• Title/Summary/Keyword: Team approach

Search Result 831, Processing Time 0.051 seconds

Effects of Interprofessional Nurse-led Rehabilitation Intervention Program for Subacute Stroke Patients and their Caregivers: a non-randomized study

  • LEE, BunSim;GIL, ChoRong;CHANG, HeeKyung
    • International Journal of Advanced Culture Technology
    • /
    • v.7 no.4
    • /
    • pp.1-13
    • /
    • 2019
  • Purpose: Rehabilitation nursing requires an interdisciplinary comprehensive team approach that allows for enough time to promote patients' functional recovery. We identified the effects of a nurse-led rehabilitation intervention program on subacute stroke patients' activities of daily living, anger, and muscle strength, as well as their chief caregivers' satisfaction. Methods: Intervention group participants (n = 20) completed a rehabilitation intervention program, which integrated physical activities with psychological and social approaches. Results: The program did not significantly improve patients' activities of daily living or anger management; however, it significantly affected both anger-in (t = 3.384, p = .002) and anger-out (t = 2.167, p = .037) attitudes. Caregivers' satisfaction among the intervention group (t = 6.935, p < .001) decreased more significantly than that of the comparison group (t = 0.224, p = .825). Conclusion: Rehabilitation intervention program should enlist nurses' participation and promote a team-based approach during the rehabilitation program. Further, patients and their caregivers should be encouraged to express their emotions during counseling.

A new base plate system using deformed reinforcing bars for concrete filled tubular column

  • Park, Yong-Myung;Hwang, Won-Sup;Yoon, Tae-Yang;Hwang, Min-Oh
    • Steel and Composite Structures
    • /
    • v.5 no.5
    • /
    • pp.375-394
    • /
    • 2005
  • An experimental study was conducted to develop a new base plate anchorage system for concrete filled tubular column under an axial load and a moment. The column was connected to a concrete foundation using ordinary deformed reinforcing bars that are installed at the inside and outside of the column. In order to investigate the moment resisting capacity of the system, horizontal cyclic loads are applied until the ultimate condition is reached with the axial load held constant. To derive a design method for moment resisting capacity, the reinforced concrete section approach was investigated with the assumption of strain compatibility. The results by this approach agreeded well with those of experiments when the bearing pressure of confined concrete and tangent modulus of steel bars are assumed appropriately. Also, it was found that the column interaction curve can be used to predict the yield strength of the base plate system.

Acoustic Field Analysis using 1D Network Model in an Aero Gas Turbine Combustor (1D 네트워크 모델을 이용한 항공용 가스터빈 연소기에서의 음향장 해석)

  • Pyo, Yeongmin;Park, Heeho;Jung, Seungchai;Kim, Daesik
    • Journal of the Korean Society of Propulsion Engineers
    • /
    • v.23 no.2
    • /
    • pp.38-45
    • /
    • 2019
  • The present work suggests a numerical approach using a thermoacoustic network model for the eigenvalue calculation of thermoacoustic instability problems in an aero gas turbine combustor. The model is developed based on the conservation laws for mass, momentum, and energy between acoustic network elements with an area change. Acoustic field in a practical aero gas turbine combustor which has a complicated flow path is analyzed using the current model. The predictive capabilities of the current modeling approach are compared with the acoustic characteristics calculated using Helmholtz solver based on 3D finite element method(FEM).

The Application of the Sports Psychology for Business Leadership: Current Literature Analysis

  • Jae-Hyung LEE
    • The Journal of Industrial Distribution & Business
    • /
    • v.15 no.5
    • /
    • pp.39-46
    • /
    • 2024
  • Purpose: This study seeks to address the following research questions: (1) What are the fundamental principles of sports psychology that can be applied to business leadership? (2) How can these principles enhance business leadership effectiveness? As a result, the study may evaluate the necessity and benefits of incorporating sports psychology principles into business leadership practices. Research design, data and methodology: The data collection process in this study involved a systematic Literature review approach, following the prior literature analysis guidelines by numerous past studies. This methodical approach to selecting articles can be useful in synthesizing existing literature and can be referred to as Literature review and selection. Results: The literature analysis has indicated that there is much support for assumptions underpinning business leadership modules, which can be enhanced by applying sports psychology. This topic discusses the traits of self-positivity and mental toughness, goal perspective and interpersonal relationships within a team, and visualization in a sporting organization that can be implemented in business management to support organizational performance. Conclusions: All in all, it can be concluded that organizations must consider adopting Sports Psychology principles into their Leadership Development Programs. Psychological skills development training that includes mental toughness, goal setting, team cohesion,

CQI Action Team Approach to Prevent Pressure Sores in Intensive Care Unit of an Acute Hospital Korea (중환자의 욕창 예방 연구 : 욕창 예방 QI팀을 중심으로)

