• Title/Summary/Keyword: INTENSIVE MANAGEMENT

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Study of Recognition about Hospital Infection Management in Physical Therapists (물리치료사의 병원 감염관리에 대한 인지도 연구)

  • Song, Min-Young;Lee, Tae-Sik
    • Journal of Korean Physical Therapy Science
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    • v.9 no.3
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    • pp.141-150
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    • 2002
  • Most of physical therapists has thought be exposed themselves to risk of hospital infection but it is reported that have been low concern about infection management. Above like this haven t done systematical education on hospital infection, also physical therapist's information management of infection disease is found very low. It is lack of driving information about disease condition of the patients. Physical therapists has thought their working room may be polluted a lots of micro-organism(%). The control situation of infection waste articles, only 53% responded that the controller has managed very intensive so we can feel to need more intensive It's reported that air culture investigation of physical therapy room has never initiated. To wash the hand, before, after treatment of the patients of physical therapist, is very low frequency. And 73% have responded that the time to wash the hand stays 15-45 second. It is examined that 70% physical therapy room is equipped with washing system, a response of 58% disinfects physical therapy room 1-2times per one month. 36% responded disinfection of treatment modality have done everyday, 25% responded have never done. The location physical therapy room is above one floor - 65%. A response of 57% is ventilation system sufficiency, it is considered that physical therapists needs more efforts on management of hospital infection.

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Influence of Posttraumatic Stress Symptoms and Conflict Management Styles on Nursing Performance of Intensive Care Unit (중환자실 간호사의 외상후 스트레스와 갈등관리 유형이 간호업무수행에 미치는 영향)

  • Hwang, Ji Na;Park, Wan Ju
    • Journal of Korean Critical Care Nursing
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    • v.11 no.3
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    • pp.58-70
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    • 2018
  • Purpose : This study examined the factors influencing posttraumatic and conflict management styles for nursing performance in intensive care units (ICUs). Methods : In this study, 250 nurses from eight general hospitals in three cities participated. Structured self-report questionnaires were used to collect data on posttraumatic, conflict management styles, and nursing performance. Finally, the data were analyzed by SAS 9.3 program. Results : The mean of total sum scores was 31.29, and the high risk of posttraumatic symptoms was 61.2%. It was noted that nursing performance is significantly correlated with collaboration, compromise, accommodation styles, and intrusion. Collaboration styles (${\beta}=0.39$, p<.001) and hyperarousal (${\beta}=-0.22$, p=.050), ICU experience below 1 year (${\beta}=-0.21$, p=.027) and that of 5-10 years (${\beta}=-0.19$, p=.049), and compromise style (${\beta}=0.16$, p=.049) were found to be the factors influencing nursing performance with 35.9% explanatory power value of regression model. Conclusions : The results of the study reveal that conflict management styles, hyperarousal, and ICU experience are factors predicting the successful performance of ICUs. These findings emphasize the need of developing interventions to reduce stress symptoms and conflicts in ICUs.

A Security Metrics Taxonomization Model for Software-Intensive Systems

  • Savola, Reijo M.
    • Journal of Information Processing Systems
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    • v.5 no.4
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    • pp.197-206
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    • 2009
  • We introduce a novel high-level security metrics objective taxonomization model for software- intensive systems. The model systematizes and organizes security metrics development activities. It focuses on the security level and security performance of technical systems while taking into account the alignment of metrics objectives with different business and other management goals. The model emphasizes the roles of security-enforcing mechanisms, the overall security quality of the system under investigation, and secure system lifecycle, project and business management. Security correctness, effectiveness and efficiency are seen as the fundamental measurement objectives, determining the directions for more detailed security metrics development. Integration of the proposed model with riskdriven security metrics development approaches is also discussed.

Raise Capital Type and Investment Efficiency of Hospital in Korea (병원의 자본조달 행태와 투자효율)

  • Jung, Yong-Mo
    • The Korean Journal of Health Service Management
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    • v.7 no.3
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    • pp.161-176
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    • 2013
  • This research analyzed Raise Capital type and Investment Efficiency for non-profit hospitals in Korea. 152 cases of financial information from 2007 to 2010 were utilized for analysis. As a result of analysis, Raise Capital for Borrowings to total assets was primarily used, taking around 40% on average, and the method of Raise Capital with significant difference among Medical Institutions was Liabilities in Excluded Borrowings to Total Assets and Capital Stock & Capital Reserves to Total Assets. Besides, the relation between Invested capital and Investment efficiency was opposite each other in the non-profit hospitals, and Region was an important element influencing over Productivity per Value Added. In addition, in the investment activity of non-profit hospitals in the light of Investment Efficiency, only hospitals among Medical Institution types had a character of Capital Intensive, and General Hospital and Geriatric & Long-term Medical Care Hospital among Medical Institution types showed a character of Labor Intensive in the light of Performance.

