• Title/Summary/Keyword: Service Delivery System

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The Lived Experience of Mothers about Rearing of School Children With Cerebral palsy (뇌성마비 취학아동 어머니의 양육체험)

  • Baek Kyoung-Seon
    • Child Health Nursing Research
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    • v.7 no.4
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    • pp.434-450
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    • 2001
  • This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

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Centralized TDMA Slot Assignment Scheme Based on Traffic Direction for QoS Guarantee in Unmanned Robot Systems (무인로봇체계에서 QoS 보장을 위한 트래픽 방향 기반 중앙집중식 TDMA 슬롯 할당 기법)

  • Han, Jina;Kim, Dabin;Ko, Young-Bae;Kwon, DaeHoon
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.41 no.5
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    • pp.555-564
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    • 2016
  • This paper proposes a time slot allocation scheme for military patrol environments. This proposal comes from analysis of traffic properties in a military patrol environment. In the near future, robots are expected to explore enemy grounds and measure threat, taking the place of human patrol. In order to control such robots, control messages must be extremely accurate. One mistake from the control center could cause a tragedy. Thus, high reliability must be guaranteed. Another goal is to maintain a continual flow of multimedia data sent from patrol robots. That is, QoS (Quality of Service) must be guaranteed. In order to transmit data while fulfilling both attributes, the per-path based centralized TDMA slot allocation scheme is recommended. The control center allocates slots to robots allowing synchronization among robots. Slot allocation collisions can also be avoided. The proposed scheme was verified through the ns-3 simulator. The scheme showed a higher packet delivery ratio than the algorithm in comparison. It also performed with shorter delay time in the downlink traffic transmission scenario than the algorithm in comparison.

Convergence Research on Periodic Changes in the Quality Assessment of Surgical Prophylactic Antibiotics (수술 예방항생제 적정성 평가의 주기별 융합 변화 연구)

  • Yang, Sae-Yie;Kim, Kwang-Hwan
    • Journal of Digital Convergence
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    • v.14 no.6
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    • pp.325-333
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    • 2016
  • This study was conducted to provide the base line for the use of prophylactic antibiotics and the standard of antibiotic use and the evaluation based on analysis of current use, quality assessment and periodic changes of prophylactic antibiotics in a university hospital. We chose the year 2008, 2009, 2010, 2012, and 2014 as the study periods since the primary evaluation on the first year of implementation in 2007. For this study, healthcare benefit quality assessment data from the Health Insurance Review and Assessment Service was used. We analyzed the differences each year of treatment period; one category for initial treatment timing, three categories for selecting antibiotics, and two categories for the length of treatment from multiple evaluation indices of gastric surgeries, colorectal surgeries, and cholecystectomy. The analysis revealed the followings: Regarding length of antibiotics treatment, total days of treatment decreased down to 1.5, 1.5, and 0.6 days in the year 2014, from 13.5, 12.8, and 6.9 days in the year 2007, for gastric surgeries, colorectal surgeries, and cholecystectomy. Based on these outcomes, the efforts to devise efficient delivery and distribution of the recommendations or indices which medical staff could adhere for quality improvement of the prophylactic antibiotics would be necessary. Also implementing monitoring system to help the hospitals to acknowledge their own faults may be helpful.

A Study on experiences of self-reliance and strengths of single mothers: A comparative study of widowed, divorced and unmarried single mother families (여성 한부모의 자립 경험과 강점 자원에 대한 연구 : 사별, 이혼, 미혼모 가족 비교를 중심으로)

  • Kim, Ji Hye;Kim, HeeJoo
    • Korean Journal of Social Welfare Studies
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    • v.49 no.4
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    • pp.159-193
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    • 2018
  • This study aims to examine life experiences of single mothers according to three types of single parent families, divorced, widowed and unmarried and how they cope with their difficulties to become self-reliant and to identify strengths promoting self-reliance. The researchers analyzed personal, environmental and life factors by using the strengths perspective and discovered distinctive features of three types of single mothers that promote self-reliance. Data were collected by in-depth interviews with 20 single mothers, 4 widows, 8 divorced mothers and 8 unmarried single mothers. The results show that participants defined their experiences of self-reliance as a process to increase capability to accomplish their responsibilities as a mother, rather than as a completed goal. Increasing capability not only means achieving economic self-sufficiency, but also gaining psychosocial strengths that are developed by embracing one's own life, having sense of control and empowerment. This study identified commonalities and differences of strengths and resources and unique experiences of participants and proposed implications for policy and practice related to the roles of service delivery and support system.

