• Title/Summary/Keyword: multiple existence

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The Effects of Maternal Anxiety and the Teacher-Child Relationship on the Adjustment of 1- and 2-year-old Children in a Child-Care Center (어머니의 분리불안, 교사-영아관계가 만 1.2세반 아동의 어린이집 적응에 미치는 영향)

  • Yang, Suk-Kyung;Moon, Hyuk-Jun
    • Journal of Families and Better Life
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    • v.28 no.2
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    • pp.131-146
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    • 2010
  • This study examined the effects of maternal anxiety and the teacher-child relationship on the adjustment of 1- and 2-year-old children in a child-care center. The subjects were 344 working mothers who were raising 19- to 42-month-old children and 106 class teachers in Seoul, Gyeong-gi and lncheon. Data analysis was done using the SPSS WIN 15.0 version an d the collected data were subjected to a descriptive statistical analysis, t-test, one-way ANOVA, Scheff$\acute{e}$ s post-test and hierarchical multiple regression analysis. The results of this study are as follows : (a) children's adaptability to child-care centers varied with their sex, age, and the existence of siblings. Girls and children of higher age were more adaptable than boys and younger children. Children who have siblings were more adaptable compared to those who were the only child in the family. Also, children who were enrolled at a workplace provided child-care center were more adaptable than those who entered other kinds of child-care centers. (b) The teacher-child relationship influences the adjustment of children in a child-care center. It was found that the teacher-child relationship is the strongest indicator to predict how well the child will adjust to the child-care center.

Characteristics Related to Preferences on Living Arrangement and Residence of the Elderly (노후의 부양유형과 주거 선호에 영향을 미치는 요인)

  • Kwak, In-Suk;Hong, Sung-Hee
    • Journal of Family Resource Management and Policy Review
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    • v.13 no.4
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    • pp.17-38
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    • 2009
  • Preferences on living arrangement and residence of the elderly depend on various changing factors as they get old. Among those factors, predictable and crucial factors are the condition of their health and spouse. Thus, this study is focused on living arrangement and the residential preference of the elderly according to their health and existence of a spouse. A sample of 500 elderly aged over 65 is analyzed by $x^2$ test, and multiple logistic regression. The results could be summarized as follows; First, 45.2% of the elderly who participated in this survey prefer 'living apart from their children but living close by'. And 19.8% of the elderly want to 'live with their children'. Second, the elderly with a spouse and the elderly who live apart from their children tend to prefer living independently. Third, the elderly with good health living in single-family houses and the elderly with high self-esteem tend to prefer the residential facilities for the elderly. Fourth, the elderly with health problems who have generous allowances and live in a city tend to prefer the residential facilities for the elderly. Fifth, factors such as gender, age, condition of health, allowances, living regions, type of house, self-esteem influence residential preferences of the elderly without a spouse. Older men with more allowances, in good health, living in row house and apartment, in a mid-size city tend to prefer living in the residential facilities for the elderly.

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Effects of Life Review-Narrative Group Therapy Program to Increase Ego-Integrity in the Elderly (생애회고적 이야기치료 집단프로그램이 노인의 자아통합감 증진에 미치는 효과)

  • Yeo, In-Suk;Kim, Choon-Kyung
    • Journal of the Korean Home Economics Association
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    • v.44 no.5 s.219
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    • pp.157-169
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    • 2006
  • The purpose of this study was to verify the effectiveness of a life review-narrative group therapy program aimed at increasing ego-integrity in the elderly. The life review-narrative group therapy program was organized according to the tfe course from childhood to old age. The objectives of the program were for the elderly to enhance their self-worth, become aware of their individual self existence, accept aging and death, accept the past and present life, and to make the most of their experiences of overcoming difficulties. The counseling techniques used in the program were mainly reminiscence and re-authoring of the narrative therapy. Thirty-two elderly people aged 60 years and over (16 in each of experimental and control groups) were selected randomly from the Daegu Metropolitan City General Welfare Center for the research. The two groups were identified as equivalent for the study in a pre-test. The program of the experimental group was implemented twice a week for 90 minutes per session over a 6-week period (Sep. 8th - Oct. 14th. 2005). The pre (Sep. 8th 2005), the post (Oct. 14th. 2005) and follow-up (Nov. 14th. 2005) tests were implemented in ordo, to verify the effectiveness of the program. The instruments used in the study were the Ego-Integrity Scale. The data were analyzed using t-test, and Ore-Factor Repeated Measures ANOVA. The findings of the study were as follows. The experimental group evidenced significant effects on enhancing ego-integrity. The result of the post hoc multiple comparisons showed that the effects of the life review-narrative group therapy Program were maintained for one months. Meanwhile the control group did not show any significant change in ego-integrity. Based on these findings, the limitations of the study were discussed, and further research was suggested.

