• Title/Summary/Keyword: Visits

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Analysis of the Characteristics and the Nursing Interventions for Children in Regional Emergency Departments -Using the Nursing Intervention Classification- (지역 응급의료기관의 아동 간호중재 분석 -4차 개정 Nursing Intervention Classification을 적용하여-)

  • Kim, Young-Hae;Lee, Nae-Young;Ha, Jae-Hyun
    • Child Health Nursing Research
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    • v.16 no.4
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    • pp.277-286
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    • 2010
  • Purpose: The purpose of this study was to provide descriptive data about the characteristics of pediatric patients and nursing interventions in Regional Emergency Medical Centers (REMC). Methods: A retrospective design was used to examine the medical records of 4,310 children. The clinical data and nursing terminologies of REMC were analyzed using the Nursing Intervention Classification (NIC). Results: Male toddlers dominated the sample. The mean age of the children was 3.51 yr. In more than half of the visits, patients arrived between from 7 a.m. to 3 p.m., on a weekday. There were only 189 ambulance transports to REMC, (4.4% of visits). The most frequent injuries were due to falls (28.0%) and contusions (27.3%), but the most common reasons for visits were non-injury (73.4%): fever, cough/shortness of breath, seizures, and abdominal pain. Of the 4,310 visits, 27.8% spent 6-24 hours in the REMC, while 33% resulted in hospital admission and 2.1% in transfer to another hospital. Of the 17,929 nursing interventions, 17,909 elements (99.9%) were classified under NIC. All the listed NIC interventions, however, were not reflected in the level of practice demonstrated by REMC nurses. Conclusion: These results can enhance the understanding of pediatric emergency nursing interventions and can make NIC more applicable.

The Impact of an Emergency Fee Increase on the Composition of Patients Visiting Emergency Departments

  • Jung, Hyemin;Do, Young Kyung;Kim, Yoon;Ro, Junsoo
    • Journal of Preventive Medicine and Public Health
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    • v.47 no.6
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    • pp.309-316
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    • 2014
  • Objectives: This study aimed to test our hypothesis that a raise in the emergency fee implemented on March 1, 2013 has increased the proportion of patients with emergent symptoms by discouraging non-urgent emergency department visits. Methods: We conducted an analysis of 728 736 patients registered in the National Emergency Department Information System who visited level 1 and level 2 emergency medical institutes in the two-month time period from February 1, 2013, one month before the raise in the emergency fee, to March 31, 2013, one month after the raise. A difference-in-difference method was used to estimate the net effects of a raise in the emergency fee on the probability that an emergency visit is for urgent conditions. Results: The percentage of emergency department visits in urgent or equivalent patients increased by 2.4% points, from 74.2% before to 76.6% after the policy implementation. In a group of patients transferred using public transport or ambulance, who were assumed to be least conscious of cost, the change in the proportion of urgent patients was not statistically significant. On the other hand, the probability that a group of patients directly presenting to the emergency department by private transport, assumed to be most conscious of cost, showed a 2.4% point increase in urgent conditions (p<0.001). This trend appeared to be consistent across the level 1 and level 2 emergency medical institutes. Conclusions: A raise in the emergency fee implemented on March 1, 2013 increased the proportion of urgent patients in the total emergency visits by reducing emergency department visits by non-urgent patients.

Effect of Visual Merchandising in Fast Fashion Retailing (패스트패션 리테일링에서의 비주얼머천다이징 효과)

  • Kang, Yoo-Jin;Lee, Mi-ah;Kim, Hyunsook
    • Journal of the Korean Society of Clothing and Textiles
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    • v.40 no.4
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    • pp.716-732
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    • 2016
  • Focusing on the communication effects of fast fashion visual merchandising (VM), this paper examines the effects of a fast fashion store's VM attributes on consumer's perceptions of store image towards newness and prestige that influence the time spent at stores as well as the frequency of visits. This study was conducted by collecting data online using males and females in their twenties to forties; subsequently, a total of 382 samples were analyzed. The VM communication effect model utilized in fast fashion stores was developed and tested on structural equation modeling. The findings of the study were as follows. First, the show window presentation and ancillary facilities of VM elements have a positive effect on the perception of newness, while merchandise display, layout, and signage have a positive influence on the perception of prestige. Therefore, the VM elements in the fast fashion stores that affect the perception of newness and prestige are unique. Second, the perceptions of newness and prestige have a positive impact on time spent in fast fashion stores; however, only the perception of store's newness has a significant effect on the frequency of visits. Third, show window presentation and facilities are VM elements that directly influence the time spent and frequency of visits. Finally, we confirm that store image partially mediate between VM elements and shopping behavior at a fast fashion store.

