• 제목/요약/키워드: family-state system

검색결과 162건 처리시간 0.028초

Meta-synthesis Exploring Barriers to Health Seeking Behaviour among Malaysian Breast Cancer Patients

  • Yu, Foo Qing;Murugiah, Muthu Kumar;Khan, Amer Hayat;Mehmood, Tahir
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권1호
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    • pp.145-152
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    • 2015
  • Barriers to health seeking constitute a challenging issue in the treatment of breast cancer. The current meta-synthesis aimed to explore common barriers to health seeking among Malaysian breast cancer patients. From the systematic search, nine studies were found meeting the inclusion criteria. Data extraction revealed that health behavior towards breast cancer among Malaysia women was influenced by knowledge, psychological, sociocultural and medical system factors. In terms of knowledge, most of the Malaysian patients were observed to have cursory information and the reliance on the information provided by media was limiting. Among psychological factors, stress and sense of denial were some of the common factors leading to delay in treatment seeking. Family member's advice, cultural beliefs towards traditional care were some of the common sociocultural factors hindering immediate access to advanced medical diagnosis and care. Lastly, the delay in referral was one of the most common health system-related problems highlighted in most of the studies. In conclusion, there is an immediate need to improve the knowledge and understanding of Malaysian women towards breast cancer. Mass media should liaise with the cancer specialists to disseminate accurate and up-to-date information for the readers and audience, helping in modification of cultural beliefs that hinder timing health seeking. However, such intervention will not improve or rectify the health system related barriers to treatment seeking. Therefore, there is an immediate need for resource adjustment and training programs among health professional to improve their competency and professionalism required to develop an efficient health system.

생태체계적 관점에서의 유아, 아동, 청소년의 또래관계 예측 요인: 다층메타분석 (Predictors for Peer Relationships among Children and Adolescents in the Ecological System Perspective: A Multilevel Meta-Analysis)

  • 최윤희;김빛나;김영희
    • Human Ecology Research
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    • 제61권2호
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    • pp.263-280
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    • 2023
  • This study examined four ecological systems, namely individual, family, school, and media environments. A series of moderator analyses were conducted to examine variations in effect size estimates across the study characteristics. The current study estimated that the effect size results were gleaned from 360 primary studies, including 90 journal articles and 270 thesis/dissertations, published between 2011 and 2022. The current meta-analysis results supported the ecological framework. That is, the impact of each ecological system on the development of positive and negative peer relationships varies depending on age groups and protective-risk factors. Specifically, for positive peer relationships, the largest effect size of the protective factor was found at the individual level for young and school- aged children, but at the school level for adolescents. Regarding the risk factors for positive peer relationships, the media was the ecological system with the strongest effect size for both young children and adolescents, while the individual-level demonstrating the strongest effect for school-aged children. Results from this meta-analysis allow us to identify some vital intervention areas in terms of healthy peer-relationship development, which should be of considerable interest to the educators and policymakers who are responsible for assessing and intervening with at-risk young children, school-aged children, and adolescents. From a practical standpoint, the current meta-analysis results are expected to contribute to developing effective prevention initiatives by targeting specific protective and risk factors for peer relationship development on the ecological system level.

가정간호사 제도에 대한 인식 및 태도 조사연구 (A Study on the recognition and Attitude of Home Health Nursing System)

  • 이성자
    • 한국보건간호학회지
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    • 제12권1호
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    • pp.132-146
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    • 1998
  • This Study was attempted to provide the basic data necessary in the development and introduction of Home Health Nursing System by investigating the recognition and attitude level of Home Health Nursing System. The data were collected by means of questionaires presented to 74 patients who had been admitted in C general hospital in Chon Ju, from June 30, 1997. As the tool for this study, the questionares developed by Kim Yong. Soon, et al (1990) and Han Bok Hee(1993) were modified and supplemented for the aim of this study. The computer was used for data analysis. The items about the charateristics of the subjects and the attitude to the management plan of Home Health Nursing System were represented as the frequency and percentage. The standard deviation and calculation average were produced on the items related to definition, recognition, necessity, expected effect of the attitude of Home Health Nursing System and the items related to admission. The ANOVA test was .used according to the characteristics of variables to analyze the necessity and difference of Home Health Nursing System. The results of this study were as follows 1) The general characteristics of the subjects were as follows ; for sex, man, $58.1\%$ ; for age, 50-59 years, $29.7\%$ ; for the level of education, high school, $51.4\%$ ; $79.7\%$ of them were married; for the family forms, small family, $73.0\%$ ; and $68.9\%$ of them take the monthly income over 100 million won. 2) The characteristics related to admissions of the subjects were as follows ; for clinic, surgical department, $78.4\%$ ; addmission not more then 7days, $47.3\%$ ; for the operation-performance $71.6\%$ of them were experienced; for the admission route, via outpatients clinic, $54.1\%$ ; for waiting period to the admission day, 1-2 days, $71.6\%$. 3) The difficulties comming from the hospitalization were related mostly to the factor that they felt hospital life more inconvenient than home.(3.66) The reasons for the difficulties in the admission which was due to insufficient beds in the hospital was related to the concentration to the general hospital because of 'The Whole National Medical Insurance System'(4.05). 4) On the previous informations about the Home Health Nursing System, those who have heard of only the name were 42 $(56.8\%)$, and on the recognition of it, they thought that it is periodic treatment by the licenced nurses for the recovering pateints after early discharge(3.73). On the attitude about the necessity of Home Health Nursing System, they thought that it is necessary because of the increasing trend of a psychological disease by the change of environment and complexity of the social structure(4.24). On the expected effect of Home Health Nursing System, they answered that it is convinient for the family of the patient to take care of them(4.l8). 5) On the attitude to the management plan of the Home Health Nursing System, those who had intention to participate in the system in the case of systemic support were 42(56.8). In the visiting time, 'visit periodically' and 'visit when the patient needs' were $28(37.8\%)$ respectively. For the application of medical insurance, if possoble, they will use $(91.9\%)$; for the method of payment for the treatment, 'pay by the time required' was $23(31.1\%)$, for the subject of management, 'National public institute must operate' was $33(44.6\%)$. 6) The relationship between the general characteristics of the subjects and the necessity of Home Health Nursing System showed the notable difference in the age (F=3.508, P<0.05) and marrage state (F=5.402, P<.023).