  • Kang, So Young;Choi, Eun-Kyung;Kim, Jin-Ju;Ju, Mi-Jung
    • Quality Improvement in Health Care
    • /
    • v.4 no.1
    • /
    • pp.50-63
    • /
    • 1997
  • Background : A pressure sore was defined as any skin lesion caused by unrelieved pressure and resulting in damage to underlying tissue. The health care institutions in the United States were reported the incident rate of pressure sores ranging from 6 to 14 %. Intensive Care Unit needed highest quality of care has been found over 40% incidence rate of pressure sore. Also, Annual expenditures for the care of pressure sores in patients in the United States have been estimated to be $7.5 billion; furthermore, 50 percent more nursing time is required to care for patients with pressure sore in comparison to the time needed to implement preventive measures against pressure sore formation. However, In Korea, there were little reliable reports, or researches, about incidence rates of pressure sore in health care institution including intensive care unit and about the integrated approach like CQI action team for risk assessment, prevention and treatment of pressure ulcers. Therefore, this study was to develop pressure sore risk assessment tool and the protocol for prevention of pressure sore formation through CQI action team activities, to monitor incident rate of pressure sore and the length of sore formation for patients at high risk, and to approximately estimate nursing time for sore dressing during research period as the effect of CQI action team. Method : CQI action team in intensive care unit, launched since early 1996, reviewed the literature for the standardized risk assessment tool, developed the pressure sore assessment tool based on the Braden Scale, tested its validity, compared on statistics including incidence rate of pressure sore for patients at high risk. Throughout these activities, CQI action team was developed the protocol, called as St. Marys hospital Intensive Care Unit Pressure Sore Protocol, shifted the emphasis from wound treatment to wound prevention. After applied the protocol to patients at high risk, the incident rate and the period of prevention against pressure development were tested with those for patients who received care before implementation of protocol by Chi-square and Kaplan-Meier Method of Survival Analysis. Result : The CQI action team found that these was significant difference of in incidence rate of pressure sores between patients at high risk (control group) who received care before implementation of protocol and those (experimental group) who received it after implementation of protocol (p<.05). 25% possibility of pressure sore formation was shown for the patients with 6th hospital day in ICU in control group. In experimental group, the patients with 10th hospital day had 10% possibility of pressure sore. Therefore, there was significant difference(p<.05) in survival rate between two groups. Also, nursing time for dressing on pressure sore in experimental group was decreased as much as 50% of it in control group. Conclusion : The collaborative team effort led to reduced incidence, increased the length of prevention against pressure sore, and declined nursing care times for sore dressing. However, there have had several suggestions for future study. The preventive care system for pressure sore should be applied to patients at moderate, or low risk throughout continuous CQI team activities based on Bed Sore Indicator Fact Sheet. Hospital-wide supports, such as incentives, would be offered to participants for keeping strong commitment to CQI team. Also, Quality Information System monitoring incidents and estimating cost of poor quality, like workload (full time equivalence) or financial loss, regularly in a hospital has to be developed first for supporting CQI team activities as well as empowering hospital-wide QI implementation. Being several limitations, this study would be one of the report cards for the CQI team activities in intensive care unit of an acute hospital and a trial of quality improvement of health care in Korea.

  • PDF

Candidate Points and Representative Cross-Validation Approach for Sequential Sampling (후보점과 대표점 교차검증에 의한 순차적 실험계획)

  • Kim, Seung-Won;Jung, Jae-Jun;Lee, Tae-Hee
    • Transactions of the Korean Society of Mechanical Engineers A
    • /
    • v.31 no.1 s.256
    • /
    • pp.55-61
    • /
    • 2007
  • Recently simulation model becomes an essential tool for analysis and design of a system but it is often expensive and time consuming as it becomes complicate to achieve reliable results. Therefore, high-fidelity simulation model needs to be replaced by an approximate model, the so-called metamodel. Metamodeling techniques include 3 components of sampling, metamodel and validation. Cross-validation approach has been proposed to provide sequnatially new sample point based on cross-validation error but it is very expensive because cross-validation must be evaluated at each stage. To enhance the cross-validation of metamodel, sequential sampling method using candidate points and representative cross-validation is proposed in this paper. The candidate and representative cross-validation approach of sequential sampling is illustrated for two-dimensional domain. To verify the performance of the suggested sampling technique, we compare the accuracy of the metamodels for various mathematical functions with that obtained by conventional sequential sampling strategies such as maximum distance, mean squared error, and maximum entropy sequential samplings. Through this research we team that the proposed approach is computationally inexpensive and provides good prediction performance.

