• Health Policy and Management
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• v.28 no.3
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• pp.315-319
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• 2018

This paper aims to make a step-by-step strategy to formulate an unified health system by clarifying and overcoming challenges facing South and North Korea and to estimate costs needed for South Korea to assist North Korea to recover to normal health delivery system. We explored implications through literature review and estimated costs under the assumption that supportive activities be provided for 5 years in three ways: support for the development of health and medical care manpower; support for health and medical facilities; and support for the provision of both preventive and primary health care. Step-by-step strategy is formulated for a unified health system with the cost estimation resulting as follows: in case of basic scenario, a total of 3 trillion and 341 billion won (at present value of the year 2017) is in need for the 5-year period at the initial 'recovery support stage' with 135.9 billion won for the development of health and medical care manpower, approximately 2 trillion won for health and medical facilities, and 1.2 trillion won for the provision of both preventive and primary health care. Step-by-step approach is more realistic and applicable in formulating unified health system. Suggested stages are 'recovery support stage,' 'system homogenization stage,' and 'unified system stage.' Strategies at 'recovery support stage' suggested in this paper need to be pursued and followed by those at 'system homogenization stage' and 'unified system stage.'

• Journal of Families and Better Life
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• v.16 no.3
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• pp.11-24
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• 1998

The purpose of this study was to develop the educational program model for adolescent substance abusers in relation to preventive and rehabilitative aspects. This educational program model was developed based not only on the social support theory ecological-developmental approach and cognitive-behavioral approach but also on previous studies. This model can be used both for adolescent substance abusers in early stage and in recovery stage. The main contribution of this study is that adolescent abusers will recover effectively through practicing this educational program model.

• Membrane Journal
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• v.33 no.4
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• pp.222-232
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• 2023

In this study, a hollow fiber support membrane was prepared by a non-solvent induced phase separation (NIPS) method using a polysulfone (PSf). The prepared hollow fiber support membrane was coated with PDMS and Pebax to prepare a hollow fiber composite membrane. The prepared composite membrane was measured for permeance and selectivity for pure CO₂, H₂, O₂ and N₂. Gas separation performance of the module having the highest selectivity (CO₂/H₂) among the prepared composite membrane modules was measured according to the change in stage cut using simulated gas. The composition of the simulated gas used at this time was 70% CO₂ and 30% H₂. In the 1 stage experiment, it was possible to obtain values of about 60% of H₂ concentration and 12% of H₂ recovery. In order to overcome the low H₂ concentration and recovery, 2 stage serial test was performed, and through this, it was possible to achieve 70% H₂ concentration and 70% recovery. Through this, it was possible to derive a separation process configuration for CO₂/H₂ separation.

• Membrane Journal
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• v.23 no.2
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• pp.176-184
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• 2013

To investigate the performance of VOC separation, composite hollow fiber membrane was prepared which composed of poly (ether imide) support prepared by phase separation method and poly (dimethylsiloxane) coating active layer. The performances of the membranes for the application of recovery process in terms of their morphology, gas permeance test for $N_2$ and $O_2$ gases. Durability against benzene, toluene and xylene was also investigated. And permeation test for multi-component VOCS through the membrane with different feed concentration and stage-cut were investigated. Permeance of PEI supported membrane and the membranes coated with PDMS decreased from 45,000 GPU to 63 GPU and 49,450 to 30 GPU for $N_2$ and $O_2$, respectively. Recovery efficiency and concentration of VOCs in permeate increased with decreasing stage-cut. VOCs concentration in permeate proportionally increased with increasing feed concentration but concentration ratio and recovery efficiency showed any noticeable changes with feed concentration change.

• Journal of Korean Academy of Nursing
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• v.49 no.3
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• pp.349-360
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• 2019

Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

• Journal of Hospice and Palliative Care
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• v.26 no.2
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• pp.27-41
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• 2023

Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning. Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family. Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning: reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery. Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.

