• 제목/요약/키워드: follow-up service

검색결과 431건 처리시간 0.031초

미혼 여성의 산부인과 방문 경험 개선 연구 - 서비스 디자인 방법론을 활용하여 (A Study on Improving Experience of Visiting Obstetrics and Gynecology of Single Women - Using Service Design Methodology)

  • 김예빈;전우정
    • 한국멀티미디어학회논문지
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    • 제24권12호
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    • pp.1693-1707
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    • 2021
  • The purpose of this study was to improve the experience of visiting obstetrics and gynecology of single women. After analyzing previous studies on Korean single women's perception of visiting obstetrics and gynecology, Contextual Interviews and Cultural Probes were conducted on single women in their 20s who visited obstetrics and gynecology. Based on this, personas were constructed to solidify the direction of problem solving by identifying the behavioral patterns and characteristics of single women. In this study, factors that hinder unmarried women's visits to obstetrics and gynecology and improvement measures were derived based on the information obtained using service design tools such as User Journey Mapping and Stakeholders' Map. Afterwards, a preference survey was conducted to increase the persuasiveness of the proposed method. The follow-up research task is to produce and propose the derived solution as a prototype that can be used in the actual field, and then proceed with user evaluation.

연 축전지 사업장의 질환 요주의자 및 유소견자의 사후관리 실태 연구 (Follow-up Management State of Lead Battery Workers in Periodic Health Examination)

  • 리갑수;황보영;김용배;김화성;함정오;이성수;안규동;이병국;허정
    • Journal of Preventive Medicine and Public Health
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    • 제29권4호
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    • pp.733-746
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    • 1996
  • 연 업종별 보건관리 대행기관에 의해 근로자의 보건 관리를 하고 있는 5개 연 축전지 회사의 전체 근로자들 중 1995년에 일반 건강진단 및 특수 건강진단을 동시에 시행한 전체 1,919명의 근로자 중에서 C(건강관리 상 계속 관찰이 필요한자)와 D(유소견자)의 판정을 받은 365명의 근로자들을 대상으로 하여 이들 중 퇴직자 35명, 조사 기간중 출장, 휴직 및 야간 근무자 8명, 그리고 조사에 응하지 않은 근로자 29명 등 총 72명을 제외한 293명을 대상으로 설문 및 1995년도 일반 및 특수 건강진단 결과표를 통하여 건강진단 결과에 따른 사후관리 조치실태 및 관련 요인들을 조사하였다. 결과를 요약하면 다음과 같다. 1. 요주의자 이상근로자의 86%가 건강진단결과표를 받았으나 이에 대한 교육설명이 제대로 이루어지지 않았고, 자신의 건강진단 결과를 잘 알고 있지 못하였다. 2. 사후관리 조치가 있었던 근로자는 23%로 낮았으며, 사후관리조치의 내용은 단순한 추적관찰이 가장 많았다. 3. 조사대상 근로자들은 현재의 건강진단은 필요하지만 형식적이라고 하였다. 4.사후관리 조치의 유무를 피설명변수로 한 로지스틱 회귀분석에서 유의한 설명 변수는 건강진단 결과에 대한 설명의 유무뿐이었다.

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한우 송아지의 소바이러스성 설사바이러스 지속감염률 조사 (Prevalence for persistent infection with bovine viral diarrhea virus in Korean native calves)

  • 배유찬;김하영;박중원;윤순식;우계형;이오수;강문일
    • 대한수의학회지
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    • 제47권2호
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    • pp.163-167
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    • 2007
  • Bovine viral diarrhea (BVD) is very important disease in cattle industry with a worldwide distribution. Detection and elimination of persistently infected calves with bovine viral diarrhea virus (BVDV) was valuable strategy for BVD eradication because those calves were main source for transmission. We surveyed persistent infection with BVDV by reverse transcription polymerase chain reaction (RT-PCR) and immunohistochemistry (IHC) using whole blood and skin. Five hundred thirty nine Korean native calves were tested. Four calves (0.7%) were positive for BVDV antigen for both tests. Those calves remained positive for follow-up by RT-PCR and IHC. Therefore they were identified as persistently infected with BVDV. We confirmed that immunohistochemistry using skin biopsy samples was very useful tool to detect persistently infected calves with BVDV. As far as we know, this would be first report on persistent infection with BVDV in Korea.

