• 제목/요약/키워드: Quality Management Activity

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An Effect of Aquatic Exercise Program with Self-help Group Activites and Strategies for Promoting Self-efficacy on Pain, Physiological Parameters and Quality of Life in Patients having Rheumatoid Arthritis. (자조집단 활동과 자기효능성 증진법을 이용한 수중운동 프로그램이 류마티스 관절염 환자의 통증, 생리적 지수 및 삶의 질에 미치는 영향)

  • Kim, Jong-Im
    • Journal of muscle and joint health
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    • v.1 no.1
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    • pp.1-30
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    • 1994
  • Rheumatoid arthritis is a chronic systematic disease with unpredictable course of exacerbation and remission, characterized by pain, joint deformity and reduced activity by joint limitation. The growing public awareness of the need for health management of chronic illnesses, provides impetus for nursing to demonstrate social effectiveness by active nursing intervention in this vast area in general, and with rheumatoid condition in particular. However, nursing interventions to date have not demonstrated its active participation in the management of chronic conditions. Nursing intervention for the patients having rheumatoid arthritis is one such area that needs to be studied intensively and to demonstrate their effectiveness empirically. The purposes of this study were two fold : first, to develop a comprehensive program that was intensified with therapeutic joint exercises in water, self-help group activities and utilization of self-efficacy promoting strategies : and secondly, to determine the effect of aquatic exercise program on pain, physiological changes and quality of life in the rheumatoid arthritis patients. Thirty five female subjects participating in this study were selected from outpatients in the Rheumatism Center, Hanyang University hospital. The period of data collection was from December, 1992 to March, 1993 in seoul and Taejeon. Subjects in Taejeon were assigned to the experimental group. The comprehensive aquatic exercise program for the experimental group was carried out three times a week for 6 weeks in regular swimming pool. Subjects in Seoul did not participated in the program, and treated as the control group. Data were analyzed with repeated measure MANCOVA, t-test, ANCOVA, percentage of change, Kruskal-Wallis 1-Way ANOVA using SPSS $PC^+$ program. Results were obtained as follows : 1) Scores on Korean pain scale, Numeric pain score, and RAI score of the experimental group were significantly lower than those of the control group (t=2.11, p=0.022 ; F=4.40, p=0.044 : t=3.10, p=0.002). 2) There was significant improvement in the physiological parameters (higher joint movement parameters, F=15.64, p=0.024 ; higher lean body mass, percentage of change=+12.2, lower body weight, t=1.01, p=0.026 : lower ESR, t=1.69, p=0.001) in the experimental group compaired with subjects In the control group. 3) There was significant improvement in the specific self-efficacy score through the comprehensive aquatic exercise program(t=2.73, p=0.011), but not in the general self- efficacy score(t=0.62, p=0.113). 4) The quality of life failed to show significant improvement in the experimental group as compaired with the control group (F=3.69, p=0.064). 5) In the experimental group, findings from additional analysis showed no significant difference in the specific self-efficacy between those who continued to aquatic exercise after completing 6 week program and those who stopped (X2=0.086, p=0.690). Therefore, adherence to aquatic exercise program for 6 weeks seem to be affected mainly by self-help group activities. An indepth study to delve into articulation of mechanisms affecting the effect of aquatic exercise program be recommended. A further study is necessary to determine the difference in the effect of group and individual aquatic exercise program, to assess factors affecting adherence to exercise for an extended length of time.

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The development of the critical pathway for hysterectomy patients and its effect (자궁절제술 환자의 표준진료지침(Critical pathway) 개발과 적용효과)

