• Title/Summary/Keyword: comprehensive

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Autoimmune encephalitis and epilepsy: evolving definition and clinical spectrum

  • Seo, Joo Hee;Lee, Yun-Jin;Lee, Ki Hyeong;Gireesh, Elakkat;Skinner, Holly;Westerveld, Michael
    • Clinical and Experimental Pediatrics
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    • v.63 no.8
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    • pp.291-300
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    • 2020
  • Advances in autoimmune encephalitis studies in the past 10 years have led to the identification of new syndromes and biomarkers that have transformed the diagnostic approach to the disorder. The disorder or syndrome has been linked to a wide variety of pathologic processes associated with the neuron-specific autoantibodies targeting intracellular and plasma membrane antigens. However, current criteria for autoimmune encephalitis are quite dependent on antibody testing and responses to immunotherapy, which might delay the diagnosis. This form of encephalitis can involve the multifaceted presentation of seizures and unexpected behavioral changes. The spectrum of neuropsychiatric symptoms in children is less definitive than that in adults, and the incorporation of clinical, immunological, electrophysiological, and neuroradiological results is critical to the diagnostic approach. In this review, we document the clinical and immunologic characteristics of autoimmune encephalitis known to date, with the goal of helping clinicians in differential diagnosis and to provide prompt and effective treatment.

Performance Analysis on Income Generation Works in Comprehensive Rural Village Development Project by Their Implementation (농촌마을종합개발사업의 공동소득사업 성과분석)

  • Yang, Won-Sik;Choi, Soo-Myung
    • Journal of Korean Society of Rural Planning
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    • v.19 no.1
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    • pp.55-70
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    • 2013
  • Since 2004, Ministry for Food, Agriculture, Forestry and Fisheries(MIFAFF) has been carrying out comprehensive rural village development project as the core one of Rural Area Development Schemes in Korea. Up to now, 56 projects had been completed after having with 5-year plan implementation period, on which it is possible to try post-project evaluation works. This study aims to propose a rational income-generation works model of comprehensive rural village development project, based on fulfillment checking results of their statutory stepwise working procedures specified in the project guidelines and their interim/post project performance analysis results in 56 project areas above mentioned. In comprehensive rural village development project, income-generation works generally have both quantitative and qualitative effects to rural communities; the former is focussed on income increasement of villagers, while the latter on community revitalization through job creation and spill-over effects of other linked community activities. So, the research works of this study focussed on these two comprehensive effects above mentioned.

Comparison of OECD Nations through a Comprehensive Evaluation Index for Low-Carbon Green Growth

  • Yoo, Eui Sun;Park, Sung Hyun;Lee, Min Hyung
    • STI Policy Review
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    • v.1 no.2
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    • pp.51-68
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    • 2010
  • This paper compares OECD nations by developing a comprehensive evaluation index that examines the efforts and achievements of countries toward Low-Carbon Green Growth. The input-process-output of a Low-Carbon Society system is in dynamic competition with that of a High-Carbon Society system. The model used in this study of the comprehensive evaluation index for Low-Carbon Green Growth was comprised of Large indices such as Input, Process, and Output. The Input and Output consisted of 'Social-economic' and 'Physical-ecological' Middle indices while the Process was made up of 'Stimulation mechanisms' and 'Participation of stakeholders and Knowledge flow' Middle indices. In order to calculate the comprehensive evaluation index, our model gave a weight to each indicator/index and applied a weighted arithmetic mean. Korea ranked $15^{th}$ out of 30 OECD nations in the comprehensive evaluation that analyzed Input ($14^{th}$), Process ($18^{th}$), and Output ($17^{th}$). The top five nations were Switzerland, Sweden, Denmark, Germany, and France; while Japan was $8^{th}$ and the USA $26^{th}$.

The First Comprehensive Plan of National Health Insurance (제1차 국민건강보험 종합계획)

  • Park, Eun-Cheol
    • Health Policy and Management
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    • v.29 no.2
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    • pp.99-104
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    • 2019
  • On May 1, 2019, the Minister of Health and Welfare announced publicly the first Comprehensive Plan of National Health Insurance (NHI). The Comprehensive Plan which is the 5-year plan including expenditure and revenue aspect of NHI, is desirable in 42 years of introduction of NHI and 30 years of universal coverage of NHI, though the Plan was late and had some conflict process. The Comprehensive Plan was established without evaluation of Moon's Care Plan, did not included to relationship with NHI and other health security systems, and did not have the blue print of NHI. The Plan was not sufficient in content of adequate health care utilization and relationship with service benefit and cash benefit. The Comprehensive Plan should be modified in considering the blue print of NHI and national healthcare system with participating stakeholder in turbulent environment-low fertility, rapid ageing, low economic growth rate, era of non-communicable diseases, unification of the Korean Peninsula, and 4th industrial revolution. Therefore, I suggest to establish the President's Committee of Improving Healthcare System for the blue print of health care and NHI.