The Factors Affecting the Depression in Pneumoconiosis Patients (진폐환자의 우울에 영향을 미치는 요인)

  • Bak, Jue Hyeon;Lim, Hyeon Woo;Chae, Jung MI;Cho, Hyun Ju;Jung, Hye Sun;Jo, Sun Jin;Lee, W.C.
    • Korean Journal of Occupational Health Nursing
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    • v.16 no.1
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    • pp.28-36
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    • 2007
  • Objectives: The objective of this study was to analyze factors affecting depression in pneumoconiosis patients. Methods: The subjects were 200 pneumoconiosis patients hospitalized in Pneumoconiosis Hospitals in An-san and Tae-beck. Collected 114 surveys were used in this study among 200 surveys since 86 surveys offered insufficient data. SAS for Windows 8.01 was used to analyse the data Results: Percentage of normal and mild depression is 2.6%, Percentage of moderate depression is 14.9%, Percentage of severe depression is 79.8%. In order to analyze the factors affecting depression rate, the factors with p-values less than 0.1, such as age, education, religion, work department, hospitalized period, physical pain existence, daily living ability, family supports and internal locus of control, were selected as independent factors and analyzed using a stepwise multiple regression. As results, the factor that affected the rate of depression were of the age, education, ADL(Activities of Daily Living), the internal locus of control, family support. Conclusion: It is necessary to develop health program which can improve the patient's ADL(Activities of Daily Living), enforce internal locus of control to minimize the depression rate in pneumoconiosis patients.

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The Patterns of Korean Medicine Usage with Coverage by Private Health Insurance -Based on Usage and Consumption of Korean Medicine Report in 2014- (민간보험가입여부가 한방의료이용에 미치는 영향요인 -2014년 한방의료이용 및 한약소비실태조사(보건복지부)를 중심으로-)

  • Sung, Angela Dongmin;Park, Haemo;Kim, Hyundo;Lee, Sungdong
    • Journal of Society of Preventive Korean Medicine
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    • v.21 no.1
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    • pp.67-81
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    • 2017
  • Objectives : The purpose of this study was to analyze the report conducted in 2014 by the Ministry of Health and Welfares on influences of private insurance coverage on the use of Korean medicine. Methods : We analyzed Ministry of Health and welfares report on the use and consumption of Korean medicine to fit the purpose of this study. Comparison between private insurance holders and non-holders was made in the areas of sociodemographic characteristics, patient distribution by disorders, total number of disorders and existence of complex diseases, general perception of Korean medicine, and medical expenses and visits. Logistic regression analysis was made to verify the private insurance coverage. Results : Among sociodemographic characteristics, significant differences were observed in age distribution, education, professions, income level, and housing factors. But genders, area of residence, and marital status didn't show significant differences. Other significant differences including side effects, experience with Korean medicine, herbal medicine and acupuncture treatments, and main visiting facilities were shown between private insurance holders and non-holders. Majority of disorders treated with Korean medicine were musculoskeletal issues, and criteria of number of disorders, multiple diseases factors, and medical expenses/visits showed significant differences between the two groups. Conclusions : Summarizing above results indicate that holding a private insurance in addition to National Health Insurance contributes significant influences on the use of Korean medicine.

