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Status of Physical and Mental Function and, Its Related Factors Among the Elderly People Using from Long-Term Care Insurance Service (장기요양서비스 이용 노인들의 신체적 및 정신적 기능과 관련 요인)

  • Bae, Nam-Kyou;Song, Young-Soo;Shin, Eun-Sook;Cho, Young-Chae
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.13 no.12
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    • pp.5976-5985
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    • 2012
  • This study was performed to determine the levels of physical and mental functioning and to reveal its association with related factors in the elderly people received long-term care insurance services. The interviews were performed, during the period from February 16, to March 31, 2011, to 350 elderlies admitted long-term care insurance dwelling in Daejeon city and Chungchung provinces. As a results, the levels of IADL and MMSE-K in the elderly received home care insurance services was significantly higher than that of the elderly received facility care insurance services. But the levels of ADL and CES-D was not significant. Concerning correlation of ADL, IADL, CES-D and MMSE-K, the level of ADL was positively correlated with the level of IADL and MMSE-K, whereas negatively correlated with the level of CES-D. IADL was positively correlated with the level of MMSE-K, whereas negatively correlated with the level of CES-D. As a results of multiple regression analysis, the factors of influence with the level of ADL and IADL were selected the variables of amnesia, regular exercise and MMSE-K. The factors of influence the level of CES-D and MMSE-K were selected the variables of subjective health status, amnesia and IADL. AS a above results, the levels of physical and mental functioning in the elderly people received long-term care insurance services implies closely related with the health status and health-related behaviors.

Determinants of Advanced Stage at Initial Diagnosis of Breast Cancer in Pakistan: Adverse Tumor Biology vs Delay in Diagnosis

  • Khokher, Samina;Qureshi, Muhammad Usman;Mahmood, Saqib;Sadiq, Sadia
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.2
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    • pp.759-765
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    • 2016
  • Background: Breast cancer is the most frequent cancer of women in Pakistan with the majority presenting with stage III or IV lesionsat initial diagnosis. Patient and health system related factors are well known determinants of delay in presentation and diagnosis. Additionally, breast cancer being a heterogeneous disease, the various molecular subtypes featuring different aggressiveness also need to be considered. The present study evaluated the association of stage at initial diagnosis of breast cancer with these two factors in local women at a tertiary level health care facility in Lahore, Pakistan. Materials and Methods: Patient and tumor features were recorded separately during diagnostic workup in Breast Clinics at INMOL and at Services Hospital, Lahore. Data were entered in MS Excel and analyzed by descriptive statistics and Chi-Square test. Results: Among the 261 patients, 64% were staged as late breast cancer (LBC), the mean age was 46.8 with standard deviation of 13 years. Some 92% had invasive ductal carcinoma (IDC), 61% had luminal types (LT) of non-aggressive tumor while 39% had the non-luminal types (NLT) of of HER2-enriched or basal aggressive tumors. While 70% of patients presented within one year of symptomatic disease (early report group "ERG"), 30% reported after a mean delay of 4 years with a standard deviation of 3.75 years. The stage distribution among ERG patients was not statistically different from those reporting late (P=0.123). Statistically larger proportion of patients with NLT presented as LBC as compared to the LT (P =0.034). Among the ERG, statistically different stage distribution of disease was observed for the NLT versus LT (P=0.047). Among those presenting late, this difference was insignificant (P=0.416). Conclusions: Breast cancer is a distinct disease in Pakistan with a high frequency of aggressive molecular types affecting younger women, with the majority presenting as LBC. Association of NLT with higher stage at diagnosis is statistically significant whereas time delay in diagnosis is not. Further research is required to define the risk profile and features in local patients. The burden of LBC can be reduced by promoting breast health awareness and by establishing easily accessible dedicated breast care set ups in the hospitals.

Analysis of the Efficiency of the Traditional Market's CRM Activities (전통시장의 고객관계관리 전략(CRM)에 대한 효율성 분석)

