• Title/Summary/Keyword: Place of Delivery

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A Study on Satisfaction and Experience of Clinical Practice & Direction for Clinical Education: Focused on Maternity Nursing Practice (일 대학 간호학생의 임상실습 만족도, 실습경험 분석 및 개선방향 제시 -모성간호학 임상실습 중심-)

  • Lee, Seoung-Eun
    • The Journal of Korean Academic Society of Nursing Education
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    • v.7 no.2
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    • pp.333-348
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    • 2001
  • The study was intended to investigate the degree of satisfaction and experiences of maternity nursing practice and to examine the relationships between satisfaction and experiences. Data were collected from a college located in Inchon from April 2, 2001 to October 30, 2001. A general characteristics questionnaires, questionnaire for clinical practice satisfaction and maternity nursing clinical checklist were used to measure the satisfaction and experiences of maternity nursing practice. The subject were supposed to record their clinical experience in maternity clinical practice checklist. 153 questionnaires for satisfaction of clinical practice and 178 maternity nursing clinical practice checklists used for analysis. The data were analyzed by SPSS-PC+ program. The results of this study were as follows ; 1) The mean score of satisfaction of clinical practice was 3.34(a perfect score 5) and among the 4 categorial components from the questionnaire of satisfaction the score of 'clinical practice teaching' was high(3.85) and 'clinical practice environment(2.91)' and 'clinical practice contents(2.90)' was relatively low. 2) There was significant value between place of clinical practice and clinical practice satisfaction among 7 clinical practice hospital and the most high score of clinical practice satisfaction is 3.70 and the low score is 2.91(F=7.706, p<.001). The score of delivery room was significantly higher than the OBGY room and there was significant value among the place of clinical practice(DR : F= 6.441, p<.001, OBGY room : F=7.908, p<.001). 3) In delivery room, the frequency of observation are 2.61 day, the frequency of practice are 1.33 day and in OBGY room the frequency of observation are 1.73 day, the frequency of practice are 1.31 day for 2 week of maternity clinical practice and the most frequent practice of maternity nursing care was checking vital sign. 4) There were significant relationships between the ranking score of clinical satisfaction and clinical experiences in maternity nursing practice. Based on the results, it is suggested that the satisfaction of clinical practice was related to environment of clinical practice and it is necessary to improve environment of clinical practice and make a strategies to enhance the quality of maternity clinical experience.

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A Basie Community Health Survey in Rural Korea (Soyang-Myun) (소양면 지역사회 환경기초조사)

  • Choi, Sung-Yul
    • Journal of Preventive Medicine and Public Health
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    • v.6 no.1
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    • pp.133-160
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    • 1973
  • 1. Introduction Community medicine with the concept of comprehensive medical care and an ideal medical care delivery system not only for an individual or family but for the whole community has emerged. In April 1970, the Presbyterian Medical Center started a hospital based community health service project in order to improve the health of the people in rural areas. Prior to commencing a comprehensive medical care system, a family survey was needed. The major objective of this survey was to obtain information concerning the people and their environment so as to be able to plan and implement a comprehensive medical care program in Soyang-Myun. 2. Survey Method An interview using a family record form was carried out for each household. This family record form was designed to get information about demography, family planning, environmental sanitation and vital statistics. Prior to beginning, the members of the survey team were trained in interviewing techniques for three days. The team consisted of a public health nurse, four nurse-aides, a sanitarian and four health extension workers who are working in our project, The survey was carried out during the period November 1971 to March 1972. 3. Project area 1) Population of Soyang-Myun was 11,668; male, 5,962 and female, 5,706. Sex ratio: 104.5. 2) Households : 1,858 3) Family size: The average household consisted of 6.3 persons. 4) Educational level of householder a. Illiterate 13% b. No schooling but able to read 10% c. Preschool children 19% d. Primary school 47% e. Middle school 7% f. High school 3% g. College or University 1% 5) Occupational distribution of householders a. Farmer 67% b. Laborer 13% c. Office worker 4% d. Merchant 4% e. Industrial worker 2% f. Unemployed 8% g. Miscellaneous 2% 6) Religious affiliation a. No religion 74% b. Buddhist 12% c. Protestant 10% d. Catholic 4% 4. Survey results Living Environment : a. Home ownership 95% b. Kinds of roofing Straw-thatched house 84% Tile-roofed house 10% Slate-roofed house 5% Other 1% c. Floor space Less than 6 pyong 10% 6-10 pyong 53% 11-15 pyong 24% 16-20 pyong 9% More than 20 pyong 4% d. Radio ownership 80% Environmental Sanitation : a. the source of drinking water public well 49% private well 30% drainage water 9% steam water 8% well pump 3% water distribution system 1% b. Distance between well and toilet more than 16meters 38% 6-10 meter 31% 11-15 meters 14% Less than 6 meters 17% c. The status of well management Bad 72% Fair 26% Good 2% d. General sanitary state of house Bad 37% Fair 51% Good 12% e. House drainage system had no house drainage. 77% Family Planning : a. 24% of the people have used contraceptives, but 12% ceased to use them. 76% have never used contraceptives. b. used methods 1oop 68% oral pill 16% vasectomy 4% condom 1% tubal ligation 1% two or more methods 10% Maternal Health : a. The number of conceptions of housewives under 50 years of age. 11 times 26% 6 times 11% 5 times 11% 4 times 9% b. The place of delivery own house 88% hospital 1% others 11% Treatment of general sickness : a. The place of treatment Soyang Health Center 31% Hospital (private or otherwise) 26% Pharmacy 14% Herb medicine 5% Private care 5% No treatment 12% Miscellaneous 7% b. Usual causes of diseases Unknown 46% Tuberculosis 29% Neuralgia 8% CVA 3% Bronchitis 3% Others 11%