Comparison of Nurses's Fatigue, Sleep Quality and Interpersonal Relationship Stress between Comprehensive Nursing Care Service Wards and General Wards (간호·간병통합서비스병동과 일반병동 간호사의 피로, 수면의 질, 대인관계 스트레스 비교)

  • Choi, Jung;Kweon, Yoorim
    • Journal of Korean Public Health Nursing
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    • v.32 no.3
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    • pp.438-450
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    • 2018
  • Purpose: The purpose of this study was to compare the differences in fatigue, sleep quality and interpersonal relationship stress levels between nurses in comprehensive nursing care wards and in general wards. Methods: Data were collected using self-reported structured questionnaire from 14 August to 17 September 2018. The participants were 220 nurses from 6 hospitals in Seoul and Gyeonggi-do. The data were analyzed using the IBM SPSS 23.0 program, descriptive statistics, t-test, ${\chi}^2-test$, Fisher's exact test, and Pearson's correlation coefficient. Results: The subjects' fatigue, sleep quality, and interpersonal relationship stress were not significantly different between the comprehensive nursing care services wards and the general wards. The interpersonal stress with a superior was statistically higher among general wards than comprehensive nursing care services wards. The relationship stress between patient and caregiver was higher in comprehensive nursing care services wards than in general wards. Conclusion: A follow-up study is needed to develop a strategic method to reduce interpersonal stress in nurses.

Perceptions of patient-centered care and patient-centeredness experiences of patients and nurses in comprehensive nursing care units at general hospitals (종합병원 간호간병통합서비스 병동 입원 환자와 간호사의 환자중심간호에 대한 인식과 환자중심성 경험)

  • Bae, Sung-Heui;Lee, Inyoung;Kim, Jeonghyun;Oh, Seugn Jin;Shin, Sujin
    • Korea Journal of Hospital Management
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    • v.24 no.3
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    • pp.48-60
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    • 2019
  • Purposes: This study aimed to compare the perception between nurses and patients about comprehensive care services and to evaluate patient-centeredness experiences at comprehensive nursing care units. Methodology: We enrolled 267 nurses and 184 patients from comprehensive nursing care units of seven general hospitals. We performed data collection and analysis using structured questionnaires and SPSS/PC 23.0 program, respectively, with frequency, percentage, mean, standard deviation, and ${\chi}^2$. test. Findings: We observed a significant difference in perception about comprehensive nursing care services between nurses and patients(p < .001). While the patient-centeredness experience score was the highest in the nursing service, it was the lowest in patient right assurance. Regarding patients' right assurance, "easy-to-express complaints" and "opportunity to participate in decision making" exhibited the lowest score. Practical Implication: This study suggests that it is imperative to assess the above-mentioned problems comprehensively to enhance patient centeredness at comprehensive nursing care units.

Comparison of Expectation-Perception between Patient and Nurse on Nursing Care Service in Comprehensive Nursing Care Wards (간호간병통합서비스 병동의 간호서비스에 대한 환자-간호사 인식도 비교)

  • Yoon, Ho Soon;Lim, Ji Young;Kang, Min Jin
    • The Journal of the Korea Contents Association
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    • v.17 no.3
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    • pp.507-522
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    • 2017
  • The aim of this study was to compare perception between patient and nurse on comprehensive nursing care service using SERVQUAL model. To accomplish this goal, the 5 gaps of expectation-perception on comprehensive nursing care service was analyzed. The subjects were 192 nurses and 321 patients who admitted in comprehensive nursing care service wards. As results, patient's satisfaction was higher than patient's expectation and also nurse's performance. Therefore, we found that comprehensive nursing care service would contribute to perform holistic nursing care services in the future. To develop comprehensive nursing care service system sustainably, it needs continuous measurement of patient's expectation and satisfaction using conceptual model of this study.