  • Kim, Soon-Hong;Yoo, Byoung-Kook
    • Journal of Distribution Science
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    • v.11 no.5
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    • pp.43-53
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    • 2013
  • Purpose - The purpose of this study is to analyze the effectiveness of customer relationship management (CRM) support policies for facilitating traditional markets, especially with respect to customer acquisition and maintenance, and to investigate the factors affecting CRM. Research design, data, and methodology - We analyzed the CRM efficiency of traditional markets in 16 cities and provinces in Korea on the basis of DEA analysis and Malmquist productivity analysis. The DEA model calculates a ratio of the weighted mean of various inputs to the weighted mean of various outputs and measures the efficiency of a specific decision making unit (DMU), which is compared to the reference group that has a similar input-output structure. The input variables are coupon, event, parcel service, premiums, while is the number of customers per day. Further, through regression analysis, we analyzed CRM-related factors affecting traditional markets' customer appeal and revenue growth. Results - We obtained the results of the efficiency of traditional markets in 16 provinces. The traditional markets in Seoul, Busan, and Jeju were found to be efficient in a model CCR that used the number of customers per day as an output variable, while Chungbuk, Jeonbuk Province, and According to the results of the DEA analysis and Malmquist productivity analysis, large cities such as Seoul, Busan, and Jeju showed efficiency in CRM-related investment businesses in traditional markets for attracting customers. The Malmquist analysis results confirmed that the productivity of traditional markets increased from 2008 to 2010. The results of the regression analysis revealed that the "customer acquisition/maintenance factor" and the "offering of customer convenience facility factor" were significant to the daily average number of customers, which is a dependent variable. The results of the test with the mediating variable, "number of customers," and the final dependent variable, "sales revenue," were rejected. However, the variable "customer acquisition /maintenance" was found to affect sales revenue positively. Conclusions - It is necessary to enhance the business not only for promotional activities to attract customers, but also to strengthen customer relationships among CRM businesses, such as through the management of key customers. The regression analysis results showed that CRM businesses have yet to produce an increase in sales revenues in traditional markets. Therefore, to help customers who visit traditional markets to keep buying products, it is necessary to prepare various investment methods and provide support to improve "customer loyalty." This study has a limitation in terms of CRM-related statistics. Therefore, in the future, it is necessary to conduct a survey of customers who use traditional markets to analyze the markets by type and size as well as the CRM-related factors. Based on the analysis, we will try to perform a variety of statistical analyses, including structural equations.

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Policy Proposal to Improve the Unloading System of the Agricultural Wholesale Market, Focusing on the Garak Market (농산물도매시장 하역체계 개선을 위한 정책적 제언 : 가락시장을 중심으로)

  • Lee, Rae-Hyup;Sun, Il-Suck
    • Journal of Distribution Science
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    • v.10 no.10
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    • pp.25-33
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    • 2012
  • Purpose - The Garak agricultural wholesale market ('Garak Market') plays a central role in the distribution of agricultural products in Korea and is important in connecting consumers with producers. However, problems regarding inefficiencies and the high-cost structure of the wholesale market's distribution/logistical system are being raised in relation to severe competition among retailers. Furthermore, the service needs of retailers and market users are not being fulfilled due to the inconsistency of the wholesale market's functions and facilities, thus reducing the competitiveness of the market. In this regard, innovative changes are being requested of the agricultural wholesale market according to changes in the agricultural product distribution environment. In particular, the lack of unloading facilities and the outdated unloading system of the wholesale market must be improved to enhance system efficiency. Research design, data, and methodology - This study observed the problems of the unloading system of the agricultural wholesale market in order to present relevant measures for improvement. The need for unloading auctions was also researched in this study. The survey of 70 forwarders belonging to the producing district distributor association of the Garak market was conducted by post. Additionally, 20 auction dealers and 59 shippers and transporters were individually interviewed. The survey on the need for unloading auctions used five-point Likert Scales. The statistical analysis was conducted with SPSS WIN 12.0 software. Results - First, the wholesale market must employ members of the unloading labor union to allow these employees to directly manage the unloading process. Second, it is crucial to revise regulations to ensure that the principal agent pays the unloading cost according to the standard unloading cost system. Third, the vehicle auction carried out for certain vegetable products must be converted to the unloaded auction system. According to the related interviews with the wholesale market's distribution agents, whereas shippers and transporters recognized the need for unloaded auctions, auction dealers tend to have a negative view of this system. Furthermore, the stated reasons in favor of unloaded cabbage, radish, and other vegetable auctions were prevention of constraint, creation of transparent trade conditions, and reduction of corrected seller tickets. Many of the respondents answered that the transport cost reduction rate in unloaded auctions must be below 20%. Fourth, the unloading system must be mechanized and a detailed, reasonable plan must be provided to settle the existing conflict with the unloading labor union. Conclusions - The proposals in this study are expected to play an important role in improving the cargo handling system of the wholesale agricultural product market in the future. Improving the system is expected to help shore up the competitiveness of the industry. If all the related bodies closely cooperate with each other and work harder, taking advantage of the synergies created by the facility modernization project, the Garak market will play a pivotal role in the distribution of agricultural products.