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A Study on the Food Security for Low-income Older Adults: A Case Study on Meals on Wheels Project in Seoul (저소득 재가노인의 식생활 보장에 관한 연구: 서울시 저소득 어르신 식사배달사업을 중심으로)

  • Kim, Junghyun;Chon, Yongho;Chang, Hyeja
    • 한국노년학
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    • v.40 no.4
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    • pp.617-638
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    • 2020
  • It is important to maintain a healthy dietary habit to enjoy better health and quality of life in later life. However, taking care of one's dietary lifestyle at an older age may be a challenge. Especially, community dwelling low-income older adults are one of the most vulnerable population in regards to holding a well balanced healthy diet. The purpose of this research is to identify the current status of food delivery services for low-income older adults and explore related issues. In order to achieve the aim, this study conduced two sets of focus group interviews with 8 nutritionists and 7 social workers in Seoul. According to the research results, there are issues related to meals on wheels such as vague eligibility, poor operation conditions, work overload, and difficulty in realizing customized meal delivery. Food security for low-income older adults is a prerequisite for aging in place. It is necessary to discuss the ways to create favorable operating conditions to deliver customized meals and manage nutrition and hygiene from the perspective of social work.

A study of plan for traceability of a Korean herb using RFID technology (RFID 기술을 이용한 한약재 이력관리 방안에 관한 연구)

  • Kim, Chul;Song, Mi-Young
    • Korean Journal of Oriental Medicine
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    • v.12 no.3 s.18
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    • pp.31-47
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    • 2006
  • Nowadays Korean governments use Information Technology to improve the quality of life for a people. One of these tries is building the Food Tracing System based on Information Technology. Koreans have big concern about food that is good for health. The Food Tracing System means that the system can follows, traces, and records every steps of production and delivery of food and its ingredient. And this process should be identified and grouped by using tags, marks, and other methods. For example, producer of ingredient, processing steps of food, delivered place could be traced. In addition to food, medical herbs need consumer's trust in production and delivery. To trace and prosecute contaminated medical herbs, medical herbs also need this kind of Tracing System based on Information Technology. This study shows current medical herbs tracing ways and RFID(Radio Frequency IDentification) technology trend. As preceding study for future RFID based medical herbs tracing system, this study suggests the building plan and scenario of the Medical Herbs Tracing System. The determination of the main body for sticking RFID Tags is very important to design for RFID Traceability System. In this study, the starting point of information to medical herbs is an inspection agency. The Medical Herbs to product domestically or import moved to an inspection agency. An inspection agency bond the RFID Tags to packing of the Medical Herbs after examining the a basic its component. At the same time inspector give the information of production or importation to the Tags. This Tags are moved for logistical process to end point, the Korean medicine agency. The customer confirmed the traceability and certification information of the Medical Herbs. For success tracing of medical herbs, institutional support and close cooperation between related organizations is necessary besides good system design.

