• Title/Summary/Keyword: Over-travel

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A Study of Home Care Needs of Patients at Discharge and Effects of Home Care -Centered on Patients Discharged from a Rural General Hospilal- (퇴원환자의 가정간호요구와 가정간호사업의 효과 분석 - 일 종합병원을 중심으로)

  • Choi, Yun Soon;Kim, Dai Hyun;Storey, Margaret;Kim, Cho Ja;Kang, Kyu Sook
    • The Korean Nurse
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    • v.31 no.4
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    • pp.77-99
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    • 1992
  • The study was carried out at W. hospital, an affiliated hospital of Y university, involved a total of 163 patients who were discharged from the hospital between May 1990 und March 199J. Data collection was twice, just prior to discharge and a minimum of three months post discharge. Thirty patients who lived within a hour travel time of the hospital received home care during the three months post discharge. Nursing diagnoses and nursing interventions For these patients were analyzed in this study. The results of the study are summarized as follows : 1. Discharge needs for the subjects of the study were analyzed using Gordon's eleven Functional categories and it was found that 48.3% of the total sample had identified nursing needs. Of these, the needs most frequently identified were in the categories of sexuality, 79.3 %, health perception, 68.2 % self concept, 62.5 %, and sleep and rest 62.5 %. Looking ut j he nursing diagnosis that were made for the 30 patients receiving home care, the following diagnoses were the most frequently given; alteration in sexual pattern 79.3%, alterations in health maintenance, 72.6%, alteration in comfort, 68.0%, depression, 64.0%, noncompliance with diet therapy, 6.3.7%, alteration in self concept, 55.6%, and alteration in sleep pattern, 53%. 2. In looking at the effects of home nursing care as demonstrated by changes in the functional categories over the three month period, it was Found that of the 11 functional categories, the need level for health perception, nutrition, activity and self concept decreased slightly over the three month period. On the average sleep patterns improved, but restfulness was slightly less and bowel elimination patterns improved but satisfaction with urinary elimination was slightly less. On the other hand, role enactment, sexuality, stress management and spirituality decreased slightly. The only results that were statistically significant at the 0.05 level were improvement. in digestion and decrease in pain. No statistically significant changes were found in ability related to ADL, the total ADL Score at discharge was $19.78{\pm}8.234, and after 3 months $19.01{\pm}8.12$. Considering that a majority of the patients were over 60 years of age and that many had brain or spinal cord injuries, the fact that their ADL ability did nor deteriorate after discharge can be interpreted as related to a positive impact by the home health care nurses. Similarly there was a slight be not statistically significant decrease in the quality of life scores between the two lest times(l47.83 at discharge and 113.02 at the three month period). Again, when the chronic nature of thee problems facing these patients is considered this maintenance of quality of life can be interpreted as a positive impact by the home health care nurses. 3. One of the home care nursing activities was diagnosis. For this activity it was found that for nine functional health categories(sexuality and spirituality excepted) there were 20 nursing diagnoses. The most frequent were noncompliance, alteration in skin integrity both actual and potential, and impaired physical mobility in that order. 4. Delivery of home health care by the home health nurses included the following nursing activities; assessment, patient education, demonstration of care activities, counselling, direct care to the patient and referrals. Direct care included changing dressings, bladder irrigations, changing Foley catheters, measurement of residual urine, perineal care, position change, back care, oral hygiene, exercise and massage of motion exercises, cleansing enemas, tracheostomy suctioning and tracheostomy care, care of dentures, applications of heat and other similar nursing activities. In conclusion almost 50% of (he sample indicated a need for continued nursing care at the time of discharge and for the patients in the sample who received home care there was a slight decrease in nursing needs but while the patients had chronic and debilitation problems there was ill decrease in ADL abilities or in quality of life. Further study needs Lo be done La increase the reliability and validity of the tool that was used to measure home health care needs. It is also recommended that study by done using a randomized sampling with a control group to compare patients who receive home care with those who do not.

