• Title/Summary/Keyword: Low-value care

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A Study on the Eating Out Behavior of Residents in the Seoul Area (서울지역 거주자의 외식행동에 관한 연구)

  • 남궁석
    • Journal of the East Asian Society of Dietary Life
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    • v.5 no.1
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    • pp.75-86
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    • 1995
  • This study was undertaken to provide useful information to restaurant managers by analyzing eating out behavior and the diverse needs and wants of the people residing in the Seoul area. four hundred twenty-seven(427) people were sampled for this study and classified into three groups : housewives, salarymen and college students. The results of this study are as follows : (10 Among the groups, there were significant differences in general eating out behavior such as 'frequency' 'preferred food style' and 'who pays the check' among others. (2) The study showed housewives listing 'special occasion' as 'taking care of meal' (3) All groups considered 'price' as especially important. (4) When selecting a menu item, taste was considered most important by all groups. Housewives showed nutritional value to be important while salarymen chose the same item as companions an college students showed 'portions' and 'price' to be important. (5) degree of satisfaction of restaurants were found to be low with items such as ' price'. 'range of menu choices' and 'courteousness of employees' being relatively low.

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Clothing Values, Lifestyles, and Purchasing Situations of Purchaser groups classified by Purchasing Price for preschool children's Wear (유아복(乳兒服) 구매비(購買費)에 따른 유아복(乳兒服) 구매자(購買者)의 의복(衣服)에 대(對)한 가치관(價値觀), 라이프스타일 및 구매실태(購買實態))

  • Shin, Hye-Won;Ha, O-Sun;Rhee, Jung-Uk;Kim, Hee-Ra;Kim, Tae-In
    • Journal of Fashion Business
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    • v.9 no.4
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    • pp.113-126
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    • 2005
  • The purposes of this study were to classify purchaser into three groups by purchasing price for preschool children's wear and to identify the differences of clothing values, lifestyles, considerations in purchasing preschool children's wears, and purchasing places among the classified three groups. One hundred forty people living in Seoul with children aging between 3 and 7 were surveyed for this study. Cluster analysis, frequency analysis, chi-square analysis, ANOVA, and scheffe test were used to analyze the data. The findings of this study were as follows; 1) Purchaser were classified into three groups, namely the group of high purchasing price(HP), the group of medium purchasing price(MP), and the low purchasing price(LP). The HP had more monthly average income than the LP. 2) The HP showed high concerns in aesthetic and social clothing values, the MP considered social clothing value more important, while the LP showed high concern in economic clothing value. 3) Regarding the differences in lifestyles, the HP was more fashion-oriented and leisure-oriented, the MP was fashion-oriented, while the LP was economy-oriented. 4) When purchasing preschool children's wear, the HP showed high concerns in design and brand, the MP in activity, laundry-and-care, and brand, and the LP in activity, laundry-and-care, and price. The HP mainly purchased preschool children's wears in department store and imported goods store, the MP in department store, traditional market, and discount store, and the LP in discount store.

Analysis of Dose Reduction Rate with Dose Modulation Technic Depending on BMI (PET/CT검사에서 Dose Modulation Technic 적용시 BMI에 따른 선량 감소율 분석)

  • Kim, Jung Wook;Park, Se Yun;Jo, Young Jun;Park, Jong Yeop
    • The Korean Journal of Nuclear Medicine Technology
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    • v.16 no.2
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    • pp.25-28
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    • 2012
  • Purpose : It is important to reduce radiation dose associated with computed tomography (CT) scanning to as low as reasonably achievable (ALARA). With Dose Modulation Technic, user select a desired image quality and the system adapts tube current to obtain the desired image quality with greater radiation dose efficiency. In this paper, we presents a comprehensive description of fundamentals, clinical applications and radiation dose benefits of Dose Modulation Technic depending on Body Mass Index(BMI). Materials and Methods : In this study, 149 patients were examined(The mean age : $58{\pm}12.4$ years old). Biograph True Point 40 (Siemens, USA) and Gemini TF 64 (Philips. Cleveland) were used for equipment. When we used Care Dose 4D (Siemens, USA) and D-dom (Philips, Cleveland), we measured dose reduction and Computed Tomography Dose Index (CTDI) depending on BMI. Then we analyze data using SPSS Ver.18. Results : When we used Care Dose 4D, p-value is considered statistically significant by groups with the result that we compared Care Dose 4D with D-dom. On the other hand, p-value isn't considered statistically significant by groups using D-dom. Conclusion : Dose modulation based on the projection angle didn't affect degree of obesity. And When using Care Dose 4D, dose reduction rate in the normal patients were higher than the obese. In this study, there are errors on somato type. So I think more research have to be done. Then application of Dose Modulation technic can help in maintaining acceptable image quality while reducing radiation dose by 20-60% in most instances.

