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A Study on Stress in Poor Families with School Children (학령기 자녀를 둔 빈곤가족의 스트레스 -일 지역 빈곤가족의 실태와 경험을 중심으로-)

  • Kang Hee Kyeung
    • Child Health Nursing Research
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    • v.5 no.2
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    • pp.185-197
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    • 1999
  • In the family life cycle, the most important task the families with school children should perform is ‘child education’ and ‘socialization’ However, economic stress on poor families with school children presents multiple problems through the shortage of resources necessary for child education and socialization, inappropriateness of family appraisal, and the insufficiency of the control channels for the efficient management of these confined resources and appropriate appraisal. The objectives of this article are : First, to report research on the actual conditions of the poor families in one area of Cheju and on the relevant health welfare policy, and to examine the appropriateness of the direction and the substance of this policy in terms of the intervention in economic stress on the poor families under the categories of resource management and control of appraisal. Second, to analyze qualitative data extracted from the memoirs of single-parent families living in several areas of Korea under the conceptual framework constructed by literature review in order to get a better understanding of the stress which poor families with school children have experienced. And third, to confirm the factors that can be risk factor but, at the same time, strength to these poor families from presented data and to use them as the basic data from which an intervention model can be developed, based on resource management and control of appraisal. The findings of this article are : First, while the number of absolute poor families in one area of Cheju is increasing and, as a result, the danger of the possibility that multiple problems will occur is also growing, the supporting level of the current policy is no more than a direct resource offer and there is no evidence that resource management is being professionally carried out. When it comes to control of appraisal, due to absence of the professional human resources in this matter, policy performances such as technical education training can have a negative impact. Second, a conceptual framework introduced in this article, ; Economic Pressure → Helplessness → Poor self-esteem → Marital Conflict → Parent-Child financial conflict → Inappropriate socialization → Poor child social competence : is partly verified. And third, judging from the results of the qualitative data, it is confirmed that the healing families, having overcome poverty, show several positive characteristics including : hope, strength, and social support. These findings are identified with the factors of resiliency considered above. According to these results, this article suggests the following. The anti -poverty policy in the future should focus not only on a direct resource offer but also on resource management and the control of appraisal that can magnify its effects. In particular, close attention should be paid to school children since they are in the most crucial period for socialization. Moreover, an emotional labor is such an essential resource for intervention that skilled nurses should play pivotal roles.

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Job Analysis of Pediatric Occupational Therapists in Korea: Focused on Sensory Integration Intervention (아동작업치료사의 직무분석: 감각통합치료 중심으로)

  • Choi, Jeong-Sil;Hong, Eunkyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.15 no.2
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    • pp.1-21
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    • 2017
  • Objective : The aims of the this study is to identify job characteristics, to generate job description, and additionally to investigate duty task of the job for Korean pediatric occupational therapist focused on sensory integration intervention. Methods : In the first stage, job analysis of pediatric occupational therapist focused on sensory integration intervention was performed by an advisory committee consist of the DACUM panel. Through the job analysis, job description with definition was established. In the second stage, a survey was performed for 141 pediatric occupational therapist using a questionnaire based on the job description in order to investigate importance, frequency and difficulty of duty task and task elements of the job. This process was done from May to September 2017. Results : The job definition drew from this study was 'Pediatric occupational therapist provides occupational therapy services to children and adolescents to support occupational performance and social participation including daily activities and play". Through the job description established in this study, 9 duties (consulting, evaluation, intervention plan, intervention, document, education, self-development, management, and administration), 28 tasks and 169 task elements were drew. In the survey, among the duty tasks and task elements, 'ensure physical safety' and 'perform a session' were selected as the most important task, and 'ensure safety of children, sensory integrative equipment and environment' and 'prepare a safe environment' were selected as the most important element. Conclusion : This study defined job demands and characteristics of pediatric occupational therapist who performs sensory integration intervention. It is expected that this study can be used a resource to develop and/or improve educational program related.

