• International Journal of Computer Science & Network Security
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• 제22권11호
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• pp.338-347
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• 2022

The current study aimed to identify the reality of the transitional services provided to people with intellectual disabilities from the parent's point of view. The results indicated an average level, with an arithmetic mean (3.66) of the reality of transitional services provided to students with intellectual disabilities through the response of the study participants to the questionnaire consisting of (20) items. The dimension (social and societal skills) ranked first with an arithmetic average (4.03) with a high degree, through the response of the participants in the study to the items of the dimension consisting of (10) items. It was followed by the dimension (self-determination skills) with an arithmetic average of (3.29) to a medium degree, through the response of the participants in the study to the items of the dimension consisting of (10) items. The researchers recommend the necessity of joint planning by all relevant authorities, to solve the legal, societal, technical, and administrative problems and challenges that impede the provision of transitional services for students with intellectual disabilities.

• Journal of Preventive Medicine and Public Health
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• 제56권6호
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• pp.563-572
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• 2023

Objectives: The high readmission rate of patients with chronic obstructive pulmonary disease (COPD) has led to the worldwide establishment of proactive measures for identifying and mitigating readmissions. This study aimed to identify factors associated with readmission, as well as groups particularly vulnerable to readmission that require transitional care services. Methods: To apply transitional care services that are compatible with Korea's circumstances, targeted groups that are particularly vulnerable to readmission should be identified. Therefore, using the National Health Insurance Service's Senior Cohort database, we analyzed data from 4874 patients who were first hospitalized with COPD from 2009 to 2019 to define and analyze readmissions within 30 days after discharge. Logistic regression analysis was performed to determine factors correlated with readmission within 30 days. Results: The likelihood of readmission was associated with older age (for individuals in their 80s vs. those in their 50s: odds ratio [OR], 1.59; 95% confidence interval [CI], 1.19 to 2.12), medical insurance type (for workplace subscribers vs. local subscribers: OR, 0.84; 95% CI, 0.72 to 0.99), type of hospital (those with 300 beds or more vs. fewer beds: OR, 0.77; 95% CI, 0.66 to 0.90), and healthcare organization location (provincial areas vs. the capital area: OR, 1.66; 95% CI, 1.14 to 2.41). Conclusions: Older patients, patients holding a local subscriber insurance qualification, individuals admitted to hospitals with fewer than 300 beds, and those admitted to provincial hospitals are suggested to be higher-priority for transitional care services.

• 지역사회간호학회지
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• 제33권1호
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• pp.13-31
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• 2022

Purpose: This study conducted a job analysis of visiting nurses in the process of change. Methods: Participants were the visiting nurses working for the Seoul Metropolitan city. On the basis of the Public Health Intervention Wheel model, two times of the focus group interview (FGI) with seven visiting nurses and one time of the Developing a Curriculum (DACUM) with 34 visiting nurses were performed. A questionnaire survey of 380 visiting nurses was conducted to examine the frequency, importance and difficulty levels of the tasks created by using the FGI and DACUM. Results: Visiting nurses' job was derived as the theme of present versus transitional roles. The present role was categorized as 'providing individual- and group-focused services' and 'conducting organization management', while the transitional role was categorized as 'providing district-focused services' and 'responding to new health issues'. The job generated 13 duties, 28 tasks, and 73task elements. The tasks showed the levels of frequency (3.65 scores), importance (4.27 scores), and difficulty (3.81 scores). All the tasks were determined as important, exceeding the average 4.00 scores. The group- and district-focused services of the tasks were recognized as more difficult but less frequent tasks. Conclusion: The visiting nurses exert both present and transitional roles. The transitional roles identified in the present study should be recognized as an extended role of visiting nurses in accordance with the current changing healthcare needs in South Korea. Finally, the educational curriculum for visiting nurses that reflects the transitional roles from the present study is needed.