서비스표준화측정모형의개발;콜센터 서비스의 프로세스 측면을 중심으로

  • Seo, Chang-Jeok;Lee, Se-Yeong
    • Proceedings of the Korean Society for Quality Management Conference
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    • 2007.04a
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    • pp.279-284
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    • 2007
  • This study develops a model which measures service standardizations focused on the process of call center service. It analyzes the relationship between service standardizations and efficiency of business as well. The model consists of two dimensions to offering service and managing customers. These two dimensions have six major elements: accessibility, customer orientation, professionalism, offering a solution, customer satisfaction management, and customer information management. Also we assumed that low customer interaction and labor-intensive of service business increase the level of service standardization.

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Analysis of Relative Job Performance Efficiency of Nurses in the Neonatal Intensive Care Unit (신생아집중치료실 간호사의 상대적 간호업무효율성 분석)

  • Kim, Hyoyeong;Lee, Hyejung;Min, Ari
    • Korea Journal of Hospital Management
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    • v.24 no.4
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    • pp.57-69
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    • 2019
  • Purpose: This study aimed to analyze the job performance efficiency of nurses in the Neonatal Intensive Care Unit (NICU) by using the Data Envelopment Analysis (DEA). Additionally, the study aimed to provide a detailed method to improve the currently inefficient way in which nurses perform their jobs by differentiating the reference group of more efficient nurses, and to compare the characteristics of the more efficient group of nurses to those of the less efficient group of nurses. Methodology: This study evaluated the relative job performance efficiency of nurses by applying DEA to 43 nurses in the NICU. The input variables for the efficiency analysis were working career (years), time spent in direct nursing care (hours), overtime (hours), and job-related training (hours); the output variables were the job performance scores of professional practice, research, leadership, and education. Data were analyzed using SPSS IBM 23.0 and Open Source DEA (OSDEA). Findings: The relative job performance efficiency of the 43 nurses was 0.933, and 20 nurses were evaluated as more efficient. In addition, the study confirmed the possibility of improving the overall job performance efficiency by improving leadership, while controlling the current input variables. Lastly, the more efficient nurses had significantly higher job performance scores for research (t=2.028, p=0.049), leadership (t=2.036, p=0.048), and education (t=2995, p=0.005) than those who were less efficient. Practical Implications: It is suggested that job performance be evaluated using DEA to improve the overall job performance efficiency of NICU nurses. The analysis results from DEA for nurses becomes evidence in support of establishing individualized goals for each nurse, thus resulting in a foundation for systematic human resource management of nurses, and ultimately contributing to increase in the job performance efficiency of nurses.

Four Children with Multidrug-resistant Acinetobactor baumanii Infections in the Intensive Care Units of a University Hospital (단일 3차 의료기관 집중치료실에서 발생한 다약제내성 Acinetobacter baumannii의 4례)

  • Lee, Kyung Suk;Lee, Gyu Min;Yoon, Hoi Soo;Chung, Sa Jun;Cha, Sung-Ho;Chun, Hee-Kyung
    • Pediatric Infection and Vaccine
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    • v.18 no.1
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    • pp.97-102
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    • 2011
  • The Multidrug-resistant Acinetobactor baumanii (MDRAB) is an opportunistic pathogen. Patients with long periods of hospital stay and/or under intensive care unit (ICU) receiving invasive management are more susceptible to this pathogen. In this report, four children with MDRAB infection are reviewed and described their clinical characteristics. There had been concurrent outbreaks of MDRAB infection in adult patients in the ICU at this period of time. The first child had received a craniotomy and epidural hematoma evacuation. The second child was admitted for status epilepticus with hydrocephalus. The third child had pneumonia with status epilepticus with hydrocephalus. The fourth child had poor activity due to hypoxic ischemic encephalopathy and convulsive disorder. Except the fourth child, all had not been exposed to carbapenem prior to infection of MDRAB. That imply the cause of MDRAB infections may be associated with invasive management and prolonged hospitalization together with the previous exposure to carbapenem in our cases. We would like to emphasize the importance and minimizing the spread of hospital infection in patients under prolonged intensive care management regardless of the use of carbapenem.

