• 제목/요약/키워드: Daily check

검색결과 238건 처리시간 0.028초

병원 간호인력의 간호활동량에 관한 연구 (An analysis on nursing activity in a hospital)

  • 임영이
    • 간호행정학회지
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    • 제4권1호
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    • pp.73-88
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    • 1998
  • The management of nursing resource is very important. that is because nursing staff accounts for 30-40% of total staff in a hospital and nurses provide patoents with attentive service for hours daily. The continuous turnover of nursing staff. however, impedes the quality-oriented nursing care, which will consequently leads to the loss of human and material resource in competitive society. This study aimed to calculate nurse's activity and compare the activity amount based on career experience. Futhermore it aimed to find factors which would influence 'quality weighed direct nursing activity amount'. Questionnaires and check lists for this study were distributed to nurses in a suburban hospital outside of Seoul from October 20 to November 14. 1997. The nursing activities were calculated according to professionality. independency and working hour. And then it were accumulated by quality score. The collected data was analyzed by statistical methods as t-test, ANOVA, correlation, multiple regression. The results of this study were as follows ; Firstly, carrel' experience had no influence on the quality weighed nursing activity amount. But the quality level of service of skilled nurses was higher than that of new nurses. Secondly, career was a variable affecting the quality in nursing service. So career was positively related to the quality of nursing care. Patient's disease severity and number of patient were positively correlated with weighed nursing activity amount. But job satisfaction was negatively correlated v:ith the amount. Thirdly, the independent variables which had significant influence on the weighed nursing activity amount were disease severity and the number of patients, The severity score and number of patient were directly proportional to the weighed nursing activity amount. This results indicated· that weighed nursing activity amount was influenced by the number of patient and patient's disease severity. The quality score of nursing services for experienced members is higher than that of new staff. But both new and skilled staff showed no difference in the quality weighed nursing activity amount. Internal and. external environment influences nursing activities. The quality of nursing services is very important factor in nursing activity. Therefore nursing managers should make an effort to improve nursing care quality through continuous research. Also they should try to maintain experience nurses and assign nursing staff appropriately with patient's severity and other relevant factors being considered. The quality-improved nursing care in the hospital will strengthen hospital's competitiveness.

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온톨로지 기반 중학교 기술. 가정교과 영양소의 질의응답 시스템 설계 및 구현 (Design and Implementation of an Ontology-based Access System of Nutrition and Food Guide Tower in Middle School Home Economics)

  • 조영선;백현기;김정겸;유정수
    • 정보교육학회논문지
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    • 제11권3호
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    • pp.317-327
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    • 2007
  • 본 연구에서는 온톨로지 이론을 고찰하고, 중학교 기술 가정 교과의 영양소와 식품구성탑 내용을 지원하는 온톨로지 기반 검색 시스템을 설계 및 구현하여 학습을 효율적으로 수행할 수 있도록 하는 방안을 제시하였다. Protege-2000 프레임워크를 기반으로 하여 영양소와 식품구성탑 검색 시스템을 구현하였다. 본 시스템은 XML 기반을 두고 있으므로 차세대 인터넷 기술인 시맨틱 웹과의 연동이 가능하며, 영양학 분야에 공유될 수 있는 의미구조를 제공하여 상호운용이 가능한 지식정보 시스템의 기반을 마련하였다. 아울러 학습자는 스스로 정보검색을 통해 지식을 구조화할 수 있으며, 교수자 역시 이를 교수 학습 과정에 직접 투입하여 학습자들의 학습 성취도 및 흥미 등을 파악할 수 있다. 또한 학습자는 본 시스템을 통해 교수학습과정 뿐 아니라 앞으로의 실생활에서도 온톨로지를 통해 지식을 내면화함으로써 균형 잡히고 건강한 생활을 영위할 수 있을 것으로 생각된다.

