• Title/Summary/Keyword: changes in the value of family

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The Net Promoter Score with Friends and Family Test applied to arthroscopic shoulder surgery

  • Jabbal Monu;Sharma Sunil
    • Clinics in Shoulder and Elbow
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    • v.26 no.1
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    • pp.20-24
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    • 2023
  • Background: The Friends and Family Test (FFT) developed by the UK National Health Service evaluates whether patients are satisfied with a service provided, where improvements are needed, and how likely patients are to recommend the intervention. Calculated from the FFT, the Net Promoter Score (NPS) creates a recommendation metric for treatment. The primary aim of this prospective study is to evaluate NPS for arthroscopic subacromial decompression (ASD) and rotator cuff repair (RCR). Secondary aims are to postoperatively evaluate 1-year changes in patients' Oxford Shoulder Scores (OSSs) in terms of the proportion of patients satisfied with their surgery and correlation with FFT. Methods: During a 2-year period, all patients undergoing ASD or RCR completed questionnaires prospectively. Collected preoperatively and postoperatively at 1 year. Results: NPSs were 31 for ASD (n=32) and 52 for RCR (n=39). OSSs increased by 4.3 and 6.9 for ASD and RCR, respectively (P<0.001). Overall, 75% of ASD and 77% of RCR patients were either "satisfied" or "very satisfied," respectively, with procedure outcomes. Scores from FFT had a positive correlation with improvement in OSS and satisfaction scores among patients undergoing arthroscopic shoulder surgeries (P<0.001). Conclusions: The current study shows positive NPS outcomes in patients with ASD and RCR. Scores from FFT correlate well with both satisfaction and OSS among patients. NPS can be an adjunct to traditional patient-reported outcome measures to provide global evaluation of patient experiences to aid in determining the clinical value of common procedures in shoulder orthopaedics. Level of evidence: III.

The Externality of an Unwelcomed Facility on the Nearby Multi-family Houses: A Case Study of Dangin-Ri Power Plant (기피시설이 인근 공동주택(연립, 다세대)에 미치는 외부효과 - 당인리 화력발전소를 사례로 -)

  • Kim, Chul-Joong;Song, Myung-Gyu
    • Journal of Environmental Impact Assessment
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    • v.20 no.5
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    • pp.729-745
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    • 2011
  • The purpose of this paper is to estimate the external diseconomies of an unwelcomed facility on the nearby houses. The facility and the area studied are Dangin-Ri power plant in Mapo-Gu, Seoul and the residential district surrounding it respectively. The nearby housing prices have been changed according to the time and circumstances of the public announcements about the reconstruction or removal plans of the plant. These price changes are regarded as the capitalized values of the external diseconomies due to the plant. This study is based on the hedonic price theory in order to estimate the diseconomies in monetary value. The tools for the estimation are four models of multiple regression with the transaction price as the dependant variable and various housing characteristics including the external effects of the plant as the independent variables. The sample analyzed is 833 house transactions for the past 5 years in the research area. The facts found are as follows; First, the most suitable functional form for the estimation is confirmed to be the linear model. Second, there are significant differences in influence on the housing values among the independent variables, that is, locational characteristics, physical features, and environmental changes with time. Third, the external diseconomy is estimated as \80,137,807 in case that the plant would be reconstructed in the underground of the present site, whereon a substitutional public park would be constructed and as \59,142,248 in case that the plant would move away.

Purification and Characterization of a Novel 21 kD Calcium Binding Protein from Dunaliella salina

  • Ko, Jae-Heung;Lee, Sun-Hi
    • Journal of Plant Biology
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    • v.39 no.3
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    • pp.173-177
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    • 1996
  • A novel calcium binding protein (CaBP) was purified to electrophoretic homogeneity from Dunaliella salina. In the course of purification experiment, this CaBP was identified as a monomer and its molecular weight was about 21 kDand isoelectric point (pI) value was about 4.1 using isoelectrofocusing. This CaBP was able to bind Ca2+ even in the pressence of an excess MgCl2 and KCI both in solution. In the SDS-PAGE, the Ca2+-bound form was slower than the Ca2+-free form in the nondenaturing PAGE. This means that the CaBP undergoes conformational change in the Ca2+-bound condition. Furthermore, UV absorption spectrum and fluorescence intensity of this CaBP was investigated. UV absorption peak was appeared at about 258 nm and decreased somewhat in Ca2+-bound condition. In the measurement of fluorescence, maximum intensity was appeared at 303 nm and decreased in Ca2+-bound state, similarly as UV absorption spectrum. These show distinct changes upon Ca2+-binding, which indicate of structural and/or dynamic changes largely reminiscent of other members of the EF-hand Ca2+-binding protein family.

