• 보건행정학회지
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• 제29권2호
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• pp.172-183
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• 2019

Background: Falls are the most frequent adverse events reported in hospitals. The aim of this study was to investigate the incidence rate and characteristics of falls in patients who used comprehensive nursing care service in National Health Insurance Service Ilsan Hospital. Methods: Incidence rate of falls was investigated in patients using comprehensive nursing care service, from July 2013 to Jun 2017 and compared with those not using this service. The characteristics and risk factors for falls, and fall-related injuries were obtained. Results: Among the 62,445 patients who used the comprehensive nursing care service for 4 years, total of 672 falls were reported. The incidence rate of falls per 1,000 patients-day was 1.15. The percentage of fall-related injuries was 26.9% and that of major injury was 2.2%. Although the incidence rate of all falls was slightly higher in patients using comprehensive nursing care service than those not using this service, falls-related injuries were not correlated with the implementation of this service. Conclusion: The falls could be more frequently detected and reported in comprehensive nursing care service, but there was no difference in fall-related injuries.

• 한국병원경영학회지
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• 제25권4호
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• pp.76-93
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• 2020

Purpose: In this study, the general characteristics of subjects who spent more than a certain amount of cost for general medical examination at the general hospital health promotion center, and the characteristics of disease, family history, and lifestyle (smoking, alcohol, physical activity, oral care) significantly differed in cost expenditure. We intend to provide basic data for establishing an appropriate marketing strategy for comprehensive examination. Method: It was conducted for users who received comprehensive checkups at a health promotion center at a general hospital in Seoul. The research data collection period is for 979 people who performed comprehensive examinations from January 2019 to December 2020. In order to carry out a comprehensive examination, a questionnaire before the examination was distributed to the subjects who visited the hospital to prepare, and the investigation was conducted in a way that the subjects of the investigation directly filled in. Results: There was a significant influence on the difference in expenditure for comprehensive examination according to the gender, age, and type of health insurance of the subject. In addition, there were significant differences in expenditure according to the presence or absence of disease and the type of family history. Weight loss, smoking history, smoking period, smoking frequency, drinking history, and drinking frequency all had significant effects on cost expenditure. Also, strength training and oral treatment management showed a significant effect on the cost of comprehensive examination. The number of flossing and interdental brushing was also found to have a significant effect. According to the results of multiple regression analysis, disease history (t=2.683, p<.01) and mean smoking frequency (t=4.315, p<.001) appeared to have the most significant effect on expenditure statistically. In other words, when the subject has a history of disease and when the average number of smoking is large, it means that the comprehensive examination cost is remarkably large. Conclusion: By using these contents, hospitals can further refine the marketing of the examination center. In addition, a more convenient and specialized process should be used by patients by linking the general medical department and the examination center well. In terms of management of operating medical institutions, this can be expected to create patients and increase profits.

• 대한간호학회지
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• 제44권6호
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• pp.672-681
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• 2014

Purpose: The purpose of this study was to investigate the effects of using a Coaching Program on Comprehensive Lifestyle Modification with pregnant women who have gestational diabetes. Methods: The research design for this study was a non-equivalent control group quasi-experimental study. Pregnant women with gestational diabetes were recruited from D women's hospital located in Gyeonggi Province from April to October, 2013. Participants in this study were 34 for the control group and 34 for the experimental group. The experimental group participated in the Coaching Program on Comprehensive Lifestyle Modification. The program consisted of education, small group coaching and telephone coaching over 4weeks. Statistical analysis was performed using the SPSS 21.0 program. Results: There were significant improvements in self-care behavior, and decreases in depression, fasting blood sugar and $HbA_1C$ in the experimental group compared to the control group. However, no significant differences were found between the two groups for knowledge of gestational diabetes mellitus. Conclusion: The Coaching Program on Comprehensive Lifestyle Modification used in this study was found to be effective in improving self-care behavior and reducing depression, fasting blood sugar and $HbA_1C$, and is recommended for use in clinical practice as an effective nursing intervention for pregnant women with gestational diabetes.

• Asian Pacific Journal of Cancer Prevention
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• 제16권5호
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• pp.1965-1969
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• 2015

Cancer prevalance and incidence is increasing with aging of populations and age is a critical factor in decision-making for anti-cancer treatment. However it is believed that chronological age is not enough to guide management in elderly cancer patients. Multidisciplinary evaluation and comprehensive geriatric assessment has gained importance regarding the treatment selection especially for definitive anti-cancer therapy recently. We here aimed to analyse the effect of the comprehensive geriatric assessment parameters on radiotherapy toxicity and tolerability in a series of geriatric cancer patients in Turkey.

• 재활복지공학회논문지
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• 제2권1호
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• pp.1-4
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• 2009

In this paper, I will report the cases of children who are able to study at kindergarten or elementary school because they learned how to move by themselves using a moving aid before school age, and I will also discuss the development of a mobility device which allows severely disabled preschoolers to practice moving around by themselves safely and easily at home and institutions.