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대학 신입생의 스트레스 민감 여부에 따른 영양상태 (The Nutritional Status by Stress on Freshmen of University)

  • 이영희;이승교;원향례
    • 한국지역사회생활과학회지
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    • 제17권4호
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    • pp.81-95
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    • 2006
  • This study was made to find out how stress affect on nutrition status of the college freshmen who were experiencing physical growth and development as well as drastic emotional change. 400 male and female freshmen in 4 year colleges were surveyed respectively through the health check-up procedure for college entrance in February, In order to find out the stress in each group frustration, deprivation, lack of self efficacy, type A behavior and anxiety response were surveyed through 10 questions with total 40 points by assigning 4 points for each question. Diet Status was expressed by DDS (Dietary Diversity Score by 5 food groups) and DVS(Dietary Variety Score). 24-hrs recall method was used to find out the quantity of daily nutrient of EAR(estimated adquacy ratio) by KDRIs(Korean Dietary Recommended Intakes). Nutrition level was analyzed by Can-Pro for professionals (Korea Nutrition Association). And for the quality intake, percentage was calculated and MAR(Mean Adequacy Ratio) were produced. Highest point was obtained in the stress of anxiety with the total 40 score of 30.20, and the scores were 29.79, 28.67, and 28.39 for deprivation, type A behavior and frustration respectively. There was no difference of blood components in accordance with stress type. Stress type was divided into less sensitive group and highly sensitive one and the relationship with the blood nutrient status was observed. The difference of blood component and blood pressure in sensitive and highly sensitive groups was observed in deprivation and anxiety. The index of blood pressure(p<0.05), hemoglobin(p<0.01), HDL-cholesterol(p<0.05), and Fe(p<0.05) was high in the deprivation of sensitive group. Blood pressure and hemoglobin was high in type A of sensitive group(p<0.05). And the contents of blood triglyceride was high in the anxiety of sensitive group(p<0.001) The result of nutrition intake analysis according to stress type showed that there was low intake for energy, riboflavin, and niacin. When the degree of deprivation was high there was a lack of riboflavin intake and there was no significant difference of nutrition intake in lack of self efficacy, type A behavior and anxiety response. Thus, it is necessary for colleges to educate the students to maintain mental stability through various programs and activities after catching a kind and extent of the stress college students we meeting with like the confusion of value system, open heterosexual relationship, and the employment difficulties linked with political uncertainty and economic recession.

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관상동맥질환 위험요인 구명을 위한 코호트내 환자-대조군 연구 (A Nested Case Control Study on Risk Factors for Coronary Heart Disease in Korean)

  • 김기순;박종;박종구;김춘배;천병렬;이태용;이강숙;이덕희;고광욱;지선하;서일;류소연
    • Journal of Preventive Medicine and Public Health
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    • 제34권2호
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    • pp.149-156
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    • 2001
  • Objective : To elucidate risk factors for coronary heart diseases among Korean males. Methods : A nested case control study was conducted among a Korea Medical Insurance Cooperation(KMIC) cohort composed of 108,802 males. The eases included 246 male patients who were admitted to hospital due to coronary heart diseases from 1993 to 1997 (120-25 by ICD) and whose diagnosis was confirmed by the protocol by WHO MONICA Project(1994). The control group was composed of 483 patients selected by frequency matching considering age and resident area from an inpatient care group without coronary heart disease during the same period. For study cases and the controls, the results of a health check-up in 1990 and a questionnaire on life style in 1992 were received through the KMIC. Some additional information was collected by telephone interviews during October 1999. Results : Multiple logistic regression analysis showed that the odds ratio(OR) of coronary heart diseases among past smokers and current smokers as compared to non-smokers were 1.94(95% CI : 1.14-3.31) and 2.20(55% CI : 1.35-3.59), respectively. The OR among persons who drank 4 cups or more of caffeinated beverages such as coffee or tea daily as compared to persons who drank one cup for 2-3 days was 2.50(95% CI : 1.07-6.12). The OR among persons with high normal BP and stage 3 hypertension against normotension were 2.51 (95% CI : 1.44-4.37) and 5.08(95% CI : 2.38-10.84). The OR among persons whose blood cholesterol were 240 mg/dL or mere against lower than 200mg/dL was 2.24(95% CI : 1.43-3.49). Conclusion : Smoking, drinking of excessive caffeinated beverages, hypertension and high blood cholesterol were proven to be significant risk factors for coronary heart diseases among Korean males.