A Preliminary Study on the Classification of Visiting Nursing Service Recipients and the Development of Standardized Visiting Nursing Service Pathways Based on Public Health Center (대도시 보건소 동단위 방문간호 대상자의 군분류 및 표준 방문간호서비스 경로 개발을 위한 기초연구)

  • Hwang, Rah-Il;Ryu, Ho-Shin;Suk, Min-Hyun;Chin, Dal-Lae
    • Research in Community and Public Health Nursing
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    • v.16 no.4
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    • pp.381-391
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    • 2005
  • Purpose: The purpose of this research is to develop and classify district visiting nursing standards and to standardize visiting nursing service pathways. Method: This research was conducted as a focus group study and analyzed visiting nursing records. We surveyed 201 recipients at urban health centers, who were selected through convenient sampling, from April 2003 to November 2003. Result: First, visiting nursing service recipients were classified into four groups according to household and financial characteristics, existence of disease, ability of self-care, and existence of home care service needs. Standardized pathways of the selected items were assessment. nursing care plan, disease management and promotion of self-care ability for Level I (mean=12.2 visits). For Level II (7.3 visits) were offered assessment. disease management. health education. and health promotion services. For Level III (5.2 visits) were offered assessment. disease management. health education and health promotion services, and for Level IV (2.7 visits) were offered thorough assessment, education for self-care and health promotion. Conclusion: The visiting nursing service pathways identified in this research need to be developed further as basic materials applicable to quality assurance and agency evaluation. For this, we suggest repeated research and test to apply the derived standardized visiting nursing services pathways in visiting nursing programs.

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An Empirical Study of Customer's Repeat Visit Frequency on the Internet (인터넷 이용자들의 웹사이트 재방문 빈도에 관한 실증적 연구)

  • Lee, Suke-Kyu
    • Journal of Global Scholars of Marketing Science
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    • v.11
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    • pp.129-146
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    • 2003
  • This study explores whether a NBD type of model can be applied to characterize the underlying frequency distribution of online consumer's visit behavior. In this study, the following two research questions are addressed: (1) How can we characterize the underlying distribution pattern(s) of the number of repeat i i visits to a site? (2) How can consumer's Internet usages and his/her demographics affect the average number of visits to the site? Through the empirical investigation, this study found that NBD models are directly applicable to characterize the underlying distribution of visit frequency on the Internet. Furthermore, this study addresses some managerial implications for understanding how site visits are determined. Especially this study highlights the relationship between repeated visits and the visitors' Internet Usages and demographics. The proposed models are estimated and validated by online panel data that covers more than 1000 different sites and has 800,000 observations.

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Relationship between the Level of Local Extinction and Total Medical Service Uses (지역소멸수준과 지역의 총 의료이용 간의 관계)

  • Ji-Hae Park;Jae-Hwan Oh;Je-Gu Kang;Yun-Ji Jeong;Kwang-Soo Lee
    • Health Policy and Management
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    • v.33 no.3
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    • pp.253-263
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    • 2023
  • Background: The purpose of this study was to explore the relationship between the local extinction index and total medical service utilization. Methods: A fixed effects model in panel analysis was performed for the 228 administrative districts in Korea. The statistical yearbook on the usage of medical services by region and Korean Statistical Information Service data were used from 2010 to 2019 for analysis. Medical service utilization was represented by the number of visits day, the number of inpatient days, and medical charges. Control variables were selected by using an Anderson model. The local extinction index was calculated using resident registration population data. Results: Descriptive statistics showed that the number of areas at risk of extinction increased from 61 to 95 for the study years. In addition, the number of visits, the number of inpatient days, and medical charges all increased during the study years. After controlling for variables affecting medical service utilization and doing a panel fixed effects model, the result suggested that a one-step increase in the local extinction index was significantly associated with a 12.29% decrease in medical charges of inpatients, a 7.33% decrease in medical charge of outpatient, a 5.21% decrease in the number of inpatient day, and a 5.54% decrease in the number of visits day. Conclusion: This study showed that the higher the region's extinction risks, the higher the region's total medical service utilization. The results of this study suggested that there was a disparity in medical service utilization between areas at risk of extinction and areas not at risk of extinction, so measures should be taken to address this disparity.

