Purpose: The study aimed to examine the effects of nurse staffing levels on patient outcomes in long-term care hospitals in South Korea using path analysis. Methods: We conducted a secondary analysis of national data, which included the 2021 hospital assessment results of long-term care hospitals from the Health Insurance Review and Assessment Service. Data collection was performed between June 19 and June 27, 2023. The study sample consisted of 1,215 hospitals, and we analyzed the data using SAS 9.4 and Mplus 8 software. Results: The average numbers of patients per registered nurse, certified nursing assistant, and nursing staff, including both registered nurses and certified nursing assistant, was 10.00, 7.43, and 4.00, respectively. Path analysis revealed that the number of patients per registered nurse had direct effects on improvements in activities of daily living and indirect effects on indwelling catheterization, pressure ulcer improvement, and weight loss. The number of patients per certified nursing assistant had direct effects on new pressure ulcer development and pressure ulcer improvement, with no indirect effects. The number of patients per nursing staff had direct effects on pressure ulcer improvement and no indirect effects on other patient outcomes. Conclusion: The findings suggest that establishing policies to evaluate staffing levels of registered nurse and certified nursing assistants separately is necessary in order to improve registered nurse staffing levels and patient outcomes in long-term care hospitals.
Objectives: This study reviewed randomized controlled trials (RCTs) investigating the efficacy of herbal medicine on sleep disorders associated with Parkinson's disease and suggests a better research process. Methods: We searched for RCTs for herbal medicine treatments for sleep disorders related to Parkinson's disease on July 31, 2023 using eight databases (PubMed, Embase, the Cochrane library, China National Knowledge Infrastructure [CNKI], the Research Information Service System [RISS], Science ON, the Oriental Medicine Advanced Searching Integrated System [OASIS], and the Korea Citation Index [KCI]). Cochrane's risk of bias tool was used to assess the quality of the RCTs. Results: A total of 16 RCTs met all the inclusion criteria, and in most reports, the treatment group showed a significant improvement in sleep disorders compared to the control group. Total effective rate (TER), Pittsburgh Sleep Quality Index (PSQI), Unified Parkinson's Disease Rating Scale (UPDRS), TCM Symptom Score (TSS), Parkinson's Disease Sleep Scale (PDSS), etc., were used as evaluation indicators. Conclusion: Herbal medicine is a potential treatment for sleep disorders associated with Parkinson's disease. However, the selected RCTs were of poor quality, and it is necessary to perform more systematic studies.
Eunji Ko;Eunjin Jang;Jiwon Sim;Minjeong Jeong;Sohyun Park
Korean Journal of Community Nutrition
/
v.28
no.6
/
pp.495-508
/
2023
Objectives: This study aimed to develop a campus-based intervention program to enhance food literacy (FL) among university students. Methods: In the initial phase, we conducted a literature review of FL intervention studies and held in-depth interviews with university students to identify facilitators and barriers to improving and practicing FL. Expert counseling sessions were conducted with nutrition education, marketing, and service design professionals. The results of this phase led to the creation of an initial curriculum draft. In the second phase, a follow-up survey was conducted with young adults to assess the acceptability of the developed curriculum. After the follow-up survey, additional meetings were conducted with the aforementioned experts, and the curriculum was further refined based on their input. Results: An 11-week FL intervention program was devised using constructs from the Social Cognitive Theory. The weekly curriculum consisted of 90-min theory-based and 90-min hands-on experience sessions. Three primary aspects of FL were covered: nutrition and food safety, cultural and relational dimensions, and socio-ecological aspects. Program highlights included cooking sessions for crafting traditional Korean desserts, lectures on animal welfare, insights into zero-waste practices, and communal eating experiences. Based on the study team's previous research, the program also addressed mindful eating, helping participants understand the relationship with their eating habits, and providing strategies to manage negative emotions without resorting to food. Yoga sessions and local farm visits were incorporated into the curriculum to promote holistic well-being. Conclusions: This study elucidated the comprehensive process of creating a campus-based curriculum to enhance FL among university students, a group particularly susceptible to problematic eating behaviors and low FL levels. The developed program can serve as a blueprint for adaptation to other campuses seeking to bolster students' FL.