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Development and Effects of an Educational Program for Caregivers on Hygienic Care for Diapers (요양보호사의 기저귀위생간호 교육프로그램 개발 및 효과)

  • Kang, Yoon-seo;Oh, Jin-joo
    • The Journal of the Korea Contents Association
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    • v.18 no.3
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    • pp.421-431
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    • 2018
  • The purpose of this study is to develop a diaper hygienic care education program for caregivers and to investigate the effects of the diaper hygienic care knowledge and performance ability on diaper hygienic care. A quasi-experimental research with nonequivalent control group pretest-post test design was conducted. The subjects for the study 50 caregivers working in long-term care facilities in Y-gun, Chungcheongnam-do were selected from the 25 experimental group and the 25 control group. The collected data were analyzed using SPSS Window 22 version. diaper hygienic care education program consisted of 4 sessions in total. According to results of the education program, the diaper hygienic care knowledge increased after the post-test($M{\pm}SD=4.88{\pm}0.23$) compared to the pre-test score($M{\pm}SD=4.64{\pm}0.23$), but not be statistically significant between the two groups(t = 1.253, p = .216). The performance ability of diaper hygienic care was significantly increased ($M{\pm}SD=2.89{\pm}0.15$) compared to the pre - score($M{\pm}SD=1.86{\pm}0.18$) and there was a statistically significant difference(t = 12.694, p =. 001). Thus, the developed diaper hygienic care education program is expected to contribute to improve nursing hygienic care ability of nursing caregivers.

Testing The Healing Environment Conditions for Nurses with two Independent Variables: Visibility Enhancement along with Shortening the Walking Distance of the Nurses to Patient - Focused on LogWare stop sequence and space syntax for U-Shape, L- Shape and I-Shape NS-

  • Shaikh, Javaria Manzoor;Park, Jae Seung
    • KIEAE Journal
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    • v.15 no.2
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    • pp.19-26
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    • 2015
  • Purpose: Maximizing human comfort in design of medical environments depends immensely on specialized architects particularly critical care design; the study proposes Evidence-Based Design as an apparent analog to Evidence-Based Medicine. Healthcare facility designs are substantially based on the findings of study in an effort to design environments that augment care by improving patient safety and being therapeutic. On SPSS (Statistical Package for Social Science) t-test is applied to simulate two independent variables of PDR (Pre Design-Research) and POE (Post- Occupancy Evaluation). PDR is conducted on relatively new hospital Hallym University Dongtan Sacred Heart Hospital to analyse visibility from researchers' point of view, here the ICU is arranged in I-Shape. POE is applied on Dongguk University Ilsan Hospital to simulate walking on LogWare where two NS are designed based on L- Shape and Seoul St. Mary's Hospital, The Catholic University of Korea where five NS are functional for ICU Intensive Care Unit, Surgical Intensive Care Unit (SICU), Medical Intensive Care Unit (MICU), Critical Care Unit (CCU), Korean Oriental Medical Care Unit which are mostly arranged in U-Shape, and walking pattern is recognized to be in a zigzag path. Method: T-Test is applied on two dependent communication variables: walkability and visibility, with confidence interval of 95%. This study systematically analyses the Nurse Station (NS) typo-morphology, and simulates nurse horizontal circulation, by computing round route visits to patient's bed, then estimating minimum round route on LogWare stop sequence software. The visual connectivity is measured on depth map graphs. Hence the aim is to reduce staff stress and fatigue for better patients care by minimizing staff horizontal travel time and to facilitate nurse walk path and support space distribution by increasing effectiveness in delivering care. Result: Applying visibility graph and isovist field on space syntax on I- Shape, L- Shape and U- Shape ICU (SICU, MICU and CCU) configuration, I-shape facilitated 20% more patients in linear view as they stir to rise from their beds from nurse station compared to U-shape. In conclusion, it was proved that U-Shape supply minimum walking and maximum visibility; and L shape provides just visibility as the nurse is at pivot. I shape provides panoramic view from the Nurse Station but very rigorous walking.

Case Study of Barrier Free Design for Transportation Vulnerable: Focusing on Transfer Station Complex in Seoul Station (사회적 약자를 위한 장애물 없는 생활환경 설계 사례 분석: 서울역 복합환승시설을 중심으로)

  • Chung, Sang-Woon;Rho, Jung-Hyun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.3
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    • pp.333-344
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    • 2017
  • This research analyzes Seoul station, a typical transfer station complex, focusing on the evaluation of its barrier free design suitable for vulnerable persons such as senior citizens. The analysis was conducted to assess its compliance with the "barrier-free" design standard for those with physical or other disabilities. This paper proposes a list of items to evaluate for transfer station complexes with a barrier-free design. The results showed that the overall connections and internal and sanitation facilities of (Seoul station/the design?)were excellent. However, because of the lack of transfer and guidance facilities, vulnerable persons felt uncomfortable when searching for information about transferring from one means of transport to another. Furthermore, there was an extremely high risk of accidents when they transferred to the bus station. Therefore, it is necessary to arrange the transfer information facilities, in order to improve their readability and visibility. Once this is done, vulnerable people will be able to use this station more safely and conveniently.