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폐렴과 병발된 호흡기계의 내부 승저증(internal myiasis) 1례 (A Case of Internal Myiasis of the Repiratory System Associated with Pneumonia)

  • 최유진;임동미;나문준;양종명;이영하;이원영
    • Tuberculosis and Respiratory Diseases
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    • 제53권6호
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    • pp.650-655
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    • 2002
  • 저자들은 우리나라에서 처음으로 폐렴환자에서 병발된 호흡기계에 발생한 내부승저증 예를 경험하였기에 기생충학적 기술과 문헌 고찰과 함께 보고하는 바이다.

독수리(Aegypius monachus)의 월동생태 및 부상실태 조사 (Survey on the actual injured condition and wintery ecology of Black vulture(Aegypius monachus))

  • 김종택;박철민;김영준;박인철
    • 한국동물위생학회지
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    • 제30권3호
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    • pp.467-472
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    • 2007
  • Eurasian black vulture (Aegypius monachus) belongs to family Accipitridae and is a raptor preying small birds and mammals. It is a wintering bird residing from the mid of November to the late of March in Korea. Although Eurasian black vulture population wintering at Korea is gradually increased, the efficient rescue and treatment for injured Eurasian black vultures are still problematic, due to lack of basic data. Therefore, in this survey, to obtain basic resources for establishing more efficient rescue system, we surveyed the number of Eurasian black vultures wintering at Gangwon province, wintering ecology and injury state of Eurasian black vulture. Survey area was Togyo reservoir at Cheorwon, Seonan basin at Yangoo and Wolsong reservoir at Chuncheon from November 2004 to March 2005. From 12 rescued Eurasian black vultures, physical examination, total plasma protein (TPP) and packed cell volume (PCV) were measured. To survey injury state of Eurasian black vultures wintering at Gangwon province, we surveyed the cause, morbidity and mortality from 103 Eurasian black vultures, based on medical records from animal rescue teams. The number of eurasian black vultures were gradually increased from November, peaked at Feburary, then steeply decreased at March. Eurasian black vultures showed the most vigorous activity around 1 PM within a day. In physical examination, mean body weight was $9.6{\pm}1.22kg$, body length was $1130{\pm}45.4mm$. No statistically significant difference in body weight and length between male and female eurasian black vultures was observed. Mean PCV was $40.2{\pm}2.7%$, while mean TPP was $5.86{\pm}0.8mg/dl$. The most common cause of injury and mortality was intoxication, while that of morbidity was fatigue.

필터와 레죠네이터 응용을 위한 $La_3Ga_5SiO_{14}$ 의 결정화학 및 성장 (Crystal chemistry and growth of$La_3Ga_5SiO_{14}$ for the applications of filter and resonator)

  • 정일형;주경;심광보;오근호
    • 한국결정성장학회지
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    • 제9권1호
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    • pp.74-79
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    • 1999
  • Langasite($La_3Ga_5SiO_14$)는 acoustic 특성에서 quartz, $LiTaO_3$$LiNbO_3$에 비교되는 새로운 압전재료이다. 본 연구에서는 새로운 Langasite 계열의 물질을 공기 중에서 고상반응법에 의해 합성하였고, 합성공정에서의 주요 확산종 을 조사하였다. 이때 합성된 물질의 소결체를 제조하여 각각의 유전적 성질을 비교평가하였다. 또한, Langasite 단결정 을 자체제작한 Czochralski 시스댐을 사용하여 성장시키는데 성공하였고, 성장된 결정의 물성을 평가하였다

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Abstracted Meta-model for Effective Capabilities Portfolio Management (CPM)

