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Pastor's Expectations from Parish Nurses (목회자의 목회간호에 대한 역할기대)

  • Kim, Chung-Nam;Kwon, Young-Sook
    • Research in Community and Public Health Nursing
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    • v.7 no.1
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    • pp.154-169
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    • 1996
  • Parish nursing is a community health nursing role developed in 1983 by Lutheran chaplain Granger Westberg. An increasing emphasis on holistic care, personal reseponsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment and nurturance of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The autors conducted a study on pastor's expectations from parish nurses. Results of this study will be useful to those instrumental in planning, initiating, supporting, and evaluating a parish nurses program The research was done on 130 pastors in Taegue and Kyong Sang Buck Do, of various ages ranging from their 20's to 60's: and pastoring churches of various sizes, ranging from under 100 to over 300 members. 94.6% agreed that they needed a parish nurse on their staff; and 86.2% said they wanted to start a parish nurse program in their churches if certain basic conditions were met. The pastors responded that some would hire the nurses on a full-time basis(22.3%), a part -time basis (37.7%) or use volunteer nurses (40%). The pastors said they would expect the following from a parish nurse: health counselling (80.0%) regular health check-ups (78.5%) health care for the elderly (78.5%) health information and education (72.3%) hospice care (72.3%) visiting sick church members at home (69.2%) arranging and training volunteers to help the seek (59.2%) health care for expectant mothers (50.0%) introducing and taking people to health care facilities (46.2%) The pastors were surveyed about specific areas of health education they would want the parish nurse to teach(for example, high blood pressure and heart disease prevention and management(76.2%) ; stress management(74.6%); and diabetes prevention and management(73.8%). The pastors were surveyed about specific areas of health counselling they would expect the parish nurse to do (for example, drug abuse, (73.1), alcohol abuse(64.6%), marriage conflict(60.0%), recovery after the loss of a loved one(56.9%), and women's conflict with parents-in-law(53.8%). The pastors were surveyed about types of things they would want included in regular health check-ups, what they would want a parish nurse to do on home visits, and what they would want included in home care for the elderly. They were also surveyed on what kind of spiritual care they would like parish nurses to give. Most (90.7%) wanted their parish, parishioners to be involved in the parish nurses program as volunteers, and in a variety of ways(such as visiting sick in their homes(68.5%) and helping with housework(63.1%) and taking sick people to health facilities(60%). Parish nurses role, activities, and boundaries of practice should be continuously monitored and refined and a 'case manager' should be conceptualized as an additional or all-encompassing role. An initial parish / community needs and readiness assessment should be done prior to establishing a program to detemine if the congregation is ready, willing, and able to support such a position for at least a 2 to 3 year period.

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Development of an Ecological Model to Improve Health Care Management for Children in Child Care Centers (보육시설 아동의 건강관리향상을 위한 생태학적 모형 개발)

  • Park, Eun-Sook;Im, Yeo-Jin;Cho, Eun-Ji
    • Child Health Nursing Research
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    • v.19 no.1
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    • pp.59-68
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    • 2013
  • Purpose: This study was conducted to identify current health care management and barriers in health care management according to ecological systems, and to develop an ecological model for enhancing health care in child care centers. Methods: Focus group interviews were conducted with directors and teachers of child care centers, and with parents of children enrolled in child care. Data were analyzed by the latent content analysis method. Results: Twelve categories of health care management were identified. Barriers to child health care included knowledge deficit and lack of competence in health care by teachers, lack of useful health care manuals, non-existence of professional child health care personnel in child care centers, lack of mutual information sharing and disagreement on child health conditions between child care personnel and parents, lack of specific health related child care inspection criteria and time flexible child care centers with a lack of policy on collaboration with health care facilities. The ecological model developed included specific strategies to improve health care management in child care. Conclusion: The proposed ecological model to improve child health care management should be useful to plan future health care program considering both the immediate and indirect social environment surrounding children in child care.

Body Weight Changes and Lifestyle in Women within 1 year after Childbirth (여성의 출산 후 체중변화와 생활양식)