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Mother's Verbal Control and Children's Self-Regulation (어머니의 언어통제와 유아의 자기조절능력)

  • Jung, Hye Jin;Lee, Wan Jung
    • Korean Journal of Childcare and Education
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    • v.3 no.1
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    • pp.39-56
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    • 2007
  • The purpose of this study was to examine difference of Young Children's Self-Regulation by Mother's Verbal Control. To do so, The subject was composed of 146 3-, 4-, 5-year-old recruited from 5 child care centers in I city area And it utilized questionnaires to ask 146 mothers concerning Mother's Verbal Control and Young Children's Self-Regulation. The findings of this study were : First, the age and the gender of young children didn't affect the mother's verbal control. Second, the age of young children positively affected self decision and total self regulation total that is the subordinate area of self regulation. Third, use degree of mother's order and humanity verbal control divided high and low group up to the standard average value. As a result a low rank distribution of mother's verbal control positively affected. Forth, a result a low rank distribution of mother's verbal control positively affected self decision and behavior restrain and emotion and total self regulation total that is the subordinate area of self regulation.

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Nutrition survey of young children in a day care center in the low income area of seoul (서울 시내 변두리 저소득지역 유아원 어린이의 영양실태조사)

  • 이혜상
    • Journal of the Korean Home Economics Association
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    • v.24 no.2
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    • pp.37-50
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    • 1986
  • A nutrition survey of 128 perschool children, 4 to 6 years old, in the Saemaul Youlgok day care center, located in one uplane, overpolulated, poor area of the city of Seoul, sponsered by the Korean Red Cross Society, was undertaken between August 21 and 31, 1984, to investigate dietary and nutritional status. RESULTS: Mean values of height, weight, arm circumference, girth of chest, and head circumference ranged from 95 to 100% of KIST mean. However, 4.8~14.2% of the subjects were assessed as undernourished in terms of 'weight for height'. Mean hemoglobin vcalue was 12.1±0.7gm%, and mean hematocrit value was 38.5±2.2%; 4.1% of the subjects were proven to be anemic according to the criterion of hemoglobin established by the ICNND. Mean urinary urea nitrogen/creatinine ratio was 11.4±3.8. Regarding mean energy and nutrient intake, the following percentages had intakes below two-thirds of the 1985 RDAs: 28.8% of children, for protein; 48.8% of children, for iron; and 28.8% of children, for calcium. About 25% of children had vitamin A intake below one-third of the recommended allowance. Carbohydrate provided 71% of total energy intake; protein accounted for 13%; fat provided 16%. Energy intake was divided among breakfast, lunch, dinner and snacks in a percentage ration of 19:26:21:34. The lunch, and snacks which were served at the day care center provided 36.5~79.1% of daily energy and nutrient intake. The survey clarified that the day care feding largely supplemented the inadequate dietary intakes of these young children at home. According to factor analysis of energy and nutrient intake, there were two factor groups : the first factor group, for energy, protein, carbohydrate, iron and niacin, mainly provided by grains; and the second factor group, for calcium, vitamin A, thamin, riboflavin and ascorbic acid, provided by vegetables, fruits, milk and milk products. The survey also revealed significant correlation coefficients between family factors such as family income, educational level of parents, and number of children; and dietary or nutritional status of the subjects.

