• 제목/요약/키워드: Activities limitation

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응급실에서의 질 향상 기법 적용 (Application of General QA Tools to Quality Improvement Activities in a Hospital's Emergency Room)

  • 황지인;황정해;김창엽;선희영;오병희
    • 한국의료질향상학회지
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    • 제6권1_2호
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    • pp.136-149
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    • 1999
  • Background : Although a number of studies are related to QA improvement, there are few studies applied various method of QA tools. This study reviewed the availability of general quality assurance(QA) tools according to ten steps in performing quality improvement activities at emergency room of a tertiary teaching hospital which has more than 1,000 beds. Methods : All patients in emergency room from 15th Oct. 1997 to 5th Sep. 1998 were surveyed. The survey data based on the patient's records of emergency room were evaluated according to length of stay, and we tried to identify problems with management of emergency room. To solve the problems, our team applied general QA tools(brainstorming, flow chart, nominal group technique, benchmarking, cause-and-effect diagram, run chart, control chart) to quality improvement activities and discussed the availability of the tools. Results : After the activities such as changes of staffing, the establishment of local area network and chest pain clinic, application of triage and so on, the percentage of patient who had stayed more than six hours was reduced from 56.0% to 46.8%. The mean number of patients per day in emergency room was increased from 49 to 62. But the reporting time for laboratory test was not changed after these activities. Conclusion : Each QA tool has unique benefit and limitation, but we can implement and evaluate the quality improvement activities more scientifically and systematically by applying these tools to practice according to QA ten steps.

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지속가능한 미용전공 프로보노 활성화 방안에 관한 연구 (A Study on the ProBono Activation Plan for Sustainable Beauty)

  • 윤진숙
    • 한국융합학회논문지
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    • 제9권11호
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    • pp.403-415
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    • 2018
  • 본 연구는 뷰티프로보노활동의 영향요인을 분석하고, 관련활동이 지속적으로 이루어지기 위한 방안을 모색하고자 하는데 목적을 두고 있다. 본 연구에서는 연구모형과 가설을 설정하고, 수도권지역 미용전공자 701명의 설문분석을 실시하여 주요 분석결과를 도출하였다. 첫째, 뷰티프로보노 참여동기는 뷰티기술 및 지식을 활용하기 위함이며, 주로 봉사동아리활동을 통하여 참여하는 것으로 밝혀졌다. 둘째, 뷰티프로보노 활동만족도는 기관의 홍보모집과 연관성이 높았다. 봉사주관기관의 신뢰도는 기관운영수준과 참여를 통한 만족도가 높을수록 신뢰하는 경향이 높았다. 셋째, 뷰티프로보노활동을 통한 만족도, 조직에 대한 신뢰도가 높을수록 활동에 대한 지속가능의지도 높은 것으로 나타났다. 뷰티프로보노 활성화방안은 다양한 홍보채널의 개발, 봉사자들에 대한 교육강화, 봉사주관기관의 투명경영 등을 제시하였다. 한편, 본 연구는 조사대상의 한정이라는 연구의 한계를 갖고 있어 향후 조사대상의 확대와 뷰티전공 대학생들을 대상으로 한 다양한 측면에서의 연구가 지속되기를 기대한다.

토지이용 제한인자를 활용한 농업적 토지이용 적합성 분석 - 경상남도 창녕군 이방면을 대상으로 - (An Analysis of Agricultural Landuse Suitability Using Landuse Limitation Factors - A Case Study of Ibang-myeon, Changnyeong-gun, Kyungsangnam-do -)