유치원 현장과 연계한 유아수학교육 수업을 통한 예비유아교사의 지식 및 인식 변화 탐색 (Exploring Changes of Pre-Service Teachers' Knowledge in Early Childhood Education through a Field-Based Math Lesson)

  • 김정주;서현아
    • 한국지역사회생활과학회지
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    • 제22권4호
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    • pp.519-533
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    • 2011
  • The objective of this study was to follow up changes in knowledge related to the mathematics education field work of preliminary early childhood teachers. The subjects of this research were 28 students who were taking mathematics education courses in early childhood education departments at various universities. This research ran for 15 weeks and was conducted through field work relating to mathematics education. The study collected data from pre-service teachers' knowledge, the diagram of concept, writing journals, interviews, and materials from the internet. Through this procedure, pre-service teachers' knowledge for mathematics education could later be expanded, ordered, and integrated. In addition, pre-service teachers not only understood the importance of contents and levels of lesson plans, but also learned how to utilize educational media to make effective lessons. Furthermore, pre-service teachers realized that the mathematical concepts of students could be expanded depending on the contents and methods of pre-service teachers' lesson plans and students could then apply these concepts into daily situations.

초등예비교사의 수학수업에서의 학습과제의 인지적 수준 분석 (An analysis on the level of cognitive demands of mathematical tasks set up by pre-service elementary school teachers)

  • 권성룡
    • 한국수학교육학회지시리즈C:초등수학교육
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    • 제18권2호
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    • pp.61-75
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    • 2015
  • 본 연구는 초등예비교사가 수학수업에서 활용한 과제의 특성을 살펴보았다. 이를 위해서 G교육대학교 3학년에 재학중인 2개반 학생들 중 4주간의 교육실습에서 수학수업을 배정받아 수업을 한 학생들 중 자신의 수업동영상, 수업계획서, 동영상 전사자료를 제출한 50명의 학생들을 연구대상으로 선정하였다. 수집된 자료를 바탕으로 예비교사가 수학수업시간에 활용한 과제의 출처, 과제의 수정여부, 수정방법, 과제의 인지적 요구 수준을 분석하였다.

Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction: A Retrospective Study of Functional Outcome and Results

  • Chung, Soo Tai;Warner, Jon J.P.
    • Clinics in Shoulder and Elbow
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    • 제18권4호
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    • pp.229-236
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    • 2015
  • Background: Twenty-six patients (12 male and 14 female) with symptomatic scapular winging caused by serratus anterior dysfunction were managed by split pectoralis major tendon transfer (sternal head) with autogenous hamstring tendon augmentation from 1998 to 2006. Methods: Twenty-five patients showed positive results upon long thoracic nerve palsy on electromyography. The mean duration of symptoms until surgery was 48 months (range, 12-120 months). Four patients had non-traumatic etiologies and 22 patients had traumatic etiologies. On follow-up assessment for functional improvement, a Constant-Murley score was used. Twenty-one patients were completely evaluated, while five patients who had less than 12 months of follow-up were excluded. Results: Pain relief was achieved in 19 of the 21 patients, with 20 patients showing functional improvement. The pain scores improved from 6.0 preoperatively to 1.8 postoperatively. The mean active forward elevation improved from $108^{\circ}$ (range, $20^{\circ}-165^{\circ}$) preoperatively to $151^{\circ}$ (range, $125^{\circ}-170^{\circ}$) postoperatively. The mean Constant-Murley score improved from 57.7 (range, 21-86) preoperatively to 86.9 (range, 42-98) postoperatively. A recurrence developed in one patient. Of the 21 patients, ten had excellent results, six had good results, four had fair results, and one had poor results. Conclusions: Most patients with severe symptomatic scapular winging showed functional improvement and pain relief with resolution of scapular winging.

Dynamic Stabilization of the Scapula for Serratus Anterior Dysfunction

  • 정수태
    • 대한견주관절학회:학술대회논문집
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    • 대한견주관절학회 2008년도 제16차 학술대회
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    • pp.53-53
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    • 2008
  • Twenty-six patients (12 male and 14 female) with symptomatic scapular winging caused by serratus anterior dysfunction were managed with split pectoralis major tendon transfer (sternal head) with autogenous hamstring tendon augmentation from 1998 to 2006. Twenty-five patients had positive results for long thoracic nerve palsy on electromyography. The mean duration of symptoms until surgery was 48 months (range 12~120 months). Four patients had non-traumatic etiologies and twenty-two patients had traumatic etiologies. At the final follow-up assessment for functional improvement, a Constant-Murley score was used. 21 patients were completely evaluated, while 5 patients who had less than 12 months follow-up were excluded. Pain relief was achieved in 19 of the 21 patients, with twenty patients showing functional improvement. The pain scores improved from 6.0 preoperatively to 1.8 postoperatively. The mean active forward elevation improved from $108^{\circ}$ (range $20^{\circ}\sim165^{\circ}$) preoperatively to $151^{\circ}$ (range $125^{\circ}\sim170^{\circ}$) postoperatively. The mean Constant-Murley score improved from 57.7 (range 21~86) preoperatively to 86.9 (range 42~98) postoperatively. A recurrence developed in one patient. Of the twenty-one patients, eight had excellent results, nine had good results, three had fair results, and one had poor results. Most patients with severe symptomatic scapular winging had functional improvement and pain relief with resolution of scapular winging.