  • Chung, Chae Weon;Kim, Hyewon;Kim, Hyojung
    • Perspectives in Nursing Science
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    • v.13 no.2
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    • pp.88-95
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    • 2016
  • Purpose: Gestational weight gain and prepregnancy body weight are important factors of childbirth outcomes, which further cause obesity, metabolic diseases, or psychological problems later in women's lives. Changes in diet, westernized lifestyle, traditional postpartum care, and childbirth at older age are thought to be threats to proper weight management in Korean women of reproductive age. Public health and antenatal care need to focus on the proper body weight management of women by carefully planning pregnancy to postpartum periods. Purpose: This study explored the body weight changes from pregnancy to postpartum and the related characteristics in women within 12 months after childbirth. Methods: A cross-sectional, retrospective study was conducted with 102 Korean women within 12 months after childbirth. Data were collected using an online survey system, and a structured questionnaire available for electronic self-administration was modified to include demographics, obstetrical history, and body weight at 6 time points. The International Physical Activity Questionnaire and Eating Habit Measurement instruments were also used in data collection. A professional survey agency recruited the participants, and data were automatically saved and then analyzed. Results: The average age of the participants was 33.8 years, 48% were housewives and were well-educated. Seventy-two percent of the participants were primiparas and 82% had breastfed their babies. The body mass index (BMI) ranged from 17.3 to 27.8, indicating that 21.5% of the participants were overweight or obese. The mean gestational weight gain was 11.8 kg, and weight loss was apparent during the first 3 months postpartum. The mean decline in weight was 3.4 kg at one year after childbirth. Women wanted to lose 5.6 kg (range: 3~20 kg), however 44% of them reported that they had not engaged in any weight control efforts. Further, 72% of them reported having engaged in a low level of physical activity. Body weight was not associated with women's characteristics, physical activity score, and diet. Conclusion: Women's awareness of gestational weight gain, lifestyle modification, and the risk of prolonged weight retention should be promoted through the antenatal and women's healthcare systems. As pregnancy and childbirth are critical events that affect women's health, integrative education to ensure healthy transition to life after delivery is required.

Customized Diet Information System (맞춤형 다이어트 정보 시스템)

  • Kang, Tae-Sung;Eom, Min-Doo;Nam, Ki-Sun;Park, So-Young
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.14 no.2
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    • pp.430-436
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    • 2010
  • Since a 'Well-being' theme had become an issue in 90's, everyone now care about their health more than ever. Besides, IT has been developed so tremendously that we have various ways to collect up-to-dated information through the internet. There are so many web sites that contain information about health and diet. However, the menus of these web sites are not simplified and the content is too large, so the information we see in those web sites may not be accurate. Also, some information is out-of-dated. In this paper, we propose a web site called 'Calory&Diet' that provides customized information on diet. The characteristics of the web site are as following: First, the menu is so simple that users can easily find information they want. Second, it only provides necessary customized information. Lastly, it uses an open application that helps users always get the latest information without DB updates. With its user friendly menu and feedback information, the proposed web site can be a good advisor for people who want to be healthy. 100 offers the user survey results than existing systems, simple system to 2%, 3% from a custom-related topics, the latest related topics were 3% higher on 5 point scale.

Batching delivery for VCR-like functions in video-on-demand service system (주문형 비디오 서비스 시스템에서 VCR 기능을 위한 Batching 전송)

  • 박호균;유황빈
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.22 no.12
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    • pp.2852-2859
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    • 1997
  • Video-On-Demand system provides electronic video rental services from remote video servers on a broadband communication networks. Most of proposed VOD systems are typically designed for one-to-one conncetion between a user and video server. Therefore, video server stream services to customers individually by allocating a dedicated transmission channel and a set of video server resources for each customer. However, it is inefficiency and wxpensive way when server support multiple users who access the same video stream with a dedicated video channel. Therefore, to achieve cost-effectiveness, batching have studied method that uses multicast communication to simultaneously service all users requesting the same video with a single video with a single video stream. However, the application of the multicast communication by batching detract from the VCR-like function and on-demand nature of the system. In this paepr, we propose a scheme that can support an interactive VCR for all user requesting the same video stream with batching. To reduce a server I/O and network bandwidth requirement, dynamic buffer is allocated to access node which has variable playout poit. Consequently, it makes possible interactive VCR operation as if customer uses true VOD system. Also, this scheme can just deliver a multicast stream without delay after an initial request or VCR action occurred. The policy can guarantee acceptable services to number of users at minimum cost.

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A Study on Rhetorical Expression of Public Information Design -Focus on Information Design Case for Seoul Public Transportation- (공공정보디자인의 수사학적 표현에 관한 연구 - 서울시 대중교통 정보디자인 사례를 중심으로 -)

