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A Recognition for Community Based Rehabilitation by Public Health Center Physical Therapists in Kyoungki Province (경기도 보건소 물리치료사들의 지역사회심재활에 대한 인식)

  • Kim Chan-Mun;Jong Jae-Hoon
    • The Journal of Korean Physical Therapy
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    • v.10 no.1
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    • pp.75-80
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    • 1998
  • To survey the recognition of Community Based Rehabilitation (CBR) by Public Health Center(PHC) Physical Therapists in Kyoungki Province. This study analysed general characteristic of Physical Therapists and congnition, participation, education, problems and requireanents for CBR. The objects of this study were 37 therapists who work at 27 of 39 PHC in Kyoungki province and data was collected for 20days from Jan. 12 to 31. 1998 and the results computed from 32 responses. First, Female therapists outnumber males. The age category 30 to 35 old represneted $56.2\%$ of the total number studied. $59.4\%$ of therapists had worked more than 7 years and therapists usually$(46.9\%)$ worked from 6 month to 2 years at the PHC. Junior college graduates were $84.4\%$, and respondents with family responsibilirt were $65.6\%$. Second, Recently pain control has become the major requirment of patiants at PH$(53.1\%)$. If they offered expaneded services - a rehabilitation program $(53.1\%)$, home vistation $(31.3\%)$. when asked about a working guide book, nobody had one. Third, $68.7\%$ of therapists were aware of the present level of CBR, $40.9\%$ of them had gotten an information from educated colleagues, and $68.7\%$ of therapists were aware of the present level of CBR, $86.4\%$ of therapists felt responsible to provide rehabilitation Fourth, For CBR, $93.7\%$ had positive ideas in which they could participate. $73.3\%$ wished to composed a team of various rehabilitational specialists. $73.3\%$ wished for the meeting day to be flexible and $86.6\%$ desired to meet once or twice a week. Fifth, Almost all$(96.9\%)$ desired more educational opportunity about CBR. Example, once or twice a year$(56.2\%)$ and training period of 4-7 days $(43.7\%)$. They wanted to learn theory and practice together$(74.2\%)$ and $74.2\%$ wanted the mational multi-rehabilitation center as a educational managing organization. Sixth, The most important requirment for accomplishing CBR by physical therapists was job security and an adequate number of therapists$(84.4\%)$ Required number of physical therapists in the PHC was 3 $(43.7\%)$. The cooperative agency should be the district goverment organization $(56.2\%)$. Factors inhibiting the execution of CBR were lack of administrative support, physical therapists, and equipments for pain control and for therapeutic exercise.

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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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Case Study on the Evaluation of Transfer in Mechanical Engineering (기계공학과 현업적용도 평가에 관한 사례연구)

  • Park, Kyungsun;Park, Sunhee
    • Journal of Engineering Education Research
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    • v.16 no.6
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    • pp.45-51
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    • 2013
  • The purpose of this study is to explore the evaluation of transfer and elicit the implications regarding the improvement of educational curriculum, educational method, and educational environment. In order to do this, concepts of the transfer and related theories were explored. In terms of data collection method, the researchers conducted survey and semi-structured interview with 30 graduates who majored in Mechanical engineering by using the transfer tool developed by No and Park (2011). According to the result of the survey, a high average (4.27) between major subjects and one's current jobs was revealed. In addition to this, the participants' opportunity to apply what they learned from the college to transfer to their current job setting scored average of 4.10 and this score implies fairly high application of the transfer. In terms of the participants' extent to remember the liberal arts subjects, it scored average 2.90 which was fairly low. According to the survey about the curriculum, whether the major subjects as well as the liberal arts subjects were necessary for the transfer, the participants showed average score of 3.90. Concerning the item of whether the participants received lectures including practical problems, cases, or experiences in order to increase the transfer, the participants showed 2.63 which was fairly low. The followings are the results of the interview. First, regarding majors in educational curriculum, it was shown that educational curriculum were directly applied to the transfer. Especially, it was shown that involvement in the major-related activities and team projects played a positive role, thus, the involvement in such activities should be enforced. With respect to the improvements of the major, emphasizing the internship of the major-related subjects, courses centered on monitoring the latest programs and job recruiting trends, and information of professional engineers' tests were suggested for the improvements.

