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Study on Case-Mix in Long-Term Care Facilities for Elderly (장기요양시설 노인의 환자구성에 관한 연구)

  • Jeon, Yi-Jee;Kim, Suck-Il;Hum, Yu-Seung;Yi, Sang-Wook
    • Korea Journal of Hospital Management
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    • v.6 no.3
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    • pp.130-147
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    • 2001
  • This study is about major symptoms of elderly and medical services for elderly in long-tenn care facilities. The subject of this study was 298 patients over 00 years old staying in two geriatric hospitals and two nursing homes. The symptoms and medical services were level of patient classification from RUG(Resource Utilization Group)-III which is applied for both Medicare and Medicaid for skilled nursing facilities reimbursement system in US and designed for measuring patient characteristics and medical staff time. This classification is explained by each patient resource(staff time) utilization level which is called CMI(Case-Mix Index). In this study, the symptoms and services were compared by facility type and they were categorized by level and compared by CMI. Major findings are as follows; 1. There were more elderly who have cognitive function problems in nursing homes than patients in geriatric hospitals. There were more patients with behavioral problems in geriatric hospitals than residents in nursing homes. These results were both statistically significant. 2. The patients in geriatric hospitals received significantly more nursing rehabilitation services, rehabilitation services and extensive services than residents in nursing homes. Other hands, special care services were provided significantly more to residents in nursing homes than elderly in geriatric hospitals. 3. ADL and depression variables had higher CMI when the symptoms were heavier condition. The CMI were not matched with levels of cognitive function problems and behavioral problems. 4. The CMI matched well significantly with levels of nursing rehabilitation services, special care services, and clinically complex services provided for the patient in geriatric hospitals and only nursing rehabilitation services in nursing homes. The CMI for rehabilitation services level and extensive services had regular trends. From the result of this study, the resource utilization level and services provided for elderly in each long-term care facilities were figured out. For the further study, it needs to have more concern about RUG-ill which classification variables were just analyzed.

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Measurement of Global Nursing Research Output: A Bibliometric Study (1996-2015)

  • Singh, Shivendra;Pandita, Ramesh
    • Journal of Information Science Theory and Practice
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    • v.6 no.1
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    • pp.31-44
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    • 2018
  • Purpose: This study aims to examine the research output in the field of nursing at the global level during the last two decades, viz., for the period 1996-2015, with special reference to India. Some of the aspects examined include the research growth in nursing literature during the period of study, leading nursing research countries at the regional and global level, and citation analysis. Scope and Methodology: This study is global in nature, but emphasis has also been laid on India's research contribution in nursing at the global level. Aspects like regional contribution to the nursing research output have also been assessed. This study is purely based on secondary data retrieved from SCImago Journal and Country Rankings. The figures in the study are based on one particular database and are not exhaustive; hence they simply reflect a trend in nursing research at the global level. Findings: During the period 1996 through 2015, a total of 550,490 research articles were published across the world by 212 nation states at an average of 2,596 articles from each individual country. On average, during the period of study, the number of nursing research publications grew at the rate of 7.36% each year. North America has emerged as one of the leading nursing research continents of the world by publishing 218,614 research articles, constituting 39.71% of the global nursing research output. The U.S. and U.K. are the world's two leading nursing research countries, which contributed 193,819 and 61,730 research articles respectively, comprising a 35.21% and 11.21% share of global nursing research output. India and China, apart from being the two fastest growing nursing research countries, have the potential to meet the global human resource demand in the field of nursing, given the skilled and trained human resource both these countries possess in nursing. Social Implication: There is always a need to share working knowledge in some professions and nursing is one of them. There cannot be a better medium than linking practice with theory through the research medium. Metric studies in turn help to get a better idea about the amount of work done in any given field at the national and international level, thus identifying the need thereof to improve upon those areas where there is research lag.