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소구형태변화를 통한 광고의 표준화 수준에 관한 연구 (A study on the standardization of advertising through the appeal means change)

  • 김기수
    • 산업경영시스템학회지
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    • 제17권32호
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    • pp.255-266
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    • 1994
  • This study does present things to suggest to foreign multinational corporation or domestic corporation through the empirical study on the standardization level. If we summary this study, it is as follows. In chapter I, we did institute the problems and explain the objects and methods and system of the study. In chapter II, we did explain the universality of the culture and international advertisement. Next, we did explain the background of doing specialization strategy and standardization strategy. Also we did study the previous study about the arguements for and against these. Lsat we did institute the hypothesises as follows. - Hypothesis 1 $H_0$ : The use of westerner appeal means has been increased than 11 years before and is able to increase continuously. - Hypothesis 2 $H_0$ : The use of westerner model and knowned has been increased than 11 years before and is able to increase continuously. - Hypothesis 3 $H_0$ : The use of the English language has been increased than 11 years before and is able to increase continuously. - Hypothesis 4 $H_0$ : The use of the west short piece and background has been increased than 11 years before and is able to increase continuously. In chapter III, we did refer to the method of this study. First, we did adjust the measure of standardization index, and we did work coding it, such after the two coder did check the freguency of the appeal meanstype about the advertisement of four daily report. Then we did select eight production as high involvement production and seven production as low involvement. We did test the coder's trust degree on the such sample to be selected through the 't-test' of the SAS statistic program and regression analysis through the spss/$pc^+$ statistic program to approve the this study's hypothesises. In chapter IV, we did analysis the results of the empirical study on the high or low involvement productions. First, the results of t-test to approve the coder's trust degree is that it is same statistically attentionly the distribution of the sample between coder at 10% attention level. Next, the results of the regression analysis on eight hypothesises are as fellows. In case of high involvement production we are able to speak that the use of the English language appeal among the eight appeals is only standardized. And incase of low involvement production, we are able to speak that the use of the hard-sell appeal among the eight appeds is only standardized. Therefore we did conclude that the standardization level of Korea newspaper advertisement is low. Also this suggests that it will do plan and do the specialzation strategy or localization strategy foreign multinational corporation or domestic corporation in Korea newspaper advertisement. In chapter V, we do present the boundary of this study and new study methods.

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스마트 환경에서의 교사와 학생의 스마트 소양 척도 개발 연구 (A Study on Development of Smart Literacy Standards of Teachers and Students in Smart Learning Environments)

  • 전우천;홍석기
    • 인터넷정보학회논문지
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    • 제14권6호
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    • pp.59-70
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    • 2013
  • 최근 정보통신기술의 발달과 더불어 다양한 혁신적인 기술이 개발되고 있다. 이러한 기술은 우리의 모든 삶의 방식을 변화시키고 있다. 특히 스마트기술은 우리의 삶을 극적으로 바꾸어 놓고 있다. 스마트폰과 테브릿 PC등 스마트 기기들은 교육분야에 활용되어 소위 "스마트 러닝"이라는 개념이 탄생되어 교육분야에 적용되고 있다. 현재 스마트러닝은 교육분야에 스마트기기의 확산과 더불어 활발하게 진행되고 있다. 이러한 스마트 환경에서 개인의 소양능력을 구분하기 위해서 스마트 소양 척도가 필요하다. 하지만 현재까지 스마트 소양 척도에 대한 연구는 미미한 실정이다. 본 연구의 목적은 스마트 러닝 환경에서 교사와 학생의 스마트 소양 척도를 개발하는 것이다. 본 연구의 스마트 소양척도는 기존의 ICT 소양척도를 기반으로 개발되었다. 본 연구의 스마트 소양 척도는 4개의 분야로 구성되어 있다. 즉 스마트 교육, 스마트 소양, 스마트 활용 및 스마트 윤리이다. 스마트 소양 척도를 개발하기 위해서 교수, 교사 및 연구원 등 다양한 전문가집단을 대상으로 설문조사를 실시하였다. 설문결과는 광범위한 통계처리를 통해 최종적인 스마트 소양 척도가 개발되었다.