  • Kim, Kyung-Hee;Seo, Young-Seung;Tae, Young-Sook;Lee, Hwa-Ja;Jeon, Sung-Sook
    • Journal of Korean Academy of Nursing Administration
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    • v.6 no.1
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    • pp.123-134
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    • 2000
  • This study intended to analyze the effectiveness to obtain by developing the critical pathway presented as the method to improve the quality-betterment and cost effectiveness the through the continuous and consistent patient management for the hysterectomy patient and applying it to the real practice. This study was designed to develop and effect the critical pathway for hysterectomy patients in the way to be possible the intergrated in patient management. It was adopted the process of seven phase to develop a critical pathway. To analyze the application effect of the developed critical pathway, this author offered health care service applying the critical pathway to the hysterectomy patient from July. 20 to Oct. 19. 1999. The study method had been done by investigating the experimental group and control group through the questionnaire on 40 patients who had been inpatient hysterectomy. Dependent variables were measured by modified from satisfaction, and cost and length of hospital stay. The data anlyzed by frequency, x2-test, t-test. The results of this study was as follows; 1. It was decided that the vertical line of the critical pathway was made up of eight items such as monitoring/assessment, treatment, activity, medication, consult. Lab test, diet, patient teaching and horizontal line was 7days from admission to discharge. 2. After the verifying the validity of the expert group about the critical pathway, the horizontal line was amended from hospitalization to five postoperative days and taking their consensus, some contents of the horizontal line was amended and deleted. 3. There was no significant differences in the experimental group and control group in the satisfaction, and significant differences in the cost, the length of hospital stay.

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Study on the Development of Short-term Green Gochujang using Chengyang Green Pepper Powder and Meju Powder (청양 고춧가루와 메주가루를 이용한 단기속성 청고추장 개발에 관한 연구)

  • Shin, Kyung-Eun;Choi, Soo-Keun
    • Journal of the East Asian Society of Dietary Life
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    • v.21 no.6
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    • pp.844-852
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    • 2011
  • The purpose of this study was to determine the optimum chemical composition, color value, salinity, pH, total acidity, and texture for the production of short-term Green Gochujang using Cheongyang pepper powder and Meju powder. The results were as follows. The moisture content for Green Gochujang made from Cheongyang pepper powder was 33.50% for CON, and 27.21% for GG1. Crude fat and crude protein contents increased as the amount of added Meju powder increased (p<0.001). GG1 and CON contained 9.47% and 9.05% crude ash contents. Water activity was between 0.89 to 0.90. A higher amount of added Meju powder resulted in an increased color L value (p<0.001). CON showed the highest a value and b value compared to GG4, which had the lowest a and b values. Salinity was between 5.10% to 5.83%, which was lower compared to a former study. CON had a pH of 5.25, and GG4 had a pH of 6.06. Regarding total acidity, CON had a total acidity of 0.85, and GG4 had a total acidity of 0.44. Hardness value was highest in GG1 (1535.63), and lowest in CON (422.07) (p<0.001). GG1 showed the highest value in the adhesiveness property test, whereas CON showed the lowest value. GG1, which contained the highest amount of Cheongyang pepper powder showed the highest gumminess value (698.47). In an acceptance test, CON and GG3 showed the best appearance and scent value. GG3 received the highest interest in taste, texture, and overall quality. Through these results, GG3 made with 150 g of Chengyang Green pepper powder, 200 g of Meju powder, 600 g of starch syrup, 500 g of water, and 75 g of salt showed fine overall sensory interest, and therefore can be used for the production of fine Green Gochujang and Gochujang sauce.

Survey on the uniform management of dental hygienist (치과위생사의 유니폼 관리 실태조사)

  • Son, Eun-Gyo;Choi, Woo Yang;Jung, Hwa-Young;Jung, Sang Hee;Lee, Ji Youn
    • Journal of Korean society of Dental Hygiene
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    • v.16 no.4
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    • pp.517-523
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    • 2016
  • Objectives: The purpose of the study is to investigate the uniform management of the dental hygienists in Korea. Methods: The study was carried out by direct telephone survey to dental gygienists in Gangneung, Wonju, and Seongnam from March 15 to April 10, 2015. The subjects were seventy dental clinics by random sampling. The questionnaire consisted of general characteristics of the subjects(4 items), infection control education(3 items), and infection control activity(9 items). Cronbach's alpha was 0.781 in the study. After informed consent from the dental hygienists, the survey was done by telephone. Data were analyzed by SPSS 21.0 program. Results: The dental hygienists taking infection control education tended to wash the uniforms twice a week (${\chi}^2$=15.95, p<001). The majority of the dental hygienists thought that the best washing place of uniform would be dental clinics than any other place (${\chi}^2$=38.76, p<001). Conclusions: It is very important to implement the infection control education for the dental hygienists. The establishment of standard guideline for infection control of the uniform washing will enhance the dental service quality and satisfaction of the dental service consumers.

