• Title/Summary/Keyword: Expert Service

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Development and Evaluation of an Evidence-based Nursing Protocol for Postoperative Nausea and Vomiting (근거기반의 수술 후 오심·구토 관리 프로토콜의 개발 및 임상적 평가)

  • Oh, In Ohg;Yoo, Jae Yong;Oh, Eui Geum
    • Journal of Korean Biological Nursing Science
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    • v.19 no.2
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    • pp.86-97
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    • 2017
  • Purpose: Postoperative nausea and vomiting (PONV) is very common among postoperative orthopedic surgical patients with patient-controlled analgesia (PCA), especially for narcotics. Therefore, the purpose of this study was to investigate the effects of an evidence-based PONV management protocol on nursing and patient outcomes. Methods: A methodological study was conducted to develop PONV protocol and a quasi-experimental study to evaluate the effectiveness of protocol. The preliminary PONV protocol was drawn by conducting a systematic review and by reviewing clinical guidelines and best practice recommendations. Validation of the content was done by expert clinicians, and the clinical applicability was evaluated by staff nurses and patients. The effect was evaluated in clinical outcomes associated with PONV and nursing outcomes. Results: In the experimental group, the occurrence of vomiting (z= 2.147) was significantly decreased, the maintenance PCA (${\chi}^2=4.212$) and the satisfaction of patients (z= 5.007) were significantly higher. In the outcomes of nurses, the PONV knowledge of nursing care (z = 3.791), awareness (z = 2.982) and self-efficacy (z= 2.745) were higher in the experimental group. The attitude towards evidence-based nursing practice (z= 2.446) was significantly positive. Conclusion: The results show that an evidence-based approach to the implementation of PONV care is effective in improving patient clinical outcomes and quality of care.

A Study on the Consumer Choice Criteria based on Facility Purpsoe for Multi-Mixed Complex Medical Care Facility Development (의료복합시설 개발을 위한 시설용도별 이용자 선택기준에 관한 연구)

  • Sung, Nayoung;Lee, Sangyoub
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.4
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    • pp.28-39
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    • 2016
  • The multi-mixed complex medical care facility consisting of mainly hospital and other associated facilities such as retail, office, accommodation, healthcare services, and so on, is currently recognized as a new segment in the real estate market. This study intends to identify the customer choice criteria for the development of multi-mixed complex medical care facility. Based on literature review and expert consultation, the 3 criteria with 12 sub-criteria for customer choice have been defined. And the AHP methodology has been implemented for the development of relative weight of those criteria depending on the type of facility including 'medical facility', 'supporting facility', 'healthcare service facility' and 'other ancillary facility'. Research findings indicated the implication for the optimal combination of facility development based on the customer choice criteria controlled by facility. Accordingly, this research intends to provide the guidance toward the development of multi-mixed complex medical care facility.

Development of Job Description of Nutrition Teacher by the DACUM Method (DACUM 기법에 의한 영양교사 직무기술서 개발)

  • Kim, Ji-Hee;Cha, Jin-A
    • Journal of the Korean Dietetic Association
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    • v.22 no.3
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    • pp.193-213
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    • 2016
  • The purpose of this study is to provide a standard job description for a nutrition teacher placed in primary and secondary schools by analyzing their duties. DACUM is an acronym for 'Developing A CUrriculuM'. It was used by experts to determine the job duties, tasks and task elements to establish the job descriptions of a nutrition teachers through the development of a DACUM chart. An expert panel consisting of 10 nutrition teachers participated in a DACUM workshop and derived nutrition teacher's DACUM chart. A total of 1,550 nutrition teachers across the country were targeted as the survey subjects for validation of the DACUM chart through their perception of the frequency, importance, and difficulty of each item in the job description. A tree structure, criticality analysis, and contents validity index were added for verification. The definition of the nutrition teacher's job and DACUM chart with 5 duties, 28 tasks, and 107 task elements were derived by the DACUM method. The definition of a nutrition teacher was 'A teacher who is responsible for food service management and nutrition education and counseling for health promotion and disease prevention for students in primary and secondary schools'. The validation results of the tree structure were the priorities of the 28 tasks with ranks 1 and 2. Because there was no third priority, it was considered to be a good representation of the tasks of nutrition teachers. The DACUM chart was found to be evenly distributed with relative importances of more than 17 or less than 11 through the criticality analysis. Since the C5-4 (Conduct simulation exercise against food poisoning)'s content validity index was significantly less than the reference value of 0.78, it was not included in the final job description. 5 duties, 28 tasks, 102 task elements were included in the final job description of a nutrition teacher.

