• Title/Summary/Keyword: and Self-organization

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Psychometric Validation of the Bahasa Malaysia Version of the EORTC QLQ-CR29

  • Magaji, Bello Arkilla;Moy, Foong Ming;Roslani, April Camilla;Law, Chee Wei;Raduan, Farhana;Sagap, Ismail
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8101-8105
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    • 2016
  • Background: This study examined the psychometric properties of the Bahasa Malaysia (BM) version of the European Organization for Research and Treatment of Cancer (EORTC) Colorectal Cancer-specific Quality Of Life Questionnaire (QLQ-CR29). Materials and Methods: We studied 93 patients recruited from University Malaya and Universiti Kebangsaan Medical Centers, Kuala Lumpur, Malaysia using a self-administered method. Tools included QLQ-C30, QLQ-CR29 and Karnofsky Performance Scales (KPS). Statistical analyses included Cronbach's alpha, test-retest correlations, multi-traits scaling and known-groups comparisons. A p vaue ${\leq}0.05$ was considered significant. Results: The internal consistency coefficients for body image, urinary frequency, blood and mucus and stool frequency scales were acceptable (Cronbach's alpha ${\alpha}{\geq}0.65$). However, the coefficients were low for the blood and mucus and stool frequency scales in patients with a stoma bag (${\alpha}=0.46$). Test-retest correlation coefficients were moderate to high (range: r = 0.51 to 1.00) for most of the scales except anxiety, urinary frequency, buttock pain, hair loss, stoma care related problems, and dyspareunia (r ${\leq}0.49$). Convergent and discriminant validities were achieved in all scales. Patients with a stoma reported significantly higher symptoms of blood and mucus in the stool, flatulence, faecal incontinence, sore skin, and embarrassment due to the frequent need to change the stoma bag (p < 0.05) compared to patients without stoma. None of the scales distinguished between patients based on the KPS scores. There were no overlaps between scales in the QLQ-C30 and QLQ-CR29 (r < 0.40). Conclusions: the BM version of the QLQ-CR29 indicated acceptable psychometric properties in most of the scales similar to original validation study. This questionnaire could be used to complement the QLQ-C30 in assessing HRQOL among BM speaking population with colorectal cancer.

Outsourcing in Hospital Services: Experience of Korean Hospitals (우리나라 대형 종합병원의 아웃소싱 실태)

  • Noh, Tae-Hoon;Lee, Hae-Jong;Park, Eun-Cheol;Kang, Hye-Young
    • Korea Journal of Hospital Management
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    • v.8 no.4
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    • pp.59-75
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    • 2003
  • This study was conducted to investigate the degree of utilization of outsourcing in large hospitals in Korea. We also investigated the outcome and the level of satisfaction for adopting outsourcing in these hospitals. Types of work areas that were currently operated by outsourcing and were planned to adopt outsourcing in the future were identified. A total of 83 hospitals were eligible for this study, which had more than 500 beds, and were identified from the 2003 National Hospital List published by the Korean Hospital Association. A self-administered Questionnaire survey was conducted between April 25th and May 20th in 2003 with a personnel being charged of arrangement of outsourcing in each hospital. Among the 58 hospitals responding the survey(response rate=69.9%), 49 hospitals(84.5%) utilized outsourcing in at least one work field in their organizations. The largest proportion of the hospitals(85.7%) using outsourcing responded that the biggest outcome after introducing outsourcing were cost reduction(49.0%), followed by improved efficiency in operating the organization or human resources(34.7%) and the improved quality of the work(6.1%). The degree of satisfaction for outsourcing among the hospital managers(3.43) was significantly higher than that among the employees(3.l4) on a S-point Likert-type scale(p<0.05). Among the 7 work areas, the hospitals used outsourcing most frequently in facility management(housekeeping, building maintenance, hospital security and parking management), followed by non-medical profit business(funeral, convenient store, and cafeteria), logistics(provision of patient meal, in-house delivery, and purchasing), and information and computing system(hospital information system, maintenance of personal computers and printers). The work areas that the hospitals planned to adopt or expand the outsourcing in the future most frequently were facility management, non-medical profit business, logistics, and information and computing systems. In conclusion, outsourcing was highly diffused in large Korean hospitals, particularly in the work field of facility management and non-medical profit business. The satisfaction for outsourcing was not high yet in Korean hospitals.