Damage detection in truss bridges using transmissibility and machine learning algorithm: Application to Nam O bridge

  • Nguyen, Duong Huong;Tran-Ngoc, H.;Bui-Tien, T.;De Roeck, Guido;Wahab, Magd Abdel
    • Smart Structures and Systems
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    • v.26 no.1
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    • pp.35-47
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    • 2020
  • This paper proposes the use of transmissibility functions combined with a machine learning algorithm, Artificial Neural Networks (ANNs), to assess damage in a truss bridge. A new approach method, which makes use of the input parameters calculated from the transmissibility function, is proposed. The network not only can predict the existence of damage, but also can classify the damage types and identity the location of the damage. Sensors are installed in the truss joints in order to measure the bridge vibration responses under train and ambient excitations. A finite element (FE) model is constructed for the bridge and updated using FE software and experimental data. Both single damage and multiple damage cases are simulated in the bridge model with different scenarios. In each scenario, the vibration responses at the considered nodes are recorded and then used to calculate the transmissibility functions. The transmissibility damage indicators are calculated and stored as ANNs inputs. The outputs of the ANNs are the damage type, location and severity. Two machine learning algorithms are used; one for classifying the type and location of damage, whereas the other for finding the severity of damage. The measurements of the Nam O bridge, a truss railway bridge in Vietnam, is used to illustrate the method. The proposed method not only can distinguish the damage type, but also it can accurately identify damage level.

Traffic Accident Prediction Model by Freeway Geometric Types (고속도로 선형조건별 교통사고 위험도 평가모형 개발 (호남고속도로를 중심으로))

  • 강정규;이성관
    • Journal of Korean Society of Transportation
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    • v.20 no.4
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    • pp.163-175
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    • 2002
  • Fatalities from traffic accidents constitute one of the major health issues as well as safety ones in Korea. It has been reported that traffic accident is affected by the combined effects of road. vehicle. and human factors. Over the past few decades, a number of studies have been conducted to find the impact of road geometric factors on traffic safety. The purpose of this study is to investigate the effect of road geometric factors on traffic safety on Korean expressways. Detailed geometric design data were available from Korea Highway Corporation. Five-year traffic accident data on Honam expressway were collected and analyzed. It was found that following geometric factors influence traffic safety on expressways : radius of curve, curve length, and length of straight section. Furthermore, the existence of I.C. turned out to have a significant impact on traffic safety level. Based on the data analysis several multiple regression forms that relate traffic accident frequencies and geometric factors on expressways are developed.

A Comparative Genome-Wide Analysis of GATA Transcription Factors in Fungi

  • Park, Jong-Sun;Kim, Hyo-Jeong;Kim, Soon-Ok;Kong, Sung-Hyung;Park, Jae-Jin;Kim, Se-Ryun;Han, Hyea-Young;Park, Bong-Soo;Jung, Kyong-Yong;Lee, Yong-Hwan
    • Genomics & Informatics
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    • v.4 no.4
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    • pp.147-160
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    • 2006
  • GATA transcription factors are widespread eukaryotic regulators whose DNA-binding domain is a class IV zinc finger motif in the form $CX_{2}CX_{17-20}CX_{2}C$followed by a basic region. In fungi, they act as transcriptional activators or repressors in several different processes, ranging from nitrogen source utilization to mating-type switching. Using an in-house bioinformatics portal system, we surveyed 50 fungal and 9 out-group genomes and identified 396 putative fungal GATA transcription factors. The proportion of GATA transcription factors within a genome varied among taxonomic lineages. Subsequent analyses of phylogenetic relationships among the fungal GATA transcription factors, as well as a study of their domain architecture and gene structure, demonstrated high degrees of conservation in type IVa and type IVb zinc finger motifs and the existence of distinctive clusters at least at the level of subphylum. The SFH1 subgroup with a 20-residue loop was newly identified, in addition to six well-defined subgroups in the subphylum Pezizomycotina. Furthermore, a novel GATA motif with a 2f-residue loop ($CX_{2}CX_{21}CX_{2}C$, designated 'zinc finger type IVc') was discovered within the phylum Basidiomycota. Our results suggest that fungal GATA factors might have undergone multiple distinct modes of evolution resulting in diversified cellular modulation in fungi.

