Recently, though damage caused by intensive rainfall and typhoon happens frequently, we could not forecast or predict a disaster, due to the difficulty of obtaining exact information about it. For efficient disaster management, the most urgent need is the preparation of a flood forecast-warning system. Therefore, we need to provide a program that has the ability of inundation analysis and flood forecast-warning using a geographic information system, and using domestic technology rather than that from foreign countries. In this research, we constructed a FDMS(Flood Disaster Management System) that is able to analyze real-time inundation data, and usins the GIS(Ceographic Information System) with prompt analyzing of hydrologic-topographical parameters and runoff-computation. Moreover, by expressing inundation analysis in three-dimensions, we were able to get to the inundation area with ease. Finally, we expect that the application of this method in the (food forecast-warning system will have great role in reducing casualties and damage.
Objectives : The purpose of this study was to compare the characteristics of nursing work environments based on department type and to investigate the relationship between work environment and job satisfaction. Methods : The participants were 420 nurses from the ward, emergency room, intensive care unit, and operation room. The data were analyzed by descriptive statistics, ANOVA, Scheffe's test, and multiple regression test using the SPSS Win. 18.0 program. Results : The results were as follows: There was a significant difference in possibilities for development, meaning of work, recognition(reward), role clarity, and social community at work based on department type. The factors that influenced job satisfaction were influence, meaning of work, recognition(reward), role conflicts, and quality of leadership and these differed based on department type. Conclusions : The results of this study indicate that nursing work environments vary based on the type of hospital department. Therefore, it is necessary to develop diverse strategies for human resource management considering the type of department.
Although occupational low back pain accounts for $20\sim40%$ of all occupational illness and injury, there are limited numbers of studies regarding the effectiveness of back school program. The objective of this study was to evaluate the economic benefit of back school program for early return to work of occupational low back pain patients in the current occupational injury compensation and management system. The cost-benefit analysis in this study was conducted to evaluate the relative magnitude of benefit to cost. The total cost was estimated by calculating the value of components in back school program according to governmental budget protocol. The back school program was consisted of three major approaches, pain center, work-hardening program and funcional restoration program and each of components had various facilities and experts. The total amount of cost was estimated as 250,866,220 won per year. The most promising type of back school program were quite intensive (a 3 to 5-week stay in a specialized center), therefore, if we adopted the 5-week stay course, 10 courses could be held in a year. Following to the medical act, 20 patients per doctor could participate in a each course, ie, total 200 patients in a year. As a result, we could estimate the cost of 1,254,331 won a patient. We estimated the benefit by using data of a few local labor offices about average medical treatment beneficiary and off-duty beneficiary of 46 occupational low back pain patients in 1994. Ullman and Larsson (1977) mentioned that the group of chronic low back pain patients who participated in back school program needed less time to recover by 48.4% of beneficiary duration. And in the trying to estimate the benefit, we asked 10 rehabilitation board certificate doctors about reduction proportion of treatment cost by introducing back school program. The answered reduction proportions were in the range of $30\sim45%$, average 39%. As a final result, we could see that the introduction of back school program in treatment of chronic occupational low back pain patients could produce the benefit to cost ratio as 3.90 and 6.28. And we could conclude that the introduction of back school program was beneficial to current occupational injury compensation and management system.
Cancer survivor's self-help group may promote psychosocial adjustment in cancer patients. Self-transcendence has been shown to be related with crisis and adjustment in women with breast cancer. The purpose of this study is to determine the effectiveness of self-transcendence promoting program to facilitate self-transcendence, physical, and emotional well-being in women with breast cancer. Thirty patients who received mastectomy were recruited, but 9 subjects of experimental group and 14 subjects of control group participated in this study. Subjects of experimental group attended the self-help group for self-transcendence once a week for 6 weeks. Each session of program was proceeded for 2hours and the program contained activities for promoting self-transcendence, stress management, communication skill, exercise and relaxation, symptom management, and family support. Data were collected by self-reporting questionnaires within seven days after mastectomy and after the program was finished in experimental group, within 7 days after mastectomy and after 3 months in control group. Self-transcendence was assessed using the self-transcendence scale (STS) developed by Reed. Physical well being was assessed using Symptom distress scale (SDS) developed by McCorkle and Young and emotional well being was assessed using Profile of mood states (POMS). As a result, no significant differences were found between both groups in changes of self-transcendence, emotional well-being, and physical well-being. Self-transcendence score was significantly decreased in control group (p =0.16). But that of experimental group showed no decrease. In conclusions, when the self-transcendence promoting program is provided to the patients with breast cancer, it can be helpful for promoting self- transcendence. For the further study, repeated research with appropriate sample size and more intensive nursing intervention to promote self-transcendence is suggested. And reassessment after 6 months is recommended for testing long term effects of the program.