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Factors Influencing Utilization of the Social Services for the Elderly (노인의 사회복지서비스 이용실태와 이용에 영향을 미치는 요인 -경기도 국민기초생활보장노인을 중심으로-)

  • Park, Kyung-Sook
    • Korean Journal of Social Welfare
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    • v.55
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    • pp.283-307
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    • 2003
  • The social services for the elderly have been expending in order to respond to the rapid speed of aging. However, low utilization, exclusion and duplication have been pointed out as significant problems in service utilization of the elderly. This study tried to find out the utilization patterns of social services for the elderly: what kinds of and how many social services the elderly receive from what kinds of and how many organizations, and factors influencing utilization of the social services. It surveyed the entire population of the public assistance recipient elderlies at Kyonggi province in 1999. The results show that duplication is not so significant problem as the low utilization of social services. However, the fact that more than forty five percent of the elderly receives social services from more than two organizations requires the efforts for service linkage and coordination in social service delivery system. The factors, which have relatively big influence on the number of organizations which the elderly use for each social service, were sex and age among the predisposing factors, "living alone" and place for residency among the enabling factors and the number of illness, Activities of Daily Living, Instrumental Activities of Daily Living and inconvenience of housing among the needs factors. These results call for expansion of social services for the elderly especially in the way of achieving distribution balance between the rural and urban area and activation of case management practice and local association of social service delivery agencies for service linkage and coordination.

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A Study on the Accomodation of Trade Usage or Practice in CISG (UN 통일매매법(統一賣買法)(CISG)에서 국제무역관습(國際貿易慣習)의 수용여부(受容與否)에 관한 고찰(考察))

  • Oh, Won-Suk
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.12
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    • pp.163-200
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    • 1999
  • The CISG entrusts many problems to trade or practice : for example the problems which can't be compromised between civil law system and common law system ; the problems in which the application of usage or practice in universal ; the problems of rapid change according to trade circumstance. The purpose of this paper is to confirm whether the CISG is accomodating the usage or practice in its Text, and to find which topic is most closely related to usage or practice in CISG. The Article 9 in the CISG is a provision of usages or practices applicable to contract. But the problems of the CISG in the accomodation of usages or practices are that it lacks the definitions of ‘usage’ and ‘practices’, the CISG is not concerned with the validity of any usage according to Article 4, and the application of usage or practice may differ in litigation and arbitration The topics such as delivery of goods, payment of price and the transfer of risk are most closely related to usages and practices. The delivery of goods and the transfer of risk are determined by the trade terms like FOB or CIF. But the method of identification and the risk for the sale of goods in transit can't be determined by the trade terms in INCOTERMS(1990). So the CISG may serve as complementing role. In payment of price, the trade term does not refer to the time and place of payment. So the CISG may be the basis of interpretation. Likewise the usages and practices such as trade terms, UCP and so on, can be expected to play a significant role in complementing and interpreting the CISG.

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Influence of Perceived Risks and Information Search on Satisfaction with Surrogate Internet Shopping Malls (대행 인터넷 쇼핑몰에서 위험지각과 정보탐색이 소비자 만족에 미치는 영향)

  • Kim, Yeon-Hee;Bae, Jung-Hoon;Park, Jae-Ok;Lee, Kyu-Hye
    • Journal of the Korean Society of Clothing and Textiles
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    • v.31 no.5 s.164
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    • pp.670-679
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    • 2007
  • Contemporary consumers interested in fashion develop global tastes regarding consumption and senses on how much certain products cost in the global market place. Demand for foreign brands and products produced a new type of e-tailor called surrogate Internet shopping malls. Due to the unfamiliarity of such retailers, consumers may perceive different types of risks and may show different styles of seeking informations. The research interest of this study was to investigate the differences of risk perception and information search between surrogate e-mall shoppers and general e-mall shoppers. In addition, we examined the influence of these two variables on consumer satisfaction. A survey questionnaire was developed. Measures of three types of e-shopping risks (delivery, transaction, service), information search and satisfaction were included. Data from surrogate e-mall consumers and general e-mall consumers were statistically analyzed. Surrogate e-mall shoppers showed a higher level of product delivery risk and customer service risk than general e-mall shoppers. They also spend more time in seeking information before making purchases. Regression analysis showed that perceived risk had significant influence on information search and consumer satisfaction for surrogate e-mall shoppers, whereas for general e-mall shoppers, no significant influence was detected. The findings should assist marketers and academics in their understanding of the surrogate e-shopping malls.