TCP Performance Improvement Scheme on Dynamic Wireless Environment over UMTS System (UMTS 시스템에서 동적 무선 환경 변화에 따른 TCP 성능 향상 기법)

  • Kim, Nam-Ki;Park, In-Yong;Yoon, Hyun-Soo
    • The KIPS Transactions:PartC
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    • v.10C no.7
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    • pp.943-954
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    • 2003
  • The mobile telecommunication system has been growing exponentially after 1990s due to the high population in a city and the growth of mobile user. In this time, the current mobile system mainly concentrates on the voice communication. However, in the next generation, mobile users want to get very diverse services via mobile terminal such as the Internet access, web access, multimedia communication, and etc. For this reason, the next generation system, such as the UMTS (Universal Mobile Telecommunication Services) system, has to support the packet data service and it will play the major role in the system. By the way, since the Web service is based on TCP, most of the Internet traffic TCP traffic. Therefore, efficient transmission of TCP traffic will take very important role in the performance of packet data service. There are many researches about improving TCP performance over wireless network. In those schemes, the UMTS system adapts the link layer retransmission scheme. However, there are rarely studies about the exact performance of the link layer retransmission scheme in the face of dynamic changes of wireless environment over the UMTS system. The dynamic changes of wireless environment, such as wireless bandwidth, can degrade TCP performance directly. So, in this paper, we simulate and analyze the TCP performance in the UMTS system with dynamic wireless environments. Then, we propose a simple scheme for minimizing TCP performance degradation. As a result of simulation, we can find that when wireless environment is changed dynamically, the probability of TCP timeout is increased, and the TCP performance is degraded very much. In this situation, the proposed simple scheme shows good performance. It saves wireless resources and reduces the degradation of TCP performance without large overhead of the base station.

A Study on the Policy Trends for the Revitalization of Medical Big Data Industry (의료 빅데이터 산업 활성화를 위한 정책 동향 고찰)

  • Kim, Hyejin;Yi, Myongho
    • Journal of Digital Convergence
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    • v.18 no.4
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    • pp.325-340
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    • 2020
  • Today's rapidly developing health technology is accumulating vast amounts of data through medical devices based on the Internet of Things in addition to data generated in hospitals. The collected data is a raw material that can create a variety of values, but our society lacks legal and institutional mechanisms to support medical Big Data. Therefore, in this study, we looked at four major factors that hinder the use of medical Big Data to find ways to enhance use of the Big Data based healthcare industry, and also derived implications for expanding domestic medical Big Data by identifying foreign policies and technological trends. As a result of the study, it was concluded that it is necessary to improve the regulatory system that satisfies the security and usability of healthcare Big Data as well as establish Big Data governance. For this, it is proposed to refer to the Big Data De-identification Guidelines adopted by the United States and the United Kingdom to reorganize the regulatory system. In the future, it is expected that it will be necessary to have a study that has measures of the conclusions and implications of this study and to supplement the institutional needs to play a positive role in the use of medical Big Data.

The Development and Effect of Navigator Education Program for Cancer Screening on Women in the Community (지역사회 여성암 검진 네비게이터 교육 프로그램 개발 및 효과 분석)

  • Lee, Bo-Young;Jo, Heui-Sug;Lee, Hey-Jean
    • Journal of agricultural medicine and community health
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    • v.34 no.2
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    • pp.214-222
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    • 2009
  • Objectives: This study was performed to evaluate the effect of navigator education program for cancer screening, which is designed for improvement in knowledge of cancer, perceived self efficacy and communication skill of the breast and cervical cancer screening for middle-aged and aged women in urban areas. Cancer screening navigator is lay health advisor who are educated for providing information, emotional support about cancer screening at the community. Methods: The subjects were 33 women at the age of 40-69 and educated for 12 hours through the education program. The control group subjects were 30 women. For statistical analysis, descriptive statistics and paired t-test were used with SPSS WIN 14.0. Results: Contents of education program were case of cancer early detection, benefit of breast cancer screening, benefit of cervical cancer screening, health care system for cancer screening, role of cancer screening navigator, communication skill, transtheoretical model and role play. Knowledge of cancer(t=4.267, p=0.000) and communication skill(t=4.947, p=0.000) of the women increased significantly after implementing the 12 hours education program. Conclusion: The results suggest that navigator education for cancer screening has an effect in increasing knowledge of cancer, and communication skill scores.