Digital Stress of Consumers in Using Digital Goods (디지털 제품 관련 소비자 스트레스에 관한 연구)

  • Kim, Jung-Eun;Yeo, Jung-Sung
    • Journal of Families and Better Life
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    • v.25 no.3 s.87
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    • pp.119-135
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    • 2007
  • The purpose of this study is to find out the level of digital stress that people experience and to investigate the effects of socio-economic variables on that. To collect data, structured questionnaire was developed and 1,200 questionnaires were distributed through internet. There were 2 dimensions in this study to examine digital stress. First dimension was about the devices themselves: computers and the other digital goods. Second dimension was about the time digital stress occurring in consumers' decision-making process: purchasing and using. Based on Yeo&Kim(2004), sub-dimensions of purchasing and using aspects were chosen. 5 sub-dimensions in purchasing side were new technology, cost, variety of alternatives, warranty service, and informational problem 6 sub-dimensions in using field were mal(or impaired)-functioning. physical aspects, immaturity in use, pressure to use, addiction to use, and informational problem. As independent variables, sex, age, educational level, digitalization acceptability and computer usability were used. The overall level of digital stress was around the average point which was not as high as expected. Digital stress of purchasing was higher than that of using. First, in purchasing aspects, the level of digital stress was relatively high in cost, variety of alternatives and warranty service. Hence, clear communications with consumers about the distinctive aspects and cost of digital devices in market are needed. Secondly, in using side, mal-functioning and physical aspects were relatively more powerful stressors. In the other words, the more serious problems were not from the characteristics of individual consumers but from those of products. Producers should put their best efforts to reduce imperfection (defectiveness) and develop user-friendly digital devices. Also, users' individual efforts to overcome the problems that can be solved privately are necessary. Finally, it was discovered that sex and computer usability were very important variables on digital stress. To extend computer usability of consumers and get over digital illiteracy, it is essential to expand the paths to give chances for people to contact with computers and other digital goods. Still there are lots of people whore computer-illiterate or low-skilled at computers. In policies or educational programs made by government, communities, or schools, more attention should be paid to the digitally vulnerable groups.

A National Integrated Cooperation System for Invigorating the Digital Content Industry (디지털콘텐츠산업 활성화를 위한 국가적 통합협력 시스템)

  • Kim, Sun-Bae
    • Journal of Digital Convergence
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    • v.6 no.3
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    • pp.45-52
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    • 2008
  • For the domestic digital contents, it is particularly important that the planning and mediating functions should cover the whole Industries so that dividends and assistance to reach all the way back to the primary contents-creating level, where economic risks are especially high. A proactive cooperation system or framework between the government, the businesses and research institutions, which would allow for free flow of interaction among these players, can play that role. We can broadly define cooperation frameworks into two; one between the central and the local governments and another among private-sector groups, such as companies, associations and groups. These players in the framework have differing, sometimes, conflicting views regarding the digital contents industry whether the digital contents should aim for skilled applicability or the abstract or whether the emphasis should rest on public interest or profitability. Immature competition and lack of trust among these players also give rise to such inefficiencies as overlap in investments, inexpertness and inefficient use of resources. We have proposed and realized the National Integrated Cooperation System to bridge these gaps among the major players in the industry. The National Integrated Cooperation System rests on the following major functions. The first major function of the NICS is to decipher any ambiguity that may be embedded in external Inputs by stratified role and bias. The second function is to create cooperative groups that will deal with the ambiguities based on its consequent situation. The third is a feedback function that will draw out a new cooperative way by re-feeding the capacities and the conflicts that stem from the existing organizations and strategies into cooperation and adjustment process. Our NICS has compared and evaluated with England and Australia digital content industry models under AHP(Analytic Hierarchy Process) method. NICS has turned out to be well designed and have strong points based on OECD innovation and cooperation criteria.