Study on the Effect of the Rural Development Projects on the Quality of Life for Residents in Rural Areas (일반농산어촌개발사업이 농촌 지역주민 삶의 질에 미치는 영향)

  • Park, Jun-Gyu;Kim, Min-Su;Kim, Yeong-Ha
    • Journal of Korean Society of Rural Planning
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    • v.23 no.4
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    • pp.75-90
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    • 2017
  • The study was intended to identify the effect of the rural development projects (comprehensive improvement of the seats of Eup and Myeon and regional unit comprehensive development projects) on the quality of life in rural areas against local residents living in areas subject to those projects by means of structural equation modeling based on covariance structure analysis. The result indicated that perception factors affecting the quality of life for residents in rural areas by the projects included 'improvement in spatial environment', 'increase in vitality of rural areas', and 'promotion of community activities.' It was also suggested that 'improvement in spatial environment' and 'increase in vitality of rural areas' have significantly positive effect on the quality of life for residents in rural areas while the former has relatively higher correlation. In comparison between comprehensive improvement of the seats of Eup and Myeon and regional unit comprehensive development projects, it was analyzed that all the perception factors of the comprehensive improvement of the seats of Eup and Myeon have effect on the quality of life for residents in rural areas indicating that comprehensive improvement of the seats of Eup and Myeon is more effective than regional unit comprehensive development projects in promoting the community activities. It means that existing rural development projects have been promoted to improve spatial environment rather than improving the quality of life for residents in rural areas. Thus, it is considered that the rural development projects in future should seek for a sense of community so that they can induce voluntary participation by local residents.

A Study about Compassion Fatigue, Compassion Satisfaction and Burnout in Comprehensive Nursing Care and General Ward Nurses (간호·간병통합서비스 병동과 일반병동 간호사의 공감피로, 공감만족, 소진 비교)

  • Lee, Young Mi;Lee, Hyun Hee;Jung, Jin Hee;Yang, Jin Kee;Lee, Ji Eun;Kim, Sun Kyung
    • Journal of Korean Clinical Nursing Research
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    • v.24 no.2
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    • pp.188-196
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    • 2018
  • Purpose: The purpose of this study was to compare the differences in compassion fatigue, compassion satisfaction and burnout between nurses working at comprehensive nursing care unit and general ward. Methods: The subjects were 35 nurses in general ward and 42 nurses in the Comprehensive Nursing Care unit in one hospital. Measurement instrument included the Stamm's professional quality of life (ProQOL) version 5-Korean. Descriptive statistics, t-test, paired t-test, ANCOVA, and Pearson correlation were used to analyze the data. Results: Nurses working at the Comprehensive nursing care unit demonstrated significantly lower compassion fatigue (F=17.00, p<.001), higher compassion satisfaction (F=14.39, p<.001), and lower levels of burnout (F=40.07, p<.001) than control group. Conclusion: Compassion fatigue and burnout were lower and compassion satisfaction was higher among nurses working at comprehensive nursing unit than general ward. In order to improve quality of the comprehensive nursing care services, there is a need to be concerned with the nurse's compassion fatigue, compassion satisfaction, and burnout.

A Study on the Optimal Accessibility and Location of the Comprehensive Support Institution for Senior Citizens (노인중심 종합지원기관의 적정 접근성 및 입지에 관한 연구)

  • Kim, Mi-ran;Lee, Kyung Hoon
    • Journal of the Architectural Institute of Korea Planning & Design
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    • v.36 no.3
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    • pp.21-30
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    • 2020
  • This study explores institutions that provide comprehensive services to senior citizens, including welfare, healthcare, and housing support. These institutions can be defined as centers that offer continual care and carry out policies related to senior citizens. In such institutions, senior citizens have access to information about aging and senior services. First, this study reviewed prior research on senior comprehensive support institutions and their accessibility, and the data led to several findings about the needs of the senior citizens and the proper locations of senior comprehensive support institutions. And this study used surveys to gather information on senior citizens' perceptions of services at such institutions. The survey results indicated that the elderly agreed with the priorities of comprehensive support institutions, and that it would be more convenient to visit such institutions if there were more than one per Dong (administrative district of Seoul). In response to these results, the ideal radius of each administrative district in the metropolitan area of Korea was investigated. Finally, the study also discussed the adequacy of this distance in comparison to that of current institutions in Japan. Combining these results, the study concludes that comprehensive support institutions for the citizens should be created and suggests appropriate distances and locations of such institutions.