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Overfishing and recent risk for collapse of fishery in coastal Mediterranean lagoon ecosystem (Karavasta lagoon, southeastern Adriatic sea)

  • Spase Shumka;Yukio Nagahama;Sarjmir Hoxha;Koji Asano
    • Fisheries and Aquatic Sciences
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    • v.26 no.4
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    • pp.294-303
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    • 2023
  • Beside that the fish species and their sub-populations are highly important as a keystone species in the coastal and marine ecosystem, there are very few studies on their presence, distribution and temporal variations within and around the lagoon ecosystems in Albania. This paper provides an updated review on the life cycle, fishery, exploitation state and management of the main species that are subject of commercial fishing in the Karavasta lagoon, southeastern Adriatic coast of Albania. Due to the fact that lagoons represent a continuum between continental and marine aquatic ecosystems they play a crucial role in species life cycles. Further on in the circumstances of rapid utilizations and environmental changes, anomalies in salinity and temperatures, accelerated anthropogenic influences their rate of vulnerability is highly increased. Following the requirements of the Water Framework Directive, transitional water, coastal lagoons and estuaries there is a need for urgent monitoring and management approaches. The commercial species include: European eel (Anguilla anguilla), species of Family Mugilidae (Mugil cephalus, Liza ramada, Liza salienes and Chelon labrosus), Seabream (Sparus aurata), Seabass (Dincentrarchus labrax), etc. Fish productivity is oscillating from maximum value of 61.95 kg/ha is recorded in period of 1975-80 and lower value of 31 kg/ha in year 2020. Our study highlights importance of fish and fishery long-term monitoring, and contributes to understand the driving factors in productivity, migration patterns and species ecology in the vital coastal ecosystems.

A Study of the Effects of Group Counseling Program for the Wives of Jobless Families - Focusing on Satir′s Growth Model - (실직 가족의 부인을 대상으로 한 집단상담 프로그램 효과 연구 - Satir 성장 모델을 중심으로 -)

  • 류경희
    • Journal of Families and Better Life
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    • v.22 no.5
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    • pp.211-236
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    • 2004
  • This study is designed to conducted group counseling programs applied to the wives of jobless families by Satir's growth model and to help them to recognize the value of themselves and families in their jobless situation and to possess desire and hope for the life of their families in the future. The researcher provided 7 wives of jobless families with group counseling at the family education room of a university from April to June, 2003. The group counseling program consisted of a total of 8 sessions, and each session lasted for three hours to four hours. The researcher came to have a in-depth understanding of the experiences of 5 subjects, who took part in more than 7 sessions in a total of 8 counseling sessions, in the group counseling to which Satir's growth model was applied and analyzed the effects of counseling changing the subjects. The researcher analyzed the following: viewing the subjects themselves and their spouses in a new way, rendezvous with the true self and its acceptance, objective insight into their families, learning how to communicate, and expecting hope through changes. All in all, the wives of jobless families were able to newly recognize the value of the existence of themselves and families and find desire and hope for the life of their families in the future through the group counseling program to which Satir's growth model was applied.