Efficient Verification of X-ray Target Replacement for the C-series High Energy Linear Accelerator

  • Cho, Jin Dong;Chun, Minsoo;Son, Jaeman;An, Hyun Joon;Yoon, Jeongmin;Choi, Chang Heon;Kim, Jung-in;Park, Jong Min;Kim, Jin Sung
    • 한국의학물리학회지:의학물리
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    • 제29권3호
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    • pp.92-100
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    • 2018
  • The manufacturer of a linear accelerator (LINAC) has reported that the target melting phenomenon could be caused by a non-recommended output setting and the excessive use of monitor unit (MU) with intensity-modulated radiation therapy (IMRT). Due to these reasons, we observed an unexpected beam interruption during the treatment of a patient in our institution. The target status was inspected and a replacement of the target was determined. After the target replacement, the beam profile was adjusted to the machine commissioning beam data, and the absolute doses-to-water for 6 MV and 10 MV photon beams were calibrated according to American Association of Physicists in Medicine (AAPM) Task Group (TG)-51 protocol. To verify the beam data after target replacement, the beam flatness, symmetry, output factor, and percent depth dose (PDD) were measured and compared with the commissioning data. The difference between the referenced and measured data for flatness and symmetry exhibited a coincidence within 0.3% for both 6 MV and 10 MV, and the difference of the PDD at 10 cm depth ($PDD_{10}$) was also within 0.3% for both photon energies. Also, patient-specific quality assurances (QAs) were performed with gamma analysis using a 2-D diode and ion chamber array detector for eight patients. The average gamma passing rates for all patients for the relative dose distribution was $99.1%{\pm}1.0%$, and those for absolute dose distribution was $97.2%{\pm}2.7%$, which means the gamma analysis results were all clinically acceptable. In this study, we recommend that the beam characteristics, such as beam profile, depth dose, and output factors, should be examined. Further, patient-specific QAs should be performed to verify the changes in the overall beam delivery system when a target replacement is inevitable; although it is more important to check the beam output in a daily routine.

사용자의 행동 패턴 분석과 멀티미디어 스트리밍 기술을 이용한 홈 네트워크 감시 시스템 (Home Network Observation System Using Activate Pattern Analysis of User and Multimedia Streaming)

  • 오동렬;오해석;성경상
    • 한국멀티미디어학회논문지
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    • 제8권9호
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    • pp.1258-1268
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    • 2005
  • 정보통신 인프라의 디지털화로 인해 홈 네트워크에 대한 개념이 적립되고 관심이 높아지는 가운데 생활의 편리화를 추구하기 위해 많은 노력들이 진행되고 있다. 또한 수년전부터 네트워크 접속 기능을 가진 정보가전기기가 등장함에 따라 지능형 홈 서비스에 대한 요구가 증대하고 있다. 본 논문에서는 유비쿼터스 컴퓨팅 환경에서 다양한 어플리케이션 서비스를 개발하기 위한 필수적인 요소인 멀티미디어를 기반으로 하며, 사용자의 신원확인을 위해 인증 및 접근 제어를 통한 사용자의 행동 패턴을 분석하여 그 정보를 이용한 자동화처리 시스템에 적용하는 단일화 된 어플리케이션 모델을 제안한다. 또한 일정시간을 두어 캡쳐되어진 영상 이미지에 대한 일정 허용 범위에 대해 픽셀 단위로 비교를 하여 이상 유무를 확인하며, 12byte의 salt함수를 해쉬화 알고리즘에 이용한 자체 인증 기법을 취함으로써 사용자 인증에 안전을 꾀했다. 제안하는 모델의 유용성을 보이기 위해, 개발한 어플리케이션을 테스트하기 위한 방안으로 유비쿼터스 네트워크가 가능한 지능형 멀티미디어 서버를 구성하여 정보의 제어를 위해 에뮬레이터를 통한 테스트를 실시하였다. 실험 결과에 따르면 우리의 실생활에 있어 다양한 멀티미디어 어플리케이션을 화장할 수 있다는 신뢰성을 주는데 무리가 없었다.

