• Title/Summary/Keyword: pattern of care

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The Effects of Young Children's Hours Spent at Kindergartens or Child Care Centers on their Language, Cognition, and Social Development: Focusing on Mediating Effects of Teacher-child Interactions (유아의 기관이용시간이 언어, 인지 및 사회성 발달에 미치는 영향: 교사-유아 상호작용의 조절효과를 중심으로)

  • Park, Changhyun;Kim, Sanglim
    • Korean Journal of Childcare and Education
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    • v.12 no.3
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    • pp.197-210
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    • 2016
  • The purpose of this study was to examine the effects of young children's stay hours on kindergartens or child care centers on their language, cognition, and social development with teacher-child interactions as a mediator. For this purpose, the data from the 2013 Panel Study on Korean Children were analyzed using the GLM and pattern analysis. The results of the GLM analysis were as follows. First, the main effects of the stay hours on child development were statistically significant Second, the main effects of the level of teacher-child interaction were also statistically significant on the results of child development. Third, the moderating effect of teacher-child interaction level between the stay hours and child development were also significant. The results showed that young children's stay hours effected their language, cognitive, and social development and teacher-child interactions mediated these effects.

An Efficient Care of Address Configuration Scheme for Network Mobility Support based on Movement Pattern of a Train (철도차량의 이동 특성을 고려한 네트워크 이동성 지원을 위한 효율적인 Cave of Address 구성 방안)

  • Lee Il-Ho;Lee Jun-Ho
    • Journal of the Korean Society for Railway
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    • v.9 no.3 s.34
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    • pp.313-318
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    • 2006
  • In this paper, we propose an efficient Care of Address (CoA) configuration scheme for network mobility support in the railroad environment. Mobile routers in a train visit each access router in the fixed order. Such regular movement characteristic of a train enables a current subnet access router to inform the next subnet access router of the mobile routers' interface identifiers before the mobile routers move to the next subnet access router. So, the next subnet access router can make care of addresses for the mobile routers in advance. The numerical results show that the proposed scheme outperforms the stateless scheme with respect to CoA configuration time.

Development of Home Care Nursing Intervention Protocols for Spinal Cord Injury Patients Based on NIC (NIC에 근거한 척수손상환자의 가정간호 중재 프로토콜 개발)

  • Moon, Seong-Mi;Kim, Sun-Hee
    • Journal of Korean Academic Society of Home Health Care Nursing
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    • v.8 no.1
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    • pp.25-37
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    • 2001
  • Spinal cord injury patients need rehabilitation after the acute stage. They should be cared for at home to decrease hospitalization. Home care nurses play an important role in making spinal cord injury patients who have physical. and psychosocial problems do their best. For effective care, home care nurses need standardized nursing intervention protocols for spinal cord injury patients, but they are rarely developed. Therefore, this study was conducted to develop home care nursing protocols, based on NIC, that are applicable to spinal cord injury patients at home. Forty home care nursing charts of spinal cord injury patients registered in a home care nursing agency from July 1st, 1994 to August 31st, 1999 in S city were analyzed. Fifteen home care nurses participated in this study as a user validity validation group, The results of this study are as follows. 1. Fifteen nursing diagnoses were classified through the frequency analysis of home care nursing charts and previous literature for 40 spinal cord injury patients: altered urinary elimination, constipation, high risk for impaired skin integrity, chronic pain, impaired skin integrity, impaired social interaction, knowledge deficit, bowel incontinence, high risk for injury, altered role performance, care giver role strain, impaired physical mobility, sexual dysfunction, dysreflexia, and ineffective breathing pattern. 2. Based on validation by experts and user validities, 93 nursing interventions which were above ICV(Index of Content Validity) .80 were chosen. 3. Nursing intervention protocols which showed above ICV .80 were developed.

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The Effects of Kangaroo Care on Body Weight, Physiologic Responses and Behavioral States in Premature Infants (캉가루식 돌보기가 미숙아의 체중, 생리적 반응 및 행동 상태에 미치는 효과)