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CHANGES IN WATER USE AND MANAGEMENT OVER TIME AND SIGNIFICANCE FOR AUSTRALIA AND SOUTH-EAST ASIA

  • Knight, Michael J.
    • Proceedings of the Korean Society of Soil and Groundwater Environment Conference
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    • 1997.11a
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    • pp.3-31
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    • 1997
  • Water has always played a significant role in the lives of people. In urbanised Rome, with its million people. sophisticated supply systems developed and then fled with the empire. only to be rediscovered later But it was the industrial Revolution commencing in the eighteenth century that ushered in major paradigm shifts In use and altitudes towards water. Rapid and concentrated urbanisation brought problems of expanded demands for drinking supplies, waste management and disease. The strategy of using water from local streams, springs and village wells collapsed under the onslaughts of rising urban demands and pollution due to poor waste disposal practices. Expanding travel (railways. and steamships) aided the spread of disease. In England. public health crises peaks, related to water-borne typhoid and the three major cholera outbreaks occurred in the late eighteenth and early nineteenth century respectively. Technological, engineering and institutional responses were successful in solving the public health problem. it is generally accepted that the putting of water into pipe networks both for a clean drinking supply, as well as using it as a transport medium for removal of human and other wastes, played a significant role in towering death rates due to waterborne diseases such as cholera and typhoid towards the end of the nineteenth century. Today, similar principles apply. A recent World Bank report Indicates that there can be upto 76% reduction in illness when major water and sanitation improvements occur in developing countries. Water management, technology and thinking in Australia were relatively stable in the twentieth century up to the mid to late 1970s. Groundwater sources were investigated and developed for towns and agriculture. Dams were built, and pipe networks extended both for supply and waste water management. The management paradigms in Australia were essentially extensions of European strategies with the minor adaptions due to climate and hydrogeology. During the 1970s and 1980s in Australia, it was realised increasingly that a knowledge of groundwater and hydrogeological processes were critical to pollution prevention, the development of sound waste management and the problems of salinity. Many millions of dollars have been both saved and generated as a consequence. This is especially in relation to domestic waste management and the disposal of aluminium refinery waste in New South Wales. Major institutional changes in public sector water management are occurring in Australia. Upheveals and change have now reached ail states in Australia with various approaches being followed. Market thinking, corporatisation, privatisation, internationalisation, downsizing and environmental pressures are all playing their role in this paradigm shift. One casualty of this turmoil is the progressive erosion of the public sector skillbase and this may become a serious issue should a public health crisis occur such as a water borne disease. Such crises have arisen over recent times. A complete rethink of the urban water cycle is going on right now in Australia both at the State and Federal level. We are on the threshold of significant change in how we use and manage water, both as a supply and a waste transporter in Urban environments especially. Substantial replacement of the pipe system will be needed in 25 to 30 years time and this will cost billions of dollars. The competition for water between imgation needs and environmental requirements in Australia and overseas will continue to be an issue in rural areas. This will be especially heightened by the rising demand for irrigation produced food as the world's population grows. Rapid urbanisation and industrialisation in the emerging S.E Asian countries are currently producing considerable demands for water management skills and Infrastructure development. This trend e expected to grow. There are also severe water shortages in the Middle East to such an extent that wars may be fought over water issues. Environmental public health crises and shortages will help drive the trends.

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Women's Spatial-Temporal Entrapment in Access to Urban Opportunities by Child Age (자녀 연령별 여성의 도시기회 접근성의 시.공간적 구속성에 관한 연구)

  • Kim, Hyun-Mi
    • Journal of the Korean Geographical Society
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    • v.43 no.3
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    • pp.358-374
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    • 2008
  • This study examines whether and how ages of child affect accessibility experiences of women and men differently. Space-time accessibility measures based on Time-geographic framework with activity-travel diary datasets in Portland Metro, US were calculated using GIS-based geocomputation, and spatial-temporal patterns of accessibility of dual-earner couples by ages of their youngest child were compared. The results are as follows. (1) Although more women than men work part-time, which would render women more spatial-temporal autonomy, accessibility levels of women are not higher than men's. It implies that there exists another constraint placed on women which largely stems from gender inequality. (2) It is distinctively women with child under age 6 of which accessibility spaces are found to be restricted doser to home compared to men. Women with no child or with child aged over 6, however, show more or less similar spatial-temporal patterns of accessibility with men's which are quite unvarying regardless of parental status and their child age. Women's accessibility experiences characterized by spatial-temporal entrapment, thus, can be seen as problems associated with gender rather than sex. (3) Intensified spatial-temporal entrapment of women with young child are associated with the significant spatial pegs shaping their accessibility spaces, which are located much closer to home compared to men's: workplaces and child's daycare centers.

