• 재활복지
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• v.21 no.1
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• pp.233-252
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• 2017

The purpose of this study is to investigate the influence on respiration, oral motor and articulation using wind-instrument centered music therapy for patients with cervical cord injury who need continuous train of respiratory muscle. Three patients with cervical cord injury who needed continuous training of respiratory muscle were selected and post data was analyzed. The harmonica using both exhalation and inspiration was selected as an wind-instrument. Each session was taken 30 ~ 40 minutes, once a week from total 6 weeks with small group. Material about every session's work was provided for individual to maintain practice after program. Oral motor and articulation test was done to assess reflecting features of maximal expiratory flow and wind-instrument of factor related breath. Maximal expiratory flow has increased by average 25ml more, articulation has increased by 3.16 points more and the movement of oral motor has increased 11.67 points more than pre-test from the analyzation. In the comparison of the details, the increase of oral motor function was confirmed from scores on the jaw and tongue except for the lips. Based on the results of this study, this study suggests that wind-instrument centered music therapy will be a practical and effective intervention for respiratory rehabilitation in patients with cervical cord injury.

• Korean Journal of Family Social Work
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• no.57
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• pp.217-253
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• 2017

This study examines the process of developing and managing parent participation education programs, its performance, and its factor of deriving performance targeted on multi-cultural parents with children in early elementary school. Particularly, opinions of multi-cultural parents were considered and every process of developing and managing the program in this study was reflected. The analysed results were largely divided into three upper categories, which were 'growing as parents', 'forming new multi-culturalism', 'creating support system', and eight sub-categories. In addition, the factors that led to the positive achievement of program were appeared as 'development of active education program', 'organization and operation of parent inclusive program', 'utilization of flexible group structure', 'implementation of close interaction and communication between the members of the development team and the management team'. Based on the following results, we propose development and management process for effective multi-cultural parent education program.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.3
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• pp.438-446
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• 2019

This study examined the effects of non - personality behavior of supervisors on the job exhaustion and organizational effectiveness of nurses. A survey in the form of a questionnaire was completed by 250 nurses working at three general hospitals located in Seoul and Gyeonggi from September 20 to October 31, 2014. The collected data were analyzed by frequency analysis, factor analysis, correlation, and linear regression analysis using the SPSS program. The results of the analysis were as follows. First, the effects of the non-personality behavior of supervisors on the job exhaustion of nurses were statistically significant. Second, the effects of non-personality behavior of supervisors on the organizational effectiveness of nurses were statistically significant in job satisfaction, organizational commitment, and organizational citizenship behavior. Third, the effects of job exhaustion on organizational effectiveness of nurses was statistically significant for job satisfaction, job exhaustion, and organizational citizenship behavior. Because the non-personality behavior of a supervisor can have a negative effect on the exhaustion of a nurse's job and the organizational effectiveness, there should be a wide range of human resources and effective task allocations in a hospital to reduce job burnout and increase job satisfaction. In addition, it is necessary for the boss to develop desirable leadership education, appropriate modeling, and reduce their negative influence in the workplace.

• Journal of Hospice and Palliative Care
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• v.21 no.4
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• pp.137-143
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• 2018

Purpose: The purpose of this study was to investigate the family composition of terminally ill cancer patients admitted to the hospice unit and how it affects their hospice care. Methods: We retrospectively analyzed the medical records of terminal cancer patients who died in one hospice unit between January 2009 and March 2014. The demographic and clinical characteristics of the patients were examined, and any different made by their marital status was evaluated. We calculated the time interval between cancer diagnosis and hospice admission and the survival period from hospice admission to death and analyzed their association with family composition. Results: When divided by the median time of 13 months between diagnosis and admission, Group B (>13 months) had a significantly higher proportion of patients living with their spouses; (P<0.01). The main decision maker was a spouse (52.9%) in Group B; (P=0.04). Conclusion: Among the characteristics of the family composition, the presence of spouse was an important factor associated with admission to a hospice unit. Clinicians need to be aware of the impact of marital status on end-of-life care. This study indicates that it is helpful to understand family composition of terminallyill cancer patients for an effective palliative and hospice care.

• Informatization Policy
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• v.25 no.4
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• pp.65-83
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• 2018

This study examined the effects of smartphone usage types and excessive expectation for smartphone on adolescents' smartphone overdependence. It utilized the data of 3,454 adolescents (1,758 males and 1,696 females), aged between 13 and 19 from a smartphone overdependence survey of the National Information Society Agency. As a result of the hierarchical multiple regression analysis, age and household income had a negative effect on smartphone overdependence. Weekly smartphone usage time positively affected the serious consequences (sub-factor of smartphone overdependence). Among the different types of smartphone usage, information seeking, SNS, gaming, and the excessive expectation for smartphones had positive impact on smartphone overdependence. Smartphone usage for leisure seeking did not affect smartphone overdependence, but it negatively influenced serious consequences. Messenger use did not affect smartphone overdependence, but the use had a positive effect on salience, and a negative effect on serious consequences. The results of this study suggest that it is necessary to identify the types of smartphone use as well as the usage time to understand the smartphone dependence of adolescents. In addition, it seems necessary to recognize and correct the irrational excessive expectation for smartphone in order to prevent dependence and implement effective interventions.