The Development of Value-Based Children's Financial Education Program and Evaluation of Effect : Focusing on the values of each area of personal finance of 1st to 3rd grade elementary school students (가치기반 아동금융교육 프로그램 개발 및 효과평가: 초등학교 1~3학년 아동의 개인재무관리 영역별 가치를 중심으로)

  • Kang, Nam Joo;Sohn, Sang-Hee
    • Human Ecology Research
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    • v.59 no.4
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    • pp.501-523
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    • 2021
  • In this study, a value-based children's financial education program was developed focusing on the values of each financial management area needed for children. According to 'quasi-experimental design - non-equivalent control group design', an experimental group and a control group were formed for children in the lower grades of elementary school, and a value-based child financial education program was executed, and then the program was applied to children's personal financial management. The effect on the value propensity for each area was evaluated. As a result of the quantitative evaluation, it was confirmed that the 8 values of the children in the experimental group were significantly improved compared to the children of the control group, so this program was effective in enhancing the values of each of the 8 areas of personal financial management needed for children. In addition, the children in the experimental group showed significant improvement compared to the children in the control group in the cognitive, justice, and psychodynamic levels of values. It has also been found to be effective in enhancing as a result of the qualitative evaluation, various positive changes were found in the cognitive, affective, and psycho-dynamic dimensions about the values of each financial management area for children. From a positive perspective, it was found that it plays a useful role in cultivating the values of each area of positive personal financial management.

A preliminary study for the evaluation of the effects of sex education program on college students (대학생의 성교육 효과측정을 위한 기초 연구)

  • Chang, Soon-Bok;Choi, Yun-Soon;Kang, Hee-Sun;Park, So-Mi
    • The Korean Nurse
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    • v.36 no.2
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    • pp.49-63
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    • 1997
  • This study was performed to provide preliminary data for the development of a useful instrument to measure the effect of sex education. The study was conducted with the voluntary participation of 155 college students enrolled in the course "Sexuality and Relationship" at Y university in Seoul. At the end of that course, they were asked to write freely about the change they had experienced on sexuality. All meaningful statements were elicited and classified into 7 categories; "Change of Knowledge", "Enlightenment", "Change of Attitude on Sexuality", "Buildup of Ability", "Buildup of. Identity", "Change of Emotion", "Change of Behavior:' There were significant changes in the areas of knowledge(28. 6%), enlightenment(27.4%), and attitudes(20.3%) about sexuality among these 7 categories. The Change of Knowledge category consists of 3 areas: "concretion of knowledge", "increase of information", and "correction of misunderstanding." In the category of Enlightenment, total 12 areas are included: "sex role", "erception of lack of knowledge", "importance of family", "life plan", "parent role", "value of life", "equality", "sexual autonomy", "importance of sexuality", "freedom of sexuality", "perception of sexual problem", and "meaning of love." The Attitude Change category consists of 8 areas. These are "being natural", "being progressive", "being sensitive", "being truthful", "being expressive", "being cautious", "being responsible", and "being confident". The category of Buildup of Ability includes 4 areas: "problem solving", "sex education", "relationship", and "communication". The category of Buildup of Identity includes "sexual identity", and "value of sexuality". The Emotional Change category includes 3 areas: "positive feeling", "negative feeling", and "breaking from negative feeling on sexuality". The Behavior Change category includes "sex-related behavioral change". In conclusion, up to now most researches on sex education effect measures only changes of knowledge, attitude, and behavior. But we believe the changes in "Enlightenment", "Buildup of Ability", "Buildup of Identity", "Change of Emotion", should be included in addition to knowledge, attitude, and behavior in the development of an instrument to measure the sex education effects. And the effect of sex education should measure the degree of learning of autonomy, enlightenment, and ability of behavior and so on rather than studying the simple changes in sexuality.enment", "Buildup of Ability", "Buildup of Identity", "Change of Emotion", should be included in addition to knowledge, attitude, and behavior in the development of an instrument to measure the sex education effects. And the effect of sex education should measure the degree of learning of autonomy, enlightenment, and ability of behavior and so on rather than studying the simple changes in sexuality.ng the simple changes in sexuality.

