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The Relationships among Patient's Perception, Patient's Satisfaction of Nursing Service Quality and Revisiting intention (간호서비스 질에 대한 환자의 인식과 만족도 및 재방문의도와의 관계)

  • Lee, Sun-Ah
    • Journal of Korean Academy of Nursing Administration
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    • v.4 no.2
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    • pp.307-319
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    • 1998
  • This study is an empirical investigation and study on the measurement of nursing service quality as perceived by patients. A series of H1. H2. H3 alternative hypotheses were tested using a sample of 250 patients in Taegu City. Korea. HI hypothese were tested for application of five component of service quality (SERVQlTAL and SE RPERF : tangiblity. reliability. responsiveness. accessibility. understandability) in Taegu area Hospitals. Validity test - the five components of service quality were rearranged into two components of service quality (personal factor. nonpersonal factor). Although SERVQUAL was verified in USA. application for five components of service quality in Korea indicated that it need more analytical studies. Nobody can deny the fact that the recent growth of the nursing service quality is one of the most important driving forces of hospital management. In many hospitals. the nursing quality charges more than 50% of the medical service quality. As a result. many hospital managers should be enormous interests in the investment potentiality of the nursing service. However. doesn't many researchers invest their time and effort on the research of the quality control in nursing service. Nursing service management is the process to satisfy customer's desires and expectations through the various service activities. Presently nursing service are being faced with three Common tasks of improving quality of nursing service. competitively differential advantage and productivity because of quantitative expansion of Nursing service. Such a phenomenon is also found in our medical service industry. resulting from increasing demands for medical service owing to national medical insurance policy and consumer's attitude change emphasizing prevention of illness. excessiveness of medical facilities in large cities and increasing medical lawsuits due to influence of consumerism. Therefore. under such circumstances. this research on nursing service is conducted from nursing managements to improve the nursing service quality problems faced by medical institutions. The results of this theoretical/empirical research are as follows: 1. Nursing service Quality is regarded as patients' perceived quality and evaluated on the basis (5 dimension) of technical and functional quality. 2. Nursing service Quality is a concept of patients evaluation on the measurable multi-dimensions intrinsic and extrinsic attributes of service. 3. Nursing service Quality is conceptually defined as the difference between the perceived service and the expected service. 4. Korean consumers trend to evaluate nursing service quality based on such dimensions as responsiveness and reliability. understandability. accessibility. tangibility. 5. After analyzing whether or not there are some differences in respective medical institution. it was found that there are significant difference on understandability. reliability. communicability. courtesy. competence. 6. After analyzing the difference between the expected nursing service and the nursing perceived service, it was found that the expected nursing service is higher than the perceived service in every medical institution. 7. HI hypothesis was tested with regard to the validity test between SERVQUAL and SERVPERF in nursing service quality. The result of validity test between SERVQUAL and SERVPERF was found to have differential result. That is the R2 of SERVPERF is higher than that of SERVQUAL. Therefore. HI was verified in nursing management. H2. H3 hypotheses were tested whether or not the nursing service quality and patient satisfaction is the preceding variable. The result of H2 hypothes is that the nursing service quality is the preceding variable of patient satisfaction and the patient satisfaction is that of revisiting intention. After analyzing whether or not there is any differences on the demographic variable of five nursing service quality factor. it was found that there are statistically significant differences on communicability and courtesy at the sex. understand ability. accessibility and tangibility at the age. understandability at the academic background respectively.

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The Research on the Life-safety Implementation using the Natural Light LED Lamp in the Disaster Prevention and Safety Management (방재안전 자연광 LED 조명을 이용한 생활안전 개선에 관한 연구)