Application for Furniture Arrangement based on Virtual Reality to Share Interior Design in Real-time (실시간 인테리어 공유를 위한 가상현실 기반 가구 배치 애플리케이션)

  • Han, Ah-Reum;Park, Taejung
    • Journal of Digital Contents Society
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    • v.18 no.2
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    • pp.249-256
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    • 2017
  • As single-person households increase, demands for self interior design has been also increasing. The furniture arrangement takes big part of interior design. But sometimes people need professional helps for the proper and effective arrangement of furniture which makes self-interior design harder. Often, people share information and advices about interior design through Social Network Service. Experts could help directly but this approach would have several issues: First, the detailed and accurate advice would be difficult because experts have to examine the space through 2D pictures or video. Second, they have to make an appointment which would cause inconvenience to both customer and expert. In this paper, the furniture arrangement application for real-time sharing of interior design based on virtual reality is proposed to make up for the weak points. People can precisely share information and advice about self-interior design through this application in realtime, reducing waste of time and energy.

A Study on Human Resources Management for Hotel Kitchen (호텔주방 인적자원관리 방안에 관한 연구 -서울지역 특급호텔 중심으로-)

  • 엄영호
    • Culinary science and hospitality research
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    • v.7 no.2
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    • pp.25-48
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    • 2001
  • Since 1998 IMF economic crisis, hotel companys have made an operation innovation in generally to reinforce a competitive power. Never ther less, a structural depression with high expense of costs-low degree of efficiency and high price of commodities-low degree of growth during the last few years. And hotel companys were doing endeavor for conquer this depression with reshuffle of the personnal system and that systematizing an enterprise and production control. Hotel has more increase personnel expenses percents than increase sold price percents so that hotel reducing cook and as result, hotel has a problem from production selling of foodservice because that is insufficient of cook man power. On studying this research, an importancy of cusine department in inquire hotel and an efficiency man power control of cusine department influence on hotel marketing were made use of analysis for hotel kitchen management. The result of this study is like that. First, the quality of a hotel employee is directly related to that of hotel service, which is functioned as a principle factor on which success or failure of tie hotel very largely depends, Second, fair evaluation of merits. Third, cognition for job as expert. Fourth, the roles and competences of the employees were affected much by the inner or outer environmental changes surrounding the hotel enterprises. Fifth, do not underestimate an intelligent ability and will power of employee, and hotel company have to manage that the employees consult themselves about their things of department and improve with the master sense for job. Sixth, pay increase and intensive system. This system can raise the will to achievement for employee's job, and company can get many benefits from government. Seventh, the employees should be encouraged to have memberships of academic organizations, to actively participate in academic meetings, workshops, conferences, and forums in the area of job performance.

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Research to Establish Bottom-up Early Childhood Educational/Child Care Policy Plan for Preventing Low Birth Rate (저출생 현상 대책을 위한 상향식 유아교육·보육정책 방안 수립 연구)

  • Kim, Byung-Man
    • Journal of Convergence for Information Technology
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    • v.10 no.3
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    • pp.92-103
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    • 2020
  • This study agrees with the seriousness of the low birth phenomenon in our country and discusses the analysis of the causes of low birth and the establishment of the policy measures for early childhood education and child care in relation to the low birth phenomenon. In particular, the purpose of the policy is to establish a policy plan for up-to-down early childhood education and child care that can be reflected in the policy by members related to early childhood education, breaking away from the existing one for top-down child education and child care. To this end, the research was conducted using Delphi technique and 20 experts in the field of early childhood education and child care were organized into expert panels. In this study, seven policies were proposed for opportunity compliance, eleven policies for service compliance, eight policies for compliance with goods/gift certificates/tax reduction, seven policies for compliance with cash benefits, and five policies for compliance with power. We hope that the bottom-up education and childcare policy measures proposed in this study will provide specific implications and suggestions for resolving the low birth rate.