Estimates of Time-varying Values of Traffic Information on Variable Message Sign (첨두 및 비첨두시 VMS 교통정보의 가치 변화 연구)

  • Rhee, Kyoung-Ah;Lee, Young-Ihn
    • Journal of Korean Society of Transportation
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    • v.30 no.1
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    • pp.135-147
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    • 2012
  • The benefit of traffic information on variable message sign can be divided into two. At the public level, the benefit of ATIS is the travel time saving, which is not only induced from ATIS, but also mixed with that of ATMS. In the economic appraisal of ITS, the benefit of ATIS has so far been regarded as the derived benefit from ATMS. At the user level, the benefit of ATIS is reduced driver uncertainty through the forward traffic status information. User can benefit from the information on VMS and therefore may have the willingness to pay for it. Recently attempt to qualify the value of information on VMS was increased, but there was a danger of distorting or over-estimates of the ATIS benefit because the related studies didn't consider the time-dependent attributes of traffic information and provided the single value. Estimates of the time-varying value should be needed for a rigorous economic appraisal of ATIS. In this study, we varied the value of information on VMS according to peak and non peak trip and verified the hypothesis that time-varying of value was statistically significant.

A Study on the Verification of the Profile of Seo구s Elderly Stress Scale (SESS) (노인 스트레스 측정 도구(SESS)의 신뢰도 및 타당도 검증 연구)

  • 서현미;유수정;하양숙
    • Journal of Korean Academy of Nursing
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    • v.31 no.1
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    • pp.94-106
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    • 2001
  • The purpose of this study was to verify the use of Seo's Elderly Stress Scale (SESS), which was developed in 1996. Through the modified tool, it is possible to examine the stress of Korean elders and to contribute to the welfare of them. The subjects were 350 elders over 65 years old who live in Seoul, Kwang-Ju, Yang-Ju Gun Kyung-ki Do, Ui-Jong Bu, and Young-Am Kun, Jeun-Ra Nam Do. the data of 331 elders (94%) were analyzed. Data were collected between January and March in 1996 and analyzed using the SPSS Win 8.0. The result are as follows: 1. Items with low correlation with the total items were removed. So 27 items were removed and 37 items remained. This 37 items were death in the family and/or close friends, family member's behavior not meeting expectations, marriage of daughter, marriage of son, friction with daughter- in-law, argument among children, children refuse to live with parent, children leaving home, sex injury or accident, in frequest visits from children and grandchildren, providing care for your daughter or daughter-in-law post-partum, decrease in decision making and authority in home, Lunar new year and the harvest featival, house sitting, working in the house, performing a sacrificial rite, missed birthday, not living with the eldest son, decreased eyesight, decreased strength, decreased memory, sleep pattern changes, thoughts about death, loneliness, decreased hearing, change of dental condition, change in your diet or eating style, difficulty in self care, moving because of disease or aging, argument with friend or neighbour, travel, dealing with the procedure of heritage, loss of money or property, not enough pocket money, hearing on elderly neglect in television or radio, hope of going home and ignorant from others. 2. Overlapped items were discussed by colleagues and were modified. 'marriage of daughter' and 'marriage of son' were modified in 'marriage of children'. 'self injury or accidents' and 'family accidents' were modified in to self or family accidents. 3. Factor analysis was done in order to identify validity and three factors were obtained from the result. The first factor familial relation area, included 17 items. The second factor, physical area, included 9 items. The third factor, psycho-socio-economic area, included 9 items. Cronbach coefficient alpha for the 35 items was .923. 4. Pearson's correlation was .704 between SESS and SOS (Symptoms of Stress) in order to confirm construct validity. Based on the result, the following is suggested; 1. The modified SESS needs to be reverified with elder. 2. Korean elder's health promotion can be made by development of stress intervention which was accurately measured with SESS.

