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Nursing Hours and Nurse Staffing according to Korean Triage Acuity Scale and Patient Dependency (한국형 응급환자 분류도구 및 환자의존도에 따른 환자군별 간호시간과 간호사 배치수준)

  • Jung, Eun Hee;Cho, Sung-Hyun;Lee, Sang Lim;Choi, Min Jin;Kim, Sung Sook;Choi, Eun Kyung;Han, Kyeong Hwa;Jeon, Mi Young
    • Journal of Korean Clinical Nursing Research
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    • v.26 no.3
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    • pp.395-406
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    • 2020
  • Purpose: The purpose of this study was to analyze nurse staffing according to patients' acuity and dependency by measuring nursing hours. Methods: The study sample included patients who visited the adult emergency departments (EDs) of three tertiary referral hospitals and nurses who worked on shifts for 48 hours from October 24 to 26, 2019. Hourly patient census and nurse staffing were analyzed. Patient acuity was measured using the Korean Triage and Acuity Scale (KTAS), ranging from Level 1 (highest) to Level 5 (lowest). Patient dependency was measured using six items (e.g., clinical attention and communication) and classified into four groups. Nursing activities were observed every 10 minutes and nursing hours per patient and nurse staffing were analyzed according to acuity and dependency. Results: Nurse-to-patient ratio ranged from 1:1.8 to 1:4.2 during the 48 hours of observation. The average work hours of nurses, excluding breaks and meals, was 8.57 hours; 42.5% of which was spent providing direct care. Higher acuity and dependency were associated with higher nursing hours and staffing level. Patients with KTAS Level 1 were provided 74.3 minutes per hour, 5.02 times higher than Level 5 (14.8 minutes). Patients in the highest dependency group were provided 87.4 minutes per hour, 5.75 times higher than the lowest group (15.2 minutes). Newly arrived patients received more nursing hours than continuously stayed patients within the same KTAS Levels. Conclusion: Large variations were found in hourly patient census, acuity, and dependency. Nurse staffing in EDs should be determined based on patient acuity and dependency.

Validation of ICT·Living Lab-based Program Effectiveness for Improving Health and Quality of Life Among the Elderly in Small and Medium-Sized Cities (중소도시 지역 거주 고령자의 건강 증진을 위한 ICT-리빙랩(Living lab) 기반 프로그램 효과성 검증)

  • Park, Da Sol;Lee, Hey Sig;Park, Hae Yean
    • Therapeutic Science for Rehabilitation
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    • v.10 no.3
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    • pp.137-149
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    • 2021
  • Objective : This study aimed to verify the effectiveness of ICT-Living Lab-based programs to promote the health of elderly residents in small and medium-sized cities, thus, providing basic data for solving the health and quality of life problems faced by modern society. Methods : The tow-month program included 14 elderly individuals visiting senior center located in W City, from October to November 2019. The program was organized by consulting four senior experts and one ICT expert. The program consisted of 10 min for advance assessment, 10 min for preparation activities, 30 min for main activities, and 10 min for finishing, and 60 min for eight sessions over two months, once a week. Results : EQ-5D increased from 0.76 to 0.84, compared to pre-assessment(p=.009*). EQ-VAS scores increased from 36.43 to 65.71 (p=.001*). MMSE-DS increased from 21.21 to 24.14 (p=.000*). SGDS-K decreased from 3.36 to 3.21, but this was not statistically significant (p=.854). Conclusion : The ICT·Living Lab-based program could be used as a basic material for future research as one of the ways to improve health and quality of life by preventing and addressing the problems faced by the elderly in modern society.