Enlargement of EU and Migration of Workers (EU 확대와 노동 이동)

  • Mun, Nam-Cheol
    • Journal of the Economic Geographical Society of Korea
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    • v.10 no.2
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    • pp.182-196
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    • 2007
  • EU has pursued of the economic growth and the promotion of jobs by a free movement of workers. The free labour mobility brings a sustainable economic development through the creating jobs and the acquisition of a new knowledge and technology, but it also produces the geographical unequality of the movement of workers. And the enlargement of the EU redistributes geographically the flow of labour mobility. The flow of labour movement within EU changes to the structure of mobility that moves from the North to the North instead of the movement from the South to the North as an economic development in the South and an economic transformation to the service and hightech industry in the North. The mobility of unskilled workers has diminished, but the mobility of expert workers has increased. The flow of labour movement within EU has a structure hierarchic that the experts labour move from the North to the North, and the unskilled labour move from the South to the North and from the northern Africa to the South of Europe.

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A Study on the Design with RDF Authoring Tool for Metadata Management (메타데이터 관리를 위한 RDF 저작도구 설계에 관한 연구)

  • 최호찬;김차종
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.8 no.3
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    • pp.605-613
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    • 2004
  • Recently, the semantic web stands out in the next generation web. To realize the semantic web, the metadata integration is required between different metadatas on the web for metadata management. Otherwise, the integrated structure is needed to accommodate all of semantic, syntax and structure. RDF is one of the core technology and is more efficient framework for technology and interchange of metadata in the web, In this paper, for metadata management, we designed and implemented the RDF authoring system which converts each of metadata into RDF and makes it easy to manipulate and manage the different metadatas. For this, we researched about the RDF creation using Dublin Core metadata, the conversion of XML document into RDF, the RDF expression by N-Triple form and the integration of WSDL and RDF, and implemented the system on the lava platform. Basically, users using this system can integrate and manage metadatas easily even if they are not expert.

Development of Precise Point Positioning Solution for Detection of Earthquake and Crustal Movement (지진 및 지각변동 감지를 위한 정밀절대측위 솔루션 개발)

  • Park, Joon-Kyu;Kim, Min-Gyu
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.9
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    • pp.4587-4592
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    • 2013
  • GPS is recognized the essential method to obtain the best result in the sphere of earth science that is setting of International Reference Frame, decision of the rotation coefficient about the earth rotation axis, detection of the crustal deformation, and observation of the diastrophism by high precision positioning except for navigation, geodetic survey and mapping. Therefore, in this study, it was attempted to build an expert service that enables non-experts to use high-precision GPS data processing. As a result, an Precise Point Positioning Solution that can maximize user convenience simply by entering the minimum required information for GPS data processing was developed, and the result of Precise Point Positioning Solution using GPS data provided by National Geographic Information Institute was compared with result of ITRF.

A Study on Alternative Medical Disput Resolution -With a Focus on Medical Dispute Mediation of Kca- (제소 전 의료분쟁 해결에 관한 연구 -한국소비자원 의료분쟁 조정을 중심으로-)

  • Kim, Kyoung-Reay
    • The Korean Society of Law and Medicine
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    • v.13 no.1
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    • pp.71-89
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    • 2012
  • Just in case a patient's state couldn't get better or get even worse after medical practices, it is difficult for the patient's side to accept the result and it tends to think that its damage is caused by his doctor's malpractice. Medical practices of a doctor require highly advanced attention duty as a medical expert, because they are targeted at a human body of the best benefit and protection of the law. However, it is hard to prove the malpractice on the patient's side in medical dispute. Therefore, to solve a medical dispute quickly and fairly before the medical suit Korea Consumer Agency (KCA) has done a medical dispute adjustment business since 1999. For the past 5 years (2006~2010), the medical team of KCA had managed 4,171 cases as an injury relief, but it had dealt with them focusing on an injury relief business only after the occurrence of a medical accident. Afterwards, it is necessary to expand the range of its services in purpose of preventing the injury of consumers. If we can solve the problems -the clear statements about the cease of extinctive prescription in the fundamentals of comsumer act, the presence of parties directly concerned at comsumer dispute adjustment committee, and the effect of an agreement, etc. -, which have been founded in medical injury relief service of KCA and the management and procedures of the comsumer dispute adjustment committee of KCA and if we can also give KCA more workers and the proper budget of the government, we can expect KCA to become a more useful agency.

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