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Art of Dislocation, Exile, and Diaspora: Korean Artists in New York in the 1960s and 1970s (1960-70년대 뉴욕의 한국작가: 이주, 망명, 디아스포라의 미술)

  • Yang, Eunhee
    • The Journal of Art Theory & Practice
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    • no.16
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    • pp.107-137
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    • 2013
  • This paper examines a number of Korean artists-Whanki Kim, Po Kim, Byungki Kim, Lim Choong-Sup, Min Byung-Ok and etc-working in New York in the 1960s and 1970s, focusing on their motivations to head for the U.S. and their life and activity in the newly-emerged city of international art. The thesis was conceived based upon the fact that New York has been one of the major venues for Korean artists in which to live, study, travel and stay after the Korean War. Moreover, the United States, since 1945, has had a tremendous influence upon Korea politically, socially, economically, and, above all, culturally. This study is divided into three major sections. The first one attends to the reasons that these artists moved out of Korea while including in this discussion, the long-standing yearning of the Korean intelligentsia to experience more modernized cultures, and American postwar cultural policies that stimulated them to envision life beyond their national parameters, in a country heavily entrenched in Cold War ideology. The second part examines these artists' pursuit of abstraction in New York where it was already losing its avant-garde status as opposed to the style's cutting edge cache in Korea. While their turn to abstraction was outdated from New York's critical perspective, it was seen to be de rigueur for Koreans that had developed through phases from Art Informel in the 1960s to Dansaekhwa (monochromatic paintings) in the 1970s. The third part focuses on the artists' struggle while caught between a dualistic framework such as Korea/U.S, East/West, center/margin, traditional/modern, and abstraction/figuration. Despite such dichotomic frames, they identified abstract art as the epitome of pure, absolute art, which revealed their beliefs inherited from western modernism during the colonial period before 1910-1945. In fact, their reality as immigrants in America put them in a diasporic space where they oscillated between the fixed, essentialist Korean identity and the floating, transforming identity as international artists in New York or Korean-American artists. Thus their abstract and semi-abstract art reflect the in-between identity from the diasporic space while demonstrating their yearning for a land of political freedom, intellectual fulfillment and the continuity of modern art's legacy imposed upon them over the course of Korea's tumultuous history in the twentieth century and making the artists as precursor of transnational, transcultural art of the global age in the twenty-first century.

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Application of Environmental Management System Model for the Local Food Industry and the Analysis (로컬푸드산업의 환경경영시스템 모델 적용 분석)

  • Cho, Chang-Duk;Park, Dea-Woo
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.11 no.2
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    • pp.233-247
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    • 2016
  • Local food industry has been spreading all over the world. Korea is also actively applying and developing local food industry. However, relatively high distribution cost in Korean agricultural market is hindering its further growth. Distribution cost has close relation with shipping distance. Raised distribution cost brings major impacts not only on quality and price of products but also on greenhouse gas(carbon dioxide) emissions. Therefore, it is necessary to find a solution for inefficient distribution system of the local food industry to reduce overall cost and greenhouse gas. In this study, we present a location selection model for local food regional center using Analytic Hierarchy Process. The location of local food regional hub center is decided based on expert opinions on five factors: accessibility, quality, population, size of area, and shipping distance. The relative importance of the five factors has been concluded as follows: quality (0.430) ${\gg}$ population (0.262) ${\gg}$ travel distance (0.201) ${\gg}$ accessibility (0.075) ${\gg}$ and area (0.033). We apply and analyze the environmental management system model for Local food industry to develop the regional hub center site selection criteria and to analyze the effects of greenhouse gas emissions in the local food industry. This study, by applying and analyzing the environmental management system of the local food industry, is believed to be a valuable asset for managing greenhouse gas emission in the local food industry. Also, the data will be used for the autonomous local food industry's direct sales stall management. Eventually, this study will contribute so greatly to the local food industry's competitiveness that even large distribution companies will give way for the local food industry.