Prescription Errors with Chemotherapy: Quality Improvement through Standardized Order Templates

  • Saad, Aline;Der-Nigoghossian, Caroline A.;Njeim, Rachel;Sakr, Riwa;Salameh, Pascale;Massoud, Marcel
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.4
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    • pp.2329-2336
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    • 2016
  • Background: Despite the existence of established guidelines advocating the use and value of chemotherapy order templates, chemotherapy orders are still handwritten in many hospitals in Lebanon. This manuscript describes the implementation of standardized chemotherapy order templates (COT) in a Lebanese tertiary teaching hospital through multiple steps. Initial Assessment: An initial assessment was conducted through a retrospective appraisal of completeness of handwritten chemotherapy orders for 100 adult patients to serve as a baseline for the project and identify parameters that might afford improvement. Choice of solution: Development of over 300 standardized pre-printed COTs based on the National Comprehensive Cancer Network templates and adapted to the practice culture and patient population. Implementation: The COTs were implemented, using Kotter's 8-step model for leading change, by engaging health care providers, and identifying and removing barriers. Evaluation: Assessment of physicians' compliance with the new practice (122 orders assessed) was completed through two phases and allowed for the identification of areas of improvement. Lessons Learned: Overall, COT implementation showed an average improvement in order completion from 49.5% (handwritten orders) to 77.6% (phase 1-COT) to 87.6% (phase 2-COT) reflecting an increase of 38.1% between baseline and phase 2 and demonstrating that chemotherapy orders completeness was improved by pre-printed COT. As many of the hospitals in Lebanon are moving towards standardized COTs and computerized physician order entry (CPOE) in the next few years, this study provides a prototype for the successful implementation of COT and demonstrates their role in promoting quality improvement of cancer care.

Shorter Distance Between the Nodule and Capsule has Greater Risk of Cervical Lymph Node Metastasis in Papillary Thyroid Carcinoma

  • Wang, Qiu-Cheng;Cheng, Wen;Wen, Xin;Li, Jie-Bing;Jing, Hui;Nie, Chun-Lei
    • Asian Pacific Journal of Cancer Prevention
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    • v.15 no.2
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    • pp.855-860
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    • 2014
  • Background: The purpose of this study was to assess the relationship between different sonographic features of papillary thyroid carcinoma (PTC) on high-frequency ultrasound and cervical lymph node metastasis (CLNM). Materials and Methods: We enrolled 548 patients who underwent initial surgery for PTC between May 2011 and December 2012 in our hospital at diagnosis. The sonographic features of 513 PTC nodules in 513 eligible patients, who had single PTC nodules in their thyroid glands, were retrospectively investigated. All patients with a suspect malignant nodule (d<0.5cm) among multiple nodules were initially diagnosed by fine-needle aspiration biopsy (FNAB) to ascertain if the suspect nodule was PTC. The final diagnosis of all the thyroid nodules and existence of CLNM were based on postoperative pathology. Patients were divided into two groups: a positive group with CLNM (224 nodules) and a negative group without CLNM (289 nodules). The following factors were investigated: gender, age, echogenicity, echotexture, size, shape, location, margin, contour, calcification morphology, distance between the nodule and pre- or post-border of the thyroid capsule, vascularity and the differences between the two groups. Results: Correlation analysis showed that shorter distances between the nodule and pre- or postborder of thyroid capsule resulted in greater risk of CLNM (Spearman correlation coefficient=-0.22, p<0.0001). The significant factors in multivariate analysis were age<45yrs, larger size (d>1cm), "wider than tall" shape, extrathyroid extension and mixed flow (internal and peripheral) (p<0.05, OR=0.406, 2.093, 0.461, 1.610, 1.322). Conclusions: Significant sonographic features of PTC nodules in preoperative high-frequency ultrasound are crucial for predicting CLNM.