• Title/Summary/Keyword: Intensive management program

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Recognition and Performance on Management for Nosocomial Infections among Nursing Students (병원감염관리에 대한 간호학생의 인지도와 수행도)

  • Kim, Gui-Lan;Choi, Euy-Soon
    • Women's Health Nursing
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    • v.11 no.3
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    • pp.232-240
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    • 2005
  • 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.

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Development of pig welfare assessment protocol integrating animal-, environment-, and management-based measures

  • Renggaman, Anriansyah;Choi, Hong L;Sudiarto, Sartika IA;Alasaarela, Laura;Nam, Ok S
    • Journal of Animal Science and Technology
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    • v.57 no.1
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    • pp.1.1-1.11
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    • 2015
  • Background: Due to increased interest in animal welfare, there is now a need for a comprehensive assessment protocol to be used in intensive pig farming systems. There are two current welfare assessment protocols for pigs: Welfare Quality$^{(R)}$ Assessment Protocols (applicable in the Europe Union), that mostly focuses on animal-based measures, and the Swine Welfare Assurance Program (applicable in the United States), that mostly focuses on management- and environment-based measures. In certain cases, however, animal-based measures might not be adequate for properly assessing pig welfare status. Similarly, welfare assessment that relies only on environment- and management-based measures might not represent the actual welfare status of pigs. Therefore, the objective of this paper was to develop a new welfare protocol by integrating animal-, environment-, and management-based measures. The background for selection of certain welfare criteria and modification of the scoring systems from existing welfare assessment protocols are described. Methods: The developed pig welfare assessment protocol consists of 17 criteria that are related to four main principles of welfare (good feeding, good housing, good health, and appropriate behavior). Good feeding, good housing, and good health were assessed using a 3-point scale: 0 (good welfare), 1 (moderate welfare), and 2 (poor welfare). In certain cases, only a 2-point scale was used: 0 (certain condition is present) or 2 (certain condition is absent). Appropriate behavior was assessed by scan sampling of positive and negative social behaviors based on qualitative behavior assessment and human-animal relationship tests. Results: Modification of the body condition score into a 3-point scale revealed pigs with a moderate body condition (score 1). Moreover, additional criteria such as feed quality confirmed that farms had moderate (score 1) or poor feed quality (score 2), especially those farms located in a high relative humidity region. Conclusions: The developed protocol can be utilized to assess welfare status in an intensive pig farming system. Although further improvements are still needed, this study is a first step in developing a pig welfare assessment protocol that combines animal-, environment-, and management-based measures.

Clinical Impact of a Quality Improvement Program Including Dedicated Emergency Radiology Personnel on Emergency Surgical Management: A Propensity Score-Matching Study

  • Gil-Sun Hong;Choong Wook Lee;Ju Hee Lee;Bona Kim;Jung Bok Lee
    • Korean Journal of Radiology
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    • v.23 no.9
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    • pp.878-888
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    • 2022
  • Objective: To investigate the clinical impact of a quality improvement program including dedicated emergency radiology personnel (QIP-DERP) on the management of emergency surgical patients in the emergency department (ED). Materials and Methods: This retrospective study identified all adult patients (n = 3667) who underwent preoperative body CT, for which written radiology reports were generated, and who subsequently underwent non-elective surgery between 2007 and 2018 in the ED of a single urban academic tertiary medical institution. The study cohort was divided into periods before and after the initiation of QIP-DERP. We matched the control group patients (i.e., before QIP-DERP) to the QIP-DERP group patients using propensity score (PS), with a 1:2 matching ratio for the main analysis and a 1:1 ratio for sub-analyses separately for daytime (8:00 AM to 5:00 PM on weekdays) and after-hours. The primary outcome was timing of emergency surgery (TES), which was defined as the time from ED arrival to surgical intervention. The secondary outcomes included ED length of stay (LOS) and intensive care unit (ICU) admission rate. Results: According to the PS-matched analysis, compared with the control group, QIP-DERP significantly decreased the median TES from 16.7 hours (interquartile range, 9.4-27.5 hours) to 11.6 hours (6.6-21.9 hours) (p < 0.001) and the ICU admission rate from 33.3% (205/616) to 23.9% (295/1232) (p < 0.001). During after-hours, the QIP-DERP significantly reduced median TES from 19.9 hours (12.5-30.1 hours) to 9.6 hours (5.7-19.1 hours) (p < 0.001), median ED LOS from 9.1 hours (5.6-16.5 hours) to 6.7 hours (4.9-11.3 hours) (p < 0.001), and ICU admission rate from 35.5% (108/304) to 22.0% (67/304) (p < 0.001). Conclusion: QIP-DERP implementation improved the quality of emergency surgical management in the ED by reducing TES, ED LOS, and ICU admission rate, particularly during after-hours.