• International Journal of Aeronautical and Space Sciences
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• 제13권3호
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• pp.349-360
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• 2012

In this study, the accuracy of CSD (Comprehensive Structural Dynamics) analysis on the evaluation of blade aeroelastic responses and structural loads of HART(Higher harmonic Aeroacoustic Rotor Test) II baseline rotor is assessed using a comprehensive rotorcraft dynamics code, CAMRAD II, and a nonlinear flexible multi-body dynamics analysis code, DYMORE. Considering insufficient measurement data for HART II rotor, prescribed airloads computed by a three-dimensional compressible flow solver KFLOW are used to replace the lifting-line airloads and thereby enhance the prediction capability of the comprehensive analyses. The CSD results on blade elastic deflections using the prescribed airloads indicate more oscillatory behavior than those by lifting-line based approaches, but the wave pattern becomes improved by including artificial damping into the rotor system. It is demonstrated that the structural load predictions are improved significantly by the prescribed airloads approach against the measured data, as compared with an isolated CSD analysis.

• 한국보건간호학회지
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• 제30권2호
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• pp.247-258
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• 2016

Purpose: The purpose of this study was to evaluate the effects of a comprehensive exercise program for the prevention of urinary incontinence (UI), frailty, and depression, as well as the promotion of physical function in community-dwelling elderly female living alone. Methods: A nonequivalent control group pretest-posttest design was employed. The participants were 76 vulnerable elderly female with a mild-to-moderate urinary incontinence. The exercise group completed 12 weeks of a moderate intensity, comprehensive exercise program. Descriptive statistics, independent t-tests and ANCOVA were used for data analysis with SPSS. Results: Upon the completion of the 12-week exercise program, significant improvements for UI symptoms (p=.001), timed up and go (p<.001), frailty (p=.006), and depression (p<.001) were observed, but not for hand grip strength (p=.053). Conclusion: The findings of this study indicate that the 12-week comprehensive exercise program for the prevention of urinary incontinence had positive effects on improving UI symptoms, physical function, levels of frailty and depression in elderly women living alone. More prolonged exercise programs with other types of exercise should be developed for these vulnerable elderly women, and future studies are encouraged to confirm the effect of the comprehensive exercise program in other settings.

• 한국산학기술학회논문지
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• 제16권1호
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• pp.317-323
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• 2015

본 연구는 보건사회복지부에서 실시하고 있는 포괄간호서비스 병원 시범사업이 간호사의 간호업무성과, 직무만족 및 고객지향성에 미치는 영향을 조사하기 위해 시도되었다. 대상자는 연구자의 편의추출에 의하여 S시에 소재한 시범사업 병원에 근무하는 간호사를 표적 모집단으로 하였다(실험군 57명, 대조군 55명). 자료는 시범사업 시행 후 1개월과 6개월 시점에 조사하였으며, 수집된 자료는 SPSS win 18.0 프로그램을 이용하여 ${\chi}^2$ test, t-test, Kolmogorov-Smirnov test, 공변량분석으로 검정하였다. 연구결과 실험군이 대조군보다 간호업무성과, 직무만족 및 고객지향성에 있어서 더 높은 것으로 조사되었다. 이는 포괄간호서비스 병원 사업 구축을 위한 기초자료로 이용될 수 있을 것이다.

• 한국실내디자인학회논문집
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• 제24권1호
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• pp.197-206
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• 2015

The purpose of this study is to analyze characteristic interior spaces for TV news center studio. Based on eight channels including public and comprehensive programming broadcasting stations the method for this research is to make differentiate existing relevant literature by creating analysis items for interior spaces through various case studies as well as find out characteristics of spatial forms, colors, materials, decorations, and etc. The conclusions are as follows. Firstly, spatial form of desk and ceiling are similar shapes but floor and wall are different comparing with public and comprehensive programming broadcasting stations. Secondly, preferred color for floor and ceiling is black, for wall and desk are blue and gray. Thirdly, various materials are preferred between public and comprehensive programming broadcasting stations. Fourthly, Flat and elevated floors are preferred as well as space and logos of broadcasting station are preferred for background images as decoration elements. Lastly, Soffit ceiling, desk accommodating more than 4 people, spotlight for public broadcasting stations, and architectural lighting for comprehensive programming broadcasting stations are preferred.

• 대한기계학회논문집A
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• 제38권10호
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• pp.1179-1184
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• 2014

일반적으로 신뢰도 배분은 시스템 개발 초기단계에 시스템의 신뢰도 목표 값을 하위 모듈에 배분하기 위해 사용된다. 본 연구에서는 KTX 승강문 시스템의 목표 신뢰도를 하위 모듈에 배분하기 위해 Comprehensive 배분방법을 제시한다. Comprehensive 배분방법은 시스템의 신뢰도를 배분하기 위해 각 모듈에 대한 고장의 중요도, 작동시간 비율, 위험도, 복잡도, 고장률, 수리/정비성, 개발완성도, 사용환경 가혹도, 신뢰도 달성비용의 평가항목을 고려한다. 승강문 시스템의 목표 신뢰도를 만족하기 위해서 시스템을 구성하는 4 가지 모듈의 $B_{10}$ 수명을 제시한다.