• 제목/요약/키워드: multiple existence

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어머니의 분리불안, 교사-영아관계가 만 1.2세반 아동의 어린이집 적응에 미치는 영향 (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)

  • 양숙경;문혁준
    • 가정과삶의질연구
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    • 제28권2호
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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.

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

  • 곽인숙;홍성희
    • 가족자원경영과 정책
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    • 제13권4호
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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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생애회고적 이야기치료 집단프로그램이 노인의 자아통합감 증진에 미치는 효과 (Effects of Life Review-Narrative Group Therapy Program to Increase Ego-Integrity in the Elderly)

  • 여인숙;김춘경
    • 대한가정학회지
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    • 제44권5호
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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.

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

  • 박주현;임현우;채정미;조현주;정혜선;조선진;이원철
    • 한국직업건강간호학회지
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    • 제16권1호
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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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민간보험가입여부가 한방의료이용에 미치는 영향요인 -2014년 한방의료이용 및 한약소비실태조사(보건복지부)를 중심으로- (The Patterns of Korean Medicine Usage with Coverage by Private Health Insurance -Based on Usage and Consumption of Korean Medicine Report in 2014-)

  • 성안젤라동민;박해모;;이선동
    • 대한예방한의학회지
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    • 제21권1호
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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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    • 제26권1호
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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.

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

  • 강정규;이성관
    • 대한교통학회지
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    • 제20권4호
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    • pp.163-175
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    • 2002
  • 교통사고의 원인은 도로, 차량들의 물리적 요인과 인적요인으로 분류하고 있다. 이중 차량과 관련해서는 수많은 신기술들이 개발되었고 또 개발 중에 있으며 인적요인에 관해서는 최근 국내에서도 중요한 연구들이 수행 중에 있으나 그 결과를 실용화하는데는 더 많은 시간이 필요할 것으로 보인다. 도로요인에 관한 그 동안의 연구가 국도 등에 집중되었기 때문에 오히려 도로의 위계상 최상위 위치에 있는 고속도로를 중심으로 한 연구가 미진한 것처럼 비쳐지는 것도 부정할 수 없는 사실이다. 미국은 도로 안전도 증진을 목표로 IHSDM(Interactive Highway Safety Design Module)이라는 통합설계모듈의 개발을 추진 중에 있으며, 국내에서도 기초적인 연구가 시작되었다. 이러한 평가모듈의 개발에 필수적인 것이 도로설계대안별로 교통안전도를 계량적으로 평가하는 모형의 개발이다. 본 연구에서는 먼저 교통사고의 원인이 되는 도로요인 중 특히 도로선형과 교통사고와의 관계를 밝혀내기 위해 도로선형의 변화(선형개량, 도로확장)가 비교적 적었던 호남고속도로를 대상으로 고속도로의 선형요소와 교통사고와의 미시적인 관계를 규명하였다. 이를 위해 대상도로를 직선부, 곡선부. 완화곡선부 등으로 1차 구분하였으며 이들 구간의 선형요소와 지난 5개년('96년∼'00년) 간의 교통사고 자료를 데이터베이스화하여 모형산정에 이용하였다. 또한 도로선형 요소 중 특히 교통사고와 관계가 큰 것으로 분석된 몇몇 요소들을 이용해 고속도로 선형조건별 안전도평가모형을 구축하였다.

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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    • 제4권4호
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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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    • 제17권4호
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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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    • 제15권2호
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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.