Geographic Information System and Remote Sensing in Soil Science (GIS와 원격탐사를 활용한 토양학 연구)

  • Hong, Suk-Young;Kim, Yi-Hyun;Choe, Eun-Young;Zhang, Yong-Seon;Sonn, Yeon-Kyu;Park, Chan-Won;Jung, Kang-Ho;Hyun, Byung-Keun;Ha, Sang-Keun;Song, Kwan-Cheol
    • Korean Journal of Soil Science and Fertilizer
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    • v.43 no.5
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    • pp.684-695
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    • 2010
  • Geographic information system (GIS) is being increasingly used for decision making, planning and agricultural environment management because of its analytical capacity. GIS and remote sensing have been combined with environmental models for many agricultural applications on monitoring of soils, agricultural water quality, microbial activity, vegetation and aquatic insect distribution. This paper introduce principles, vegetation indices, spatial data structure, spatial analysis of GIS and remote sensing in agricultural applications including terrain analysis, soil erosion, and runoff potential. National Academy of Agricultural Science (NAAS), Rural Development Administration (RDA) has a spatial database of agricultural soils, surface and underground water, weeds, aquatic insect, and climate data, and established a web-GIS system providing spatial and temporal variability of agricultural environment information since 2007. GIS-based interactive mapping system would encourage researchers and students to widely utilize spatial information on their studies with regard to agricultural and environmental problem solving combined with other national GIS database. GIS and remote sensing will play an important role to support and make decisions from a national level of conservation and protection to a farm level of management practice in the near future.

A study of a plan for better curing methods through a reseach for a field of construction work (동절기 콘크리트 양생방법의 현장 실태조사 및 개선방안에 관한 연구)

  • Park Sung-June;Moon Hyung-Soo;Kim Chang-Duk
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • autumn
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    • pp.379-382
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    • 2003
  • Construction concrete needs to maintain suitable environment which contains temperature and humidity etc. Then concrete shows own strength. The environment is not regular and contains many variables. Especially the climate element occupies many parts of variables. We have the climate environment which goes down to $-4^{\circ}C$. The factor that obstruct to construction is the failure at a construction progress. But it must be processed to be scheduled. Therefore we have to do the special care for factor of climate that obstruct to construction. We must make assurance doubly sure at the quality of concrete. We need maintenance of temperature and humidity for the hardening until the requirement period after a concrete pured in. We must do the care of curing sufficiently not to take the influence of injurious activity. This causes strength of concrete. Specific method of curing is according to each situation which is environment element. We wish to analyze curing course in construction of concrete at the paper. Also we wish to predict the problem as to consider curing and suggest the improvement plan through the paper.

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An Improved Particle Swarm Optimization Algorithm for Care Worker Scheduling

  • Akjiratikarl, Chananes;Yenradee, Pisal;Drake, Paul R.
    • Industrial Engineering and Management Systems
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    • v.7 no.2
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    • pp.171-181
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    • 2008
  • Home care, known also as domiciliary care, is part of the community care service that is a responsibility of the local government authorities in the UK as well as many other countries around the world. The aim is to provide the care and support needed to assist people, particularly older people, people with physical or learning disabilities and people who need assistance due to illness to live as independently as possible in their own homes. It is performed primarily by care workers visiting clients' homes where they provide help with daily activities. This paper is concerned with the dispatching of care workers to clients in an efficient manner. The optimized routine for each care worker determines a schedule to achieve the minimum total cost (in terms of distance traveled) without violating the capacity and time window constraints. A collaborative population-based meta-heuristic called Particle Swarm Optimization (PSO) is applied to solve the problem. A particle is defined as a multi-dimensional point in space which represents the corresponding schedule for care workers and their clients. Each dimension of a particle represents a care activity and the corresponding, allocated care worker. The continuous position value of each dimension determines the care worker to be assigned and also the assignment priority. A heuristic assignment scheme is specially designed to transform the continuous position value to the discrete job schedule. This job schedule represents the potential feasible solution to the problem. The Earliest Start Time Priority with Minimum Distance Assignment (ESTPMDA) technique is developed for generating an initial solution which guides the search direction of the particle. Local improvement procedures (LIP), insertion and swap, are embedded in the PSO algorithm in order to further improve the quality of the solution. The proposed methodology is implemented, tested, and compared with existing solutions for some 'real' problem instances.