Lee, Sang Rim;Lee, In Sook;Oh, Seung-June;Kim, Sung Hwa;Chin, Young Ran
지역사회간호학회지
/
제29권4호
/
pp.467-475
/
2018
Purpose: The purpose of this study is to investigate adherence to the clean intermittent catheterization (CIC) and influencing factors on the adherence following a customized intensive education program (CIEP). Methods: This work is a retrospective descriptive study. The subjects were 226 emptying failure patients who learned in a CIEP from January 2012 to July 2014. The program developed in 2011 and consisted of 1) customized theoretical education; based on the results of urologic tests, underlying disease, or surgery of the patients, 2) hands-on practice until the trainees were able to master the techniques, 3) questions about the process of catheterization and what he/she needs to know. 4) at follow-up, the survey about adherence and barrier to CIC. Clinical characteristics; the level of satisfaction, understanding, and self-confidence; the barrier in medical records were reviewed. Results: The short-term adherence rate (median 22 days) is 87.6% and the long-term adherence rate (median 112 days) is 50.4%. The biggest obstacle is time management. The levels of satisfaction, understanding, and self-confidence are very high. The variable of Income is the only factor that has influence on adherence. Conclusion: Despite the CIEP, the adherence rate is relatively low. In addition to the education, emotional and psychological supports and regular follow-up are needed to improve long-term adherence.
New products often have in-service reliability problem despite an intensive development program. Therefore reliability data must be collected and analyzed, and improvements designed and implemented. A type of reliability incentive contract which has recently attracted a lot of attention is reliability improvement warranty(RIW). It has been employed by military, airlines, telecommunication systems, and public utilities. An RIW contract requires that the supplies carries out all repairs, modify the equipment to improve its reliability, and provides all spates needed, for a fixed period, for once-off fee. This paper presents the reliability growth analysis and management methods for in-service MC68 microprocessor, which is the main component of the base station controller in PCS(Personal Communication Service) telecommunication system. The methods will provide guidelines to monitor reliability program in planning RIW contract.
The purpose of this study is to review previous domestic and foreign studies and to investigate personal work-life harmonization through theoretical research on familyfriendly management using a dual agenda approach. The authors briefly identified trends and critically reviewed domestic researches on family-friendly management and foreign studies of scholars that overcame the limitations of domestic studies to present a foundation for work-life harmonization through a dual agenda approach. As a result, the existing family-friendly management was found to be compatible with work and family but was not effective in developing personal careers. The workers who actively accepted family-friendly management as part of their work-life balance were mostly female laborers who were employed part-time, had lower academic education, earned lower wages and, in general, were non-professional workers without specific skills or career aspirations. The remainder of the workers, full-time male employees, with higher education and with professional knowledge and skills, inevitably worked longer, more labor-intensive hours, due to the advent of the dual agenda approach. A new work-life harmonization program is urgently needed not only for family-friendliness but also for healthy organizations, individual career development and personal wellbeing.
Background & Objectives: International radiation protection committee recognized the importance of radiation protection from medical practices because the exposure to the radiation in medical practice is higher than any other exposure. The factors on knowledge, attitude and practice of radiation safety of the medical workers engaged in radiation were analyzed in order to improve radiation safety technology. Method: Questionnaires were used for 1200 radiation workers in medical institution from July 23 through September 4 and collected for analysis. Results: Different level of safety measures were practiced by age, marital status, career, and medical facility. The difference was statistically significant. Higher levels of safety measures were practiced in the age group of 50s and married persons. The workers who have more than 20 years experience have higher level of safety measures. The workers of health centers have higher level of safety measures to compare with other workers. The factors which give more concerns on safety practice were self efficacy, practice and knowledge in order. Conclusion: Safety conscious operators should get additional education program to maintain higher level of safety. The operators who do not have much safety concern should be intensive training program for self efficacy and safety.
Purpose: This study was designed to identify recognition and the performance level for nosocomial infections amongst student nurses and to provide data for preparing on efficient policy and control program for nosocomial infections. Method: 191 senior nursing student participated in this research from 5 nursing college which allowed data collection, in the city of Seoul. The questionnaire was composed of 73 items(likert scale) about eight areas; aseptic technique, disinfection, precaution, hand washing, urinary tract infection, respiratory infection, catheter related infection, and self care about nosocomial infections. Results: The mean score of recognition and performance level for management of nosocomial infection were 4.29 and 3.41 respectively. The mean score of the recognition level was significantly lower than the performance level in the eight areas. The mean score of both recognition and performance were highest in the area of disinfection. However, the mean score of recognition was lowest in the area of aseptic technique and the mean score of performance was lowest in the area of catheter related infections. The correlation of recognition and performance level was statistically significant. Conclusions: These research findings should be useful in promoting an intensive and continuous educational program on nosocomial infection for nursing students and to establish an efficient policy for preventing nosocomial infections.
The results of a discussion among parties involved in the Industrial Educational Cooperation Program are as follows: 1. Ensure that students in the Continuing Education System have certain work experience as a prerequisite for admission. 2. Studies and evaluation methods should be diversified in order to give students better selection of lectures and credits. 3. Re-education system should be established, and a degree conferred through development of human resources and study terms. 4. Educate students by cooperating between the union of industries and that of the colleges. 5. Students are satisfied about the intensive study by $\ulcorner$2+2$\lrcorner$ joint education which connects junior college and university. 6. Put into practice creative technical education for technological development by learning their classroom studying just as actual practice in the industrial field. I offer strategies for settlement of the Industrial Trust Education mentioned above, and urge the Ministry of Education to comply.
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