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Study on Queue Length Estimation using GPS Trajectory Data (GPS 데이터를 이용한 대기행렬길이 산출에 관한 연구)

  • Lee, Yong-Ju;Hwang, Jae-Seong;Lee, Choul-Ki
    • The Journal of The Korea Institute of Intelligent Transport Systems
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    • v.15 no.3
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    • pp.45-51
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    • 2016
  • Existing real-time signal control system was brought up typical problems which are supersaturated condition, point detection system and loop detection system. For that reason, the next generation signal control system of advanced form is required. Following thesis aimed at calculating queue length for the next generation signal control system to utilize basic parameter of signal control in crossing queue instead of the volume of real-time through traffic. Overflow saturated condition which was appeared as limit of existing system was focused to set-up range. Real-time location information of individual vehicle which is collected by GPS data. It converted into the coordinate to apply shock wave model with an linear equation that is extracted by regression model applied by a least square. Through the calculated queue length and link length by contrast, If queue length exceed the link, queue of downstream intersection is included as queue length that upstream queue vehicle is judeged as affecting downstream intersection. In result of operating correlation analysis among link travel time to judge confidence of extracted queue length, Both of links were shown over 0.9 values. It is appeared that both of links are highly correlated. Following research is significant using real-time data to calculate queue length and contributing to signal control system.

An Analysis of Occupations of Korean immigrants in Auckland, New Zealand (뉴질랜드 오클랜드지역 한국인의 생업 분석)

  • Yoon, Hong-Key;Yim, Seok-Hoi
    • Journal of the Korean Geographical Society
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    • v.32 no.4
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    • pp.491-510
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    • 1997
  • The main purpose of this study is to analyse and explain the occupational pattems of Korean immigrants in Auckland, New Zealand, in order to understand how they are adapting to New Zealand society. We analysed the Korean telephone directory from 1992 to 1996 and listings of Korean businesses in the biweekly magazine 'Korea Town'. The bulk of Korean immigration started in 1991 when the New Zealand govemment opened up its immigration doors to non-Europeans. Clearly, recent Korean immigration has experienced exponential growth. The range of Korean's occupations has grown gradually compared to the growth of Korean immigration, from about 20 different kinds of occupations in 1992 to 55 in 1997. In 1992, there were only 37 korean businesses listed, but in 1997, there are about 636-a growth of over 1,600${\%}$. As we analysed all Korean businesses, we found that almost all Korean businesses and occupations have not penetrated the host society economy but reflect typical characteristics of ethnic businesses, in tems of capital, business operation, employees and customers being mainly Korean, Korean businesses are concentrated in the City Centre and North Shore. The concentration in North Shore reflects the concentration of Korean residents in this area, while Korean businesses in the City centre are mostly tourist industries(travel agencies, souvenir shops)and restaurants. The findings of this study closely reflect similar Westem studies on ethnic minority businesses. From this, we can conclude that Korean businesses at the moment reflect the initial stage of Korean communities in New Zealand.

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Signal Timing Calculation Model of Transit Signal Priority using Shockwave Theory (충격파 이론을 이용한 대중교통 우선신호의 신호시간 산정모형)

  • Park, Sang Sup;Cho, Hye Rim;Kim, Youngchan;Jeong, Youngje
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.35 no.4
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    • pp.897-905
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    • 2015
  • This research suggested the traffic signal calculation model of active transit signal priority using a shockwave model. Using this signal priority timing optimization model, the shockwave area is computed under the condition of Early Green and Green Extension among active transit signal priority techniques. This study suggested the speed estimation method of backward shockwave using average travel time and intersection passing time. A shockwave area change is calculated according to signal timing change of transit signal priority. Moreover, this signal timing calculation model could determine the optimal signal priority timings to minimize intersection delay of general vehicles. A micro simulation analysis using VISSIM and its user application model ComInterface was applied. This study checked that this model could calculate the signal timings to minimize intersection delay considering saturation condition of traffic flow. In case studies using an isolated intersection, this study checked that this model could improve general vehicle delay of more over ten percentage as compared with equality reduction strategy of non-priority phases. Recently, transit priority facilities are spreading such as tram, BRT and median bus lane in Korea. This research has an important significance in that the proposed priority model is a new methodology that improve operation efficiency of signal intersection.