A Study on Developing a Name Access Point Control System to Improve the Performance of Information Retrieval from Institutional Repositories (기관 리포지터리의 검색기능 향상을 위한 인명 접근점제어 시스템 구축 연구)

  • Kim, Mi-Hyang;Kim, Tae-Soo
    • Journal of the Korean Society for information Management
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    • v.27 no.3
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    • pp.125-146
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    • 2010
  • This study developed a name access point control system for better performance of information retrieval from institutional repositories, which are equipped with authorgenerated metadata processes for self-archiving. In developing name access point control data for the system, the primary data were created from the existing authority. However, unlike the existing authority data, the primary data did not use any authority forms. Instead, the data utilized all the forms provided by the resources as access points. Specifically, field of activity(subject) and title information on authorship were used to distinguish between persons who have the same name. The result showed that the system improved the performance of the information retrieval. The system has been also expected to be utilized over other metadata provided by libraries, in addition to the institutional repositories, in order to provide better quality information.

A Study on the Current Situation of and Developmental Direction for Small Libraries in Seoul by Autonomous District (서울시 작은도서관의 자치구별 운영 현황 및 발전방향 제안 연구)

  • Noh, Younghee;Han, Mun-Seong;Lee, Geun-Hwa;Choi, Man-Ho
    • Journal of Korean Library and Information Science Society
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    • v.48 no.2
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    • pp.121-158
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    • 2017
  • The purpose of this study was to propose the developmental direction for small libraries based on a set of various situational analysis of small libraries in Seoul. By analyzing the operational status of the autonomous regions of different operating methods, we also pursued qualitative enhancement of small libraries by autonomous district by proposing optimized operation methods. As a consequence of the study, it was analyzed that the public and private libraries need to be distinguished in consideration of the characteristics of operation according to the operating entity rather than uniform budget support and guidance management. That is, the small libraries scattered throughout Seoul were founded by the principal of their establishment for the purpose of providing knowledge information and reading culture service within the public activity area. Therefore, if Seoul intervenes and manages under the current situation, where the libraries are operating independently in accordance with the purpose of establishment, regardless of whether they meet the user requirements or not in terms of quality or quantity, various problems may be caused. In this background, it seems appropriate to restrict the library management in line with relevant regulations.

A Comparative analysis of cultural power as a soft power among national power (국력요소 중, 소프트파워로서의 문화경쟁력 비교분석 연구)

  • Choi, Chang-Hyun;Park, Jeong-Bae;Kim, Jong-Geun
    • Journal of Digital Convergence
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    • v.12 no.6
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    • pp.55-68
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    • 2014
  • In this study, we performed an empirical research on how cultural power affects soft power as one of the elements of National Power. To fully exert the force of cultural power, appropriate level of "resources for power" need to be disseminated into cultural elements. Utilization of these resources need to appropriately developed and produced in quality and quantity when needed. This activity should be ensured with "composite support competence"; which is the combination of support organizations and their potentials. Indicators of cultural power includes society favorability rating, cultural favorability rating, E&D industry competitiveness index, and T&T competitiveness index. According to analysis of cultural power by each country, cultural industry (E&D) competitiveness index and travel and tourism (T&T) competitiveness index shows relatively high correlation. This research aims to analyze the "cultural power as soft power" of South Korea, China and US, and how they are different and how their resources of power are represented in their E&D and T&T competitiveness.