Analyzing Thermal Variations on a Multi-core Processor (멀티코아 프로세서의 온도변화 분석)

  • Lee, Sang-Jeong;Yew, Pen-Chung
    • Journal of the Institute of Electronics Engineers of Korea CI
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    • v.47 no.6
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    • pp.57-67
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    • 2010
  • This paper studies thermal characteristics of a mix of CPU-intensive and memory-intensive application workloads on a multi-core processor. Especially, we focus on thermal variations during program execution because thermal variations are more critical than average temperatures and their ranges for thermal management. New metrics are proposed to quantify such thermal variations for a workload. We study the thermal variations using SPEC CPU2006 benchmarks with varying cooling conditions and frequencies on an Intel Core 2 Duo processor. The results show that applications have distinct thermal variations characteristics. Such variations are affected by cooling conditions,operating frequencies and multiprogramming workload. Also, there are distinct spatial thermal variations between cores. Our new metrics and their results from this study provide useful insight for future research on multi-core thermal management.

Relationships among Nursing Activities, the Use of Body Mechanics, and Job Stress in Nurses with Low Back Pain (종합병원에 근무하는 요통 간호사의 간호업무활동, 신체역학원리 및 직무 스트레스와의 관련성)

  • Jung, Keunja;Suh, Soonrim
    • Journal of muscle and joint health
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    • v.20 no.2
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    • pp.141-150
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    • 2013
  • Purpose: This study was conducted to identify relationships among nursing activities, the use of body mechanics, and job stress in nurses with low back pain. Methods: Participants were 225 nurses with low back pain working at an university hospital. The data were collected with self-reported questionnaires at March, 2012 and analyzed by descriptive statistics, t test, ANOVA, Scheff$\acute{e}$e test and multiple regression analyses. Results: There was significantly a higher degree of pain in subjects who working at special units including intensive care units and emergency room than at general wards. Low back pain was negatively correlated with the use of body mechanical principles while it was positively associated with the degree of job stress. According to results of multiple regression analyses, low back pain was significantly associated with the use of body mechanics and job stress in nurses working at general ward and special units including intensive care units and emergency room. Conclusion: The use of the principles of body mechanics and reducing job stress are important to prevent low back pain in nurses. It is necessary to develop and apply stress management and education program about the use of the principles of body mechanics.

Effect of Education on Infection Control for Multidrug Resistant Organism on Infection Control by NICU Nurses (다제내성균 감염관리 교육이 신생아 중환자실 간호사의 감염관리에 미치는 영향)

  • Lim, Jihee;Bang, Kyung-Sook
    • Child Health Nursing Research
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    • v.22 no.3
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    • pp.172-181
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    • 2016
  • Purpose: This study was conducted to examine the effect of education on infection control for multidrug resistant organism (MDRO). Methods: One group pre-post time series design was used. Infection control education for MDRO infection was provided to nurses working in the Neonatal Intensive Care Unit (NICU). Knowledge and recognition were evaluated before and after education. Hand hygiene compliance, MDRO isolation rate and central line-associated bloodstream infection (CLABSI) rate were used as outcome variables. Data from 45 nurses was used for analysis. Results: General knowledge about MDRO increased (p=.011). Responses to questions about image of MDRO and MDRO management tended to change in a positive direction (p=.046). Hand hygiene compliance was 100% at pre-test, 79.5% during education period and 98.4% at post-education period. MDRO isolation rate was 6.83 per 1,000 patient days at pre-test, 10.24 during education period and 6.68 at post-education period. CLABSI rate was 3.76 per 1,000 central line days at pre-test, 6.84 during education period and 4.71 at post-education period. Conclusion: Findings indicate that the education program is effective in improving knowledge about MDRO in NICU nurses. However, more reliable indicators should be used to determine long-term effects.

Development of Village Health Worker Training Program in Tuguegarao, Phillipines (필리핀 뚜게가라오 지역에서의 마을보건원 훈련 프로그램 개발 사례)

  • Kim, Jung-Min;Lee, Hye-Yeon;Pakr, Dae-Jin;Oak, Chul-Ho;Jeon, Man-Joong;Yu, Byeng-Chul;Koh, Kwang-Wook;Lee, Yong-Hwan
    • Journal of agricultural medicine and community health
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    • v.33 no.3
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    • pp.324-334
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    • 2008
  • Objectives: The purpose of this study was to develop and execute the village heath worker(VHW) training program which based on short term overseas medical volunteer and medical mission. Methods: Through case studies of previous VHW program and review articles about the state of medical volunteer and medical mission, we developed the VHW training program. Pilot test of the program was carried out in Tugeugarao city, Phillipines on July, 2008. The subject were 32 persons from 15 villages around Tuguegarao city. After training we surveyed regarding the satisfaction of training and the degree of getting knowledge and skills. Results: Through article review, we got the common subjects of previous VHW training program and the limitations of overseas medical volunteer and medical mission. We developed VHW training program aiming to community health promotion through community participation and community change. The main text was "Where There Is No Doctor" of Hesperian Foundation. The program executed through 1 day intensive lecture and practice. The satisfaction of the program was 8.95±1.70 on 10 point rating scale. Conclusions: We strongly expect VHW training program can be available as new model of short overseas medical volunteer as well as medical mission if we could systemize it with the confirming subject before training , management after training and continuous support through connection with the field.