GBAS Flight Testing and Performance Assessment using Flight Inspection Aircraft at Gimpo International Airport (비행검사용 항공기를 이용한 김포국제공항 GBAS 비행시험 및 성능평가)

  • Jeong, Myeong-Sook;Bae, Joongwon;Jun, Hyang-Sig;Lee, Young Jae
    • Journal of the Korean Society for Aeronautical & Space Sciences
    • /
    • v.43 no.1
    • /
    • pp.49-61
    • /
    • 2015
  • Ground Based Augmentation System(GBAS) is a system that offers an aircraft within 23 NM radius from the airport precision positioning service and precision approach service using the concept of Differential Global Positioning System(DGPS). After GBAS ground equipment installing at the airport, functionalities and performances of GBAS should be verified through the GBAS ground and flight testing. This paper describes the methods and results for GBAS flight test using the flight inspection aircraft at Gimpo International Airport. From the test results, we confirmed that the VDB data was received without misleading within the VDB coverage of Gimpo International Airport, and VDB field strength, protection level, and course alignment accuracy met the evaluation's criteria.

Comparison of Deterministic and Probabilistic Approaches through Cases of Exposure Assessment of Child Products (어린이용품 노출평가 연구에서의 결정론적 및 확률론적 방법론 사용실태 분석 및 고찰)

  • Jang, Bo Youn;Jeong, Da-In;Lee, Hunjoo
    • Journal of Environmental Health Sciences
    • /
    • v.43 no.3
    • /
    • pp.223-232
    • /
    • 2017
  • Objectives: In response to increased interest in the safety of children's products, a risk management system is being prepared through exposure assessment of hazardous chemicals. To estimate exposure levels, risk assessors are using deterministic and probabilistic approaches to statistical methodology and a commercialized Monte Carlo simulation based on tools (MCTool) to efficiently support calculation of the probability density functions. This study was conducted to analyze and discuss the usage patterns and problems associated with the results of these two approaches and MCTools used in the case of probabilistic approaches by reviewing research reports related to exposure assessment for children's products. Methods: We collected six research reports on exposure and risk assessment of children's products and summarized the deterministic results and corresponding underlying distributions for exposure dose and concentration results estimated through deterministic and probabilistic approaches. We focused on mechanisms and differences in the MCTools used for decision making with probabilistic distributions to validate the simulation adequacy in detail. Results: The estimation results of exposure dose and concentration from the deterministic approaches were 0.19-3.98 times higher than the results from the probabilistic approach. For the probabilistic approach, the use of lognormal, Student's T, and Weibull distributions had the highest frequency as underlying distributions of the input parameters. However, we could not examine the reasons for the selection of each distribution because of the absence of test-statistics. In addition, there were some cases estimating the discrete probability distribution model as the underlying distribution for continuous variables, such as weight. To find the cause of abnormal simulations, we applied two MCTools used for all reports and described the improper usage routes of MCTools. Conclusions: For transparent and realistic exposure assessment, it is necessary to 1) establish standardized guidelines for the proper use of the two statistical approaches, including notes by MCTool and 2) consider the development of a new software tool with proper configurations and features specialized for risk assessment. Such guidelines and software will make exposure assessment more user-friendly, consistent, and rapid in the future.

FDI observer design for linear system via STWS

  • Ahn, Pius;Kim, Min-Hyung;Kim, Jae-Il;Lee, Moon-Hee;Ahn, Doo-Soo
    • 제어로봇시스템학회:학술대회논문집
    • /
    • 1997.10a
    • /
    • pp.1423-1427
    • /
    • 1997
  • This paper deals with an algebraic approach to FDI observer design procedure. In general, FDI observer can be designed a sLuenbrger-type and equations for unknown input and actuator fault estimation include derivation of system outputs which is not available from the measurement directly. At this point, this paper presents STWS approach which can convert the derivation procedure to the recursive algebraic form by using its orthogonality and disjointess to alleviate such problems.

  • PDF

The Biological Approach of Chronic Pain (만성동통에 대한 정신시체의학적 접근 -생물학적 접근-)

  • Oh, Byoung-Hoon
    • Korean Journal of Psychosomatic Medicine
    • /
    • v.3 no.1
    • /
    • pp.91-97
    • /
    • 1995
  • Pain is a complex symptom consisting of a sensation underlying potenial disease and associated emotional state. Acute pain is a reflex biological response to injury, in contrast, chronic pain consists of pain of a mininum of 6 months duration and associates with physical, emotional past experience, economic resources of the patient, family and society. Moreover, chronic pain is characterized by physiological affective and behavioral responses that are quite different than those of acute pain. The different type of stimuli exciting pain receptor are mechanical, thermal and chemical stimli and chronic pain are concerned with three of all stimli. The major three components of pain central(Analgesia) system in the brain and spinal cord are 'periaqueductal gray area of the mesencephalon', 'the raphe magnus nucleus' and 'pain inhibitory complex located in the dorsal horns of the spinal cord'. But unfortunately, the central biochemical mechanisms of chronic pain are not clearly defined. To proper management of chronic pain, comprehensive urderstanding as a psychosomatic aspect and multidisciplinary therapeuti-team approach must be emphasized.

  • PDF