A Study on Advanced Seafarers' Training for Improving Abilities of Officers in Charge of a Navigational Watch who Handle Navigational Equipment: To Focus on the ECDIS (항해사의 항해기기 취급 능력 향상을 위한 해기 교육 개선에 대한 연구: ECDIS를 중심으로)

  • LEE, Bo-Kyeong;KIM, Dae-Hae;LEE, Sang-Do;CHO, Ik-Soon
    • Journal of Fisheries and Marine Sciences Education
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    • v.28 no.2
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    • pp.323-335
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    • 2016
  • The main reason of marine casualties is the human error in respect of ship's operation. The human error of officers in charge of a navigational watch is related to their abilities to handle of navigational equipment. Navigational devices play a key role to help officers decide what to do for safe navigation. Thus, the abilities to handle of navigational equipment mean not only operation of devices but also entire understanding of the system such as interpretation of information obtained from devices, appropriate use of information considering navigational circumstance. Qualification of seafarers is in accordance with STCW and detailed training courses for their qualification are provided by IMO model course series. Recently, ships engaged on international voyages shall be fitted with an ECDIS not later than the first survey on or after 1 July 2018. As increasing use of ECDIS on ships, marine casualties related to ECDIS are on the rise. The primary causes of the accidents are lacking understanding of ECDIS system, wrong presentation of information on display, wrong safety setting by seafarers who use ECDIS, using small-scale chart and missing charts update. As a result of these primary causes, some problems like wrong route planning and use of limited or omitted information occur. It could be happening by inappropriate seafarers' training which is not sufficient to support improving abilities of officers to handle navigational equipment. For efficient training, it is need to develop training courses. Applying full mission simulation system to seafarers' training courses with case studies and best practices which are well-constructed scenarios based on true marine casualties can increase the effect of training. To use the simulation system, it is possible that seafarers are trained under condition that closely resemble real situation. It should be considered that IMO model course be revised depending on the level of seafarers also. It could be helpful for increasing seafarers' abilities of equipment operation in place of accumulation of experience spending much time. In the short term, effort of training courses improvement for seafarers is needed and long term, it should be tried to provide stable system and services relate to ECDIS.

Investigation on Supporting Policies and Problems of Shale Gas Development in China (중국 셰일가스 개발 문제점과 지원정책 분석)

  • Lee, Chaeyoung;Yoon, Junil;Lee, Hong;Lee, Youngsoo;Shin, Changhoon
    • Journal of the Korean Institute of Gas
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    • v.19 no.2
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    • pp.54-65
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    • 2015
  • China holding the world largest shale resources, has been trying to develop their domestic shale gas fields mainly with its NOCs. Chinese shale industry looks likely to have high potential to grow in the future, considering the eager support of Chinese government and the rapid development of relevant technologies by NOCs. However, there are opposite opinions as well that Chinese shale gas could not play a positive short-term results because of the complexity of structural geology, inadequacy of water resources and related infrastructure. Recently, Korean companies began to be interseted in Chinese shale gas industry, because of the special relationships with Korean industries in terms of geographic proximity and better opportunities due to the early phase of shale gas business in China. In this study, it was tried to help those companies looking out of future Chinese shale gas industry that surveying current status and problems of Chinese shale gas industry and relevant industries and investigating some trials and policies driven by China government. As a result, the various and long-term problems in Chinese shale development were reviewed and the active supports and polices of Chinese government, NOC's trials for establishments of their independent technologies and the cooperation with foreign companies or M&As were also investigated.

Automated Functional Morphology Measurement Using Cardiac SPECT Images (SPECT 영상을 사용한 기능적 심근형태의 자동 계측법 개발)

  • Choi, Seok-Yoon;Ko, Seong-Jin;Kang, Se-Sik;Kim, Chang-Soo;Kim, Jung-Hoon
    • Journal of radiological science and technology
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    • v.35 no.2
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    • pp.133-139
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    • 2012
  • For the examination of nuclear medicine, myocardial scan is a good method to evaluate a hemodynamic importance of coronary heart disease. but, the automatized qualitative measurement is additionally necessary to improve the decoding efficiency. we suggests the creation of cardiac three-dimensional model and model of three-dimensional cardiac thickness as a new measurement. For the experiment, cardiac reduced cross section was obtained from SPECT. Next, the pre-process was performed and image segmentation was fulfilled by level set. for the modeling of left cardiac thickness, it was realized by applying difference equation of two-dimensional laplace equation. As the result of experiment, it was successful to measure internal wall and external wall and three-dimensional modeling was realized by coordinate. and, with laplace formula, it was successful to develop the thickness of cardiac wall. through the three-dimensional model, defects were observed easily and position of lesion was grasped rapidly by the revolution of model. The model which was developed as the support index of decoding will provide decoding information to doctor additionally and reduce the rate of false diagnosis as well as play a great role for diagnosing IHD early.

