• Title/Summary/Keyword: appropriateness study

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Appropriateness Evaluation of Hospitalization for the Cerebral Ischemia Patients (허혈성 뇌졸중 환자의 재원적절성 평가)

  • Yoem, Hyo-Young;Kim, Soon-Lae
    • Research in Community and Public Health Nursing
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    • v.10 no.1
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    • pp.80-92
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    • 1999
  • The purpose of this study was to survey appropriateness of admission and days of care for the cerebral ischemia patients as a basis to provide an effectiveness of hospitalization. The authors retrospectively reviewed the medical records of cerebral ischemia patients in two hospitals from November 1997 to February 1998. Of 194 medical records reviewed, there were 2108 medical days. I t is used a 'Appropriateness Evaluation Protocol' previously developed by Gertman and Restuccia (1981) and translated by Department of Health Management, Seoul National University and Korea Institute for Health Services Management (1993), It was found that the 'Appropriateness Evaluation Protocol' had a high inter-rater reliability(k=.92), Statistical significant was tested by using the percentage, mean, and logistic regression by SAS 6.12. The results were as follows; 1. The appropriate admissions were 87.6%, days of care 63.4%, and the average length of stay $10.9{\pm}6.7$ days. 2. The reasons of inappropriate admissions were for work-up(75.0%) and conservative care (25.0%). Major reasons of inappropriate days of care were 'cases in which the medical purpose of hospitalization has been accomplish or can be addressed in a less setting(45.0%)', and 'cases in which there is a delay in performing the work-up or treatment which required patients is hospitalized (44.4%)'. 3. Appropriate days of care were higher as ageing. Appropriate days of care were higher in patients with lower accademic back ground than those of upper college graduates, and in the patients who enter a hospital via emergency room than out-patients department. Appropriate days of care were higher in the patient with MCA infarction, and lower in the patient with cerebellar infarction than the patient with lacunar infarction. Appropriate days of care were higher in attack first than attack above second, in nomortension patients than hypertensive, and lower in groups who engaged in semi-private room and public room than private room in hospital. Appropriate days of care were higher in shorter length of stay than longer length of stay. 4. Diagnosis, admission path, and appropriate days of care explained appropriate admissions. Diagnosis, appropriate admissions, hypertension explained appropriate days of care. According to the above results, author confirms the substantial amount of inappropriate hospital bed utilization. To reduce inappropriateness, it is necessary to develop some alternative services such as home care services or nursing home with which can be replaced inpatient services and to introduce policy such as case management which includes Critical Pathway for consistent management. And, it should be followed the further study for the effectiveness.

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A Study on the Founding of a New View Point on Architectural Ornaments In 19th Century -Focused on the G.Semper's [Bekleidungstheorie]- (19세기 새로운 장식관의 형성에 관한 연구-G. 젬퍼의 피복론을 중심으로-)

  • 조영배;윤도근
    • Korean Institute of Interior Design Journal
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    • no.16
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    • pp.168-174
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    • 1998
  • In the Western Civilization you can clearly see the change in the architectural system. In the 19th Century many of arcitectural style resurrected in the appearance of style revival. And each of the Style's appropriateness and exactness were very complicatedly discussed. After the middle of 19th Century a series of morality movement which showed an expectation for a historical revival started to show declining atmosphere. To architects at the periods more universal formation seeking and new surpassing style pursuing logic has exacted which care from very different from the past During this period a question were brought up about architecture ornamental rightness and appropriateness. As each of the architects had a saying about the ornament was recognized as important part of architect. On this bases this study's purpose is finding out whst is the maeaning and content of G.Semper's "Bekleidungstheorie"

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The Difference of the College Students' Perceived Stress and Stress Coping Style According to the Communication Competence, Communication Amount and Depth (커뮤니케이션 능력 및 의사소통의 양과 질에 따른 대학생의 스트레스와 스트레스 대처의 차이)

  • Han, Julie;Namgung, Eunjeong
    • Korean Journal of Child Studies
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    • v.29 no.1
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    • pp.325-337
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    • 2008
  • The current study examined the difference of the college students' perceived stress and stress coping style according to the communication competence and communication amount & depth. Firstly, the differences of college students' perceived stress was shown according to their communication competence. Communication time (amount) and depth also affect their perceived stress. In detail, higher appropriateness and effectiveness were, the weaker the stress was. Secondly, the differences of college students' stress coping style was shown according to their communication competence, communication amount and depth. In detail, respondents who have high appropriateness showed the active stress coping style more. And respondents who have high effectiveness showed the active stress coping style more. Limitations and suggestions for future study were discussed thereafter.

