조운동의 동학 (Dynamics of Democratic Labor Union Movement since 1987 in South Korea)

  • 조효래
    • 산업노동연구
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    • 제24권1호
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    • pp.29-64
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    • 2018
  • 이 글은 민주노조운동의 성장과 쇠퇴의 동학을 운동의 '제도적 통합'을 둘러싼 투쟁과 갈등, 이후 정치적 기회의 변화 속에서 노사관계 '제도의 변형'과 유연안정성의 범위를 둘러싼 행위자들의 복잡한 상호작용이라는 시각에서 검토한다. 민주노조운동의 '제도적 통합'을 위한 협상은 불확실하고 유동적인 상황에서 1997-98년 노동법으로 마무리되었다. 이후 1997년 노동법 제도의 변형을 위한 투쟁과 갈등이 지속적으로 전개되었고, 이는 노사관계 제도화게임과 유연안정성 게임의 형태를 띠었다. 그러나 이미 형성된 노동법체계는 제도의 지속적 영향과 경로의존성을 보여주었다. 2008년 이후 운동의 사이클은 쇠퇴국면에 접어들었다. 운동의 쇠퇴는 운동 제도화 및 정치적 기회의 변화와 관련이 있고, 장기적으로 운동주체의 세대 변화와 맞물려 있다. 이제 민주노조운동의 과제는 민주노조운동이 새로운 집합적 정체성의 성장에 어떤 역할을 할 수 있을 것인가에 모아지고 있다.

한부모가족 부 .모의 생활시간 분석 (Analysis of Time Use of Mother and Father in Single-Parent Family)

  • 조영희
    • 가정과삶의질연구
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    • 제22권1호
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    • pp.139-151
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    • 2004
  • The purposes of this study were to examine the time use on weekdays and weekends by the time amount of each activities and compare time amounts of single parent with that of two parents family. So two methods were applied, one was secondary data analysis ,the other was deep-interview. The major findings of analysis of time use were as follows; 1) Mothers in single parent family used significantly less time amount of household labor and family care than them in two parent family 2) Fathers in single parent family used significantly more time amount of household labor but used significantly less time amounts of family care than them in two parent family And 3) Mothers in single parent family used significantly more time amounts of household labor and family care than fathers in single parent family. The results of deep-interview were as follows; roughly the amounts of household labor time, family care time, leisure time were of little quantity and absence of spouse, family size, family life cycle stage, economic condition, sex role identity, psychological factor maybe seemed important.