  • 장갑수;박인환
    • 환경영향평가
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    • 제15권6호
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    • pp.357-372
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    • 2006
  • The excessive land activities in farming can cause soil erosion, inundation by a flood, and fallow. So far land evaluation has been analyzed using the land use limitation derived from the excessive land activities. This study was done for evaluating the agricultural fields by using 3 land use limitations, inundation potential, soil erodibility potential, and fallow potential. The study area is Ibang-myeon, Changnyeong-gun, Gyeongnam-province, Korea. A logistic regression model was applied to recognize the inundation potential by a flood in the Nakdong river basin. And potential soil erodibility index (PSEI) was derived from USLE model to analyze the soil erodibility potential. And a probability model from a logistic regression model was applied to detect the fallow potential. Therefore, we found 220.7ha for the 4th grade and 86.1ha for the 5th grade was analyzed as water damage potential. Large area near Nakdong river have problem to grow the rice due to the damage by water inundation. And 213.6ha for the 3rd grade and 103.3ha for 4th grade was detected as a result of the analysis of soil erosion potential. The soil erosion potential was high when within-field integrity of soil was not stable, or the kinetic energy was high or the slope length was long due to a steep slope of a specific land. And 869.1ha for 3rd grade, 174.9ha for 4th grade, and 110.6ha for 5th grade was detected to be distributed having the fallow potential. Especially, a village, having a steep mountain, had 249.5ha for the 3rd grade, which was 28.7% of total area showing the 3rd grade. Finally, Three villages, including An-ri, Geonam-ri, Songgok-ri, showed they had largest area of the suitable land in the study area. These villages had similar topographic condition where they were far from Nakdong river, and they had relatively higher elevation and flat lands.

운동면과 어깨 관절 굽힘 각도가 어깨뼈 내밈 운동 시 어깨뼈 위쪽 돌림근에 미치는 영향 (Effect of Movement Plane and Shoulder Flexion Angle on Scapular Upward Rotator During Scapular Protraction Exercise)

  • 정성대;원종혁;정도영
    • 대한물리의학회지
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    • 제8권1호
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    • pp.41-48
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    • 2013
  • PURPOSE: This study was to determine the effect of the plane of movement (sagittal plane vs. scapular plane) and shoulder flexion angle ($90^{\circ}$ vs. $130^{circ}$) during scapular protraction exercises in healthy subjects by investigating the elecromyographic (EMG) activities of the serratus anterior (SA), upper trapezius (UT), and pectoralis major (PM). METHODS: Twenty-one healthy subjects participated in this study. Subjects performed maximal scapular protraction at the $90^{\circ}$ or $130^{\circ}$ shoulder flexion angles in the sagittal or scapular planes. Surface EMG was recorded from the SA and UT, and PM muscles. Dependent variables were examined by 2 (plane) ${\times}$ 2 (angle) repeated measures of analysis of variance (ANOVA). RESULTS: Significantly increased EMG activities in the SA and UT were found during scapular protraction exercise at the $130^{\circ}$ shoulder flexion angle in the sagittal and scapular plane. Also, EMG activity of the PM significantly decreased at the $130^{\circ}$ shoulder flexion angle in the sagittal plane and the $90^{\circ}$ and $130^{\circ}$ shoulder flexion in the scapular plane. CONCLUSION: we recommend scapular protraction exercise at the $90^{\circ}$ shoulder flexion in the sagittal plane to selectively strengthen the SA muscle with limitation of upper trapezius activity and at the $130^{\circ}$ shoulder flexion in the scapular plane to selectively strengthen the SA muscle with limitation of pectoralis major activity.

노인의 거주형태에 따른 사망 위험요인: 동거노인과 독거노인의 비교 (Mortality Risk by Living Arrangements among Old Adults: Comparison between Living with Others and Living Alone)