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Tensile Design Criteria Evaluation of Cast-In-Place Anchor by Numerical Analysis (수치해석에 의한 직매형 앵커기초의 인장 설계기준 평가)

  • 장정범;서용표;이종림
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2004.04a
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    • pp.209-216
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    • 2004
  • Numerical analysis is carried out to identify the appropriateness of the design codes that is available for the tensile design of fastening system at Nuclear Power Plant (NPP) in this study. This study is intended for the cast-in-place anchor that is widely used for the fastening of equipment in Korean NPPs. The microplane model and the elastic-perfectly plastic model are employed for the quasi-brittle material like concrete and for the ductile material like anchor bolt as constitutive model for numerical analysis and smeared crack model is employed for the crack and damage phenomena. The developed numerical model is verified on a basis of the various test data of cast-in-place anchor. The appropriateness of both ACI 349 Code and CCD approach of CEB-FIP Code is evaluated for the tensile design of cast-in-place anchor and it is proved that both design codes give a conservative results compared with real tensile capacity of cast-in-place anchor.

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A Study on the Barriers of Users’Information Seeking Satisfaction with Evaluation of Reference Services - with a focus at research libraries - (참고봉사 평가를 통한 이용자 정보만족도에 영향을 미치는 저해요인 분석 -전문도서관을 중심으로-)

  • 정진식
    • Journal of the Korean BIBLIA Society for library and Information Science
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    • v.9 no.1
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    • pp.5-38
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    • 1998
  • This study is aimed at providing qualitative evaluation of information supplied by reference librarian in response to researchers' questions. Information users' satisfaction on the appropriateness of librarians' answers was evaluated, and at the same time, negative factors affecting users' satisfaction were examined, so that improvement of service quality and information appropriateness can be sought by analyzing the influence and correlation between these factors.

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Spatial Delineation of Planning Unit for Rural Village Improvement (농촌 생활환경 정비구역의 설정)

  • 조영국;김성진
    • Journal of Korean Society of Rural Planning
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    • v.4 no.1
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    • pp.15-21
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    • 1998
  • The purpose of the study is to identify a basic spatial unit for rural village redevelopment plan. An ideal spatial unit need to satisfy three basic premises: to be homogeneous as rural community, to be appropriate to implement the project, and to be compatible with regional planning systems. A spatial unit could, empirically, be defined based on the homogeneity at first, and then appropriateness and compatibility could be used to adjust its boundary. Mitan-Myun(13 villages), Pyungchang County, Dochuck-Myun(15 villages), Kwangju County, and Chuksan-Myun(28 villages), Kimje City in Korea were selected as case study areas. The degree of interrelationship between all possible pairs in each Myun was measured using spatial, socio-cultural, and economic indicators. Multidimensional Scaling(MDS) was used to identify a homogeneous spatial unit, and then indicators representing appropriateness and compatibility were used to adjust the identified boundary. New districts which have two or three villages were suggested as a reasonable spatial unit for rural village redevelopment, and its boundary roughly overlaps with Bup-Jeong-Ri(法定里: a legally defined village).

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Analyzing Barriers to Researchers' Information Seeking Satisfaction on Reference & Information Services of Research Library (전문도서관 참고봉사에 대한 연구자의 정보만족도에 영향을 미치는 저해요인 분석)

  • Chung Jin-Sik
    • Journal of the Korean Society for Library and Information Science
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    • v.32 no.3
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    • pp.97-112
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    • 1998
  • This study is aimed at providing qualitative evaluation of information supplied by reference librarian in response to researchers' questions. Information users' satisfaction on the appropriateness of librarians' answers was evaluated, and at the same time, negative factors affecting users' satisfaction were examined, so that improvement of service quality and information appropriateness can be sought by analyzing the influences and correlation between these factors. For this study, information centers at ten professional research institute carrying out government-related projects were selected, and data were collected using unobtrusive evaluation methods through observation and questionnaires. Collected materials were analyzed using SPSS/PC+' statistical analysis programs and $\chi^2(Chi-square)$ statistical methods.

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Convergence Influence Factors on Nursing Students' Willingness to Volunteer (간호대학생의 자원봉사지속의지에 미치는 융합적 영향요인)

  • Kim, Min-Suk;Yun, Soon-Young
    • Journal of the Korea Convergence Society
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    • v.10 no.5
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    • pp.377-384
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    • 2019
  • The purpose of this study was to identify the degree of mortality, appropriateness and continuance willingness of voluntary activities in nursing students and to investigate the effects of their continuance willingness of voluntary activities. This study was carried out from November to Decemer 2018 as a descriptive research study. Data collection was conducted among 174 university nursing students who agreed to the research and completed the questionnaire. The data were analyzed by t-test, ANOVA and Scheffe post-test, Pearson correlation coefficient calculation and multiple regression analysis using SPSS 24.0. The results of the study showed that morality, service appropriateness, service period, and aggressiveness had a significant effect on the continuance willingness. It proposes that a volunteer program that can engage with the majors and participate voluntarily and positively for the continuous service of nursing students.