  • 구현영
    • Journal of Korean Academy of Nursing
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    • v.30 no.1
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    • pp.171-182
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    • 2000
  • This study was performed to investigate the effect of kangaroo care on body weight, physiological responses and behavioral states in premature infants. The subjects were 32 premature infants, fifteen for the kangaroo care group and seventeen for the control group, who hospitalized in a neonatal intensive care unit at a university-affiliated hospital. The kangaroo care was applied 8 times during the twenty five days with 40 minutes for each session. The kangaroo care provides the skin-to-skin contact during which a premature infant wearing a diaper and a hat is placed on its mother's chest. As for the measures, body weight was measured everyday. The levels of epinephrine, norepinephrine and 17-OHCS were measured twice, before beginning the first intervention and after finishing the last intervention. While each session of the care is undergoing, such physiological responses were measured periodically as heart rate, respiration rate, oxygen saturation, core temperature and skin temperature. The results were as follows : 1. The weight gain was significantly greater in the kangaroo care group than that in the control group during the period of performing the kangaroo care. 2. No significant difference was revealed between the two groups in heart rate, respiration rate, oxygen saturation and core temperature. The kangaroo care group also showed significant increases in the skin temperature. 3. The differences in the levels of epinephrine, norepinephrine and 17-OHCS were not significant between the kangaroo care and the control groups. The level of norepinephrine in the two groups was significantly increased over time. 4. Sleep pattern changed significantly in the kangaroo group from a very restless sleep to a very quiet sleep. These results suggest that kangaroo care is an effective nursing intervention for premature infants in gaining weight, achieving stable physiological responses and facilitating a quiet sleep.

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Reliability of Portable Spirometry Performed in the Korea National Health and Nutrition Examination Survey Compared to Conventional Spirometry

  • Park, Hye Jung;Rhee, Chin Kook;Yoo, Kwang Ha;Park, Yong Bum
    • Tuberculosis and Respiratory Diseases
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    • v.84 no.4
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    • pp.274-281
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    • 2021
  • Background: The Korea National Health and Nutrition Examination Survey (KNHANES) is a well-designed survey to collect national data, which many researchers have used for their studies. In KNHANES, although portable spirometry was used, its reliability has not been verified. Methods: We prospectively enrolled 58 participants from four Korean institutions. The participants were classified into normal pattern, obstructive pattern, and restrictive pattern groups according to their previous spirometry results. Lung function was estimated by conventional spirometry and portable spirometry, and the results were compared. Results: The intraclass correlation coefficients of forced vital capacity (FVC) (coefficient, 9.993; 95% confidence interval [CI], 0.988-0.996), forced expiratory volume in 1 second (FEV1) (coefficient, 0.997; 95% CI, 0.995-0.998), FEV1/FVC ratio (coefficient, 0.995; 95% CI, 0.992-0.997), and forced expiratory flow at 25-75% (FEF25-75%; coefficient, 0.991; 95% CI, 0.984-0.994) were excellent (all p<0.001). In the subgroup analysis, the results of the three parameters were similar in all groups. In the overall and subgroup analyses, Pearson's correlation of all the parameters was also excellent in the total (coefficient, 0.986-0.994; p<0.001) and subgroup analyses (coefficient, 0.915-0.995; p<0.001). In the paired t-test, FVC, FEV1/FVC, and FEF25-75% estimated by the two instruments were statistically different. However, FEV1 was not significantly different. Conclusion: Lung function estimated by portable spirometry was well-correlated with that estimated by conventional spirometry. Although the values had minimal differences between them, we suggest that the spirometry results from the KNHANES are reliable.

Analysis of Women's selection Pattern on Kindergarten/Child Care Centers and Private Tutoring for Young Children (여성의 유치원.보육시설 및 사교육 선택유형 분석)

  • Lee, Gyeong-Seon;Kim, Ju-Hu
    • The Journal of the Korea Contents Association
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    • v.9 no.10
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    • pp.464-473
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    • 2009
  • The purpose of this study was to analyze women's selection pattern on kindergarten/child care centers and private tutoring for young children. For this purpose, 1,810 women whose young children's age was between 2 and 6 were selected from KLoWF data. After categorizing the education centers as daycare center, kindergarten, and private institute, it was investigated the women's characteristics related to their decision making for selection of the centers. The results of survey data analyses showed that younger children's mothers preferred to send their children to daycare centers, older children's mothers did to kindergarten. In terms of their dual selection on education centers, the frequency of 6-old-year children attending kindergarten and private institutes was very high. As the children's age was increasing, the frequency of women's multiple selection on daycare center, kindergarten and private institute was also increasing. In addition, regardless of the women's job pattern and existence, they preferred to send children to daycare centers. With these findings, limitations and suggestions for the future studies were also discussed.