Research on Fear of Criminal Victim of the Elderly Based on Risk Interpretation Model (위험해석모델에 따른 노인의 범죄피해 두려움에 관한 연구)

  • Shin, So-Young;Kim, Chang-Ho
    • Korean Security Journal
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    • no.45
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    • pp.221-242
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    • 2015
  • Verification for the causality of factors affecting fear of criminal victim which has a bad influence on the senior's quality of life and directions to prevent the crimes against the elderly have been suggested. This study proves the applicability for fear of crime to old people especially based on risk interpretation model consisting of perceived risk of crime, behavioral response and fear of crime. Analysis results are as follows. First, disorder factors as social characteristics showed statistically significant influences on perceived risk of crime, behavioral response and fear of crime. Second, direct experienced crime victimization only affected perceived risk of crime while indirect experienced crime victimization had an effect on perceived risk of crime and fear of crime as well. Third, perceived risk of crime influenced fear of crime. Fourth, perceived risk of crime was concerned with fear of crime. Fifth, behavioral response was affiliated with fear of crime. These results reveal that risk interpretation model can be applied to senior's fear of crime. Moreover, disorder factor as social characteristic and experienced crime victimization as individual characteristic help the elderly perceive the risk of crime, bring behavioral response. Consequently, they play a role of factors affecting fear of crime. It is emphasized that support policy is required for the elderly who had experienced crime and stabilization of community environment if necessary to improve the quality of life.

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The Relationship between Cardio-Ankle Vascular Index (CAVI), Ankle-Brachial Index (ABI), and Factors Related to Arteriosclerosis (Cardio-Ankle Vascular Index(CAVI), Ankle-Brachial Index(ABI)와 동맥경화 관련 요인과의 상관관계 연구)

  • Lee, Gi-hyang;Kang, Su-bin;Jeon, Sang-woo;Kang, Sei-young
    • The Journal of Internal Korean Medicine
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    • v.41 no.3
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    • pp.434-446
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    • 2020
  • Objectives: The cardio-ankle vascular index (CAVI) and ankle-brachial index (ABI) are non-invasive methods to evaluate cardiovascular disease and arteriosclerosis. This study investigated the relationship between CAVI, ABI, and factors related to arteriosclerosis. Methods: This study included 535 healthy adults who underwent health examinations in 2019. We analyzed the correlation between CAVI, ABI and clinical variables. Multiple regression analysis was performed on the independent clinical variables associated with CAVI and ABI. Results: The correlation analysis of CAVI showed that body mass index (BMI) and HDL-cholesterol (HDL-C) had a negative correlation, and the other variables had a significant positive correlation. The correlation analysis with ABI on the right side showed that age, diastolic blood pressure (DBP), gender, and LDL-cholesterol (LDL-C) had a significant positive correlation, while HDL-C had a significant negative correlation. There was no statistical significance on the left. In the multiple regression analysis, DBP, age, BMI, gender, and HDL-C were proved to be independent factors in CAVI (right) (R2=0.365); DBP, age, gender, BMI, fasting blood sugar, and total cholesterol in CAVI (left) (R2=0.357); and age, gender, DBP, and systolic blood pressure in ABI (right) (R2=0.133). There were no statistically significant factors in ABI (left). It could be inferred that smoking and drinking are determinants that play an important role in CAVI. Conclusion: CAVI showed a high correlation with gender, age, and blood pressure. A significant correlation between CAVI and serum lipid values could be observed, but this showed a low correlation coefficient. ABI showed a high correlation with age and DBP. These results support the use of CAVI and ABI as primary diagnostic devices in medical treatment.