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Current State of the Childrearing Culture in Korean Families (가정생활 문화에 대한 의식과 실태: 한국인의 양육문화)

  • Chong, Young-Sook;Park, Young-Yae;Lee, Kyung-Hee
    • Korean Journal of Human Ecology
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    • v.7 no.1
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    • pp.39-51
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    • 1998
  • This study was carried out with the purpose of capturing current state of Korean family life culture related to childrearing. The Questionnaire developed for this study in order to delineate the values and perceptions related to general childrearing practices in present Korean families consisted of 73 items concerning prenatal care and child birth, child caring and rearing, and role division and value education. Subjects were mothers of young and primary school children currenly residing in Seoul area and Choongchung province of South Korea. Four hundred and four questionnaires were analyzed, and the summary of results were as follows. First, both the respect for children's individual needs concerning food, clothing, and health-related behaviors and the pursuit of convenience in everyday life on the part of mothers appeared to be important and valued by Korean mothers. Second, the basic values and traditional meanings of family events such as prenatal care, children's birthday, especiall the first one, and family rituals and gatherings still appeared to be exsiting and influential, but there seemed to have been some changes both in their formal aspects and detail contents. Third, meaningful differences in childrearing attitudes were found according to mother's place of growth, educational level, and her employment status. Finally, traditional distinction between sexes and sex-role division in childrearing seemed to have weakened to some extent, which was particularly among mothers with higher educational level or residing in big cities.

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The Development of the Marriage Enrichment Program for Middle-Aged Cuouples (중년기 부부관계 향상 프로그램 개발)

  • 송정아
    • Journal of Families and Better Life
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    • v.14 no.1
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    • pp.113-130
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    • 1996
  • This study is an evaluation research which examines the effectiveness of the Marriage Enrichment Program for Middle-Aged Couples(MEPM), This program focuses on the marital dyadic relationship as a family life education The MEPM was developed to strengthen the marital relationships and to improve the potential for individuals and couples. For the effectiveness of the study the author conducted previous survey research with a literature review. The Marriage Enrichment Program was delivered to eight middle-aged couples at Hotel Hilton in Kyung Joo on June 5-6 1995. Through statistical analysis the effectiveness of the MEPM was significant in the areas of couple communication problem solving ability sexual relationship accptance for the value differences and mutual respect. The study also found that changes in thinking is much slower than learning for the new skills and knowledge.

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Beyond the clinical walls: registered dietitian nutritionists providing medical nutrition therapy in the home setting

  • Hicks-Roof, Kristen;Xu, Jing;Fults, Amanda K.;Latortue, Krista Yoder
    • Nutrition Research and Practice
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    • v.15 no.6
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    • pp.789-797
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    • 2021
  • BACKGROUD/OBJECTIVES: Registered dietitian nutritionists (RDN) are providers of medical nutrition therapy (MNT) to address health and chronic disease. Traditionally, RDNs have provided care in healthcare facilities including hospitals and private care facilities. The purpose of this study was to determine how RDN individualized MNT in the home impacted nutrition, physical activity, and food security. SUBJECTS/METHODS: This is a secondary data analysis. The mean age of the participants (n = 1,007) was 51.6 years old with a mean body mass index (BMI) of 34.1 kg/m2. Individualized MNT visits were delivered by an RDN in the home setting from January to December 2019. Participants were referred by healthcare professionals or self-referred. Participants had MNT benefits covered by their health insurance plan (43.3% Medicaid; 39.8% private insurance; 7.9% Medicare, 9% other). Health outcomes related to nutrition care were measured. Outcomes included self-reported consumption of nutrition factors and physical activity. Our secondary outcome focused on food security. The changes in weight, BMI, physical activity, and nutrition factors were analyzed by a linear regression model or linear mixed model, adjusting for age, sex, baseline value, and number of appointments. Food security was summarized in a 2 by 2 contingency table. RESULTS: Baseline values had significantly negative impacts for all changes and number of appointments was significant in the changes for weight and BMI. Increases in physical activity were significant for both female and male participants, 10.4 and 12.6 minutes per day, respectively, while the changes in weight and BMI were not. Regarding dietary factors, the consumption total servings per day of vegetables (0.13) and water (3.35) significantly increased, while the consumption of total servings of whole grain (-0.27), fruit (-0.32), dairy (-0.80) and fish (-0.81) significantly decreased. About 24% (of overall population) and 45% (of Medicaid population) reported improvements in food security. CONCLUSIONS: This study found that home visits were a useful setting for MNT delivered by RDNs. There is a strong need for individualized counseling to meet the participants' needs and personal goals.