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A Study on Developing Qualification Criteria in the Private Security Industry (민간경비 자격검정 개선방안에 관한 연구)

  • Choe, Jung-Taek
    • Korean Security Journal
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    • no.18
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    • pp.143-167
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    • 2009
  • As of entering the 21st century, a trend in the field of a private security industry among the advanced countries have been increased a qualification system and train session to meet the needs of professionalism. Intensifying the professionalism in Korea, education and train system has been initiated to change but the oligopoly market already formulated due to impractical selection standard and management of education system. Issuing certification and offering basic training through a designated institution for the purpose of improving quality of the private security industry worker, its practical effectiveness were lower than expectation. Rather certification-holder or security agency, institution or truster's rent-seeking behavior have been increased by occupational licensing system. The founded results, which were associated to problems in selecting and educating to the private security guard, in this study were that any verification has been initiated towards dual-system in official approval and structural problems in education system, and non-existence of verification for professionalism and management capability to security agency owner and its upper managerial level. Current a dual system in an officially authorized verification system and completion of security guard credential requested change to an unified official qualification verification system to solve those problems. Ranges of an applicant to the unified official qualification verification system should be extend to the whole population in the private security industry. Moreover, minimization of the dead-weigh loss, which is caused by oligopoly phenomenon while using its market-dominant status, increasement number of designated institution, which allows self-regulating competition, and endowment of autonomy, which is in selecting education and agency, were requested to solve the problems in selecting and educating to the private security guard. In order to minimize stated problems while maintaining objectiveness, a new manage and supervise institution, which is called a 'private security industry committee', should be establish. The private security industry committee is a formation of governance network which are participated from professional group to civil organization.

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Effects of Perceived Health Status, Health Attitude, and Health Concern on Health Promoting Behavior in Adults (성인의 지각된 건강상태, 건강태도, 건강관심도가 건강증진행위에 미치는 영향)

  • Park, Soonjoo;Lee, Young-Hye
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.192-202
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    • 2016
  • The aim of this study was to examine whether health promoting behavior was dependent on perceived health status and health attitude in adults, and whether health concern mediated the relationships among these variables. Structural equation modeling was applied to test a model in which perceived health status and health attitude were considered as exogenous variables while health concern as a mediating variable. The participants were 292 adults aged from 20 to 59 and completed the self-report measures. The results of the structural equation model showed that perceived health status and health attitude were positively associated with health concern and health promoting behavior. Health concern mediated the relationships between perceived health status and health promoting behavior, and also health attitude and health promoting behavior. The findings suggest that enhancing health attitude may play important roles to promote health promoting behavior in adults, and the development of various health education for adults in schools, work place, and health and medical organization might promote positive health attitude and health concern. Health education program in connection with preventive health examination also might contribute to activate health promoting behavior.

Impact of Psychological Empowerment on Service Orientation and Organizational Performance in Private Security Guards (시큐리티 요원의 심리적 임파워먼트가 서비스지향성 및 조직성과에 미치는 영향)