The Conceptualization of Caring Justice and an Evaluation of Long-Term Care Policy in Korea (돌봄정의(Caring Justice) 개념구성과 한국 장기요양정책의 평가)

  • Seok, Jae-Eun
    • 한국사회정책
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    • v.25 no.2
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    • pp.57-91
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    • 2018
  • Despite the rapid growth of social care, understanding of care is segmental and caring is still marginalizing. The socialization of caring is actually a 'half-socialization' that is the result of injustice surrounding caring. Therefore, it is necessary to approach the problem of caring in terms of justice. In this paper, I discuss the limitations of social justice based on John Rawls 's social contract theory in the discussion of caring justice through feminists'writings on caring ethics. And then applying Nancy Fraser' s three scales of Justice-redistribution, recognition, and representation, the concept of caring justice has been newly constructed. The concept of caring is defined as a unified concept of caring including the aspect of the social rights of the care recipient as well as the labor rights of the care provider. Based on the analysis of care justice, we derive the ideal types of care policy and then evaluate the long-term care policy for the elderly, which is the central axis of Korean care policy. The results of this study are as follows: First, it is necessary to strengthen the labor rights of care providers especially for the socialization of care responsibilities and the proper allocation of social resources. Second, a service delivery system and care culture are needed to ensure the relational autonomy of care-receivers and care-givers for caring ethics and individualization of care. Third, the issue of care should be treated as the central agenda of politics in order to distribute care responsibility democratically and to distribute legitimate resources. This requires a paradigm shift from marginalization of care to mainstreaming of care. Ultimately, we should aim for a Caring Society.

Effects of Therapeutic Interventions for Children With Attention Deficit Hyperactivity Disorder: A Systematic Review (주의력결핍과잉행동 장애아동을 대상으로 제공되는 국내 중재에 대한 고찰 연구)

  • Park, Young-Ju;Kim, EunJoo
    • The Journal of Korean Academy of Sensory Integration
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    • v.17 no.1
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    • pp.43-53
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    • 2019
  • Objective : This study was designed to find the latest intervention trends in treatment of children with attention deficit hyperactivity disorder (ADHD) in South Korea. Methods : Studies on ADHD published in Korean journals from January 2004 to December 2018 were reviewed. The databases used were DBpia, Google Scholar, RISS, and KISS. The search terms were "attention deficit hyperactivity," "child," and "intervention." A total of 14 studies were selected. The results of this study were as follows: Patient, Intervention, Comparison, Outcome. Results : The level of evidence was the highest in the single subject study of level IV, and the methodological quality was the most common study. The interventional metronome (IM) intervention was the most frequently used, and the evaluation tools used in the measurement were the Long Form Assessment of the Interactive Metronome and the Korean Behavior Child Checklist. The Korean ADHD interventions showed statistically significant improvement in concentration, hyperactivity, task performance, excessive language use, and timing. Conclusions : Various types of interventions were provided for children with ADHD in South Korea. The interventions showed positive effects, and provided basic data for evidence-based implementation in clinical practice. In the future, a model study should be conducted, to establish an effective service delivery system, as well as ongoing research on children with ADHD.

Cyber Threats Analysis of AI Voice Recognition-based Services with Automatic Speaker Verification (화자식별 기반의 AI 음성인식 서비스에 대한 사이버 위협 분석)

  • Hong, Chunho;Cho, Youngho
    • Journal of Internet Computing and Services
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    • v.22 no.6
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    • pp.33-40
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    • 2021
  • Automatic Speech Recognition(ASR) is a technology that analyzes human speech sound into speech signals and then automatically converts them into character strings that can be understandable by human. Speech recognition technology has evolved from the basic level of recognizing a single word to the advanced level of recognizing sentences consisting of multiple words. In real-time voice conversation, the high recognition rate improves the convenience of natural information delivery and expands the scope of voice-based applications. On the other hand, with the active application of speech recognition technology, concerns about related cyber attacks and threats are also increasing. According to the existing studies, researches on the technology development itself, such as the design of the Automatic Speaker Verification(ASV) technique and improvement of accuracy, are being actively conducted. However, there are not many analysis studies of attacks and threats in depth and variety. In this study, we propose a cyber attack model that bypasses voice authentication by simply manipulating voice frequency and voice speed for AI voice recognition service equipped with automated identification technology and analyze cyber threats by conducting extensive experiments on the automated identification system of commercial smartphones. Through this, we intend to inform the seriousness of the related cyber threats and raise interests in research on effective countermeasures.