  • Yang, Seung-Ju
    • Archives of design research
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    • v.18 no.3 s.61
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    • pp.95-104
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    • 2005
  • Although the volume and complexity of available information have increased, our ability to process such volume of complex information has not been met with corresponding development. Information designers have been given the responsibility to address such unbalanced progress by developing effective visual systems to deliver and communicate such information to the masses in a manner that is quick and easy to process and understand. This study originated in recognition of these issues. This study seeks to find a solution to these issues in rhetorics in order to proliferate visual communications in recognition of the increasing importance of information and visual communication. Rhetorics, a field of study with a long history of analyzing the delivery of communication, provides numerous possibilities for the re-establishment of importance placed on visual information communication. Included in this study are (i) a thorough analysis of the principals of expression and logic offered by rhetorics, as applicable to information design (ii) a proposal to the solution to the above-mentioned issues encompassing the rhetoric process and methods of expression of information design and (iii) the practical application of these design principals to social activities. In order to provide an example of the practical use of the rhetoric methodology Presented in this study, we applied the rhetoric methodology to the 'Information Design for Public Transportation of Seoul.' and developed a new map and a guidebook. The raw data necessary for the foregoing were obtained through the analysis of the information designs that are currently in use in connection with mass transportation in Seoul and the survey evaluation conducted among Seoul residents. We modulated the infrastructure of Seoul by using 48 TAZs, computed the routes that are most likely to be used, and proposed the predictable information analysis process. The design proposed on this study encompasses color coding and use of combined information, and application of style and sequential information analysis process.

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An Efficient Secure Routing Protocol Based on Token Escrow Tree for Wireless Ad Hoc Networks (무선 애드 혹 네트워크에서 보안성을 고려한 Token Escrow 트리 기반의 효율적인 라우팅 프로토콜)

  • Lee, Jae Sik;Kim, Sung Chun
    • KIPS Transactions on Computer and Communication Systems
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    • v.2 no.4
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    • pp.155-162
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    • 2013
  • Routing protocol in ad hoc mobile networking has been an active research area in recent years. However, the environments of ad hoc network tend to have vulnerable points from attacks, because ad hoc mobile network is a kind of wireless network without centralized authentication or fixed network infrastructure such as base stations. Also, existing routing protocols that are effective in a wired network become inapplicable in ad hoc mobile networks. To address these issues, several secure routing protocols have been proposed: SAODV and SRPTES. Even though our protocols are intensified security of networks than existing protocols, they can not deal fluidly with frequent changing of wireless environment. Moreover, demerits in energy efficiency are detected because they concentrated only safety routing. In this paper, we propose an energy efficient secure routing protocol for various ad hoc mobile environment. First of all, we provide that the nodes distribute security information to reliable nodes for secure routing. The nodes constitute tree-structured with around nodes for token escrow, this action will protect invasion of malicious node through hiding security information. Next, we propose multi-path routing based security level for protection from dropping attack of malicious node, then networks will prevent data from unexpected packet loss. As a result, this algorithm enhances packet delivery ratio in network environment which has some malicious nodes, and a life time of entire network is extended through consuming energy evenly.

Supporting RSVP for IP Multicast over ATM Networks with MARS Architecture based on MCS (MCS 기반 MARS를 사용하는 ATM 망에서의 IP 멀티캐스트를 위한 RSVP 지원 방안)

  • Choe, Jeong-Hyeon;Lee, Mi-Jeong
    • Journal of KIISE:Computer Systems and Theory
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    • v.26 no.7
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    • pp.813-826
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    • 1999
  • 실시간 멀티미디어 응용의 등장으로 멀티캐스트와 QoS(Quality of Service) 지원이 필수적인 망 서비스로 부각되고 있다. 이에, ATM 기반의 인터넷에서 IP 멀티캐스트의 효율적인 처리를 위하여 MARS(Multicast Address Resolution Server)가 제안되었고, 기존의 최선 서비스 기반의 인터넷에서 QoS(Quality of Service)를 지원하기 위하여 RSVP(Resource Reservation Protocol)가 제안되었다. 본 논문에서는 ATM 망에서 QoS가 지원되는 IP 멀티캐스트 서비스를 제공하기 위하여 MARS 구조에서 RSVP를 지원하는 두 가지 방안을 제안하고, 시뮬레이션을 통하여 그 성능을 분석하였다. 제안하는 두 가지 방법은 각각 'RSVP 전 홉 노드 방식'과 'MARS 서버 방식'이라 명명하였다. RSVP 전 홉 노드 방식은 송신원으로부터 ATM 망으로 진입하는 노드와 수신원을 향하여 ATM 망을 진출하는 노드 간에 각각 일대일 양방향 VC를 설정하여 멀티캐스트 그룹에 속하는 수신원들이 보내는 자원 예약 메시지를 ATM 망에서 전송하는 방안이다. MARS 서버 방식은 ATM 망을 진출하는 노드와 MARS 서버간에 MARS 제어 메시지 교환을 위해 존재하는 ATM VC를 사용하여 RSVP의 자원 예약 메시지를 전송하고, MARS 서버가 RSVP 자원 예약 메시지를 처리하도록 그 기능을 확장함으로써 ATM 망에서 필요로 하는 제어 VC 수를 절약할 수 있는 방안이다. 시뮬레이션을 통하여, MARS 서버 방식은 ATM 제어 VC의 수를 절약할 수 있을 뿐 아니라 경우에 따라 RSVP 자원 예약 메시지 전달 지연을 줄일 수도 있음을 볼 수 있었다. 그러나, MARS 클러스터 내에 동시에 존재하는 RSVP 흐름이 많을 때에는 MARS 서버 방식의 경우 MARS 서버에서의 병목 현상으로 인해 성능이 저하될 수 있다.Abstract Emerging real time multimedia applications require multicast service with a QoS(Quality of Service) support. An overlay service architecture MARS(Multicast Address Resolution Server) is proposed to support IP multicast over an ATM network, and a resource reservation protocol RSVP is proposed to provide QoS support in the Internet which is originally based upon best effort service only. In this paper, we propose two schemes to support IP multicast service with QoS support over ATM networks: 'RSVP Previous Hop Node(RPHN) scheme' and 'MARS server based scheme'. In RPHN scheme, the RSVP reservation messages are transported via one-to-one ATM control VC from the egress nodes to the ingress nodes of the the multicast flow set up between each pair of nodes. The RSVP message processing occurs at the ingress nodes of the multicast flow. Whereas, in the MARS server based scheme, the RSVP reservation messages are transported via the MARS control VCs between the egress nodes and the MARS server. The RSVP message processing burden is imposed at MARS server in this scheme. For MARS server based scheme, no additional ATM VC is required for RSVP reservation message transmission, while the processing burden at the MARS server is high. Simulation results show that the MARS server based scheme, may accomplish RSVP reservation message delivery with smaller delay as well as saving of the number of ATM VCs. When the number of simultaneous RSVP flows in the MARS cluster is large, however, MARS based scheme may suffer performance degradation since MARS server becomes a performance bottleneck.