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Development of a Remote Wheelchair Accessibility Assessment System Using Virtualized Reality Technology (가상현실기술을 이용한 원격휠체어접근성평가시스템의 개발)

  • Kim, Jong-Bae
    • 한국HCI학회:학술대회논문집
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    • 2006.02a
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    • pp.33-39
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    • 2006
  • Home modification has come to be recognized as an important intervention strategy to manage health care conditions, maintain or improve functioning, ensure safety, and reduce the wheelchair user's dependency on others. However, the availability of skilled professionals with experience in home modifications for accessibility is limited. A system that enables accurate remote assessments would be an important tool to improve our ability to perform home assessments more easily and at decreased cost. A Remote Wheelchair Accessibility Assessment System (RWAAS) using Virtualized Reality(VR) technology was developed that enabled clinicians to assess the wheelchair accessibility of users' built environments from a remote location. Characteristics of the camera and 3D reconstruction program chosen for the system significantly affect its overall reliability. In this study, we performed two reliability analyses on the hardware and software components: 1) Verification that commercial software can construct sufficiently accurate 3D models by analyzing the accuracy of dimensional measurements in a virtualized environment; 2) comparison of dimensional measurements with four camera settings. Based on these two analyses, we were able to specify a consumer level digital camera and the Photomodeler Pro software for this system. And we then tested the feasibility of the selected software and hardware in an actual environment. Lastly, A field evaluation was performed to test whether this new system is comparable to the traditional method of accessibility assessment to evaluate its ability to assess the accessibility of a wheelchair user's typical built environment. The results of field trials showed high congruence between the assessments by two methods. Findings suggested that the RWAAS assessments have the potential to enable specialists to assess potential accessibility problems in built environments regardless of the location of the client, home, or specialist.

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Aging of Korean Nuclear Manpower and Implications of Manpower Policy: Statistical Analysis on Nuclear Organizations (한국 원자력 인력의 고령화와 인력정책의 함의: 원자력 관련기관 인력통계 분석)

  • Chung, Bum-Jin;Ko, Kyung-Min
    • Journal of Energy Engineering
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    • v.21 no.1
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    • pp.1-17
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    • 2012
  • In Korea, there are increasing concerns on nuclear manpower demand and supply due to construction of domestic nuclear power plants and exporting nuclear power plant. In addition, aging of nuclear manpower is another important concern for stable nuclear manpower demand and supply. A shortage of skilled high-quality human resources resulted in massive retirements of senior workers may seriously undermine Korean nuclear competitiveness. This paper analyzed current state of aging of nuclear manpower based on statistical analysis on Korean nuclear organizations. The data used in this paper is manpower statistics of domestic nuclear organizations surveyed in 2001 and 2010. This paper analyzed trends of manpower change for 10 years and based on these analyses, has reviewed the level of the aging nuclear manpower by surveyed organization and integrated. Finally, this paper suggested to direction of manpower recruitment to cope with aging nuclear manpower and alternatives to find a solution to problems of nuclear manpower demand and supply.

A Study on the Multi-View Based Computer Aided Diagnosis in Digital Mammography (디지털 유방영상에서 멀티영상 기반의 컴퓨터 보조 진단에 관한 연구)

  • Choi, Hyoung-Sik;Cho, Yong-Ho;Cho, Baek-Hwan;Moon, Woo-Kyoung;Im, Jung-Gi;Kim, In-Young;Kim, Sun-I.
    • Journal of Biomedical Engineering Research
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    • v.28 no.1
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    • pp.162-168
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    • 2007
  • For the past decade, the full-field digital mammography has been widely used for early diagnosis of breast cancer, and computer aided diagnosis has been developed to assist physicians as a second opinion. In this study, we try to predict the breast cancer using both mediolateral oblique(MLO) view and craniocaudal(CC) view together. A skilled radiologist selected 35 pairs of ROIs from both MLO view and CC view of digital mammogram. We extracted textural features using Spatial Grey Level Dependence matrix from each mammogram and evaluated the generalization performance of the classifier using Support Vector Machine. We compared the multi-view based classifier to single-view based classifier that is built from each mammogram view. The results represent that the multi-view based computer aided diagnosis in digital mammogram could improve the diagnostic performance and have good possibility for clinical use to assist physicians as a second opinion.