  • Lee, Taeshik;Seok, Gumcheul;So, Yooseb;Choi, Byungshik;Kim, Jaekwon;Cho, Woncheol
    • Journal of Korean Society of Disaster and Security
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    • v.9 no.2
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    • pp.53-62
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    • 2016
  • This paper is shown the new method using LED Light, which the light environment is upgraded the natural LED light in the area of Disaster Prevention and Safety Management (PDSD), which the events of deaths is reduced on the Suicide, the Infectious diseases, the safety accidents, the Traffic Accident, the crime, the fire, the Nature Disaster, and which the health and the environment and the safety is implemented using the value of the color LED Light. Research findings include,during 3 weeks in the November 2016, in the ten residents (average living 28.7 years, age 67.5 years) with depressive symptoms in the northern part of Seoul, according to the request of the user, the PDSD natural light LED lighting was installed in the home bedroom or the living room, expectations for the ability to restore physical and mental stability were high (88%), in the same way, after 1 week and 3 weeks, the physical and mental changes were compared and the results,84% in the first week and 90% in the third week and thereafter, the effect of relieving depression was high. We conclude that patients with depression have a good sleep, an uneasy feeling, a sense of security, a good night's sleep, and a good feeling. The PDSD LED Light is expected to contribute in the various areas, which reduced the suicides, which give increased immunity from infectious diseases, which give a crash to reduce accidents caused by negligence, which improve the safe operation of heavy vehicles in which a traffics accident incidence installed on the highest point, which improve the safety function on the 'safety way home' for the safety of the community, which due to fire gives alleviate the emotional anxiety of firefighters, which improve the environment for long-term control room working during decision making caused by natural disasters.

Characteristics of Fish Fauna in the Lower Geum River and Identification of Trophic Guilds using Stable Isotopes Analysis (금강하류의 어류상 및 안정동위원소 분석을 이용한 섭식길드 파악)

  • Yoon, Ju-Duk;Park, Sang-Hyeon;Chang, Kwang-Hyeon;Choi, Jong-Yun;Joo, Gea-Jae;Nam, Gui-Sook;Yoon, Johee;Jang, Min-Ho
    • Korean Journal of Environmental Biology
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    • v.33 no.1
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    • pp.34-44
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    • 2015
  • Fish fauna, difference of stable isotope ratio between freshwater and seawater, and trophic guilds of freshwater fishes were investigated in the lower Geum River. The study was conducted in 2011, and total study area was about 30 km of 20 km upstream and 10 km downstream from the Geum River estuary barrage. Only freshwater fishes were used for analyzing trophic guilds, and discriminant function analysis (DFA) was utilized to reclassify trophic guilds based on stable isotope ratio. Fish fauna in freshwater and seawater areas were entirely different each other, but small number of migratory species such as Coilia nasus and Chelon haematocheilus occurred both areas. Other species were not collected in the different areas because they did not have physiological ability to adapt different salinity concentrations. Stable isotope ration of two areas were different considerably due to food sources. Estuary and seawater fishes uptake food sources originated from marine, and freshwater fishes were from freshwater and terrestrial. Some migratory species showed reverse stable isotope ratio. Even though they collected in freshwater, they showed stable isotope ratio of seawater. This is because ecological characteristics of each species. Trophic guilds of freshwater fishes were reclassified by DFA, and showed slight difference with literatures. However, because this result is related with ontogenetic shift of species, more studies are needed to explain exact and correct trophic guilds. Stable isotope ratio can be changed among regions, seasons and ontogenetic stage, thus we always consider these aspects when analyzing results to get a right answer.

A Study on Integrated Logistic Support (통합병참지원에 관한 연구)