• Proceedings of the Korea Inteligent Information System Society Conference
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• 2001.01a
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• pp.478-485
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• 2001

In this study, we have developed a prototype of clinical decision support systems (CDSS) for diagnosing neurogenic bladder and compared its predicted diagnoses with the actual diagnoses using 92 patient\`s Urodynamic study cases. The CDSS was developed using a Visual Basic based on the evidence-based rules extracted from guidelines and other references regarding a diagnosis of neurogenic bladder. To compare with the 92 final diagnoses made by doctors at the Yonsei Rehabilitation Center, we classified all diagnoses into 5 groups. The predictive rates of the CDSS were: 48.0% for areflexic neurogenic bladder; 60.0% for hyperreflexic neurogenic bladder in a spinal shock recovery stage; 72.9% for hyperreflexic neurogenic bladder, and 80.0% for areflexic neurogenic bladder in a spinal shock stage, which was the highest predicted rate. There were only 2 cases for hyperreflexic neurogenic bladder in a well controlled detrusor activity, and its predictive rate was 0%. The study results showed that CDSS for diagnosing neurogenic bladder could provide a helpful advice on decision-making for doctors. The findings also suggest that physicians should be involved in all development stages to ensure that systems are developed in a fashion that maximizes their beneficial effect on patient care, and that systems are acceptable to both professionals and patients. The future studies will concentrate on including more validating the system.

• Journal of the Society of Disaster Information
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• v.13 no.2
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• pp.163-172
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• 2017

Because of abnormal weather, a heavy snow on the Northern latitudes occurs frequently. This has resulted in significant damage and recovery costs. In korea, it has been declared a special disaster area due to heavy snowfall in Gangneung and Pohang 2004, 2005 and 2011, so there was a revision of action instruction for the road snow removal. Although, in our current system, snow removing methodology, regional equipment holdings, and snow responsible interval, respectively, has been classified by the National Highway, near cities and provinces support system not yet prepared. Only, if snow removing is not possible within the region itself, which contained the contents of "support and assistance to military or nearby offices requests". In this thesis, we studied the disaster scenario development according to heavy snow and the response and support system to the features of each regional. For the scenario deduction, we preferentially collected day snowfall and disaster yearbook data to regionals, classified similar pattern and plotted GIS snow map. We also classified heavy snow disaster by region and type and we deduced five-step scenario. The five-step scenario is nationwide(1st-stage), the National Capital region(2nd-stage), the Chungcheong Provinces(3rd-stage), the Kangwon province(4th-stage) and the Ch?l a provinces(5th-stage). Therefore we build near provinces support system according to five-step scenario.

• International Journal of Internet, Broadcasting and Communication
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• v.16 no.1
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• pp.92-98
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• 2024

This meta-analysis systematically reviewed studies on mirror therapy focused on arm and hand function in stroke patients, aiming to comprehensively assess the efficacy of mirror therapy interventions and furnish empirical support for its potential application and future development in the context of stroke rehabilitation. A rigorous search for articles published in international journals up to the year 2022 was conducted. Various assessment tools were employed to calculate effect sizes, evaluating the impact of mirror therapy on arm and hand function in stroke patients. Utilizing a random-effects model, mean effect sizes were determined, yielding a total effect size of 0.545. The effect sizes for the Brunnstrom Recovery Stage (BRS), Box and Block Test (BBT), Modified Barthel Index (MBI), Fugl-Meyer Assessment (FMA), and grip strength test were 0.957, 0.596, 0.490, 0.488, and 0.417, respectively. In summary, we suggest that mirror therapy engenders positive changes in functional recovery among stroke patients, establishing a foundation for its tailored clinical application based on individual subject characteristics.

• Child Health Nursing Research
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• v.6 no.3
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• pp.397-410
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• 2000

This is a nonequivalent control group pretest- posttest design in quasi experimental basis to assess how the thermal head and feet support influences on early stage weight gain in premature neonates. The clients were selected among the premature infants with the weight under 2000gms and with the gestational period under 37 weeks, admitted over 15 days in K university hospital, Seoul. The control group of 29 were selected from January 1998 to August 1998, who were without head and feet thermal support, and the experimental group of 30 were selected from September 1998 to May 1999, who were with the two thermal interventions. The results of the study follow, 1.The experimental group with thermal interventions showed more weight gain than the control group without thermal interven- tions, which was statistically significant between the two groups. 2.The physiological weight loss after birth showed less in the experimental group than in the control group. 3.The recovery of the birth weight after the physiologic weight loss showed no statistical difference between the experimental group and the control group. Consequently, the thermal head and feet supportive nursing intervention could be applied as a nursing intervention program to help the premature neonates' development. With the results above we should like to suggest the following: 1) A continuous application in the practice of our thermal supportive intervention for the premature neonates, a development of the content through evaluation, and a comparision of the results through a long time study. 2) A neccessity of deveopment of various study and cross comparision. 3) A neccessity of multi-angular study on the premature infants' characteristics influencing the thermal therapy and the study of the individual differences of the clients.