A Study on the Utilization of Biotope Map in Urban Planning - Focusing on the land use designation and planned urbanized area - (도시계획 수립에 있어 도시생태현황지도 활용방안 연구 - 용도지역과 시가화예정용지를 중심으로 -)

  • Kwon, Jeon-O;Park, Seok-Cheol;Baek, Seung-A
    • Journal of the Korean Society of Environmental Restoration Technology
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    • v.24 no.4
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    • pp.31-46
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    • 2021
  • In South Korea, there is a growing domestic need for a biotope map which contains ecological and environmental geographic information of a city. After the production of a Urban Ecological Maps(biotope map) by the Seoul metropolitan government in 2000, Natural Environment Conservation Act was revised in 2017 to make it mandatory for a local government to draw up its own urban ecological map. The aim of the present study was to find out ways to utilize an urban ecological map as a mean of communication between natural environment planning and urban planning sectors in a preliminary stage before introducing a big framework of 'environmental and ecological planning.' The northern area of Incheon metropolitan city was selected as the target area for this study. The major research content includes a comparative analysis of special-purpose zones, urban planning zones, restricted development zones, and conservation forests with focus on biotope types and Grades 1 of 'Biotope Type Assessment.' Farmland biotopes and forest biotopes within an area designated as an urban zone (residential, commercial and industrial zones) need to be redesignated as a zone which can conserve them. Especially considering a high possibility of damage to a large scale of natural green areas, these areas need to be readjusted immediately. If the entire area designated as an urban planning zone is to be developed, it is likely to cause serious damage to natural biotopes in the area (56.2%), including farmland biotope (30.4%), forest biotope (15.0%) and grassland biotope (10.8%), and thus, readjustment is needed. In case of a conservation forest, as it can possibly be damaged by the designation of special-purpose zones, it is necessary to match the designation of conservation forests or a special-purpose zones with their biotope types. In conclusion, we present a variety of thematic maps for utilization of an urban ecological map and propose a phase-specific environmental and ecological plan. Phase 1 is the establishment of a urban plan in consideration of ecological status; Phase 2 is the independent establishment of an environmental and ecological plan by an environment department; Phase 3 is an integrated management of ecological planning system and urban planning system.

Effect of verbal and nonverbal communication of middle school sports club instructor on trust of instructor and class commitment (중학교스포츠클럽 지도자의 언어적·비언어적 의사소통이 지도자신뢰 및 수업몰입에 미치는 영향)

  • Jang, Chae-ouk;Seo, Soo-Jin
    • Journal of the Korea Convergence Society
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    • v.12 no.8
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    • pp.267-277
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    • 2021
  • This study was done with collected and analyzed data using the convenient sampling method on 349 middle school students located in the metropolitan area in order to verify the effect of instructors verbal and nonverbal communications on instructor trust and class commitment in middle school sports clubs. As a result of analyzing the collected data, First, as a result of correlation analysis using the total number of items between sub-factors of latent variables, all correlation coefficients showed a positive (+) significant relationship. Second, as a result of the effect of verbal and nonverbal communications on instructor trust, it was found that the influence of spatial language, appearance language, body language, and linguistic factors were significantly explained in order. Third, as a result of the effect of verbal and nonverbal communications on class flow, it was found that class commitment was significantly explained in the order of appearance language, spatial language, and linguistic factors. Fourth, as a result of the influence of instructor's trust on class commitment, it was found that only the exercise capacity factor significantly explained class commitment. This study provides basic academic data to plan and create interactions with school sports club instructors and students.

Research on Intelligent Space Design of smart rural - Focus on Xikou village, Zhejiang Province, China (스마트 향촌을 위한 지능형 공간 디자인 연구 - 중국 저장성 시커우촌을 중심으로)