• Journal of the Korean Association of Geographic Information Studies
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• v.21 no.4
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• pp.158-174
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• 2018

The leaf area index (LAI) is a major factor explaining the photosynthesis of vegetation, evapotranspiration, and energy exchange between the earth surface and atmosphere, and there have been studies on accurate and applicable LAI estimation methods. This study aimed to investigate the relationship between the actual LAI data, UAV image-based vegetation index, canopy height and satellite image (Sentinel-2) LAI and to present an effective LAI estimation method using UAV. As a result, among the six vegetation indices in this study, NDRE ($R^2=0.496$) and CIRE ($R^2=0.443$), which contained red-edge band, showed a high correlation. The application of the canopy height model data to the vegetation index improved the explanatory power of the LAI. In addition, in the case of NDVI, the saturation problem caused by the linear relationship with LAI was addressed. In this study, it was possible to estimate high resolution LAI using UAV images. It is expected that the applicability of such data will be improved if calibration and correction steps are carried out for various vegetation and seasonal images.

• Journal of agricultural medicine and community health
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• v.44 no.1
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• pp.1-10
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• 2019

Objectives: This study aimed to assess the status of Scrub typhus, Leptospirosis and HFRS(hemorrhagic fever with renal syndrome) among farmers with febrile illness. Methods: We involved a total of 841 farmers who had febrile illness(508 and 333 village residents were, respectively, three and four district of Gyeongju city) selected during autumn of 2014 and 2015. Data were collected by survey questionnaires and blood sample examination. Results: Serum response rate for Scrub typhus and Leptospirosis was 1.5% each and 1.9% for HFRS. Serum response rate for Scrub typhus was significantly higher for tick-bite cases(38.5%), while Leptospirosis was significantly higher for those who were in fruit-planting work(23.1%). Similarly, serum response rate was significantly higher for HFRS who were working in venyl green house work(25.0%). Conclusions: Government authority should develop effective and efficient preventive strategies to create awareness of infectious diseases among farmers. Extending information, education and communication be reached to farmers that could change their perception and help early diagnosis and treatment and reduce the disease burden and its complication.

• Health Policy and Management
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• v.29 no.2
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• pp.195-205
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• 2019

Background: The food and food service influence the quality of life and the general health condition of older persons living in long-term care (LTC) facilities. Purchasing good food materials is a ground of good food service. In Korea, the residents in LTC facilities should pay for the cost of food materials and ingredients out of their pocket because it is not covered by LTC insurance. This study explored what factors affect the cost of food materials paid by LTC facility residents and which factor affects most. Methods: We used data from the study on out-of-pocket payment on national LTC insurance, which surveyed 1,552 family caregivers of older residents in LTC facilities. We applied conditional multi-level model, of which the first level represents the characteristics of care receivers and caregivers and its second level reflects those of LTC facilities. Results: We found that the facility residents with college-graduated family caregivers paid 11,545 Korean won more than those with less than elementary-graduated ones. However, the income level of family caregivers did not significantly affect the amount of the food material cost of the residents. The residents in privately owned, large, metropolitan-located facilities were likely to pay more than those in other types of facilities. The amount of the food material cost of the residents was mainly decided by the facility level factors rather than the characteristics of care recipients and their family caregivers (intra-class correlation=82%). Conclusion: These findings suggest that it might be effective to design a policy targeting facilities rather than residents in order to manage the cost of food materials of residents in LTC facilities. Setting a standard price for food materials in LTC facilities, like Japan, could be suggested as a feasible policy option. It needs to inform the choice of LTC users by providing comparable food material cost information. The staffing requirement of nutritionist also needs to be reviewed.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.20 no.9
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• pp.372-381
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• 2019

In this study, the National Disaster Management System (NDMS) was analyzed to evaluate the disaster impact assessment standards for steep slopes. Problems in the assessment methods and systems were discovered, which could be reasons for poor reliability. The disaster-risk evaluation index needs improvement to evaluate various types of retaining walls, such as concrete/reinforced soil walls and reinforcing stone masonry. Additionally, using the same score for overturning, bulging, and efflorescence could be reasons for poor reliability, and different weighting factors are needed. Assessment methods are needed to subdivide the social influence evaluation index while considering environmental conditions of steep slopes, such as railroads and reservoirs. For the evaluation of steep slopes, standards for start and end points of steep slopes should be created for effective management, and disaster impact assessment needs to be performed after redevelopment from an advanced index for protection and reinforcement. These problems were derived from a current evaluation system, so a disaster impact assessment is necessary to supplement the results of this study.

• Clean Technology
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• v.25 no.3
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• pp.198-205
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• 2019

The adsorption equilibrium, kinetic, and thermodynamic parameters of brilliant green adsorbed by coconut based granular activated carbon were determined from various initial concentrations ($300{\sim}500mg\;L^{-1}$), contact time (1 ~ 12 h), and adsorption temperature (303 ~ 323 K) through batch experiments. The equilibrium adsorption data were analyzed by Langmuir, Freundlich, Temkin, Harkins-Jura, and Elovich isotherm models. The estimated Langmuir dimensionless separation factor ($R_L=0.018{\sim}0.040$) and Freundlich constant ($n^{-1}=0.176{\sim}0.206$) show that adsorption of brilliant green by activated carbon is an effective treatment process. Adsorption heat constants ($B=12.43{\sim}17.15J\;mol^{-1}$) estimated by the Temkin equation corresponded to physical adsorption. The isothermal parameter ($A_{HJ}$) by the Harkins-Jura equation showed that the heterogeneous pore distribution increased with increasing temperature. The maximum adsorption capacity by the Elovich equation was found to be much smaller than the experimental value. The adsorption process was best described by the pseudo second order model, and intraparticle diffusion was a rate limiting step in the adsorption process. The intraparticle diffusion rate constant increased because the dye activity increased with increases in the initial concentration. Also, as the initial concentration increased, the influence of the boundary layer also increased. Negative Gibbs free energy ($-10.3{\sim}-11.4kJ\;mol^{-1}$), positive enthalpy change ($18.63kJ\;mol^{-1}$), and activation energy ($26.28kJ\;mol^{-1}$) indicate respectively that the adsorption process is spontaneous, endothermic, and physical adsorption.