  • Lee, Joongyoon;Yoon, Taehoon;Park, Youngwon
    • 시스템엔지니어링학술지
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    • 제7권1호
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    • pp.31-41
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    • 2011
  • The purpose of this paper is to provide an abstracted meta-model for executing Capabilities Portfolio Management (CPM) effectively based on DoDAF2.0. The purpose of developing an architecture is for beneficial use of it. A good set of architectural artifacts facilitates the manipulation and use of them in meeting its usage objectives well. Systems engineering methodologies evolve to accommodate or to deal with enterprise or SoS/FoS level problems. And DoD's Capabilities Portfolio Management (CPM) is a good example which demonstrates enterprise or SoS level problems. However, the complexity of the architecture framework makes it difficult to develop and use the architecture models and their associated artifacts. DoDAF states that it was established to guide the development of architectures and to satisfy the demands of a structured, repeatable method for evaluating alternatives which add value to decisions and management practices. One of the objectives of DoDAF2.0 is to define concepts and models usable in CPM which is one of DoD's six core processes. However, DoDAF and various guidelines state requirements for CPM rather than how to. This paper provides methodology for CPM which includes process and tailored meta-models based on DoDAF Meta Model (DM2).

다변수 비선형시스템의 noninteracting 되먹임 제어 (Noninteracting Feedbeck Control of Multivariable Nonlinear Systems)

  • 하인중;고명삼
    • 대한전기학회논문지
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    • 제36권7호
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    • pp.501-513
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    • 1987
  • 다변수 비선형시스텝의 각 출력을 독립적으로 제어하기 위한 방식에는 decoupling과 decomposition 두가지 방식이 있는데 기존 연구에서는 이 두 개념의 구별이 분명하지 않다. 본 논문에서는 보다 실용적인 decomposition 방식에 대한 여러 분제들을 고찰한다. decoupling과 decomposition 의 근본적 차이점을 분명히 하고 새 연구결과로서 decomposition 을 통하여 각 출력의 독립제어를 가능하게 하는 비선형 되먹임 제어법칙들을 모두 찾아낸다. 이들 비선형 되먹임 제어법칙들은 특수구조를 갖는 `표준분해시스템`을 통하여 간단하게 표시되어 질 수 있다. 본 연구의 중요성을 강조하기 위하여 한 간단한 예를 든다.

안산시 보육 시설의 급식 관리 실태 조사 (The Survey on the Foodservice Management System of the Child Care Centers in Ansan)

  • 이병순
    • 한국식품영양학회지
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    • 제19권4호
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    • pp.435-447
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    • 2006
  • This study was carried out to investigate foodservice management of child care centers in Ansan and to suggest the basic data for foodservice management improvement. A questionnaire survey of 48 child care centers in Ansan was undertaken. Child care centers were categorized large (children eve. 100) and small(children less than 100) by size and public and private by type. Survey questionnaires consisted of general background, employee, food inspection and storage, kitchen, cooking facilities, food distribution and hygiene utensils. The results of this study are summarized as follows: because 46.9% to 56.3% of the centers took a dietitian in employment, foodservices in most of centers were not managed by professionals. The average of employee were 0.77 persons in smalll centers and 1.65 persons in large centers. The average space of kitchen were 3.86 pyung in smalll center, 6.06 pyung (1 pyung=$3.3058m^2$) in large centers. According to the data analyzed from Food inspection and storage, kitchen, cooking facilities, food distribution and hygiene utensils, the results indicate that the foodservice management of child care centers were in a relatively poor state. The director in child care centers should recognize the importance of the sanitation management and pay more attention to food service facilities. To improve foodservice performance at child care centers, it is required fur the Ministry of Gender Equality and Family to develop both the kitchen facility model based on the general sanitation standards and guidelines for child care centers.

무의 농촌지역 여성노인의 건강관리 경험 (Elderly women's Health Care Experience at Doctorless Farm Willages)

  • 김영희;한영란
    • 여성건강간호학회지
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    • 제9권4호
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    • pp.467-478
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    • 2003
  • Purpose: This study investigated elderly women's health care at doctorless farm villages based on information-about the perception and management of their health. Method: Grounded theory method as mapped out by Strauss and Corbin-was used to record and transcribe open-ended interviews. The data from these interviews were analyzed. Result: We found 18 categories and 28 sub-categories. In data analysis, the core phenomenon was named "movement in pain". Causal condition as essential prerequisites were aging symptoms, bad state of health, comfortable life to live alone, longevity, deficiency of health care resources, and sub-categories of the phenomena revealed acceptance of discomfort, enduring pain, continuity of movability. Elderly women's health-related activities included enduring as it is, movement consciously, applying resources, difficult in using health medical institutions. Family support, economic level, disease condition, support system of community were influenced to their health-related activities. Consequently, the results indicated that they wanted to accept given life, expected easy death. held out remaining life. Conclusion: This study revealed that the most important factor of elderly women's health care was "movement in pain". On the basis of this study, we needed to develop diverse nursing implementation plans for maintaining and improving' movability without pain'.

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