  • Zhu, Miaomiao;Jang, Wan-Sok;Pan, Young-Hwan
    • Journal of the Korea Convergence Society
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    • v.13 no.4
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    • pp.245-259
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    • 2022
  • Smart rural construction is an important direction for the Chinese government to promote the cause of "Rural Revitalization". In this paper, in the Xikou village project of the "future community" smart rural demonstration development project proposed by the local government of Zhejiang Province, China, the researcher participated in the design of the intellectualization of the smart rural life circle from the perspective of UX design and through qualitative and quantitative research methods. Through field investigation, understand the users' needs for intelligent design of smart countryside, and on this basis, design the maximum space of the region as a cognitive smart rural demonstration park, and quantitatively analyze the user experience feedback after the completion of the project. Before and after the actual design and application of the "Xikou village" in the demonstration area, chapters 3 and 4 are the symbols that can remember the rural era, the Rural Cultural Exchange Square. In the intelligent office space and living space, the user needs are composed of the design results. In order to reduce the anxiety of residents and tourists caused by the intelligent environment, the artificial manual service part is also designed. Now, as a case of intelligent rural space design, resident residence is developing continuously.

Resistive E-band Textile Strain Sensor Signal Processing and Analysis Using Programming Noise Filtering Methods (프로그래밍 노이즈 필터링 방법에 의한 저항 방식 E-밴드 텍스타일 스트레인 센서 신호해석)

  • Kim, Seung-Jeon;Kim, Sang-Un;Kim, Joo-yong
    • Science of Emotion and Sensibility
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    • v.25 no.1
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    • pp.67-78
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    • 2022
  • Interest in bio-signal monitoring of wearable devices is increasing significantly as the next generation needs to develop new devices to dominate the global market of the information and communication technology industry. Accordingly, this research developed a resistive textile strain sensor through a wetting process in a single-wall carbon nanotube dispersion solution using an E-Band with low hysteresis. To measure the resistance signal in the E-Band to which electrical conductivity is applied, a universal material tester, an Arduino, and LCR meters that are microcontroller units were used to measure the resistance change according to the tensile change. To effectively handle various noises generated due to the characteristics of the fabric textile strain sensor, the filter performance of the sensor was evaluated using the moving average filter, Savitsky-Golay filter, and intermediate filters of signal processing. As a result, the reliability of the filtering result of the moving average filter was at least 89.82% with a maximum of 97.87%, and moving average filtering was suitable as the noise filtering method of the textile strain sensor.

Development of Korean Version of European Health Literacy Survey (HLS-EU-Q47) and Applied to the Elderly (한국판 건강문해력 측정도구(HLS-EU-Q47) 개발 및 노인 대상 적용)

  • Han, Hee-Won;Park, Sung-Ji;Kang, Ji Sook;Moon, Kyoung-Suk;Kim, JI HEE;Hwang, Jongnam;Oh, Jongmuk;Woo, Hee-Soon
    • Therapeutic Science for Rehabilitation
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    • v.10 no.4
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    • pp.65-80
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    • 2021
  • Objective : This study aimed to develop a Korean version of the HLS-EU-Q47 that deals with the concept of health literacy based on the understanding, apply/use, process/appraisal, and access/obtain to health information. The purpose of this study is to confirm the level of comprehensive health literacy of the elderly in Korea using this tool. Methods : After going through the Korean interpretation process of HLS-EU-Q47, the items were confirmed through content validity verification by experts. The completed Korean-HLS-EU-Q47 (K-HLS-EU-Q47) was applied to 254 elderly people in the local community to analyze the degree of internal consistency and reliability. Furthermore, a comparative analysis based on the general variables was conducted. Results : The internal consistency of this tool for the elderly yielded Cronbach's 𝛼 of .81~.91, indicating a high level of reliability. There was a difference in health literacy according to sex and age based on general characteristics. Men had higher health literacy than women, and with increasing age, health literacy decreased. Conclusion : In this study, the K-HLS-EU-Q47 was developed to assess the comprehensive health literacy level of the elderly in Korea. It is expected that the search for ways to maintain a healthier life for the elderly through understanding the health literacy levels of the elderly using the results of this study will become more active.