For predictive aviation safety management, the establishment of safety performance indicators to measure and manage the safety performance of service providers must be preceded. In particular, leading indicators are significant in that they play an important role in identifying and managing the causes of accident/incident in advance. However, the current safety performance indicators of the domestic aviation industry have limitations in that they focus on lagging indicators based on events that have already occurred. Therefore, the purpose of this study is to construct Korean leading indicators for preventive safety management. In addition, we verify the validity and importance of the indicators based on review of the experts and AHP analysis. This study is meaningful in that it can support the proactive safety management of the domestic aviation industry through the development of leading safety indicators, which have been relatively lacking in research.
The purpose of this study is to examine the business model, growth process, and success factors of the successful super app Gojek in the Southeast Asian and Indonesian markets. Gojek's business model analysis focused on the business canvas (9 blocks) that many companies have used to establish business models. Gojek's growth process was analyzed based on timeline. Gojek 1.0 is from the start of the ride hailing service. Gojek 2.0 is a leap forward into a life-friendly platform. Gojek 3.0 is a process of expanding and diversifying domestic and foreign businesses. Gojek 4.0 is a stage of changing to GoTo through mergers with Tokopedia, and setting a higher leap forward. Based on this, the success factors of Gojek are ① Hyperlocalization ② First mobile ③ A company that is loved through mission execution ④ Provide financial inclusion ⑤ Business expansion and diversification through mergers and acquisitions and partnerships ⑥ Entry into overseas markets ⑦ Attracting various partners and investment ⑧ Lock-in effect and hyperpersonalization. The implications obtained through this study and the limitations and direction of the study were discussed.
Korea is one of active countries in terms of FTA(Free Trade Agreement) around the globe. Local market is not big enough for Korean companies. This is why Korea is actively participating in FTA with various countries. Individual companies should conform to regulation, policy and system relevant to the agreement. Otherwise, it is not easy for companies to enjoy benefits of FTA. The Korean government is using various FTA programs to support domestic companies, in particular SMEs(Small and Medium-Sized Enterprises). FTA-PASS is a representative program. FTA-PASS is an official program of Korea Customs Service. Korean companies can use the program as free. However, some companies may have difficulties regarding the use of FTA-PASS. The program may cause of compatibility problem related their own ERP(Enterprise Resource Planning) systems. This study is designed to analyze determinants of FTA-PASS and ERP system compatibility. Furthermore this study aims to examine effects of the system compatibility on export performances. This study collected data from Koreas SMEs. In specific, the primary data was based on surveys distributed to 303 SMEs. Based on empirical findings, we could get important determinants to improve compatibility between FTA-PASS and ERP systems. For instance, the government support, product standardization, HS Code clearness and market stability could be considered important determinants. Also, according to empirical findings, a positive relationship between system compatibility an export performance was supported. Analyzing comprehensive determinants of system compatibility can be suggested as an important topic for future research.
The Information Security Management System (ISMS) is a protection procedure and process that keeps information assets confidential, flawless, and available at any time. ISMS-P in Korea and ISO/IEC 27001 overseas are the most representative ISMS certification systems. In this paper, in order to understand the relationship between ISMS certification and organizational characteristics, data were collected from Korea Internet & Security Agency (KISA), Ministry of Science and ICT, Information Security Disclosure System (ISDS), Financial Supervisory Service, Data Analysis, Retrieval and Transfer System (DART), and probit regression analysis was performed. In the probit analysis, the relationship with four independent variables was confirmed for three cases: ISMS-P acquisition, ISO/IEC 27001 acquisition, and both ISMS-P and ISO/IEC 27001 acquisition. As a result of the analysis, it was found that companies that acquired both ISMS-P and ISO/IEC 27001 had a positive correlation with the total number of employees and a negative correlation with business history. In addition, the improvement direction of the ISMS-P certification system and information security disclosure system could also be confirmed.