Development and Management of the Advanced STEAM Teacher Training Program (STEAM 심화과정 교사연수 프로그램 개발 및 운영)

  • Hahn, Insik;Hwang, Shinyoung;Yoo, Jungsook
    • Journal of The Korean Association For Science Education
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    • v.36 no.3
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    • pp.399-411
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    • 2016
  • The purpose of this study is to investigate implications for future STEAM education by analyzing the surveys by the in-service teachers who participated in the Advanced STEAM Teacher Training Program(ASTTP) for raising interests and understanding of science and technology and nurturing STEAM literacy and problem-solving ability of students. ASTTP was developed for promoting 'teacher competence for STEAM.' ASTTP is a 60-hour program(4 credits), which includes offline intensive course of 38 hours, online training course of 12 hours, a course of implementation at schools for 5 hours, and a workshop for 5 hours (based on the 2014 program). For the offline intensive course, teachers take various professional development classes and activities, such as open-laboratory tours, advanced experiments, mentoring programs, and team projects as well as lectures on diverse disciplines. For the online course, teachers take online classes freely while they are encouraged to work with other teachers in groups. After taking both online and offline courses, the teachers are required to implement their STEAM lesson plans in their classrooms. Finally at the workshop, some selected teachers share how successfully they have implemented STEAM education. About 700 teachers have successfully taken the program from 2012 to 2014. Based on the surveys by the teachers, the program has been modified and improved. Our analysis shows increased professional development in STEAM education for the participating teachers. This study can provide some implication and helpful insights for people who need to develop and manage teacher training programs for STEAM education and other education programs in general.

Improvement of Transfusion Practice in Cardiothoracic Surgery Through Implementing a Patient Blood Management Program

  • Hee Jung Kim;Hyeon Ju Shin;Suk Woo Lee;Seonyeong Heo;Seung Hyong Lee;Ji Eon Kim;Ho Sung Son;Jae Seung Jung
    • Journal of Chest Surgery
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    • v.57 no.4
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    • pp.390-398
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    • 2024
  • Background: In this study, we examined the impact of a patient blood management (PBM) program on red blood cell (RBC) transfusion practices in cardiothoracic surgery. Methods: The PBM program had 3 components: monitoring transfusions through an order communication system checklist, educating the medical team about PBM, and providing feedback to ordering physicians on the appropriateness of transfusion. The retrospective analysis examined changes in the hemoglobin levels triggering transfusion and the proportions of appropriate RBC transfusions before, during, and after PBM implementation. Further analysis was focused on patients undergoing cardiac surgery, with outcomes including 30-day mortality, durations of intensive care unit and hospital stays, and rates of pneumonia, sepsis, and wound complications. Results: The study included 2,802 patients admitted for cardiothoracic surgery. After the implementation of PBM, a significant decrease was observed in the hemoglobin threshold for RBC transfusion. This threshold dropped from 8.7 g/dL before PBM to 8.3 g/dL during the PBM education phase and 8.0 g/dL during the PBM feedback period. Additionally, the proportion of appropriate RBC transfusions increased markedly, from 23.9% before PBM to 34.9% and 58.2% during the education and feedback phases, respectively. Among the 381 patients who underwent cardiac surgery, a significant reduction was noted in the length of hospitalization over time (p<0.001). However, other clinical outcomes displayed no significant differences. Conclusion: PBM implementation effectively reduced the hemoglobin threshold for RBC transfusion and increased the rate of appropriate transfusion in cardiothoracic surgery. Although transfusion practices improved, clinical outcomes were comparable to those observed before PBM implementation.

A Case Study of Bootcamp Program for Software Developer (소프트웨어 개발 인재 양성을 위한 부트캠프 사례 연구)

  • Kwak, Chanhee;Lee, Junyeong
    • Journal of Practical Engineering Education
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    • v.14 no.1
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    • pp.11-18
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    • 2022
  • As the need for software development manpower increases, various educational programs appear and the popularity of bootcamp style education program for software development increases. However, despite the operations and forms of bootcamp education programs are completely different from the existing software development education programs, there is a lack of research in understanding bootcamp as a software education program. Therefore, this study tried to derive the core elements of the education program through a case study on bootcamp software developer education program. After conducting interviews of 7 members who have completed a series of bootcamp software developer education program X, seven characteristics of bootcamp-type software development education program were derived: intensive theory education, sense of growth and achievement, team project-based learning, community characteristics, peer pressure, stress and fatigue due to short-term learning, and contact-free specialty. Based on the derived characteristics, the advantages and improvements of bootcamp-type education were described, and the direction of the bootcamp-type education program for software developer was discussed.