A Study on Causes of Franchisee's Conflict in Distribution Channel of small and middle sized Franchise Industry (중소형 프랜차이즈 유통시스템에서 가맹점의 갈등에 관한 질적 연구 - 토대이론 접근법을 활용하여-)

  • Jeon, Ta-sik
    • Journal of Distribution Science
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    • v.4 no.2
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    • pp.21-40
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    • 2006
  • Small and middle sized Franchise system channels experience conflicts because of constant interaction between franchiser and franchisee. However, it is rarely that attempt has been made to identify causes of conflicts in distribution of franchise industry. The purpose of this study was to explore cause of conflicts from the franchisee. For the study, data were collected from the owner or the shop-manager with a contractor in franchise systems. By means of in-depth interviews with multiple informants, their statement was analyzed qualitatively. From analysis of the resulting data, the causes of conflicts were associated with two broad sets, attitudinal and structural differences between franchisers and franchisees. First, attitudinal sources of conflict were identified as perception of subordinated relationships between channel members, delayed announcement on order changes, difficulties in communication by doing irresponsible behavior, different expectations between channel members in market territory and lack of consistent-supporting. Second, structural sources of conflict involved unilateral decision on interior, payment method, unreasonable delivery issue, treat franchisee with discrimination by the sales, in controlling against free management. There are limitations on generalization due to the results based on interview, but this study will be a useful exploratory step before designing a large scale survey.

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Optimization Model for the Mixing Ratio of Coatings Based on the Design of Experiments Using Big Data Analysis (빅데이터 분석을 활용한 실험계획법 기반의 코팅제 배합비율 최적화 모형)

  • Noh, Seong Yeo;Kim, Young-Jin
    • KIPS Transactions on Computer and Communication Systems
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    • v.3 no.10
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    • pp.383-392
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    • 2014
  • The research for coatings is one of the most popular and active research in the polymer industry. For the coatings, electronics industry, medical and optical fields are growing more important. In particular, the trend is the increasing of the technical requirements for the performance and accuracy of the coatings by the development of automotive and electronic parts. In addition, the industry has a need of more intelligent and automated system in the industry is increasing by introduction of the IoT and big data analysis based on the environmental information and the context information. In this paper, we propose an optimization model for the design of experiments based coating formulation data objects using the Internet technologies and big data analytics. In this paper, the coating formulation was calculated based on the best data analysis is based on the experimental design, modify the operator with respect to the error caused based on the coating formulation used in the actual production site data and the corrected result data. Further optimization model to correct the reference value by leveraging big data analysis and Internet of things technology only existing coating formulation is applied as the reference data using a manufacturing environment and context information retrieval in color and quality, the most important factor in maintaining and was derived. Based on data obtained from an experiment and analysis is improving the accuracy of the combination data and making it possible to give a LOT shorter working hours per data. Also the data shortens the production time due to the reduction in the delivery time per treatment and It can contribute to cost reduction or the like defect rate reduced. Further, it is possible to obtain a standard data in the manufacturing process for the various models.