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A Prospective Observational Study of Return to Work after Single Level Lumbar Discectomy

  • Kang, Suk-Hyung;Seo Yang, Jin;Cho, Steve Sungwon;Cho, Yong-Jun;Jeon, Jin Pyeong;Choi, Hyuk Jai
    • Journal of Korean Neurosurgical Society
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    • 제63권6호
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    • pp.806-813
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    • 2020
  • Objective : Lumbar disc herniation (LDH) is a common disease, and lumbar discectomy (LD) is a common neurosurgical procedure. However, there is little previous data on return to work (RTW) after LD. This study investigated the period until the RTW after LD prospectively. Clinically, the pain state at the time of RTW also checked. RTW failure rate 6 months after surgery also investigated. Methods : Patients with daily/regular jobs undergoing LD between September 2014 and December 2018 were enrolled. Pain was assessed by the Oswestri Disability Index (ODI) and the Numeric Rate Scale (NRS). Employment type was divided into self-employed, regular and contracted. Monthly telephone interviews were conducted to check RTW status and self-estimated work capability after surgery. Results : Sixty-seven patients enrolled in this study. Three patients failed to RTW, and three others resigned within 6 months after surgery. The preoperative NRS and ODI were 7.2±1.2 and 22.1±7.9, respectively. The average time to RTW was 5.1±6.0 weeks. At RTW, NRS was 1.5±1.8 and ODI was 6.3±3.9. Amongst patients that successfully returned to work were 16 self-employed workers, 42 regular employees, and three contracted workers. The time to RTW of self-employed, regular, and contracted workers were 5.9±8.8, 4.2±4.3 and 13.3±2.3 weeks, respectively (p=0.011). Thirty-six of the patients that returned to work self-reported a 22.8±15.6% reduction in work capability at 6 months. Conclusion : RTW may vary depending on the employment status. In this study, we found that while employment type may affect the length to RTW, most patients were able to RTW and >40% of patients reported no loss of work capabilities 6 months postoperatively, hopefully alleviating some patient hesitation towards LD.

Recycling of Fermented Sawdust-based Oyster Mushroom Spent Substrate as a Feed Supplement for Postweaning Calves

  • Kim, Min-Kook;Lee, Hong-Gu;Park, Jeong-Ah;Kang, Sang-Kee;Choi, Yun-Jaie
    • Asian-Australasian Journal of Animal Sciences
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    • 제24권4호
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    • pp.493-499
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    • 2011
  • The objective of this study was to find the way to prolong the storage time of sawdust-based oyster mushroom (Pleurotus osteratus) spent substrate (OMSS) by fermenting with potential probiotic microorganisms to recycle the otherwise waste of mushroom farms. To this purpose, lactic acid bacteria (LAB) were screened to select the best lactic acid-producing strains. Three strains of LAB (Lactobacillus plantarum Lp1', Pediococcus acidilacticii Pa193, L. plantarum Lp2M) were selected and in mixture they lowered the pH of the fermented OMSS to 3.81. fOMSS (fermented sawdust-based oyster mushroom spent substrate) could be stored at room temperature for at least 17 days without any deterioration of feed quality based on the pH, smell, and color. In dry matter disappearance rate in situ, commercial TMR (total mixed ration), OMSS and OMMM (oyster mushroom mycelium mass) showed no significant differences between the samples after 6, 12 and 24 h incubation except for 48 h. Two separate field studies were performed to test the effects of fOMSS supplement on the growth performance of postweaning Holstein calves. Field trials included groups of animals feeding calf starter supplemented with: Control (no supplement), AB (colistin 0.08% and oxyneo 110/110 0.1%), fOMSS (10% fOMSS) and fConc (10% fermented concentrate) and DFM (direct-fed microbials, average $10^9$ cfu for each of three LAB/d/head). Growth performance (average daily gain and feed efficiency) of the fOMSS supplement group was higher than that of AB followed by fConc and DFM even though there was no statistically significant difference. The Control group was lower than any other group. Various hematological values including IgG, IgA, RBC (red blood cell), hemoglobin, and hematocrit were measured every 10 days to check any unusual abnormality for all groups in trial I and II, and they were within a normal and safe range. Our results suggest that sawdust-based OMSS could be recycled after fermentation with three probiotic LAB strains as a feed supplement for post-weaning calves, and fOMSS has the beneficial effects of an alternative to antibiotics for a growth enhancer in dairy calves.