Severe Acute Fibrinous and Organizing Pneumonia with Acute Respiratory Distress Syndrome

  • Kang, Hyo-Jae;Choi, Sun-Mi;Jeong, Yun-Jeong;Park, Jong-Sun;Lee, Sei-Won;Yoon, Ho-Il;Lee, Jae-Ho;Lee, Choon-Tack;Cho, Young-Jae
    • Tuberculosis and Respiratory Diseases
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    • v.71 no.5
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    • pp.368-372
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    • 2011
  • Acute fibrinous and organizing pneumonia is a newly recognized pattern of acute lung injury. A 49-year-old female presented with a cough and worsening dyspnea on exertion. She had no history of smoking and no specific past medical history except exposure of home humidifier containing sterilizer. A chest computed tomography scan showed patchy consolidation with fibrosis in the right lower lobe and ill-defined centrilobular ground glass opacity in both lungs. The pathological findings were patchy areas of lung parenchyma with fibrin deposits in the alveolar ducts and alveoli, and fibrin balls with hemosiderin deposition in the alveolar spaces. The histological pattern of our case is differentiated from diffuse alveolar damage by the absence of hyaline membranes, and from eosinophilic pneumonia by the lack of eosinophils. In our case, the patient was treated with corticosteroid pulse therapy. However, the clinical course became aggravated and she died within two weeks.

A Study on the Caregiving and Adaptation in the Families who Awarded on Filial Piety (효행자 가족의 부양과 적응에 관한 연구)

  • 김서연
    • Journal of Families and Better Life
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    • v.17 no.2
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    • pp.75-92
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    • 1999
  • The purpose of this study was to investigate the caregiving and adaptation in families who awarded on filial piety. Using the qualitative methods-in depth interview genogram ecomap participation observation- 8 families were analyzed The major findings can be summarized as follows (1) These families showed very high family solidarity with strong collectivity. Their family role was interchangable and their familiarity was passed down from generation to generation. (2) Family members showed similar coping patterns on the basis of their own adaptationl Their coping was inclined toward acceptance especially religioous rather than emotional-focused ad hardly avoidance coping. (4) Although their economic emotional and service cares were family-centered with helps from their extended family household equipment for elder care was not prepared. (5) These families preferred to maintain this condition rather than to be well adapted. It was concluded that to help failed elder's family care iving social support program should be complemented in family life enrichment program for their children medical care program equipment rental program for elder in social network religion program and so on, Social norms forparent-children relation has be changed to more flexible care pattern. Also more social-emotional support has to be given to these families.

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A Study for Usage Patterns and Recognition toward Korean Medicine in Korea High School Students (고등학생의 한의약 의료 이용 형태 및 인식에 관한 연구)

  • Jung, Sung-Hun;Kim, Gi-Ryang;Jeong, Joon-Soo;Sung, Hyun-Kyung;Lee, Ju-Ah;Kang, So-Hyeon;Kim, Young-Ji;Kong, Kyung-Hwan;Go, Ho-Yeon
    • Journal of Society of Preventive Korean Medicine
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    • v.20 no.1
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    • pp.19-28
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    • 2016
  • Objectives : This study is to research on usage patterns, recognition of system to Korean medicine among high school students who are the potential future medical consumer. Methods : Based on the questionnaire used by KIHASA(Korea Institute for Health and Social Affairs) in 2011 and KHIDI(Korea Health Industry Development Institute) in 2014, modifications were made to make questionnaire more suitable for this research. This self-administered questionnaire was conducted among 1,025 highschool students of 3 high schools in Ulsan city on september, 2015. Except 19 cases which considered statistically insignificant or with unreliable responses, 1,007 cases were analyzed by p-paired test and ANOVA test through the SPSS 22.0 for Win program. Results : Most of the high school students(66.5%) do not have an experience on Korean medical care. The number of students' first experience on Korean medical care is the largest during their elementary school (34.9%), which means the treatment was mostly for restorative reasons like growth care. The later the time of their first experience on Korean medical care, the higher ratio was shown on their recent utilization of Korean medical care. Korean medicine was rarely covered in most cases of public health education at school, and this public health education and usage pattern on Korean medicine have positive correlation. Compared 'Group who have used Korean medical care in 1 years except recent 3 months' to the 'Group who have used Korean medical care in 3 recent months', the former showed higher recognition in Korean medical care and insurance system. Conclusions : The proportion of Korean medicine is as low as 4.5% to whole medical market, and most of the consumers are senior. In addition, the aging phenomenon of Korean medical consumer have been continued. This specialized study on usage patterns and recognition among youth can be the basic research data which can be used for promotion, education and establishment of health policy and health care system.