  • 이시은
    • 디지털융복합연구
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    • 제18권9호
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    • pp.249-256
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    • 2020
  • 본 연구의 목적은 노인의 거주형태에 따라 사망 위험요인에 차이가 있는지 파악하기 위함이다. 본 연구는 2014년도 고령화연구패널조사를 이차 분석한 연구로 노인 3,827명을 2년간 추적조사한 종단연구이다. 자료 분석을 위해 콕스 비례 위험 회귀 분석으로 분석하였다. 본 연구결과, 동거노인은 성별, 교육수준, 주관적 건강 상태, IADL 제한, 인지기능 장애, 우울 증상이 사망에 영향을 주는 요인이었으며, 독거노인은 규칙적 운동 여부, IADL 제한, 인지기능 장애가 사망에 영향을 주는 것으로 나타났다. 본 연구는 거주형태에 따라 사망 위험요인 간에 차이가 있는지 규명하였다는 점에서 의의가 있다. 본 연구 결과에 따라 노인의 거주형태에 따라 사망률을 줄이기 위한 간호 중재를 개발해야 할 것이다.

지역사회 여가시설 개발을 위한 주 5일 근무자들의 여가행태 분석 연구 (A Study on the Characteristics of Leisure Behavior of the Five-Day Workweek Company Employees for Developing Leisure Facilities in Residential Environment)

  • 신화경
    • 가정과삶의질연구
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    • 제23권5호
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    • pp.181-190
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    • 2005
  • The purpose of this study was to investigate the characteristics of leisure behavior of the five-day workweek company employees for developing leisure facilities in residential environment. The questionnaire survey was used. The subjects of questionnaire survey were 247 staffs of 4 banks. The questionnaire consisted of leisure time, the cost of leisure, consciousness of leisure, actual condition and need of leisure activities and spaces, leisure satisfaction and limitation on leisure. Frequency, percentage, and mean, correlation, $x^2-test$, and factor analysis were used for data analysis. The major results were as follows. 1) Leisure is necessary to strengthen the unity of family and cultivate the sentiment. 2) The degree of satisfaction of leisure facilities was lower than neutral. The satisfaction of leisure facilities related with cost, time of leisure, information of leisure facilities and program, and leisure environment. 3) Present leisure behavioral characteristics were restrictive and passive. However, the subjects showed hopes to increase their leisure activities and to engage in diverse forms of leisure in the future. Also, they showed an increased desired ratios in participating in each leisure activities. 4) In terms of location, they needed leisure facilities which was closer to their house.

기술혁신활동이 경영효율성에 미치는 영향 : Inverted U Shaped 모형 (The Impact of Technology Innovation Activity on Managerial Efficiency: An Inverted U shaped Model)

  • 하귀룡;최석봉
    • 품질경영학회지
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    • 제46권3호
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    • pp.551-568
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    • 2018
  • Purpose: This study addressed the relationship between technological innovation activity and management efficiency of Korean automobile firms. We tested the hypothesis of non-liner relationship of innovation activity in relation to management efficiency. Methods: We discussed prior literature in the firm innovation strategy and management efficiency studies to provide better understanding of relationships between technological innovation activity and management efficiency. As a result, we developed develop and tested a model (Inverted-U shaped) capturing the non-linear impact of technological innovation activity. While we used R&D expenditure and patent registration data for measuring firms' innovation activity, management efficiency was evaluated by using DEA(Data Envelopment Analysis). Results: Main findings of our empirical analysis indicated that the relationships between technological innovation activity and management efficiency was inverted U shaped. This implied that the relationship between technological innovation and management efficiency is inverted U-shaped non-linear, with management efficiency increasing up to a point, beyond which higher levels of R&D and patent registration activities led to a decrease in management efficiency. Conclusion: This study empirically assessed the inconclusive findings of previous research in the area of effects of innovation activities in relation to firm performance. The paper also provided theoretical and practical implications for firms who explore efficient strategy to promote the management performance through technological innovation activities. Future research directions with the limitation of the study was discussed.

