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Predictive Validity of the Braden Scale for Pressure Ulcer Risk: A Meta-analysis (Braden 욕창위험사정도구의 예측 타당도 메타분석)

  • Park, Seong-Hi;Park, Yu-Sun
    • Journal of Korean Academy of Nursing
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    • v.44 no.6
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    • pp.595-607
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    • 2014
  • Purpose: The Braden Scale is one of the most intensively studied risk assessment scales used in identifying the risk of developing pressure sore. However, not all studies show that the predictive validity of this scale is sufficient. The purpose of this study was to evaluate the Braden Scale for predicting pressure ulcer development. Methods: Articles published 1946 and 2013 from periodicals indexed in Ovid Medline, Embase, CINAHL, KoreaMed, NDSL and other databases were selected, using the following keywords: 'pressure ulcer'. The QUADAS-II was applied to assess the internal validity of the diagnostic studies. Selected studies were analyzed using meta-analysis with MetaDisc 1.4. Results: Thirty-eight diagnostic studies with high methodological quality, involving 17,934 patients, were included. Results of the meta-analysis showed that the pooled sensitivity and specificity of the Braden Scale were 0.74 (95% CI: 0.72-0.76), 0.75 (95% CI: 0.74-0.76) respectively. However the predictive validity of the Braden Scale has limitation because there was high heterogeneity between studies. Conclusion: The Braden Scale's predictive validity of risk for pressure ulcer is interpreted as at a moderate level. However there is a limitation to the interpretation of the results, because of high heterogeneity among the studies.

Personalized Interstitial Content Service for Second TV (Second TV를 위한 맞춤형 광고 서비스)

  • Lee, Jong-Seol;Shin, Sa-Im;Lim, Tae-Beom;Lee, Seok-Pil
    • IEMEK Journal of Embedded Systems and Applications
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    • v.3 no.4
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    • pp.229-234
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    • 2008
  • The 'Anytime, Anywhere' services have been the biggest topic in the recent digital broadcasting research area. The related applications for the Anytime and Anywhere Services are as follows: the personalized broadcasting based on the PVR (Personal Video Recorder) for the Anytime Services, and the DMB (Digital Multimedia Broadcasting), the mobile devices supporting the wireless network and the Second TV and so on for the anywhere services. The personalized broadcasting has been researched on the one of the killer applications in the various broadcasting environment - the ground wave broadcasting, the satellite broadcasting, IPTV and CATV broadcasting suchlike. The applied contents of the personalized broadcasting have advanced from the main contents for the broadcasting to the interstitial contents like advertisements and coupons, the personalized interstitial broadcasting needs to develop the technology about the generation, storing and management of the interstitial metadata. but, the personalized broadcasting has the limitation that the TV environment is somewhat difficult to support the personalized broadcasting individually, because all family usually share the main TV at home. The Second TV is possible to solve the environmental limitation. This paper designs and develops the static set top box at home, the Second TV and their multimedia streaming techniques for the personalized broadcasting of the contents including the interstitial contents.

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Factors Influencing on Quality of Life in Patients with Hemophilia (혈우병 환자의 삶의 질에 영향을 미치는 요인)

  • Kim, Won Ock;Kang, Hyun Sook;Song, Young A
    • Korean Journal of Adult Nursing
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    • v.18 no.1
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    • pp.71-80
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    • 2006
  • Purpose: This study was to investigate the factors influencing the quality of life of patients with hemophilia and to provide the data for health promoting intervention in order to improve their quality of life. Method: The subjects of this study were involved 186 male patients with hemophilia by convenience sampling. These results were analyzed statistically by frequency, percentage, t-test, ANOVA, Pearson Correlation Coefficient, and Stepwise multiple regression. Results: There were significant differences in the quality of life according to the frequency of bleeding. Quality of life showed negative relationships and health problems, bleeding, limitation of joint motion, and depression with stepwise Multiple Regression analysis for quality of life revealed that the most powerful predictor was depression. Depression, health problem, and limitation of joint motion accounted for 64.6% of the variance in the quality of life of patients with hemophilia. Conclusion: Therefore it is necessary to develop nursing interventions with these variables to increase the quality of life for patients with hemophilia.