  • 나명환;김종걸;이낙영;권영일;홍연웅;전영록
    • Proceedings of the Korean Reliability Society Conference
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    • 2001.06a
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    • pp.277-278
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    • 2001
  • The successful operation of a product In service depends upon the effective provision of logistic support in order to achieve and maintain the required levels of performance and customer satisfaction. Logistic support encompasses the activities and facilities required to maintain a product (hardware and software) in service. Logistic support covers maintenance, manpower and personnel, training, spares, technical documentation and packaging handling, storage and transportation and support facilities.The cost of logistic support is often a major contributor to the Life Cycle Cost (LCC) of a product and increasingly customers are making purchase decisions based on lifecycle cost rather than initial purchase price alone. Logistic support considerations can therefore have a major impact on product sales by ensuring that the product can be easily maintained at a reasonable cost and that all the necessary facilities have been provided to fully support the product in the field so that it meets the required availability. Quantification of support costs allows the manufacturer to estimate the support cost elements and evaluate possible warranty costs. This reduces risk and allows support costs to be set at competitive rates.Integrated Logistic Support (ILS) is a management method by which all the logistic support services required by a customer can be brought together in a structured way and In harmony with a product. In essence the application of ILS:- causes logistic support considerations to be integrated into product design;- develops logistic support arrangements that are consistently related to the design and to each other;- provides the necessary logistic support at the beginning and during customer use at optimum cost.The method by which ILS achieves much of the above is through the application of Logistic Support Analysis (LSA). This is a series of support analysis tasks that are performed throughout the design process in order to ensure that the product can be supported efficiently In accordance with the requirements of the customer.The successful application of ILS will result in a number of customer and supplier benefits. These should include some or all of the following:- greater product uptime;- fewer product modifications due to supportability deficiencies and hence less supplier rework;- better adherence to production schedules in process plants through reduced maintenance, better support;- lower supplier product costs;- Bower customer support costs;- better visibility of support costs;- reduced product LCC;- a better and more saleable product;- Improved safety;- increased overall customer satisfaction;- increased product purchases;- potential for purchase or upgrade of the product sooner through customer savings on support of current product.ILS should be an integral part of the total management process with an on-going improvement activity using monitoring of achieved performance to tailor existing support and influence future design activities. For many years, ILS was predominantly applied to military procurement, primarily using standards generated by the US Government Department of Defense (DoD). The military standards refer to specialized government infrastructures and are too complex for commercial application. The methods and benefits of ILS, however, have potential for much wider application in commercial and civilian use. The concept of ILS is simple and depends on a structured procedure that assures that logistic aspects are fully considered throughout the design and development phases of a product, in close cooperation with the designers. The ability to effectively support the product is given equal weight to performance and is fully considered in relation to its cost.The application of ILS provides improvements in availability, maintenance support and longterm 3ogistic cost savings. Logistic costs are significant through the life of a system and can often amount to many times the initial purchase cost of the system.This study provides guidance on the minimum activities necessary to Implement effective ILS for a wide range of commercial suppliers. The guide supplements IEC60106-4, Guide on maintainability of equipment Part 4: Section Eight maintenance and maintenance support planning, which emphasizes the maintenance aspects of the support requirements and refers to other existing standards where appropriate. The use of Reliability and Maintainability studies is also mentioned in this study, as R&M is an important interface area to ILS.

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Glass Dissolution Rates From MCC-1 and Flow-Through Tests