Background: Endemic species are important components in the flora of most world regions. Most of these species have become threatened and exposed to extinction within the last few years. The present study aims to evaluate the ecosystem services offered by the endemic plant taxa in Egypt and the threats that affect them. Twenty-five field visits were conducted during summer 2018 to spring 2022 to several locations all over Egypt. In each location, the main habitats, national distribution, abundance, goods and threats were recorded. Results: Egypt has 41 endemic taxa belonging to 36 genera and 20 families inhabiting 10 main habitats. Rocky surfaces and sandy formations have the highest number of endemic species. The relation between the number of endemic taxa and the abundance categories indicated that 2 taxa are rare (4.9% of the total taxa), while the remaining were very rare (95%). The most represented offered good was the medicinal uses (32 taxa = 78%), while fuel plants were only represented by 2 taxa (2 taxa = 4.9%). Besides, 14 taxa (34.1% of the total studied taxa) have at least 1 environmental service. Soil fertility (7 taxa = 50%) was the most represented, followed by sand accumulations (6 taxa out of 14 taxa = 43%), while shading plant was the least (1 taxon = 7.1%) (Rosa arabica). The most represented threat is over-cutting and over-collecting (38 taxa = 92.7%), while mining and quarrying is the least represented (4 taxa = 9.8%). Conclusions: The potential and actual goods, services and threats of the endemic taxa were assessed as follows; field observation, information collected from local inhabitants and herbalists, and a literature review. The present study recommended planning a strategy about the importance, threats and conservation of endemic taxa in Egypt that would help in the protection and rescue of these plants and increase awareness about the importance of these plants.
Container terminals at Gwangyang Port are operated by three container operators: A, B and C. Ultimately, there is consensus that a single operator should operate all terminals so that economies of scale can be achieved even in the operation of the container terminal. Integration between operators has a positive effect on both operators and shipping companies. From the operator's point of view, overlapping fixed costs between operators can be unified, reducing overall costs and utilizing spare facilities. On the other hand, from the viewpoint of the shipping company, it is possible to ensure stable use of the port facilities and always allow berthing, reduce days on demurrage and ship waiting, and provide one-stop service for work. However, existing cases of operators' integration or relocation of terminals remained to estimate the expected effects of alternatives, emphasizing only the financial point of view. The port terminal is a large system, and it is important to consider that it is an aggregate of major logistics facilities and equipment. Moreover, if the estimation can be made by quantifying the expected effect, the justification of the terminals' relocation can be further emphasized. Therefore, it is very important to estimate the expected effect from the viewpoint of systemic operation. Moreover, the need for operators' integration can be further emphasized if it can be estimated through quantification of expected effects. Currently, three alternatives are considered as alternatives to the terminals' relocation, and in this study, the optimal plan was derived for the 3 alternatives by the linear planning model of the minimum shuttle transportation cost in the terminal. The optimal plan is alternative 2, which shows the most advantageous integration effect in terms of expected effects. Alternative 2 integrates the B terminal into the C terminal, and the A terminal operates independently as it is.
Companies must strengthen core competencies by concentrating resources to secure a competitive edge and operate efficient processes from a company-wide perspective. To this end, it is seeking to concentrate its capabilities and reduce costs by pooling non-essential tasks or facilities that require a lot of time and capital at a strategic level. Therefore, logistics companies should actively utilize logistics coorperate system in order to maximize the use of logistics resources according to the limitations of human resources, physical resources, and time. This study is an empirical analysis of the strategy of logistics companies and the impact of logistics coorperate on corporate performance, and a survey and analysis was conducted on domestic logistics companies. The results of the empirical analysis showed that the cost·relationship·information-oriented strategy of logistics has a positive(+) effect on the financial·operation·strategic performance indicators of companies through logistics coorperate. The results derived from this paper will be used as an important determining factor in establishing a logistics strategy and logistics coorperate to improve the performance of logistics companies and logistics service companies.
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