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The Study on the effects of Job Stress of Female Caregivers in Home-based Elderly Welfare Center on Turnover Intention: Self-elasticity as a controlling variable (재가노인복지센터 여성 요양보호사의 직무스트레스가 이직의도에 미치는 영향: 자아탄력성을 조절변인으로)

  • Lee, Eun-A;Ku, Hyun-Su
    • Journal of Industrial Convergence
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    • v.18 no.5
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    • pp.54-61
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    • 2020
  • The purpose of this study was to understand the effect of job stress of female caregivers working in home-based elderly welfare centers on turnover intentions and to understand the moderating effect of self-elasticity in these relationships. The subject of the study was a self-written questionnaire survey of 170 nursing care workers at 28 home-based elderly welfare centers in Seoul, and 150 copies were collected and 133 people were finally analyzed excluding 17 unscrupulous responses. As a result of the study, first, the average value of turnover intention was high in the group with low experience of female caregivers at home-based elderly welfare centers and the group without religion. Second, the higher the job stress of nursing care workers, the higher the intention of turnover. Third, there was a moderating effect of self-elasticity between the job stress and the of turnover of nursing care workers. Therefore, it was necessary to consider measures to prevent job stress of nursing caregivers and improve self-resilience.

Validity of the scoring system for traumatic liver injury: a generalized estimating equation analysis

  • Lee, Kangho;Ryu, Dongyeon;Kim, Hohyun;Jeon, Chang Ho;Kim, Jae Hun;Park, Chan Yong;Yeom, Seok Ran
    • Journal of Trauma and Injury
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    • v.35 no.1
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    • pp.25-33
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    • 2022
  • Purpose: The scoring system for traumatic liver injury (SSTLI) was developed in 2015 to predict mortality in patients with polytraumatic liver injury. This study aimed to validate the SSTLI as a prognostic factor in patients with polytrauma and liver injury through a generalized estimating equation analysis. Methods: The medical records of 521 patients with traumatic liver injury from January 2015 to December 2019 were reviewed. The primary outcome variable was in-hospital mortality. All the risk factors were analyzed using multivariate logistic regression analysis. The SSTLI has five clinical measures (age, Injury Severity Score, serum total bilirubin level, prothrombin time, and creatinine level) chosen based on their predictive power. Each measure is scored as 0-1 (age and Injury Severity Score) or 0-3 (serum total bilirubin level, prothrombin time, and creatinine level). The SSTLI score corresponds to the total points for each item (0-11 points). Results: The areas under the curve of the SSTLI to predict mortality on post-traumatic days 0, 1, 3, and 5 were 0.736, 0.783, 0.830, and 0.824, respectively. A very good to excellent positive correlation was observed between the probability of mortality and the SSTLI score (γ=0.997, P<0.001). A value of 5 points was used as the threshold to distinguish low-risk (<5) from high-risk (≥5) patients. Multivariate analysis using the generalized estimating equation in the logistic regression model indicated that the SSTLI score was an independent predictor of mortality (odds ratio, 1.027; 95% confidence interval, 1.018-1.036; P<0.001). Conclusions: The SSTLI was verified to predict mortality in patients with polytrauma and liver injury. A score of ≥5 on the SSTLI indicated a high-risk of post-traumatic mortality.

Patient experience and recommendation intention at specialty hospitals (전문병원 입원환자의 환자경험 및 추천의향)

  • Ji Eun Kim;Myung-ll Hahm;Kyounga Lee
    • Korea Journal of Hospital Management
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    • v.28 no.2
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    • pp.21-31
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    • 2023
  • Purposes: Patient experience is a tool to evaluate the process and results of medical services provided by medical institutions from the patient's point of view. Patient satisfaction surveys are a meaningful and essential source of information for improving quality in healthcare organizations. This study aims to provide basic data for improving the quality of medical service that patients can feel by analyzing the recommendation intention and satisfaction of inpatients in specialty hospitals. Methodology: The subjects of this study were 879 inpatients in 28 specialty hospitals in 14 designated fields. We conducted a telephone survey with a structured questionnaire on the satisfaction and recommendation intention for specialty hospitals. Findings: In inpatients, hospital satisfaction was higher in nursing care services and hospital satisfaction was low in physicians care services. The overall patient satisfaction score was 91.4(SD=11.9) out of 100, and the intention of recommendation was 92.0(SD=14.1) out of 100. The factors affecting patient experience were designated fields, sex, age, residential area, monthly household income, and perceived health status. Practical Implications: This study confirmed the high level of patient satisfaction and recommendation intention among inpatients of specialty hospitals. Patient satisfaction can be of great value to healthcare providers in recognizing and improving the quality of care, as well as predicting patients' willingness to revisit medical institutions. This study can be used to improve the quality of hospital care services in specialty hospitals rather than general and tertiary general hospitals.