A study of requirements of the public library for life-long education : centering around the facilities (평생교육을 위한 공공도서관의 조건조성에 관한 연구)

  • 김남석
    • Journal of Korean Library and Information Science Society
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    • v.14
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    • pp.1-37
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    • 1987
  • The purpose of this research is to expand much more the facilities and collections of public libraries in Korea for performance of its function, for the life-long education institution. In order to accomplish the purpose of this study, I looked in to the present conditions of the facilities, collections, service facilities in public libraries and suggested a tentative plan on the basis of every kinds of statistics. The result of this thesis can be summarized as follows : 1. Now, 227, 110 populations of the effective service per library are so many that 181 public libraries in Korea have largely deficient state. To solve, a n.0, pplied for Armstrong's standards (5, 000 populations of the effective service per library, and the number of an elementary school 5, 412 elementary schools in Korea). In the former case should be establish 8, 221 public libraries, in the latter case should be established at least 5, 412 public libraries. 2. The public library in Korea is possessed of building areas of 82, 267 pyong (468 pyong per library). They are very poor state comparing with population. Therefore, the building area should be expand according to population by region. Also, the reading facilities of 88, 455 seats, 465 population of the effective service per seat, are largely insufficient of situation. And consequently they should be secured at least 205, 535 seats with standards of five seats per 1, 000 population. 3. The public libraries in Korea keep collection of 4, 517, 280 volumes. As there are 11 volumes per 100 persons, they are very deficient state in figures. Therefore, in this study, suggested Schenk's standard (1 volume per a person) and IFLA standard (2 volumes per a person). Under the circumstances of our country, however, they should be secure at least 41, 106, 993 volumes with a Schenk's standard of one volume per a person. To meet this kind of necessary conditions, there must not only be a national policy but also be a facility for every residents to utilize for educational place, and to every librarians of public libraries, they have to do their best to open their library to every citizens, when needed, with their self-conceit. Cooperating with policy-makers, users, and librarians, making every endeavors to develope Korean libraries, we can promise the hope that our public library will be progressed towards future.

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A Study on Objective and Content Domains of Marine Education in the Fish and Marine High School (수산·해운계 고등학교 해양교육의 목표영역과 내용영역에 관한 연구)

  • KIM, Sam-Kon;CHA, Cheol-Pyo
    • Journal of Fisheries and Marine Sciences Education
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    • v.21 no.2
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    • pp.237-246
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    • 2009
  • In this research, there was an investigation about the objective and content domains concerning marine education in the Fish and Marine High School. Also, validity and guidance level on the classification were analyzed. According to the analysis, analyzing guidance level of Marine related contents which are included in school marine education is as follows. There are 971 information and knowledge domains, 710 skill domains, 5 value and attitude domains and 8 behavior and participation domains in the objective domain in school marine education. The number of the knowledge domains was most while attitude domains was least. Content domain of school marine education consists of 774 ocean human and marine ecology domains, 461 artificial marine environment and facility domains, 290 marine resource domains, 76 marine pollution domains, 123 marine conservation and measure domains. So, ocean human and marine ecology domains were most while ethics of marine conservation domains were not included.

For Making an Efficient Disaster Emergency Communication System for Public Safety in South Korea (국민안전 확보를 위한 긴급통신망시스템 통합구축 방안)

  • Choi, Kwan;Kim, Min-Ji
    • Korean Security Journal
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    • no.44
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    • pp.169-198
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    • 2015
  • The purpose of present study is to provide an efficient 'Disaster Emergency Communication System' (below DECS) to deal with serious disaster situations in national levels. Currently, DECSs such as the VHF, UHF, and TRS are worked to control some disaster situations in the world. However, new system such as for sending the correct image and big data is more likely to need than current the DECSs in the comtemporary societies. Several serious disaster events such as the Sam-Poong Department Store Collapse, Daegu Subway Fire, and Sewol Submerge event, nevertheless, there was not the DECS based on the field in South Korea. In July 2014, finally, South Korean government started to provide a PS-LTE system which is the new and one system with fire fighting, police, army, railway. however, there are no many academic studies for DECSs to deal with disaster situations in South Korea. The present research highlights to explore an efficient DECS of Korean styles to fix some national security and public safety. The paper provides three key findings: first is how to make a unified Korean DECS based on PS-LTE. Second is how to make sure the frequency of 700MHz levels to communicate in the shady areas. Three is what kinds of communication facility is adequate for fixing PS-LTE DECS.

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