• 농촌의학ㆍ지역보건
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• 제47권3호
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• pp.143-153
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• 2022

목적: 병원에서 재가 및 시설로 퇴원한 환자가 지역사회에서 건강을 유지하기 위해서는 전환기 돌봄서비스(Transitional care services)가 필요하다. 이를 위해 지역사회 내 의료서비스와 자원을 연계하는 주치의의 역할이 중요시된다. 본 연구에서는 선행연구를 바탕으로 일차진료 의사들의 환자중심성에 대한 인식을 파악하여 환자중심 기반의 서비스 제공을 위해 필요한 정책을 제시하였다. 또한 Transitional Care Service에 대한 일차진료 의사들의 인식을 확인하고 인구사회학적 요인과의 관계를 확인함으로써 서비스 우선순위를 도출하고자 하였다. 방법: 본 연구는 전국의 가정의학과, 내과, 신경과 등 노인 질환과 관련 있는 과의 전문의 자격증이 있으며 자발적으로 온라인 설문조사에 참여할 의사를 표현한 일차진료 의사 259명을 대상으로 수행되었다. 환자중심성 및 전환기 돌봄서비스에 대한 인식을 살펴보기 위해 구조화된 설문지를 개발하였으며, 조사전문업체를 통해 2019년 10월 28일부터 2019년 11월 22일까지 온라인으로 설문조사를 수행하였다. 결과: 본 연구에 대한 주요 결과는 다음과 같다. 첫째, 일차진료 의사들을 대상으로 9가지 전환기 돌봄서비스 인식에 대해 살펴본 결과 "입원 시 진단, 건강상태, 치료계획 및 결과 에 대한 설명(4.4)"과 "퇴원 후 자가 건강관리를 위한 정보 및 훈련 (4.2)"에 대한 필요성이 높게 나타났다. 둘째, 35세 이상 일차진료 의사가 34세 이하 일차진료 의사보다 전환기 돌봄서비스에 대한 인식이 높게 나타났다(F=7.3, p<0.01). 또한, 환자중심성에 대한 인식이 높을수록, 연령이 높을수록, 서울 외 지역에서 근무할수록 전환기 돌봄서비스에 대한 인식이 높게 나타났다. 결론: 본 연구에서는 일차의료를 제공하는 의료진들을 위한 교육프로그램과 지역사회에서 일차의료 의사들을 중심으로 하는 지역 연계 방안을 제시하였다는 점에서 의의가 있다.

• 한국인구학
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• 제18권2호
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• pp.51-69
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• 1995

이 연구는 한국사회에서 사회복지 정책을 어떻게 전개해 나가야 할 것인지에 관한 관심 속에서 선진복지국가인 스웨덴의 사회복지제도가 어떻게 발전해 나갔는지를 인구변천에 초점을 맞추어 살펴보고 있다. 먼저 스웨덴과 한국의 인구발전과정을 인구변천모형에 따라 분석하고, 인구변천 단계에 따라 사회복지가 어떻게 발전해 나왔는지를 주로 사회복지 법규를 통해 규명하고 있다. 다음 각 단계별 법규와 사회보장비 지출을 검토하여 스웨덴의 복지발달과정의 이념을 규명한 후, 한국의 사회복지정책이 어떤 방향을 나가야 할지를 제시하고 있다. 연구결과 스웨덴에 비해 한국의 사회보장비지출은 절대 부족상태이며, 스웨덴이 보편주의적 서비스를 강조하는데 비해 한국은 특수집단에 대한 서비스를 강조하고 있음이 부각되었다. 또 한국은 특수한 역사적, 문화적 요인에 의해 보훈계통의 비용이 지불되고 있다. 이 연구의 정책적 함의는 한국사회도 앞으로 소극적인 복지정책보다는 스웨덴에서 처럼 보편주의, 생산주의 및 가정복지를 바탕으로 한 복지민주주의 정책에 대한 적극적인 자세가 필요함을 제시하고 있다.

• 한국디지털건축인테리어학회논문집
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• 제8권2호
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• pp.21-28
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• 2008

The main purpose of this paper is to find the phase-in of BIM adoption by focusing on the level of integration. BlM should be aimed at integration and collaboration of all parties furnishing design and construction services to increase the productivity. Therefore, the degree and depth of integration for project collaboration is very important to BlM design process. One of the key advantages of full integration is that is to facilitates the development of detailed information much earlier in the entire design process to improve collaboration among stakeholders. Such integrated use is the ultimate method, but even so, it's not the precondition of BlM. One of the key advantages of relatively low integration as a transition phase is to adopt the BlM earlier than full integration. Such transitional and non-integrated BIM can also reduce the possibility of trial and error in BlM adoption. Therefore, this paper focused on non-integrated use of BlM as a substitute of full IPD by analyzing obstacles in BIM adoption.

