• 제목/요약/키워드: appropriateness study

검색결과 1,199건 처리시간 0.029초

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

  • 염효영;김순례
    • 지역사회간호학회지
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    • 제10권1호
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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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19세기 새로운 장식관의 형성에 관한 연구-G. 젬퍼의 피복론을 중심으로- (A Study on the Founding of a New View Point on Architectural Ornaments In 19th Century -Focused on the G.Semper's [Bekleidungstheorie]-)

  • 조영배;윤도근
    • 한국실내디자인학회논문집
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    • 제16호
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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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커뮤니케이션 능력 및 의사소통의 양과 질에 따른 대학생의 스트레스와 스트레스 대처의 차이 (The Difference of the College Students' Perceived Stress and Stress Coping Style According to the Communication Competence, Communication Amount and Depth)

  • 한주리;남궁은정
    • 아동학회지
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    • 제29권1호
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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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수치해석에 의한 직매형 앵커기초의 인장 설계기준 평가 (Tensile Design Criteria Evaluation of Cast-In-Place Anchor by Numerical Analysis)

  • 장정범;서용표;이종림
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 2004년도 봄 학술발표회 논문집
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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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참고봉사 평가를 통한 이용자 정보만족도에 영향을 미치는 저해요인 분석 -전문도서관을 중심으로- (A Study on the Barriers of Users’Information Seeking Satisfaction with Evaluation of Reference Services - with a focus at research libraries -)

  • 정진식
    • 한국비블리아학회지
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    • 제9권1호
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    • pp.5-38
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    • 1998
  • 본 연구는 정보 이용자와 참고사서 사이에서 일어나는 질의응답 내용을 분석하여 이용자의 정보만족 정도를 규명하고자 하였다. 이용자 질의에 대한 사서의 응답이 얼마나 정확한가에 대한 정보 만족도를 측정하고, 만족도에 영향을 미치는 저해 요인을 규명하며, 만족도와 저해 요인의 측정을 위한 변인들간의 영향력과 상관관계를 분석함으로써 봉사내용의 질 과 응답의 정확성을 높일 수 있는 개선방안을 모색하였다.

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

  • 조영국;김성진
    • 농촌계획
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    • 제4권1호
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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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전문도서관 참고봉사에 대한 연구자의 정보만족도에 영향을 미치는 저해요인 분석 (Analyzing Barriers to Researchers' Information Seeking Satisfaction on Reference & Information Services of Research Library)

  • 정진식
    • 한국문헌정보학회지
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    • 제32권3호
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    • pp.97-112
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    • 1998
  • 본 연구는 정보제공을 주된 기능으로 하는 우리나라 전문도서관의 참고봉산 현장에서 일어나는 연구자의 다양한 정보질의에 응답하는 참고사서의 정보탐색과정을 관찰과 질문지법을 통하여 분석한 것이다. 질의에 대한 응답의 정확성이 저조한 이유가 어디에 있으며, 연구자의 정보만족도에 영향을 미치는 저해요인이 무엇인지를 구명함으로서 봉사내용의 질과 응답의 정확성을 높일 수 있는 개선방안을 모색하자는 데에 목적을 두고 있다.

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

  • 김민숙;윤순영
    • 한국융합학회논문지
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    • 제10권5호
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    • pp.377-384
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    • 2019
  • 본 연구는 간호대학생의 도덕성, 봉사업무적절성, 봉사지속의지의 정도를 파악하고 봉사지속의지에 미치는 영향요인을 파악하고자 시도되었다. 이 연구는 2018년도 11월에서 12월까지 수행된 서술적 조사연구이다. 자료 수집은 일개대학 간호대학생 중 연구에 동의하고 설문지를 완성한 174명을 대상으로 하였다. 자료 분석은 SPSS 24.0을 이용하여 t-test, ANOVA 및 Scheffe 사후검정, Pearson correlation coefficients 산출 및 다중회귀분석을 실시하였다. 연구결과는 도덕성, 봉사업무의 적절성, 봉사기간, 적극성이 지속의지에 의미 있는 영향을 미치는 것으로 나타났다. 간호대학생의 지속적인 봉사를 위해 전공과 연계되고 자율적이며 적극적으로 참여할 수 있는 봉사프로그램을 마련할 것을 제언한다.