EC-RPL to Enhance Node Connectivity in Low-Power and Lossy Networks (저전력 손실 네트워크에서 노드 연결성 향상을 위한 EC-RPL)

  • Jeadam, Jung;Seokwon, Hong;Youngsoo, Kim;Seong-eun, Yoo
    • Journal of Korea Society of Industrial Information Systems
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    • v.27 no.6
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    • pp.41-49
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    • 2022
  • The Internet Engineering Task Force (IETF) has standardized RPL (IPv6 Routing Protocol for Low-power Lossy Network) as a routing protocol for Low Power and Lossy Networks (LLNs), a low power loss network environment. RPL creates a route through an Objective Function (OF) suitable for the service required by LLNs and builds a Destination Oriented Directed Acyclic Graph (DODAG). Existing studies check the residual energy of each node and select a parent with the highest residual energy to build a DODAG, but the energy exhaustion of the parent can not avoid the network disconnection of the children nodes. Therefore, this paper proposes EC-RPL (Enhanced Connectivity-RPL), in which ta node leaves DODAG in advance when the remaining energy of the node falls below the specified energy threshold. The proposed protocol is implemented in Contiki, an open-source IoT operating system, and its performance is evaluated in Cooja simulator, and the number of control messages is compared using Foren6. Experimental results show that EC-RPL has 6.9% lower latency and 5.8% fewer control messages than the existing RPL, and the packet delivery rate is 1.7% higher.

Study on User Benefits for Activating Lifestyle Sports (생활체육 활성화를 위한 이용자 편익에 관한 연구)

  • Choi, Seung-Jae
    • Journal of Korea Entertainment Industry Association
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    • v.13 no.2
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    • pp.207-217
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    • 2019
  • The purpose of this study is to examine the physical and psychological effects of lifelong physical activity and the role of leader capacity, to provide practical basic data on intangible benefits and to suggest ways to activate the value of lifelong physical education. This study was conducted from September 1, 2018 to September 30, 2018, with a total of 206 questionnaires centering on men and women participating in sports in Jeollanam do. The two-step approach proposed by Anderson & Gerbing (1988) was used to examine the structural relationships between physical benefits, social benefits, mental benefits, self efficacy benefits, leisure cultural benefits, physical effects, mental effects, Respectively. The conclusions of this study are summarized as follows. First, physical and leisure cultural benefits have a positive(+) direct effect on leader capacity. Second, self-efficacy benefits, physical benefits, and leisure cultural benefits have positive direct effects on physical effects. Third, self-efficacy and leisure culture benefits have a direct positive effect on mental effects. Fourth, leadership competence plays a mediating role in the relationship between leisure cultural benefits and physical effects. In addition, it has a mediating role in the relationship between leisure cultural benefits and mental effects. In order to maximize the quantitative expansion and qualitative improvement of living sports and to enhance intangible value of participants in sports for all, the private capital investment such as the training of competent leaders, the development of various programs, and the investment support in the public sector, We hope that the role of the new welfare service delivery system shared with welfare will be provided.

Service Design Proposals for Improving the Usage of a Standard Plastic Garbage Bag of Seoul City (서울시 종량제 쓰레기봉투의 사용법 개선을 위한 서비스디자인 제안)

  • Kim, Ye Ji;Kim, Hwa Sil;Paik, Jin Kyung
    • Design Convergence Study
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    • v.14 no.4
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    • pp.119-132
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    • 2015
  • The enforcement of volume-rate disposal system which has been resulted in reducing the household waste and increasing the amount of recycled contents is showing positive effects that are generating social and economic benefits, However due to the lack of user's perception about how to separate and dispose of recycling wastes, some problems are constantly raised, like food waste is disposed in the standard volume-rate garbage bag. By rearranging visual information printed on standard plastic garbage bags (SPGB), this study attempted to find ways to deliver the information regarding how to use them properly. In order to achieve this, from the perspective of visual information design, the study examined the cases of visual information printed on nine SPGB from domestic and overseas. Among these, this study conducted a survey on user's awareness of visual information printed on SPGB in three districts of Seoul, Korea. As a result, user-preferred items were identified. Based on the result, this study selected information to be printed on SPGB, established the hierarchical order of the selected information, and proposed a guideline for using SPGB with informative graphics; therefore, the effectiveness of information delivery was improved. In addition, this study also examined the external validity of the guideline by comparing a survey on user's awareness.