Oral Health Knowledge and Awareness of the Prevention Effects against Dental Caries among Childcare Teachers (보육교사의 구강보건지식수준과 치아우식증 예방인식도 조사)

  • Yoon, Hyun-Seo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.15 no.9
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    • pp.5668-5674
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    • 2014
  • This study examined the oral health knowledge of childcare teachers and their awareness of the prevention effects against dental caries. The subjects in this study were 433 childcare teachers in Seoul, Gyeonggi Province, Busan and South Gyeongsang Province, on whom a survey was conducted for five months, beginning in March, 2013. Hospitals (56.6%) were the most common route by which the childcare teachers acquired oral health knowledge. Regarding the distribution of the correct answers on oral health knowledge, every teacher gave the correct answer to the item "When a tooth comes out, it should be kept in milk and then be brought to a dental clinic," and the smallest number of them (35.1%) gave the correct answer to the item "When a tooth comes out, it should be washed with water." Concerning the level of oral health knowledge, the respondents, who worked in Busan and South Gyeongsang Province (p<0.001), who worked in childcare centers with more children (p<0.001), who were younger (p<0.001), and who were junior college graduates (p=0.002) had better oral health knowledge. In regard to the awareness of the prevention effects against dental caries, the respondents who were older (p<0.001) and who were married (p=0.002) were more aware of the prevention effects. According to position and career, teachers who were assistant principals (p=0.023) and had worked for 10 years or more (p=0.009) were more aware of the effects. Therefore, child care teachers should acquire accurate knowledge to improve the oral health of children, and regular training programs for age and education are needed.

A Study of the Comprehension and Preference of Consumers to Four Different Formats of Nutrition Label (영양표시 양식에 따른 소비자의 이해도와 선호도 조사연구)

  • 장순옥
    • Journal of Nutrition and Health
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    • v.30 no.6
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    • pp.679-689
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    • 1997
  • Nutrition label (NL) on the package of processed food provides consumers with a reliable and consistent source of information . It has been considered as a useful aid for food selection and a potent educational tool for nutrition in daily life. Since current nutrition labeling regulation in Korea does not define a format for presenting nutrition information a wide variety of NL format exists in the markers created by individual manufacturers. Development of standard NL format and its registration remain to be the work for the professionals and government officials. However the acceptance and evaluation of NL by the consumers is a very important and necessary process in the development of NL formats. In this study four different formats A, B, C, D were formulated based on currently circulating labels and new U.S.NL. Subjects used for evaluation of these formats were middle -aged highly educated housewives, who and the potential users of NL. Major parameters observed through the questionnare were their nutritional knowledge of RDA, ability of IC(Information Comparison) and CA (Comprehension and Application of informed nutrient contents), as well as their preference to the different formats. The results are summarized as follows. 1) Of the 178 subjects , 89.9% of the middleaged housewives were college graduates. Their nutrition knowledge of RDA were relatively satisfactory showing over 80% correlation on the basic concepts and unit while for numerical value less than 50% correct answer. 2) IC test scores were significantly different among the formats showing the highest values for format A and B which are presented as absolute value and % RDA, respectively. Format C presented as serving size(number of products) showed the lowest score. CA scores were also significantly different, though the increased load of information did not facilitate to increase the consumers comprehension. 3) RDA knowledge test scores and the scores of IA and CA were correlated in format A and D but not in format B and C suggesting % RDA presentation would be more acceptable to the less educated group. 4) For the preference in the aspects of easiness and time-saving format A was the best one then format D supporting the result of IC and CA test. The results of the present study indicate the most useful and preferred format is the simplest format presented as absolute value without RDA, . The secondly preferred format is the new NL format of the US with much information .

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The Assessment of Management Practices on Foodservice , Clinical Nutrition Service in Hospital Foodservice Operations (병원 급식소의 급식 및 임상영양 서비스 업무 실태 조사)