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Design and Implementation of a Web-based Diagnostic Evaluation System for Efficient Teaching Method (교수방법의 효율화를 위한 웹 기반 진단평가 시스템 설계 및 구현)

  • You, Sun-Kyoung;Lee, Mee-Jeong
    • The Journal of Korean Association of Computer Education
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    • v.6 no.3
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    • pp.197-205
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    • 2003
  • For efficient teaching method a teacher should understand the current level of learners. Diagnostic evaluation is generally used to grasp a knowledge level of learners. However, it is not easy to take a diagnostic examination in every class because of time limitation. Accordingly, we propose a web based diagnostic evaluation system for efficient teaching method. In the proposed system, it is possible for teachers to feed diagnostic evaluation questions on the web at any time and for learners to take an online diagnostic examination without space and time limitation. In addition, the proposed system automatically grades the diagnostic evaluation and provides a teacher with various statistical data that can be a criterion to decide a proper teaching level.

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CLINICAL CASES OF TRUE TMJ ANKYLOSIS USING VARIOUS OPERATIVE METHODS (다양한 수술방법에 의한 진성악관절강직증의 치험례)

  • Lee, Young-Hoon;Lee, Sang-Chull;Kim, Yeo-Gab;Ryu, Dong-Mok;Lee, Baek-Soo;Yoon, Ok-Byung
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.21 no.3
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    • pp.317-323
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    • 1999
  • TMJ ankylosis is defined as a mobile disorder of jaw such as mouth opening limitation, limitation of anterior or/and lateral movement of TMJ. Kazanjian published first clinical report about classification of TMJ ankylosis dividing with intracapsular ankylosis and extracapsular ankylosis. TMJ ankylosis is resulted from trauma, infection, metastatic tumor, irradiation, burn and etc. When TMJ ankylosis is manifested in growing period, it affects to functional disorder and development and position of mandible, so it can result in maxillofacial deformity such as facial asymmetry, micrognathia, malocclusion. For treatment of TMJ ankylosis, various surgical interventions were devised ; condylectomy, gap arthroplasty, interpositional arthroplasty and TMJ reconstruction. So, we report our results with documental study and cases of true ankylosis in our department.

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Association of selected health behaviors with perceived health, depressive symptom and fatalism among the aged 50-69 living in Seoul (서울지역의 50대와 60대의 건강행동과 우울, 운명론(Fatalism)의 관련성)

  • Choi, Eun Jin;Kim, Min Hye
    • Korean Journal of Health Education and Promotion
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    • v.32 no.2
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    • pp.53-63
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    • 2015
  • Objectives: The purpose of this study was to investigate association of depressive symptom, fatalism with selected health behaviors among people aged 50-69 with no physical limitation in Seoul. Methods: In 2012, data were collected using a household based interview survey in Seoul. One person in each selected household aged between 50 and 69 was selected and responded. Data analysis was based on 1,190 subjects who answered they do not have any physical activity limitation. Results: Multiple logistic regression analysis showed significant association among variables including perceived health, depressive symptom and fatalism scores on some health behaviors. Multiple regression analysis showed that selected health risk behaviors(current smoking, monthly alcohol consumption, no regular health exam in two years) were significantly associated with depressive symptom and fatality scores in addition to demographic variables. The final regression model's adjusted R square was about 0.235. Conclusion: Demographic variables such as gender, age and socioeconomic status were significant variables in health behaviors and these behavioral factors were associated with perceived health, depressive symptom and fatalistic views. As a conclusion, depressive symptom and fatalism should be monitored and intervened in health education practice.

