• Title/Summary/Keyword: health problem

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Investigation of modal identification and modal identifiability of a cable-stayed bridge with Bayesian framework

  • Kuok, Sin-Chi;Yuen, Ka-Veng
    • Smart Structures and Systems
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    • v.17 no.3
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    • pp.445-470
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    • 2016
  • In this study, the Bayesian probabilistic framework is investigated for modal identification and modal identifiability based on the field measurements provided in the structural health monitoring benchmark problem of an instrumented cable-stayed bridge named Ting Kau Bridge (TKB). The comprehensive structural health monitoring system on the cable-stayed TKB has been operated for more than ten years and it is recognized as one of the best test-beds with readily available field measurements. The benchmark problem of the cable-stayed bridge is established to stimulate investigations on modal identifiability and the present paper addresses this benchmark problem from the Bayesian prospective. In contrast to deterministic approaches, an appealing feature of the Bayesian approach is that not only the optimal values of the modal parameters can be obtained but also the associated estimation uncertainty can be quantified in the form of probability distribution. The uncertainty quantification provides necessary information to evaluate the reliability of parametric identification results as well as modal identifiability. Herein, the Bayesian spectral density approach is conducted for output-only modal identification and the Bayesian model class selection approach is used to evaluate the significance of different modes in modal identification. Detailed analysis on the modal identification and modal identifiability based on the measurements of the bridge will be presented. Moreover, the advantages and potentials of Bayesian probabilistic framework on structural health monitoring will be discussed.

The effects of problem drinking on life satisfaction focusing on mediating effects of family conflict and depression (문제음주가 생활만족도에 미치는 영향: 가족갈등과 우울의 매개효과를 중심으로)

  • Um, Soon Ok;Moon, Jae Woo
    • Korean Journal of Health Education and Promotion
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    • v.32 no.3
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    • pp.57-71
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    • 2015
  • Objectives: The purpose of this study was to investigate the effect of problem drinking on life satisfaction and to analyze the mediating effect of family conflict and depression between two variables. Methods: The data of this study were selected in the 9th Korea Welfare Panel Survey(KYPS, 2014). The SPSS Ver. 18.0 statistical package was used for descriptive statistics analysis, correlation analysis, and hierarchical regression analysis. Results: The major findings were as follows; First, problem drinking was found to have a negative impact on family conflict, depression, and life satisfaction. Second, family conflict and depression were identified to cause decreasing life satisfaction. Third, family conflict and depression was found to have a mediating effect between problem drinking and life satisfaction. Conclusions: In order to enhance life satisfaction through overcoming problem drinking, drinking prevention programs and recreational programs based on economic and social context are required.

Problems Behavior and Its Related Factors in School-aged Children (학령기 아동의 문제행동과 관련요인)

  • Jung, Hyejung;Lee, Sangmi
    • Korean Parent-Child Health Journal
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    • v.20 no.1
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    • pp.1-9
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    • 2017
  • Purpose: This study aimed to investigate problem behavior and its related factors in school-aged children. Methods: A descriptive correlational study was conducted with 221 mothers of children at 1st to 6th grades. Data were collected from March to April, 2015 using self-report structured questionnaires. Questionnaires included characteristics of subjects, Korean Child Behavior Checklist for measuring problem behavior and Children's Sleep Habits Questionnaire for assessing sleeping habits. Collected data were analyzed by independent t-test, $x^2$ test, and multiple logistic regression. Results: In logistic regression analysis, having any maternal job (aOR=2.8, 95% CI=1.1~6.9) and higher daytime sleepiness (aOR=2.9, 95% CI=1.2~7.4) were statistically significant contributors of internal problems. Higher bedtime resistance (aOR=2.2, 95% CI=1.0~4.9) and higher daytime sleepiness (aOR=2.8, 95% CI=1.2~6.3) were statistically significant contributors of external problems. Higher bedtime resistance (aOR=4.3, 95% CI=1.5~12.4) was statistically significant contributors of total problem behavior. Conclusion: School-aged children with sleeping problem are at risk for problem behavior. More attention is need to consider sleeping habits for supporting behavioral improvement in school-aged children.

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Information Behavior in COVID-19 Prevention: Does Anxiety among Indonesian Mothers Have an Effect?

  • Zahara, Nadia;Hidayat, Z.
    • Journal of Information Science Theory and Practice
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    • v.10 no.4
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    • pp.23-37
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    • 2022
  • The pandemic of Coronavirus disease (COVID-19) has contributed more challenges for mothers as the family's primary caregiver in overcoming the widespread infection. Pandemic-related information is essential for mothers to reduce uncertainty as well as to maintain the health of family members during this unprecedented situation. Adopting the framework of the Situational Theory of Problem Solving, this study extends the theory by, first, testing the mediating role of COVID-19 anxiety on mothers' information seeking and information forwarding, referred to as active communication action of problem solving, as well as preventive behavior; and second, by predicting the effect of information seeking on preventive behavior. Referring to an online survey from 371 Indonesian mothers, the findings suggest that in terms of direct effect, only problem recognition was found to have no significant effect on situational motivation. The results suggest that Indonesian mothers perceive COVID-19 as personally relevant so that they are motivated to solve the problem by seeking and forwarding related information. In addition, COVID-19 anxiety was found to play a significant role in predicting information seeking, information forwarding, and preventive behavior. The result of this study is expected to give insights for risk communicators and health professionals in Indonesia in communicating COVID-19, particularly to mothers.