Current Status and Improvement Plan for Foreign Construction Laborer (외국인 건설 근로자 현황 및 개선방안)

  • Park, Hee-Sung
    • The Journal of the Korea Contents Association
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    • v.15 no.9
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    • pp.555-561
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    • 2015
  • The construction industry is a labor-oriented and quality, cost, and schedule performance is effected by technicians. However, the construction industry have faced a labor shortage problem. Therefore, technician graying and no new workers inflow cause labor shortage and decline of worker's skill level. The utilization of foreign technicians instead of domestic technicians has been increased in the construction industry. This paper performed questionnaire survey for 43 managers on 14 project fields to determine the current status and problems of construction technicians and to propose a improvement plan. As a result, most foreign technicians are carpenters and iron workers, but the skill levels are generally lower than domestics. The major problems for foreign technicians are communication and non-skilled. Then, labor productivity and accident rates of foreign technicians are higher than domestics. This paper proposes that skill training programs, language lessons, and multi-cultural programs are effective to improve foreign workers' problems.

Productivity Effect by Activities in Education & Training and Research & Development after Financial Crisis: An Analysis using the Estimate of E&T Stock (외환위기 이후 기업의 교육훈련활동과 연구개발활동의 생산성 효과: 교육훈련스톡 추계치를 이용한 분석)

  • Ban, Ga Woon
    • Journal of Labour Economics
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    • v.34 no.1
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    • pp.33-69
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    • 2011
  • This study analyses a productivity effect by E&T and R&D activities via estimation of E&T stock, R&D stock, and patent stock in a corporate level. Particularly, the analysis reflects the effects of skilled training after estimating E&T stock from E&T flow. When a spillover effect of E&T is analyzed, a methodology using technical proximity concept becomes a new experiment. Also classifying long and short term effects from the usage of Dynamic Panel Data Analysis becomes a new trial, too. The results of study appear that the productivity effects from E&T investments are relatively lager than R&D investments. Through spillover effects and long-term effects E&T and R&D activities have a strong influence on the corporate's productivity.

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A National Integrated Cooperation System for Invigorating the Digital Content Industry (디지털콘텐츠산업 활성화를 위한 국가적 통합협력 시스템)

  • Kim, Seon-Bae;Jang, Yeong-Cheol;Lee, Chang-Hun
    • 한국디지털정책학회:학술대회논문집
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    • 2006.06a
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    • pp.379-390
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    • 2006
  • For the domestic digital contents, it is particularly important that the planning and mediating functions should cover the whole industries so that in order for dividends and assistance to reach all the way back to the primary contents-creating level, where economic risks are especially high. A proactive cooperation system or framework between the government, the businesses and research institutions, which would allow for free flow of interaction among these players, can play that role. We can broadly define cooperation frameworks into two; one between the central and the local governments and one among private-sector groups, such as companies, associations and groups. These player sin the framework have differing, sometimes, conflicting views regarding the digital contents industry whether the digital contents should aim for skilled applicability or the abstract or whether the emphasis should rest on public interest or profitability. Immature competition and lack of trust among these players also give rise to such inefficiencies as overlap in investments, inexpertness and inefficient use of resources. We have proposed and realized the National Integrated Cooperation System to bridge these gaps among the major players in the industry. The National Integrated Cooperation System rests on the following major functions. The first major function of the NICS is to decipher any ambiguity that may be embedded in external inputs by stratified role and bias. The second function is to create cooperative groups that will deal with the ambiguities based on its consequent situation. The third is a feedback function that will draw out a new cooperative way by re-feeding the capacities and the conflicts that stem from the existing organizations and strategies into cooperation and adjustment process. Our NICS has compared and evaluated with England and Australia digital content industry models under AHP(Analytic Hierarchy Process) method. NICS has turned out to be well designed and have strong points based on OECD innovation and cooperation criteria.

  • PDF