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가정간호대상자의 건강상태 결과 평가도구 개발 (The Development of a Client Health Status Outcome Evaluation Instrument in Home Care)

  • 박현태
    • 대한간호학회지
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    • 제34권3호
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    • pp.552-564
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    • 2004
  • Purpose: This study was to develop a client health status outcome evaluation instrument, and examine content validity, reliability, construct validity, and the acceptability of this instrument. Method: A preliminary list was made of such key information as standards, criteria, indicators and measures, by means of a broad review of literature within the field. After determining the preliminary instruments, the study sought to obtain examination, consensus, and modification of two groups of experts in the home-care field. Finally, the instrument examined content validity, reliability, construct validity, and the acceptability of this instrument. Result: The tool was considered of 13 criteria, 48 indicators, and 167 detail measures. The content validity index of the tool was above 0.8 according to the expert group. Regarding the reliability of the evaluators of standards 1 and 2, the degree of agreement between evaluators was high(96.4% through 98.2%). Construct validity in this study, the difference in the mean score between the baseline point and the follow up point of each of standards 1 and 2 was significant, and the mean score of the follow up point was more than that of the baseline point. After examining the acceptability of this instrument with practice managers and home care nurses in home care institutions, a positive opinion was given of this instrument, and it was indicated that to be useful and applicable in home care practice. Conclusion: The results of evaluating client outcome will contribute to overall outcome-based quality improvement and service marketing in home care by providing a constant gauge of home care effectiveness.

The Follow-up Study of Changes in Frailty in Elderly Receiving Home Health Care of the Public Health Center

  • Lee, Dong Ok;Chin, Young Ran
    • 지역사회간호학회지
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    • 제30권4호
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    • pp.528-538
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    • 2019
  • Purpose: The purpose of this study was to follow-up the frailty of the old who received home health care by Registered Nurse in Public Health Center over 8 years. Methods: We used the second wave data which was a comprehensive longitudinal data set, Public Health Information System of a public health center located in Seoul from 2010 to 2018. For statistical analysis, a mixed model of repeated measures by R program was used. Results: Frailty (range: 0~31) was getting worse significantly from 5.38 on registration to 6.54 on 4th year, 7.40 on 7th year, 7.69 on 8th year with adjustment for age, sex, economic status, the number of family, and the number diseases. The coefficient of parameters with frailty change was serviced year (β=0.29, p<.001), age (70~79 to 60~69; β=0.98, p=.018) and sex (female to male; β=2.55, p<.001). Conclusion: This study showed that the home visiting health service needs to take attention to aged 70s and over, female. The home health care of public health center need to be extended more practical and effective services in terms of 'community care'and 'ageing in place'.

Incidence of and Factors for Self-reported Fragility Fractures Among Middle-aged and Elderly Women in Rural Korea: An 11-Year Follow-up Study

  • Ahn, Soon-Ki;Kam, Sin;Chun, Byung-Yeol
    • Journal of Preventive Medicine and Public Health
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    • 제47권6호
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    • pp.289-297
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    • 2014
  • Objectives: This community-based cohort study was performed to investigate the incidence of and factors related to self-reported fragility fractures among middle-aged and elderly women living in rural Korea. Methods: The osteoporosis cohort recruited 430 women 40 to 69 years old in 1999, and 396 of these women were followed over 11 years. In 1999, questionnaires from all participants assessed general characteristics, medical history, lifestyle, menstrual and reproductive characteristics, and bone mineral density. In 2010, self-reported fractures and the date, site, and cause of these fractures were recorded. Cox proportional hazards models were used to calculate hazard ratios (HRs). Results: Seventy-six participants among 3949.7 person-years experienced fragility fractures during the 11-year follow-up. The incidence of fragility fractures was 1924.2 per 100 000 person-years (95% confidence interval [CI], 1491.6 to 2356.8). In the multivariate model, low body mass index (HR, 2.66; 95% CI, 1.13 to 6.24), a parental history of osteoporosis (HR, 2.03; 95% CI, 1.18 to 3.49), and postmenopausal status (HR, 3.50; 95% CI, 1.05 to 11.67) were significantly related to fragility fracture. Conclusions: Fracture prevention programs are needed among postmenopausal, rural, Korean women with a low body mass index and parental history of osteoporosis Korea.