The Empirical Study on University Campus Startup Space by IPA - Focused on satisfaction and importance analysis - (IPA분석을 통한 대학캠퍼스 창업공간 실증분석 - 만족도와 중요도 분석을 중심으로 -)

  • Jo, Hyeong-Jin;Lee, Yong-Hwan
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.20 no.4
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    • pp.13-20
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    • 2021
  • In the world, each country is preparing various policies to promote start-ups, and the Korean government is actively promoting policies to support start-ups and the national economy through technology-based start-ups for creating jobs. Recently, the number of start-up companies is on the rise. In particular, in accordance with the industrial structure transformation leading the 4th Industrial Revolution, technology-based start-ups are steadily growing based on knowledge-based services such as information and communication, science and technology service industry, and business support service industry. The purpose of this study is to find out whether the startup space provided by the university reflects the startup-friendly characteristics, and to investigate and analyze the satisfaction and requirements of the space required by the actual college campus startup space users to create a more efficient space configuration plan. Through this study, factors that should be considered first for universities in preparing startup spaces were derived for each space element. Therefore, it is necessary for university campuses to deeply recognize the importance of space provision among the future start-up support systems, and to improve them periodically through the consumers' satisfaction of the space in the construction and improvement of startup spaces.

Awareness of Doctors' Shared Decision-Making in Life-Sustaining Care Decisions

  • Kim, Dalyong;Lee, Hyun Jung;Yu, Soo-Young;Kwon, Jung Hye;Ahn, Hee Kyung;Kim, Jee Hyun;Seo, Seyoung;Maeng, Chi Hoon;Lim, Seungtaek;Kim, Do Yeun;Shin, Sung Joon
    • Journal of Hospice and Palliative Care
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    • v.24 no.4
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    • pp.204-213
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    • 2021
  • Purpose: At the end of life, communication is a key factor for good care. However, in clinical practice, it is difficult to adequately discuss end-of-life care. In order to understand and analyze how decision-making related to life-sustaining treatment (LST) is performed, the shared decision-making (SDM) behaviors of physicians were investigated. Methods: A questionnaire was designed after reviewing the literature on attitudes toward SDM or decision-making related to LST. A final item was added after consulting experts. The survey was completed by internal medicine residents and hematologists/medical oncologists who treat terminal cancer patients. Results: In total, 202 respondents completed the questionnaire, and 88.6% said that the decision to continue or end LST is usually a result of SDM since they believed that sufficient explanation is provided to patients and caregivers, patients and caregivers make their own decisions according to their values, and there is sufficient time for patients and caregivers to make a decision. Expected satisfaction with the decision-making process was the highest for caregivers (57.4%), followed by physicians (49.5%) and patients (41.1%). In total, 38.1% of respondents said that SDM was adequately practiced when making decisions related to LST. The most common reason for inadequate SDM was time pressure (89.6%). Conclusion: Although most physicians answered that they practiced SDM when making decisions regarding LST, satisfactory SDM is rarely practiced in the clinical field. A model for the proper implementation of SDM is needed, and additional studies must be conducted to develop an SDM model in collaboration with other academic organizations.

Estimation of KOSPI200 Index option volatility using Artificial Intelligence (이기종 머신러닝기법을 활용한 KOSPI200 옵션변동성 예측)

  • Shin, Sohee;Oh, Hayoung;Kim, Jang Hyun
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.26 no.10
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    • pp.1423-1431
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    • 2022
  • Volatility is one of the variables that the Black-Scholes model requires for option pricing. It is an unknown variable at the present time, however, since the option price can be observed in the market, implied volatility can be derived from the price of an option at any given point in time and can represent the market's expectation of future volatility. Although volatility in the Black-Scholes model is constant, when calculating implied volatility, it is common to observe a volatility smile which shows that the implied volatility is different depending on the strike prices. We implement supervised learning to target implied volatility by adding V-KOSPI to ease volatility smile. We examine the estimation performance of KOSPI200 index options' implied volatility using various Machine Learning algorithms such as Linear Regression, Tree, Support Vector Machine, KNN and Deep Neural Network. The training accuracy was the highest(99.9%) in Decision Tree model and test accuracy was the highest(96.9%) in Random Forest model.