보건간호사의 건강증진사업 수행 현황과 역할 확대 방안 모색을 위한 연구 (A Study on Developing Strategies for Expanding the Roles of Public Health Nurses)

  • 박은숙;유호신
    • 대한간호학회지
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    • 제31권4호
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    • pp.712-721
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    • 2001
  • Purpose: This study was to identify activities and related problems on health promotion of public health nurses, and to investigate basic data proposed to revise strategies of Health Promotion Nurse Specialists (HPNS). Method: The subjects of this study were 787 public health nurses sampled by clustering of the entire nation of Korea. Data were collected by focus group studies and cross-sectional survey during April to October of 1999. Results: 13.3% of public health nurses took responsibility for health promotion projects and 45.9% were involved in health promotion work with in home care or other routine activities. Also, the factors public health nurses perceived as barriers to implement activities for health promotion were time limitation, lack of ability for planning projects, insufficient time for specialties, inadequate understanding about health promotion project. Conclusion: According to the study, they need to have special education and further technical support. These results have important implications for the establishment for the role of Health Promotion Nurse Specialist. Also, in developing systems and curriculums for Health Promotion Nurse Specialist, the major factors described above need to be considered carefully.

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반도체 산업 노동자 암 발생 위험 논란과 과제 (Challenges and issues of cancer risk on workers in the semiconductor industry)

  • 박동욱
    • 한국산업보건학회지
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    • 제29권3호
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    • pp.278-288
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    • 2019
  • Objectives: The objectives of this study are to summary controversy over health risks among semiconductor workers, to review major cancer risk results conducted in semiconductor operation and to evaluate occupational health activities in Korea for controlling hazardous agents generated in semiconductor operations Methods: Major occupational health issues that has been social controversies among semiconductor workers since 2007 were reviewed through an extensive literature, report and article review. Results: Since a female semiconductor worker aged 22 died from leukemia in 2007, job-association of a number of former semiconductor workers with various types of cancer and rare diseases have been denied by the Korea Workers' Compensation and Welfare Service (KWCWS), but some of them were later awarded compensation as an occupational disease by the administrative court. Two epidemiologic cancer risk studies conducted in Korea found increased risks in leukemia and non-Hodgkin's lymphoma among semiconductor workers. Various legal occupational health activities taken in semiconductor industry were found to fail to assess a complex characteristics of semiconductor operations, such as drastic changes in chemical use, processes, and technology, multiple exposure. National compensation regulation also showed the limitation to evaluate job-association of semiconductor workers who had worked in semiconductor operation. Conclusions: National legal measures should be taken to improve several occupational health activities and duties for protecting workers. In addition, the KWCWS program should be revised so that all workers who meet minimal job or environment associations can be compensated.

Comparative Analysis of Anticancer and Antibacterial Activities among Seven Trametes Species

  • Ha Thi Kim Nguyen;Jiwon Lee;Yejin Park;Hyon Jin Park;Soon Kil Ahn;Jae Kwang Kim;Dong-Ku Kang;Minkyeong Kim;Chorong Ahn;Changmu Kim;Jaehyuk Choi
    • Mycobiology
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    • 제51권4호
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    • pp.256-263
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    • 2023
  • Species in the genus Trametes (Basidiomycota, Polyporales) have been used in natural medicine for a long time. Many studies reported that mycelia or fruiting bodies of Trametes spp. exhibited effects of antioxidant, anti-inflammatory, anticancer, and antimicrobial activities. However, comparative analysis in this genus is scarce due to limitation of morphological identification and the sample number. In this study, the 19 strains of seven Trametes species were chosen to generate a five-gene-based phylogeny with the 31 global references. In addition, 39 culture extracts were prepared for 13 strains to test for anticancer and antibacterial activities. Strong anticancer activities were found in several extracts from T. hirsuta and T. suaveolens. Anticancer activities of T. suaveolens, T. cf. junipericola and T. trogii were first described here. The antibacterial ability of T. versicolor and T. hirsuta extracts has been confirmed. The antibacterial activities of T. suaveolens have been reported at the first time in this study. These results suggest an efficient application of the genus Trametes as the drug resources especially for anticancer agents.