The Prevalence and Association Factors of Unmet Medical Needs by Age Group in the Elderly (노년기에 따른 미충족 의료 현황 및 관련 요인)

  • Hwang, Byung-Deog;Choi, Ryoung
    • The Korean Journal of Health Service Management
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    • v.9 no.1
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    • pp.81-93
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    • 2015
  • This study investigated the prevalence of unmet needs for health care among Korean adults and related factors. Using data from the 2012 Korea Health Panel, 1,896 adults aged 65 and over and two age groups(Young-Old(66-74) and Old-Old($65{\leq}$)) were analyzed to identify these factors. Logistic regression analysis was used to examine the main factors associated with unmet medical needs. According to the results of this study, the factors influencing unmet medical needs with regard to economic factors were Subjective Health Status(young-old), Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). The factors influencing unmet medical needs were factors of attitude, information, and disease. factors were Disability(young-old), Activity Limitation(young-old), Education Level(old) and Economic Activity(old). Therefore, further research that investigates unmet needs depending on age group in the elderly would suggest helpful policy implications.

A Study on the Analysis of Project Implementations at Public Design - Improving Project for Public Design in Daegu, Dongseong Street - (공공디자인 개선사업의 추진실태 분석에 관한 연구 - 대구시 동성로 공공디자인 개선사업을 중심으로 -)

  • Lee, Jong-Kuk
    • Journal of the Korean housing association
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    • v.25 no.6
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    • pp.67-74
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    • 2014
  • Dongseong-ro public design was reformed for a short time to be short of connection and riffle effect of another project and to have limitation on long term and integrated development, so that systematic plan from beginning of the project was needed to produce synergy effects. The purpose of the study was to investigate reformation of Dongseong-ro public design and to check on existing development project again and to take actions against future projects in advance and to reexamine and make long term plan from point of view of development of downtown. This study investigated reformation of Dongseong-ro public design of Junggucheong office of Daegu that was done from May 2007 to December 2010. The study consisted of purpose of the project, scope, time, the committee of promotion, questionnaire survey, residents' participation and follow up to suggest reformation based on questionnaire survey. This study had limitation of investigation into internal materials of 'Dongseong-ro public design reformation's master planning service' of Junggucheong office of Daegu. Further studies were needed to investigate empirically.

A CASE REPORT OF OSTEOCHONDROMA ON MANDIBULAR CONDYLE (하악골 과두에 발생한 골연골종의 치험례)

  • Kim, Mi-Suk;Lee, Mi-Hyang;Jang, Chang-Soo;Kim, Chul-Hwan
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.18 no.2
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    • pp.298-307
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    • 1996
  • Osteochondroma is a common benign tumor of the axial skeleton, especially the distal metaphysis of the femur and the proximal metaphysis of the tibia, however, is occurred rarely on the facial skeleton. Development of the tumor is most frequently seen in the second or third decades of life. Typically, it arises directly from the cortex of the underlying bone, without any intervening zone of abnormal osseous tissue, and is covered by a cap composed of cartilage undergoing calcification. In case of osteochondroma of the mandibular condyle, its clinical features are occulusal change, facial asymmetry, headache, pain and click on temporomandibular joint, mouth opening limitation, and jaw deviation to involved site. This is a case report of a 13-year old woman who had mouth opening limitation and severe temporomandibular joint pain. We obtained successful results with surgical removal of the osteochondroma on the mandibular condyle.

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Trend of Influencing Factors on Health-related Quality of Life in Korean Elderly (한국 노인의 건강관련 삶의 질과 영향요인 추이)

  • An, Jisook;Choi, Hye Young
    • Journal of Korean Public Health Nursing
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    • v.32 no.2
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    • pp.275-287
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    • 2018
  • Purpose: This study examined the trends of socio-demographic and health factors affecting the health-related quality of life (HRQoL) in Korean elderly. Methods: Data were obtained from the Fourth, Fifth and Sixth Korean National Health and Nutrition Examination Survey (KNHANES V-1, 2007, KNHANES V-1, 2010, KNHANES V-2, 2014). The sample consisted of 3,668 Korean individuals aged 65 years and older. The data were analyzed using a t-test, Chi-square test and multiple linear regression using the SPSS/WIN 20.0 program. Results: The HRQoL is improving consistently and the affecting factors on the HRQoL were the education level, activity limitation, subjective health and walking days per week in the three data of 2007, 2010, and 2014. Conclusion: A health care program focusing on improving activity limitation and physical activity should be considered for the improvement of HRQoL for the elderly in the community.