• 대한간호학회지
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• 제41권6호
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• pp.750-757
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• 2011

Purpose: Cost-benefit analysis is one of the most commonly used economic evaluation methods, which helps to inform the economic value of a program to decision makers. However, the selection of a correct benefit estimation method remains critical for accurate cost-benefit analysis. This paper compared benefit estimations among three different benefit estimation models. Methods: Data from community-based chronic hypertension management programs in a city in South Korea were used. Three different benefit estimation methods were compared. The first was a standard deterministic estimation model; second, a repeated-measures deterministic estimation model; and third, a transitional probability estimation model. Results: The estimated net benefit of the three different methods were $1,273.01, $-3,749.42, and $-5,122.55 respectively. Conclusion: The transitional probability estimation model showed the most correct and realistic benefit estimation, as it traced possible paths of changing status between time points and it accounted for both positive and negative benefits.

• 한국경제지리학회지
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• 제6권2호
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• pp.293-306
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• 2003

충북지역은 지역 내 총생산의 이윤부문이 외부로 유출되고 있으므로 기반산업의 육성이 필요한데 이를 위해 주력 제조업은 주 업종으로 석유화학, 반도체 업종을, 부차적인 업종은 자동차 산업으로 하고 이들 업종에 디지털 산업을 결합시켜 고부가가치의 차세대 산업동력으로 발전시켜 나가야 할 것이다. 그리고 충북지역의 지식기반 서비스업인 교육 서비스와 보건복지 및 연구개발 서비스업은 정밀화학, 생물산업의 주 업종과 부차적인 정밀기기 업종의 지원사업으로 이들 기업간의 네트워크를 형성하고 교육기관과 연계하여 지역혁신체제를 구축하여야 할 것이다.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.2725-2729
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• 2015

Background: Transitional cell carcinoma (TCC) and prostate cancer are the most frequent cancers in the male genitourinary tract. Measurement of biological biomarkers may facilitate clinical monitoring and aid early diagnosis of TCC. The aim of the present investigation was to detect the mRNA levels of S100A12 and RAGE (receptor for advanced glycation end products) in patients suffering from bladder TCC. Materials and Methods: To explore the involvement of S100A12 and RAGE genes, total RNA was harvested from cancer tissues and samples obtained from normal non-tumorized urothelium of the same patients. Quantitative PCR (qPCR) was subsequently employed to determine the mRNA levels of S100A12 and RAGE. Results: The results showed that mRNA expression of S100A12 and RAGE was significantly up-regulated in the cancer tissue. Conclusions: According to the results presented in the current study, mRNA expression of S100A12 and RAGE might be as a useful biomarker for TCC. Therefore, this ligand-receptor axis possibly plays important roles in the development of TCC and may serve either as an early diagnostic marker or as a key factor in monitoring of response to treatment. More research is required concerning inhibition of the S100A12-RAGE axis in different cancer models.

• 한국임상약학회지
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• 제32권1호
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• pp.27-36
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• 2022

Background: Medication-related problems (MRPs) frequently occur during the discharge period. Elderly patients, particularly, are at high risk for these problems due to polypharmacy and the use of potentially inappropriate medications. The purpose of this study was to build and implement collaboration between general hospital and community pharmacies to address MRPs among high-risk elderly patients before/after discharge. Methods: This retrospective study was conducted between June and December of 2020. The inclusion criteria were patients with aged ≥65 years; residents of Jeonju; discharged from Jeonbuk National University hospital; either on medication of exceeding 10 medications (or high-risk medications) after hospitalization through the emergency room, or having severe illness. Patients received medication reconciliation and counselling by hospital pharmacists before discharge and home-visit pharmaceutical care as follow-up by community pharmacists after discharge. Results: Twenty-two patients agreed to home-visit pharmaceutical services. Fifteen and 11 patients completed the first and second home-visit pharmaceutical care service, respectively. Forty-two MRPs were identified in 15 patients. The types of high-frequency MRPs were incorrect administration of drug, adverse drug reactions, medication non-compliance, drug-drug interactions, lifestyle modifications, and expired medication disposal. After consultation with the pharmacist, 34 out of 42 MRPs were resolved. Conclusions: Transitional care for high-risk elderly patients before and after discharge was successfully built and implemented through a collaboration between general hospital and community pharmacies. This study suggests that home-visit pharmaceutical services may have positive effects on the safe use of drugs during the transition period; however, additional research is needed to expand on these findings.