Comparison of ultrasound guided pulsed radiofrequency of genicular nerve with local anesthetic and steroid block for management of osteoarthritis knee pain

  • Ghai, Babita;Kumar, Muthu;Makkar, Jeetinder Kaur;Goni, Vijay
    • The Korean Journal of Pain
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    • v.35 no.2
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    • pp.183-190
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    • 2022
  • Background: To compare ultrasound-guided pulsed radiofrequency (PRF) of the genicular nerve with the genicular nerve block using local anesthetic and steroid for management of osteoarthritis (OA) knee pain. Methods: Thirty patients with OA knee were randomly allocated to receive either ultrasound-guided PRF of the genicular nerve (PRF group) or nerve block with bupivacaine and methylprednisolone acetate (local anesthetic steroid [LAS] group). Verbal numeric rating scale (VNRS) and Western Ontario McMaster Universities Osteoarthritis Index (WOMAC) scores were measured at pre-procedure and 1-, 4-, and 12-weeks post-procedure. Results: VNRS scores decreased significantly (P < 0.001) in both the groups at 12 weeks and other follow up times compared to baseline. Seventy-three percent of patients in the PRF group and 66% in the LAS group achieved effective pain relief (≥ 50% pain reduction) at 12 weeks (P > 0.999). There was also a statistically significant (P < 0.001) improvement in WOMAC scores in both groups at all follow up times. However, there was no intergroup difference in VNRS (P = 0.893) and WOMAC scores (P = 0.983). No complications were reported. Conclusions: Both ultrasound-guided PRF of the genicular nerve and blocks of genicular nerve with local anesthetic and a steroid provided comparable pain relief without any complications. However, PRF of the genicular nerve is a procedure that takes much more time and equipment than the genicular nerve block.

Effects of an Intensive Management Program for Diabetic Patients on a Blood Biochemical Profile and Diabetes Knowledge (당뇨병 환자 대상 집중관리프로그램이 혈액성상 및 당뇨지식에 미치는 효과)

  • Yeo, Su-Jeong;Kim, Bok-Hee
    • Korean Journal of Community Nutrition
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    • v.23 no.2
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    • pp.148-161
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    • 2018
  • Objectives: This study examined the effects of nutrition education and exercise therapies on the hematological status and diabetes knowledge of diabetic patients. For this purpose, a 12-week intensive management program was provided to diabetic patients participating in an exercise program in S health subcenter in Kwangju city and the effects were analyzed. Methods: The subjects were 26 diabetic patients, who provided written informed consent. As a preliminary survey, this study examined the general characteristics, physical status, obesity, blood pressure, hematological status, daily activity level, diabetes knowledge, diet performance, and barriers to diet therapy. After the 12-week intensive management program was completed, a post-test was conducted in the same way as the preliminary test. The data were analyzed with using SPSS 18.0. The data from this study are presented as the mean${\pm}$standard deviation. A paired t-test was conducted to compare differences in the means before and after the program. Statistical significance was set to p<0.05. Results: The results of the program are presented as follows. The HDL-cholesterol levels changed from $39.8{\pm}10.5mg/dL$ to $48.3{\pm}13.1mg/dL$, showing a significant increase (p<0.001). The blood sugar 2 hours after a meal changed from $175.2{\pm}67.1mg/dL$ to $140.5{\pm}42.5mg/dL$, showing a significant decrease (p=0.014). The glycosylated hemoglobin levels decreased significantly from $6.7{\pm}1.1%$ to $6.3{\pm}1.0%$ (p=0.010). The total scores of the daily activity levels increased significantly from $3.8{\pm}2.4$ to $4.8{\pm}2.5$ (p=0.040). The scores of knowledge on diabetes increased from $11.5{\pm}3.6$ to $14.0{\pm}3.8$ (p=0.001). The scores of knowledge on diet therapy changed from $6.7{\pm}2.2$ to $7.9{\pm}1.7$, showing a significant increase (p=0.027). Conclusions: The 12-week intensive management program intervened by nutrition education and exercise therapies induced positive changes to the HDL-cholesterol, blood sugar 2 hours after a meal, glycosylated hemoglobin, daily activity levels, and knowledge on diabetes.

Cultural Management to Control Weedy Rice in Paddy Field

  • Kim, Sang-Yeol;Son, Yang;Park, Sung-Tae;Kim, Ho-Yeong
    • KOREAN JOURNAL OF CROP SCIENCE
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    • v.45 no.4
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    • pp.232-236
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    • 2000
  • To obtain a basic information on the development of effective control strategies for weedy rice in direct seeding rice cultivation, occurrence patterns of weedy rice as influenced by different cultural practices such as cultivation method, water management, seeding time, and tillage were investigated in field or pot experiments. High occurrence of weedy rice was observed in a continuous direct seeding paddy field as compared to machine transplanted one. Based on the percent of weedy rice panicle over three years trial, high ridged dry seeding was highest with 36.9%, followed by wet seeding with 30.9%, water seeding with 14.6% and machine transplanting rice with 0.8%, indicating 97.8% reduction in weedy rice occurrence by machine transplanting rice as compared with high ridged dry seeding. Germination of weedy rice was promoted to 83-94 % when rice panicle was flooded from September 30 to October 10 for 6 days and 74-88% for 9 days on October 20. Weedy rice occurrence was also substantially reduced by delayed seeding on June 10 and intensive tillage. The results suggest that machine transplanting rice be more effective cultural practice than flooding treatment, delayed seeding and intensive tillage when weedy rice problem occurs in direct seeded paddy field.

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