A Study on Experience of Voice Problems and Risk Factors in School Teachers (교사들의 음성문제 경험과 발생요인 분석)

  • Chung, Seung-Hee;Lee, Soo-Jin
    • Journal of the Korean Society of School Health
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    • v.15 no.1
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    • pp.49-62
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    • 2002
  • This study was intended to examine the pattern and level of experience of voice problems and risk factors in school teacher, to offer basic data to prevent voice problems. The subjects were 180 school teachers from primary, middle, and high school teachers in C City, Chonbuk. Data were collected by questionnaires survey from April 30, 2001 to May 10, 2001. 56.6% of the subjects experienced voice problems such as "H-notes difficult"($2.68{\pm}.86$), followed by "Tired voice"($2.32{\pm}.93$), "Effortful voice"($2.27{\pm}.90$), and "Drying of throat"($2.21{\pm}.91$). According to general characteristics, smoking subjects showed higher voice problem than no smoking subjects and this difference was statistically significant(t=2.76, p=.007). According to voice related characteristics, "Speaking loudly" subjects showed higher voice problem than those no "Speaking loudly"(t=-2.02, p=.045). "Speaking effortful" subjects measured higher voice problem than those of "Speaking effortful" and this difference was statistically significant(t=-3.34, p=.001). The inspection of the relation of cause affecting school teachers showed that it had an interacting effect of voice habit, smoking, experienced voice problem, treatment(due to voice problem) experience, by staged it accounted for 55.3% of the total voice problem. The total voice problem indicated a positive correlation(p=.000). Conclusion: over half of the school teachers have experienced voice problems, higher perceived related of voice symptom and physical symptom factors. Also, because there are significant differences in voice problem according to smoking, voice habits of "Speaking loudly", "Speaking effortful", experienced voice problem, treatment(due to voice problem) experience.

Oral hygiene form and the subjective health analysis of the elderly (노인의 구강위생행태와 주관적 구강건강 형태에 대한 분석)

  • Kim, Wook-Tae
    • Journal of Technologic Dentistry
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    • v.34 no.2
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    • pp.179-199
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    • 2012
  • Purpose: This study was conducted to prepare the fundamental data on oral hygiene of the elderly and to assess the behavior of oral hygiene, subjective oral health, oral health problem among the elderly, and to contribute to successful enhancement of life in their declining years. Methods: The author surveyed the behavior of oral hygiene, subjective oral health, oral health problem to 192 elderly at a health center of Busan using structured self- administered questionnaire from Nov. 2nd 2009 to Feb. 10th 2010. Collected data were analysed by SPSS WIN 18.0 statistical program for frequency, percentage production, ${\chi}^2$ (Chi-square) verification, t-test, One-way ANOVA, Logistic Regression. Results: The distribution of total subjects by oral health behaviors were 56.8% for "have ever trained how to tooth brushing", 76.6% for "correctly performed tooth brushing by himself ", 71.8% for "tooth brushing a day is two times and less", 87.5% for "it doesn't tooth brushing in meals and after" and 53.6% for "it doesn't use the facility for oral health", respectively. The distribution of total subjects by the state of perceived oral health were 51.0% for "feel the oral discomfort", 51.6% for "feel the comfortable chewing on starchy food", respectively. The mean point of perceived oral health by general characteristics of total subjects were statistically significant difference in sex, type of medical insurance, smoke, exercise, and chronic disease. The mean point of perceived oral health by oral health behaviors of total subjects were statistically significant difference in educational experience on tooth brushing, recognition for tooth brushing by himself, tooth brushing a day, and tongue cleaning. The risk factors of perceived oral health were type of medical insurance and chronic disease in general characteristics, tooth brushing in meals and after and tooth brushing a day, and tongue cleaning in oral health behaviors. Conclusion: The author recommend to the prevention of chronic disease, carry out the tooth brushing in meals and after, three times and over tooth brushing a day and tongue cleaning for oral health. and the author consider that it need to prepare the active countermeasure to oral health such as reeducation for oral health and supply to the tongue cleaner.