Impact of Employing Mass Customization in Shipbuilding (조선에서 대량 맞춤화의 영향)

  • Kwon, Chi-Myung;Lim, Sang-Gyu;Storch, R.L.
    • Journal of the Korea Society for Simulation
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    • v.21 no.1
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    • pp.69-79
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    • 2012
  • One of the goals of mass customization is to permit changes in the product to meet specific customer requirements without substantially impacting the cost or delivery schedule. In large assembly manufacturing industries, such as shipbuilding and commercial airplane production, customization takes place by changing components and/or modules, sometimes called interim products. Using shipbuilding as a case study, it is possible to study the impact of such changes using mass customization principles on the schedule. In large assembly manufacturing, mass customization changes would cause changes in engineering time and production time, based on the amount of change required by the customization. This work first proposes a structure for implementing mass customization in shipbuilding and then uses simulation of a simplified, theoretical shipbuilding process to evaluate the impacts of various levels of change on delivery performance.

An Efficient RFID Distance-Bounding Protocol to Prevent Relay Attacks (중계 공격을 예방하는 효율적인 RFID Distance-Bounding 프로토콜)

  • Boo, Chang-Hee;Jun, Moon-Seog
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.4B
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    • pp.610-619
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    • 2010
  • RFID (radio frequency identification) systems, recently being used in a wide range of areas, are vulnerable to relay attack from malicious attackers. For that reason, Brands, et al. proposed a certification protocol between a certifier and a verifier based on the concept of distance-bounding, and in addition Hancke et al. introduced the concept of RFID. However, the delivery of tag IDs, one of the main RFID features, is not still available, and there are two important demerits: anonymity in the delivery of tag IDs suggested by Kim et al. and inefficiency in finding a tag ID with regard to how to check errors which may occur in the process of data exchange between readers and tags. Therefore, this study proposes a protocol that meets the requirements of tag anonymity and location untraceability, has resistance to errors which may take place in the phase of tag data exchange, and is very efficient in finding tag IDs.

Differences between Diabetic Patients' Tertiary Hospital and Non-tertiary Hospital Utilization According to Comorbidity Score (당뇨병 환자의 동반상병 점수에 따른 상급종합병원 이용 차이)

  • Cho, Su-Jin;Chung, Seol-Hee;Oh, Ju-Yeon
    • Health Policy and Management
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    • v.21 no.4
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    • pp.527-540
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    • 2011
  • Some patients tend to visit tertiary hospitals instead of non-tertiary hospitals for minor illnesses, which is a chronic problem within the Korean health care delivery system. In order to reduce the number of patients with minor severity diseases unnecessarily utilizing the tertiary medical services in Korea, the Ministry of Health and Welfare raised the outpatient co-insurance rate for the tertiary hospitals in July, 2009. Another increase in the prescription drug co-insurance rate by the general and tertiary hospitals is scheduled to take place in the second half of 2011. An increase in copayments may discourage the utilization rate of medical services among the underprivileged or patients who require complicated procedures. This study aims to analyze the diabetic patients' utilization rates of tertiary hospitals according to the Comorbidity score. Diabetic patients' data was gathered from the Health Insurance Claims Records in the Health Insurance Review & Assessment Service between 2007-2009. Comorbidity scores are measured by the Charlson Comorbidity Index and the Elixhauser Index. Chi-square and logistic regressions were performed to compare the utilization rates of both insulin-dependents (n=94,026) and non-insulin-dependents (n=1,424,736) in tertiary hospitals. The higher Comorbidity outcomes in the insulin-dependent diabetic patients who didn't visit tertiary hospitals compared to those who did, was expected. However, after adjusting the gender, age, location, first visits and complications, the groups that scored >=1 on the comorbidity scale utilized the tertiary hospitals more than the O score group. Non-insulin-diabetic patients with higher Comorbidity scores visited tertiary hospitals more than patients who received lower grades. This study found that patients suffering from severe diabetes tend to frequently visit the tertiary hospitals in Korea. This result implied that it is important for Korea to improve the quality of its primary health care as well as to consider a co-insurance rate increase.