Effects of a Community-based Follow-up Program for Parents with Premature Infants on Parenting Stress, Parenting Efficacy, and Coping

  • Ji, Eun Sun;Shim, Ka Ka
    • Child Health Nursing Research
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    • v.26 no.3
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    • pp.366-375
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    • 2020
  • Purpose: This study was conducted to evaluate the efficacy of a community-based follow-up program on parenting stress, parenting efficacy, and coping among parents with premature infants. Methods: A non-equivalent control group pre-post quasi-experimental design was used. This program consisted of structured home visits and self-help group meetings for 6 months. The experimental group (n=29) received visits by an experienced neonatal intensive care unit (NICU) nurse and the control group (n=27) was visited by a visiting nurse. Data were analyzed using the χ2 test, t-test, and analysis of covariance. Results: Parents' coping behavior significantly differed in the experimental group compared to the control group (t=3.14, p=.003). In particular, coping subscale I, for maintaining the family situation (t=2.63, p=.011), and subscale III, for understanding the infant's medical situation (t=4.30, p<.001), showed significant differences in the experimental group. There were no significant between-group differences in parenting stress or parenting efficacy. Conclusion: The findings of this study suggest that home visits by an experienced NICU nurse provided through a community-based follow-up program were an effective intervention to improve coping behavior among parents with premature infants.

Full mouth rehabilitation of a patient with Sturge-Weber syndrome using a mixture of general and sedative anesthesia

  • Doh, Re-Mee;Yu, Tae-min;Park, Wonse;Kim, Seungoh
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.15 no.3
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    • pp.173-179
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    • 2015
  • Issues related to the control of seizures and bleeding, as well as behavioral management due to mental retardation, render dental treatment less accessible or impossible for patients with Sturge-Weber syndrome (SWS). A 41-year-old man with SWS visited a dental clinic for rehabilitation of missing dentition. A bilateral port-wine facial nevus and intraoral hemangiomatous swollen lesion of the left maxillary and mandibular gingivae, mucosa, and lips were noted. The patient exhibited extreme anxiety immediately after injection of a local anesthetic and required various dental treatments to be performed over multiple visits. Therefore, full-mouth rehabilitation over two visits with general anesthesia and two visits with target-controlled intravenous infusion of a sedative anesthesia were planned. Despite concerns regarding seizure control, bleeding control, and airway management, no specific complications occurred during the treatments, and the patient was satisfied with the results.

A Study on the Determinants of Utilization of Family Health Worker in Rural Korea (일부농촌주민의 가정건강요원 이용에 영향을 주는 요인에 관한 연구 -연세 강화보건시범사업지역을 중심으로-)

  • Park, Jong-Ku
    • Journal of Preventive Medicine and Public Health
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    • v.12 no.1
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    • pp.38-42
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    • 1979
  • The objectives of this study were to identify the determinants of the 1. Home visiting activities by FHWs 2. Utilization of village Family Health Workers(FHWs) 3. Attitudes towards FHWs 4. Knowledge about FHW's activities] among housewives in the Kang Wha Community Health Project area This study was analysed by using path analysis Exogenous variables were 1. Distance between the housewives' houses and that of their local FHW 2. Duration of work of each FHW as FHW in her village 3. Number of preschool children in the households Endogenous variables were 1. Home visiting frequency to each household by FHW 2. Knowledge about FHW's activities 3. Attitude towards FHWs 4. Utilization of FHW] by the housewives The results were as follows: The shorter the distance between client's and FHW's house, the higher the number of preschool children in the household, and the longer the duration of work of FHW as FHW, the higher is the number of her household visits in a given time span. The more frequently the FHW visits a household and the higher the knowledge about FHW's activities in the household, the more positive is the attitude of the housewives to the FHW and the more frequently she visits and utilizes the FHW on her own initiative.

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A Study on the Characteristics of Youth Gambling Addiction (청소년 도박중독의 특성에 관한 연구)

  • Ryu, Hwang-Gun;Choi, Yi-Soon;Jang, Hyo-Kang;Kim, Jeong-Eun
    • The Korean Journal of Health Service Management
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    • v.6 no.1
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    • pp.153-161
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    • 2012
  • The purpose of this study is to investigate the factors on the characteristics of youth gambling addiction to develop the youth gambling prevention program. The data was collected by using questionnaire, from Oct 2010 to Dec 2011. Of the 2,400 surveys distributed, 2,301 were collected and 2,286 of those were used for analysis after eliminating 15 with insufficient responses. The major findings of this study can be summarized as follows. First, there were some differences on the future gambling intention and the internet addiction by gender, grade, pocket money, experience in the illegal gambling site visits and gambling experience. Students who experience in the illegal gambling site visits were represented relatively higher on the future gambling intention and the internet addiction. Second, the overall experience in the illegal gambling site visits is 6.9%, while 23.2% of the total respondents were found to be the experience of gambling. Third, the future gambling intention, irrational gambling beliefs and the internet addiction were found have positive correlation with each other.