  • Hong, Wan-Su;Kim, Hye-Jin;Jang, Eun-Jae
    • Journal of the Korean Dietetic Association
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    • v.6 no.2
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    • pp.136-147
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    • 2000
  • The aim of this research was to examine the management practices related to foodservice.clinical nutrition service provided by hospital foodservice operations. A survey of 30 hospital food nutrition service departments was undertaken and detailed information was collected from each, including surveys of 176 dietitians and 30 foodservice managers. Statistical data analysis was completed using the SAS/win 6.11 package for descriptive analysis and t-test. The results of this study can be summarized as follows : Out of 30 hospitals, 73.3%(22) were directly operated and 26.7%(8) were under contract foodservice management. Licensed number of beds were 768.7, with an average length of 11.4 days. The general characteristics of the dietitians were that 49.4% were aged between 25-29, and 60.8% were ordinary dietitians. 76.7% had bachelor's degree, 15.9% with master's degree and 7.4% were college graduates. Most hospital dietitians had internship training and 35.2% took a training course of 6 to 12 months. The average space of kitchen was 452.52 $m^2$, with 133.63$m^2$ for modified diet space and 18.13$m^2$ for nutrition counselling room space. The total number of normal meals was 1,255.47, with 502.93 of modified meals. The average calorie of normal meals was 2,145.04kcal, with 91.9g of protein contained in normal meal. The total food waste was 351.40kg. An average monthly cost for disposing food waste was 745,171.67 won. 83.3% of the kitchens were on the 1st basement and only 66.7%(20) of 30 hospitals had its own nutrition counselling room. 80% used dishwashers and 66.7% had an exclusive elevator for delivering meals. 80.0% of hospitals used centralized delivery service. 90% had established an area for hygiene division, 70% used dry zone within the dishwashers for sterilization, 66.7% provided spoon and chopstick, and 100% used dish cover. As means of food waste treatment, most hospitals(56.7%) used animal feed by contracters, followed by means of collection by contracters(30%) and in-house high speed fermentation machines(13.3%). It was found that only 33.3% hospitals regularly checked temperatures of the meals given to patients. Total productivity index was 3.72(meals/hour) in average, with an average productivity index for normal diet of 5.41. Average productivity index for modified diet was 4.62. Productivity indices for patient meals and clinical nutrition were 5.01(meals/hour) and 1.12(cases/hour) respectively and hospitals under self-operated foodservice management received higher points on clinical nutrition productivity index(P<0.01) than hospitals under contract foodservice management.

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A Study on Health-Promoting Lifestyle and Its Affecting Factors of Hospital Nurses (일부 종합병원 간호사의 건강증진생활양식에 대한 실천정도와 영향요인에 관한 연구)

  • Park, Hyun Jeong;Kim, Hwa Jung
    • Korean Journal of Occupational Health Nursing
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    • v.9 no.2
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    • pp.94-109
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    • 2000
  • The chances of disease pattern increased the importance of Health-promoting Lifestyle and a large part of the Health-promoting Lifestyle is associated with individual's habit. Health-promoting Lifestyle among nurses is very important because nurses could be a role model of patients and possibly influence many patients. The purpose of this study was oat on1y to assess how hospital nurses practice their Health-promoting Lifestyle but also to identify those affecting determinants. The subjects were 392 nurses working at 3 different hospital in Seoul. These data were collected by self administered questionnaire from April 27 to May 20, 2000. This study examined Health-promoting Lifestyle using In Sook Park's model, individual characteristics. Behavior-specific Cognitions and Affect factors using Pender's model and tried to fine out their relationships. The instruments used in this study were Health-promoting Lifestyle Profile developed by In Sock Park(1995). Likert's four-point scale was used also in this research. The percentage, mean standard deviation, AVNOVA, Pearson's correlation coefficient and multiple regression in the SAS package were used to analyze the data. The results of this study were as follows; 1. 52.3% of sample were aged between 25 and 29, 67.1% were single, 55.6% were university graduates, 51.8% earned 1.5 to 2.0 million won, 57.9% slept for d to 8 hours, 74.5% stated they were healthy. 2. 32.7% of sample worked in surgical gird department, 82.4% worked in 3 shift, 26.3% have been working as nurses for 5 to 7 years. Average score of Perceived self-efficacy was 3.63, Perceived benefits of action was 3.25, Social support was 2.75, and Perceived barriers to action was 1.87 which was the lowest score. 3. The average score if the performance in Health-promoting Lifestyle variable was 2.45 which was lower than previous study. The sanitary life Was 3.18 which was the highest score, harmonious relationship 3.13, emotional support 2.90. The variable with the highest degree of performance was the sanitary life, whereas the one with the west degree was the health diet. 4. There were no significant difference in perceived benefits of action with individual's a character, but in Perceived bait his of action there were significant differences with age(p<.01), marital status(p<.05), housing(p<.05), and Perceived health status(p<.05). In Perceived self-efficacy, there were significant differences with educational level(p<05), sleeping hours(p<.05), and BMI(p<.05). In Social support here were significant difference with housing and sleeping hours.