  • Jeong, Seung-Young
    • Proceedings of the Korean Radioactive Waste Society Conference
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    • 2004.06a
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    • pp.257-258
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    • 2004
  • The dose from radionuclides released from high-level radioactive waste (HLW) glasses as they corrode must be taken into account when assessing the performance of a disposal system. In the performance assessment (PA) calculations conducted for the proposed Yucca Mountain, Nevada, disposal system, the release of radionuclides is conservatively assumed to occur at the same rate the glass matrix dissolves. A simple model was developed to calculate the glass dissolution rate of HLW glasses in these PA calculations [1]. For the PA calculations that were conducted for Site Recommendation, it was necessary to identify ranges of parameter values that bounded the dissolution rates of the wide range of HLW glass compositions that will be disposed. The values and ranges of the model parameters for the pH and temperature dependencies were extracted from the results of SPFT, static leach tests, and Soxhlet tests available in the literature. Static leach tests were conducted with a range of glass compositions to measure values for the glass composition parameter. The glass dissolution rate depends on temperature, pH, and the compositions of the glass and solution, The dissolution rate is calculated using Eq. 1: $rate{\;}={\;}k_{o}10^{(ph){\eta})}{\cdot}e^{(-Ea/RT)}{\cdot}(1-Q/K){\;}+{\;}k_{long}$ where $k_{0},\;{\eta}$ and Eaare the parameters for glass composition, pH, $\eta$ and temperature dependence, respectively, and R is the gas constant. The term (1-Q/K) is the affinity term, where Q is the ion activity product of the solution and K is the pseudo-equilibrium constant for the glass. Values of the parameters $k_{0},\;{\eta}\;and\;E_{a}$ are the parameters for glass composition, pH, and temperature dependence, respectively, and R is the gas constant. The term (1-Q/C) is the affinity term, where Q is the ion activity product of the solution and K is the pseudo-equilibrium constant for the glass. Values of the parameters $k_0$, and Ea are determined under test conditions where the value of Q is maintained near zero, so that the value of the affinity term remains near 1. The dissolution rate under conditions in which the value of the affinity term is near 1 is referred to as the forward rate. This is the highest dissolution rate that can occur at a particular pH and temperature. The value of the parameter K is determined from experiments in which the value of the ion activity product approaches the value of K. This results in a decrease in the value of the affinity term and the dissolution rate. The highly dilute solutions required to measure the forward rate and extract values for $k_0$, $\eta$, and Ea can be maintained by conducting dynamic tests in which the test solution is removed from the reaction cell and replaced with fresh solution. In the single-pass flow-through (PFT) test method, this is done by continuously pumping the test solution through the reaction cell. Alternatively, static tests can be conducted with sufficient solution volume that the solution concentrations of dissolved glass components do not increase significantly during the test. Both the SPFT and static tests can ve conducted for a wide range of pH values and temperatures. Both static and SPFt tests have short-comings. the SPFT test requires analysis of several solutions (typically 6-10) at each of several flow rates to determine the glass dissolution rate at each pH and temperature. As will be shown, the rate measured in an SPFt test depends on the solution flow rate. The solutions in static tests will eventually become concentrated enough to affect the dissolution rate. In both the SPFt and static test methods. a compromise is required between the need to minimize the effects of dissolved components on the dissolution rate and the need to attain solution concentrations that are high enough to analyze. In the paper, we compare the results of static leach tests and SPFT tests conducted with simple 5-component glass to confirm the equivalence of SPFT tests and static tests conducted with pH buffer solutions. Tests were conducted over the range pH values that are most relevant for waste glass disssolution in a disposal system. The glass and temperature used in the tests were selected to allow direct comparison with SPFT tests conducted previously. The ability to measure parameter values with more than one test method and an understanding of how the rate measured in each test is affected by various test parameters provides added confidence to the measured values. The dissolution rate of a simple 5-component glass was measured at pH values of 6.2, 8.3, and 9.6 and $70^{\circ}C$ using static tests and single-pass flow-through (SPFT) tests. Similar rates were measured with the two methods. However, the measured rates are about 10X higher than the rates measured previously for a glass having the same composition using an SPFT test method. Differences are attributed to effects of the solution flow rate on the glass dissolution reate and how the specific surface area of crushed glass is estimated. This comparison indicates the need to standardize the SPFT test procedure.

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Role of Bronchodilator Reversibility Testing in Differentiating Asthma From COPD (만성폐쇄성폐질환과 천식을 감별 진단하는데 기관지확장제 가역성 검사의 역할)

  • Oh, Yeon-Mok;Lim, Chae Man;Shim, Tae Sun;Koh, Younsuck;Kim, Woo Sung;Kim, Dong-Soon;Kim, Won Dong;Kim, Se Kyu;Yoo, Jee Hong;Lee, Sang Do
    • Tuberculosis and Respiratory Diseases
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    • v.57 no.5
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    • pp.419-424
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    • 2004
  • Background : Although bronchodilator reversibility testing is widely performed to diagnose asthma or COPD, there is debate upon its usefulness and methods to differentiate asthma from COPD. The purpose of this study is to elucidate the role of bronchodilator reversibility testing in differentiating asthma from COPD and to confirm which method is better at evaluating bronchodilator reversibility. Methods : 26 asthma patients and 31 COPD patients were reviewed retrospectively. Spirometry was performed before and after bronchodilator inhalation to get $FEV_1$, FVC. To evaluate bronchodilator reversibility, the increase in $FEV_1$ or FVC was expressed as three methods, 'percentage of the baseline value', 'percentage of the predicted value', or 'absolute value'. Area under the ROC curve was measured to compare the three methods. In addition, the criteria of American Thoracic Society (ATS) for bronchodilator reversibility were compared to those of European Respiratory Society (ERS). Results : 1. In differentiating asthma from COPD, 'percentage of the predicted value', or 'absolute value' method was useful but 'percentage of the baseline value' was not. However, the ability to differentiate was weak because areas under the ROC curves by all methods were less than 0.75. 2. The criteria of ERS were superior to those of ATS for bronchodilator reversibility to differentiate asthma from COPD because likelihood ratio (LR) of a positive test by ERS criteria was greater than ATS criteria and because LR of a negative test by ERS criteria was less than ATS criteria. Conclusion : In differentiating asthma from COPD, bronchodilator reversibility testing has a weak role and should be considered as an adjunctive test.