A revisit to policy agenda concerned with the distortion of functional differentiation among health care providers (의료전달체계에 관한 정책의제의 재조명)

  • Han, Dal-Sun
    • Health Policy and Management
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    • v.20 no.4
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    • pp.1-18
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    • 2010
  • Much policy attention has been directed to the concentration of patients in large hospitals, especially in tertiary care hospitals. In order to address the problem, the government has enforced referral requirement for accessing care in tertiary care hospitals by denying insurance benefits to the patients who do not observe the requirement. This approach somehow has failed to produce expected effects although it still exists in theory. The concentration of patients in a certain type of providers results in the distortion of functional differentiation among various types of providers and vice versa. Thus the approaches for the alleviation of the problem should be directed to both patients and providers. However, policy approaches has so far focused on ways of directly affecting patients' choice of a provider neglecting the effects of providers. Based upon the observation, this paper has reviewed selected issues that should be considered in agenda setting for policies concerned with the concentration of patients in large hospitals or the distortion of functional differentiation among health care providers. A brief discussion of each of the issues suggests three general guidelines for the formulation and implementation of policies intended to address the problem. First, attention should be directed to both patients and providers. Secondly, it is necessary to employ diverse measures including regulation, incentives and administrative supports. Thirdly, some of the approaches should be planned from a long range perspective, for it often takes a long time to change some aspects of health care utilization and provision.

A Study on the Nurses' Thinking Skills and Problem Solving Abilities for Quality Management in Healthcare Services (질 관리에 대한 간호사의 사고유형과 문제해결력)

  • Ko, Ja Kyung;Park, Yon Ok
    • Quality Improvement in Health Care
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    • v.5 no.2
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    • pp.238-256
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    • 1998
  • Background : There have been many studies and efforts about quality management in health services, but these were not focused on the thinking ability of the personnel. In this study, We planned to define the relationship between Quality Management(QM) and thinking skill, and analyzed critical thinking skill and problem solving ability of the nurses for QM in healthcare. Methods : We surveyed 260 nurses in 3 hospitals by using questionnaires about thinking skills and QM from November 18 to 28, 1998. The response rate was 76.9%. We described and analyzed the data by descriptive statistics, t-test, ANOVA, Pearson correlation, and non-parametric Friedman test using SPSS Win 7.5. Results : This study revealed that 1) understanding level of QM concepts was very low and insufficient, 2) willingness to practice QM in healthcare was relatively high and affirmative, but the positive attitude taking part in the program of QM is very low(4.5%), 3) even though the necessity of QM was recognized, actual application of critical thinking skills and problem solving abilities is lacking, 4) the production of idea for QM was the most insufficient, and so the next of the problem solving process(QA cycle) was the same. Conclusion : Based on the above results, we can conclude that understanding the concepts of QM is very important to solve problems about QM in healthcare. For development of thinking skill to promote critical problem solving ability for QM in healthcare, it is necessary to improve curriculum of nursing education and teaching-learning methods of QM strategy and technique.

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The Effectiveness of Nursing Information Literacy Competency Enhancement Program on Evidence-Based Practice Competencies and Problem Solving Skills in Nursing Students (간호대학생의 간호정보활용역량 강화프로그램이 근거기반실무 역량과 문제해결능력에 미치는 효과)

  • Ha, Yeong-Mi;Lee, Meiling;Chae, Yeo-Joo
    • Journal of Digital Convergence
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    • v.14 no.11
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    • pp.347-356
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    • 2016
  • The purpose of this study was to develop and examine the effectiveness (knowledge, attitude, skills of Evidence-Based Practice, and problem solving skills) of nursing information literacy competency enhancement program for nursing students. It is a pre-post design study carried out with a single group of 72 sophomores in a nursing college. Nursing information literacy competency enhancement program of 6 times (8 hours) was provided to nursing students. Our results have demonstrated that knowledge, attitude, skills of evidence-based practice, and problem solving skills were significantly higher in nursing students. In conclusion, the nursing information literacy competency enhancement program was effective in promoting knowledge, attitude, skills of evidence-based practice and problem solving skills. Based on our results, the nursing information literacy competency enhancement program can provide a basis for enhancing evidence-based nursing practice competencies and problem solving skills of nursing students.

Experiences of Problem drinkers Participation in Early Intervention Program for Moderate Alcohol Drinking (조기개입 프로그램에 참여한 문제음주자의 경험)

  • Kang, Kyonghwa
    • Korean Public Health Research
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    • v.44 no.4
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    • pp.1-13
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    • 2018
  • Purpose : The purpose of this study was to explore the subjective experiences of problem drinkers participating in the early intervention program for moderate alcohol drinking. Methods : A qualitative descriptive study design was used. Data were collected through individual interviews with thirteen problem drinkers and analyzed using qualitative content analysis. Results : The experiences of the problem drinkers participating in the early intervention program were derived from four themes and nine sub-themes in terms of awareness, alcohol expectancies, perceived self-efficacy and behavioral change. They participated in programs offered in the workplace, and there were differences in motivation level among individuals, but generally accepted the necessity of the program. Participants who had trust with the program provider were more likely to change drinking behavior. Conclusion : Problem drinkers who participated in the early intervention program showed that it is a useful approach to change the problem drinking behavior by promoting awareness of alcohol-related knowledge, motivation for change through acquiring enough information and acquisition of self-efficacy as a behavior skill. These findings can be used as basic information for implementing and adapting early intervention for prevention of alcoholism in primary health care setting including workplace.