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Risk Factors of Extubation Failure and Analysis of Cuff Leak Test as a Predictor for Postextubation Stridor (발관 실패의 위험 인자 및 발관 후 천음과 재삽관의 예측에 있어 Cuff Leak Test 의 유용성과 의미 분석)

  • Lim, Seong Yong;Suh, Gee Young;Kyung, Sun Yong;An, Chang Hyeok;Park, Jung Woong;Lee, Sang Pyo;Jeong, Sung Hwan;Ham, Hyoung Suk;Ahn, Young Mee;Lim, Si Young;Koh, Won Jung;Chung, Man Pyo;Kim, Ho Joong;Kwon, O Jung
    • Tuberculosis and Respiratory Diseases
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    • v.61 no.1
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    • pp.34-40
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    • 2006
  • Background: Extubation failure was associated with poor prognosis and high hospital mortality. Cuff leak test (CLT) has been proposed as a relatively simple method for detecting laryngeal obstruction that predispose toward postextubation stridor (PES) and reintubation. We examined the risk factors of extubation failure and evaluated the usefulness and limitation of CLT for predicting PES and reintubation. Methods: Thirty-four consecutive patients intubated more than 24 hours were examined. The subjects were evaluated daily for extubation readiness, and CLT was performed prior to extubation. Several parameters in the extubation success and failure group were compared. The accuracy and limitation of CLT were evaluated after choosing the thresholds values of the cuff leak volume (CLV) and percentage (CLP). Results: Of the 34 patients studied, 6 (17.6%) developed extubation failure and 3 (8.8%) were accompanied by PES. The patients who had extubation failure were more likely to have a longer duration of intubation and more severe illness. The patients who developed PES had a smaller cuff leak than the others: according to the CLV ($22.5{\pm}23.8$ vs $233.3{\pm}147.1ml$, p=0.020) or CLP ($6.2{\pm}7.3$ vs $44.3{\pm}24.7%$, p=0.013). The best cut off values for the CLV and CLP were 50ml and 14.7%, respectively. The sensitivity, negative predictive value, and specificity of CLT were relatively high, but the positive predictive value was low. Conclusion: The likelihood of developing extubation failure increases with increasing severity of illness and duration of intubation. A low CLV or CLP (<50ml or 14.7%) is useful in identifying patients at risk of PES, but the CLT is not an absolute predictor and should not be used an indicator for delaying extubation.

Hair Care effects of hair cosmetics including Low molecular weight silk peptide component and micro structure analysis (저분자 Silk Peptide의 모발 보호효과 및 미세구조 분석)

  • Hyun, Ji-Won;Lee, Kwang-Gill;Yeo, Joo-Hong;Choe, Tae-Boo
    • KSBB Journal
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    • v.23 no.5
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    • pp.439-444
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    • 2008
  • In this study, hair care effects of the hair cosmetics including low molecular weight silk peptide, hydrolysate which is produced from cocoon were investigated. After producing the hair cosmetics including silk peptide which has 300-500 molecular weight, we measured its hair care effects through the various tests; change of the hair weight, hair thickness, absorbance rate and hair moisture value and micro structure analysis. As a result, S.P.T. (Silk peptide Treatment) was effectively penetrated into the hair which has been damaged by chemical treatments, increased the hair weight, thickness and hair moisture value and also recovered the cuticle of the hair. Thus, the treatment of hair with silk peptide hydrolysate would be effective to recover the damaged hair into the normal conditions.