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Development of Community Health Nursing Service Model: - Based on the Visiting Nurses Project in Seoul, Kyonggi, and Kang-won Area- (지역사회 간호 서비스 전달 체계 모형 개발 -가정방문서비스를 중심으로-)

  • Kim, Sung-Sil
    • Research in Community and Public Health Nursing
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    • v.12 no.2
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    • pp.361-374
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    • 2001
  • This study was done to identify a status of home visiting project as a community health nursing system, that was the organization. personal who have age, educational background, marital status, position, experience of the home visiting in the public sectors in part of Seoul. Kyonggi, Kang-won area, It was done to provide basis data for the development of effective visiting nurses project in the health sectors, where was Health Centers in urban and rural. Branch of Health Center in rural and Health posts. The question airs were distributed 352 public health workers who working place was 118 health workers in 12 health centers in Seoul. 56 public health workers among 39 health center and other public health sectors in Kyonggi and 178 public health workers among health center and health care sectors. Data collected from October to December. 2000. The analysis by SAS system with F test, percentage and frequency. The major result were as follows. The general characteristics of the respondent show that most of them were graduates from community college and RN-BS with broadcast that they had not completed CPHN course but only two health workers have trained for the visiting nurses project. As for their grade in the position, the most of health workers have seventh level and the other CHP were above sixth level in the health care post that in the government structure. This indicates that workers do not have great authority in decision making, the most period of works in the position was one and two years indicating that they change jobs frequently. On an average their clinical experience was 4.11 years which is ideal for the total service. As for preparation of staff for home visiting workers education on visiting nurses program have to receive short term or longer term training course for strong emphasis. The analysis showed that public health visiting workers responds about active job performance that based on an area, approach of acting by districts, education and position are shown statistically significant difference between acceptance of the visiting nursing job show the same as well as visiting nurses project. Special concerns for visiting Nursing care spread came to burden, many of activity carry out main solution is covered the health problem connective support system needs of quality and quantity which out health problem. As 71.1% of visiting health service held on the poor population was under the guardianship of the law, but people who health insurance wide application under law shown a tendency to increase gradually. The general characteristics of the patients showed 56.2% of female on average of age was 66.1 years old, they have health problem was the most of 47.6% of high blood pressure and stroke, the other and as a problem that economics, which is complex welfare with out health problem. Community health care service should be combined health and social work program. The form of delivery of visiting health care given the most guide and education with counselling and support. (33.6%) Among the six category of visiting care service shown statistically significant difference and next is fundamental care, remedy care with priority.

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A Study on the Convergence Determinants of Premium Bottled Water Purchase Demand (프리미엄 생수 수요에 대한 융합적 영향요인 분석)

  • Lee, Won-Ok;Kim, Soon-Jung
    • Journal of the Korea Convergence Society
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    • v.6 no.6
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    • pp.221-229
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    • 2015
  • This study aims to identify and analyze the main factors that determine the properties and buying behavior in the premium bottled select and analyze the degree of impact on the relevant variables are premium water demand. When applied to the truncated negative binomial model to derive the study results: The results of estimating the variables that affect the demand for premium mineral water are as follows. Premium bottled water demand of this group my purchases with a choice between buying behavior variables are significantly higher than the relative population. To also do a good ingredient water, it appeared to be on a statistically significant positive effect on the demand for the more groups you purchase a premium bottled water for the purpose of receiving special feeling, just buy purpose is called to drinking water does not significantly affect to be analyzed. Among demographic characteristics it showed that demand for premium bottled water purchases are significantly higher in women than in men, professional / clerical job, such as the military, college graduates were more consumer research as significant in comparison to the relative population. Taste and package design factors of premium bottled mineral water among the select attribute factors are having a significant positive impact on the purchasing demand, local conditions and cost factors have been estimated to be insignificant.

Determinants of employee's wage using hierarchical linear model (위계적 선형모형을 이용한 대졸 신규취업자 임금 결정요인 분석)

  • Park, Sungik;Cho, Jangsik
    • Journal of the Korean Data and Information Science Society
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    • v.26 no.1
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    • pp.65-75
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    • 2015
  • This paper analyzes the determinants of wage for the college and university graduates utilizing both individual-level and industry-level variables. We note that wage determination has multi-level structure in the sense that individual wage is influenced by individual-level variables (level-1) and industry-level (level-2) variables. Then, the assumption that individual wage is independent in the classical regression is violated. Therefore, this paper utilizes the hierarchical linear model (HLM). The major results are the followings. First, the multiple correspondence analysis including level-1 and 2 variables reveals that both level 1 and level 2 variables affects individual wages judging from the fact that the values of level 1 and level 2 variables differ across the different level of individual wage groups. Second, the decision tree analysis including level-1 and 2 variables shows that the most influential variable in wage determination is industry-level wage and the next is industry-level working hour, ages and sex in the decling order in. This suggests that the utilization of the HLM is appropriate since the characteristics of industry is important in determining the individual wage. Third, it is shown that the HLM model is the best compared to the other models which do not take level-1 and level-2 variables simultaneously into account.