Relationship between Entrepreneurial Education and Entrepreneurial Opportunity Recognition: Focused on the Entrepreneurship Major College Students (앙트러프러너십 교육과 창업기회인식 역량과의 관계: 숙명여대 앙트러프러너십 전공 사례를 중심으로)

  • Lee, Woo Jin;Son, Jong Seo;Oh, Hyemi
    • Asia-Pacific Journal of Business Venturing and Entrepreneurship
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    • v.13 no.3
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    • pp.71-83
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    • 2018
  • Recently, there are many efforts to define the field of entrepreneurship as an area of independent study. According to Shane & Venkataraman, the study of entrepreneurship is moving toward understanding the combination of entrepreneurial individual and valuable opportunity in becoming entrepreneurs. In Korea, entrepreneurship education is spreading widely on the basis of universities and in 2010 the entrepreneurship major was created in Sookmyung Women's University for the first time in Korea. The results of this study are as follows. First, there are many research about examining the relationship between entrepreneurship education and entrepreneurship intention. Nevertheless, there are lack of the study focusing on the opportunity recognition which many scholars have recognized as the independent study field of entrepreneurship domain. Therefore, the purpose of this study is to examine the effect of satisfaction of entrepreneurship major education on entrepreneurial opportunity recognition and to examine the mediating effect of entrepreneurial opportunity recognition according to educational commitment. The questionnaires were carried out for 3 weeks to entrepreneurship major students in Sookmyung Woment's University. A total of 84 surveys were collected and statistically analyzed by the R program. As a result of the analysis, it was found that the satisfaction of education positively influences the recognition of entrepreneurial opportunities. Commitment also has a full mediating effect on the recognition of entrepreneurial opportunities. The results of this analysis confirm that the ability to recognize entrepreneurial opportunity is developed by entrepreneurship education, and during the study students' commitment has an important role in the relationship between educational satisfaction and entrepreneurial opportunity recognition. The results were verified through empirical analysis. Satisfaction with entrepreneurship education and awareness of entrepreneurship opportunities through entrepreneurship can be anticipated as entrepreneurship activities in the future.

Dynamics of Organic Matter and Inorganic Nutrients in a Over-enriched Mountain Stream due to Anthropogenic Loading (생활하수가 유입된 산지하천(대천천)의 유기물 및 무기영양염의 동태)

  • Park, Jung-Im;Kim, Young-Kyun;Chung, Mi-Hee;Song, Mi-Young;Lee, Sang-Ho;Chon, Tae-Soo;Lee, Kun-Seop
    • Korean Journal of Environmental Biology
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    • v.24 no.3
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    • pp.230-239
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    • 2006
  • Nutrient over-enrichment as a consequence of anthropogenic loading leads to eutrophication, which has the detrimental effects on river and stream ecosystems. To examine dynamics of factors causing cultural eutrophication in a over-licked mountain stream due to anthropogenic loading, physicochemical parameters were measured from 5 stations in the upper Daecheon stream, Busan, from January 2002 to May 2003. The five study sites were located along the stream gradient. DC1 is upper most clean site, and DC5 is located at the lowest area. Wastewater was released into the stream from just upstream of DC2 site. Water column ammonium and phosphate concentrations were higher during winter than other seasons, while water column nitrate +nitrite concentration did not show clear seasonal variation. Water column ammonium, nitrate+nitrite and phosphate concentrations were lowest at DC1 and highest at DC2 in which waste water loading occurred. TOC and DOC, conductivity, turbidity, and BOD in the water column were also increased drastically at DC2, and then decreased at DC5. Sediment pore water phosphate concentrations during winter and spring were higher than those in summer and fall, while sediment pore water ammonium and nitrate +nitrite concentrations showed no seasonal trend. Sediment pore water ammonium and phosphate concentration were also increased at DC2 and slightly decreased at DC5, while sediment pore water nitrate+nitrite concentration was highest at DC5. Organic matter and inorganic nutrients at up-stream of Daechon stream significantly increased as a result of wastewater discharge, and the nutrient concentrations decreased at low-stream suggesting self-purification ability of the stream.

A Low Tillering Ideotype of Rice Plant for Increasing Grain Yield Potential (벼 수량성 증가를 위한 이상적인 소얼성 초형)

  • Kim, Je-kyu;Vergara, B.S.
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.36 no.2
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    • pp.134-142
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    • 1991
  • Since IR8, the first high-yielding rice cultivar characterised by semidwarf and high-tillering, was released in 1966, rice yields during the last two decades have apparently reached a plateau and subsequent efforts to further improve yielding ability have not resulted in visible gains. At this point of time, a new ideotype of rice plant would be necessary to increase grain yield potential. This experiment was conducted to investigate the yield contribution of different tillers within a plant in relation to an ideo type of rice plant. A low-tillering, large panicled IR25588 was compared with a high-tillering, small panicled IR58. Based on spikelet number and grain weight per panicle, the top six panicles in both low- and high-tillering cultivarswere significantly bigger than those in the other panicles. The top six panicles were M, PI, P2, P3, P4 and S1P2 in both cultivars. Their tillers had 100% probability of occurring. The top six tillers were characterised by earlier initiation and heading, longer growth duration, greater leaf area. and heavier culm and total dry weight per tiller. The top six panicles, based on grain weight was mainly due to higher spikelet number per panicle with little differences in 1,000 grain weight and percent fertility. They had also a greater number of high -density grains. The top six panicles were significantly bigger than the rest of the panicles in both low- and high-tilliering types suggesting that a new rice ideotype having six or fewer potential tillers or panicles per paint with 200 to 250 spikelets per panicle (a low-tillering, paicle weight type) may help increase grain yield potential since they have been shown to be superior physio-morphologically to the rest of the tillers.

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Conceptions Toward Career Development and Occupational View between Giftedness in Computer Science and Normal Students in Elementary School (초등정보과학영재와 일반학생의 진로발달 및 직업관 인식에 대한 조사 연구)

  • Lee, Jaeho;Choi, Seung Hee
    • Journal of Gifted/Talented Education
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    • v.24 no.4
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    • pp.613-628
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    • 2014
  • The purpose of this study is to compare the differences of the career development and the occupational view between giftedness in computer science and normal students in elementary school, so the results of this study provide assistance to the teacher for the direction and guidance on the career education of the giftedness in computer science in elementary school. This survey is based on 82 giftedness in computer science and 167 normal elementary school students. The questionnaires used in the study contain questions asking regarding the career development and the occupational view. The results of this study were as follows : First, according to the consciousness analysis result about career, the giftedness in computer science choose to be scientific technicians, the normal students choose to be artists. The both groups get career information from their parents, but they usually don't get career counseling from teachers. The education of giftedness in computer science does not contribute to changing their dreams, while normal students have no interest in computer science. Second, according to the career development analysis result, in comparison with non-gifted students, the gifted in information science had more success in all domains of career development. Third, according to the occupational view analysis result, the information science gifted students had higher meaningful rate than the normal students. Intrinsic domain' had higher meaningful rate among the subordinate domains, there is no difference in 'extrinsic domain' and 'incidental domain' between the information science gifted students and the normal students. Fourth, according to the correlation analysis result of the career development and the occupational view, there is a positive correlation in all domains of them. The high they are in the career development, the more they have the certain occupational view. Likewise, if they have the certain occupational view, they will be more successful in career development. Based on the findings of this research, the directing and guidance on the career education of giftedness in computer science in elementary school is same as the followings. We should educate parents regarding information about career for students who are under the influence of parents greatly and indicate them to apply to their children appropriately. In addition, for making them to have the positive image of the computer science, teacher should provide more information about the area of information and form various curriculums to induce more interests about computer science. We need to strengthen the career education for guiding the gifted to assist them to establish their own goal and realize them how to study and choose their career in the future. In school education field, it must develop and manage the definite and empirical program, not the career development program which is focused on only entrance into advanced school, to boost self-realization ability and the suitable career education program based on the correct understanding on giftedness in computer science. For this, through steady trying and research, teachers should be eater to develop the career education for students. Also, we have to implement the internal stability career education program, so it will help students to be aware of their job and career; therefore, students will be able to plan and prepare for their career in this rapid changing world.