  • Kim, Eui-Young;Lee, Jong-Hwan
    • Korean Security Journal
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    • no.28
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    • pp.7-31
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    • 2011
  • The purpose of this study was to examine the relationship of the psychological empowerment of security guards to their service orientation and organizational performance. The subjects in this study were 300 security guards who were selected by purposive sampling from the population that consisted of the workers in private security agencies located in the cities of Chungan and Ahsan in 2011. After a survey was conducted, the answer sheets from 271 respondents were analyzed. The statistical package SPSS WIN 18.0 was employed to make a factor analysis, reliability analysis, multiple regression analysis and path analysis. The findings of the study were as follows: First, psychological empowerment affected service orientation. Better meaning and better self-determination led to better service human resources management, better service leadership and better service encounter management. Second, psychological empowerment exerted an influence on organizational performance. Stronger impact and better meaning led to stronger organizational commitment, higher job satisfaction and better performance. Third, service orientation had an impact on organizational performance. Better service human resources management, better service leadership and better service encounter management were followed by stronger organizational commitment, better job satisfaction and higher performance. Fourth, psychological empowerment exercised a firsthand and secondhand influence on service orientation and organizational performance. Given the findings of the study, managers of security agencies should keep in mind the unique working environments of employees, and they should empower employees to show what they can do in consideration of their changing working environments and let them assume the responsibility for their own job performance. That will encourage them to provide better service for customers, which will serve, in turn, to bolster the organizational performance.

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Monitoring System For Structure Lifting or Foundation Reinforcement Work Using Wireless Sensor Network (무선 센서 네트워크를 이용한 건축물 인상/기초보강 공사 모니터링 시스템)

  • Hwang, In-Moon;Son, Cheol-Su;Park, Na-Yeon;Byun, Hang-Yong;Kim, Won-Jung
    • Journal of the Korea Institute of Information and Communication Engineering
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    • v.12 no.9
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    • pp.1575-1583
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    • 2008
  • Wireless sensor network has merit of low-power, low-cost and self-organization network, so there are many researches substituted for existing wire network. As structure reinforcement work need a high accuracy, many sensors are installed in structure and connected with data logger for monitoring. However this wire data logger method takes a long time to install wires and installed wires obstruct to work. Additionally, wire data logger method represent sensor data by only numeric and graph, it is not able to support a rapid decision-making for working. To resolve wiring problem and support decision-making, we designed and implemented the monitoring system based in wireless sensor network. For verifying performance, accuracy and availability, we simulated and tested our system in real field. Consequently, wireless sensor network method is easier to install and deploy than wire data logger method, user is able to monitor instinctively and overall by 3D representation of structure and sensors, and it show not only accuracy but also performance for many sensors.

Prevalence and associates of obesity and overweight among school-age children in a rural community of Thailand

  • Nonboonyawat, Teechaya;Pusanasuwannasri, Wuttipat;Chanrat, Nattanon;Wongthanavimok, Natta;Tubngern, Danutanut;Panutrakul, Piengkwan;Mungthin, Mathirut;Nivesvivat, Thirapa;Hatthachote, Panadda;Rangsin, Ram;Piyaraj, Phunlerd
    • Clinical and Experimental Pediatrics
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    • v.62 no.5
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    • pp.179-186
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    • 2019
  • Purpose: Information about overweight and obesity among students in rural areas of Thailand is limited. Therefore, we aimed to determine overweight and obesity prevalences and associated factors among school-aged children in a rural community of Thailand. Methods: We selected 9 public schools through cluster sampling in 2 provinces located in central Thailand in 2016. Anthropometric measurements were measured using standard techniques, classified as overweight (>1 standard deviation [SD]) and obese (>2 SD) with respect to their age and sex using 2007 World Health Organization reference charts. Standardized questionnaires on risk factors were sent to parents to be completed together with their child. Results: Among 1,749 students, 8.98% had overweight and 7.26% had obesity. Mean age (range) was 11.5 years (5-18 years). Independent factors associated with overweight and obesity included primary school student (reference as secondary school) (adjusted odds ratio [aOR], 2.25; 95% confidence interval [CI], 1.24-4.08; P=0.07), mother's body mass index (aOR, 1.07; 95% CI, 1.02-1.12; P=0.001), self-employed father (aOR, 1.99; 95% CI, 1.12-3.55; P=0.018), number of siblings (aOR, 0.61; 95% CI, 0.47-0.81; P=0.001), having sibling(s) with obesity (aOR, 1.82; 95% CI, 1.20-2.77; P=0.005), more than one (aOR, 7.16; 95% CI, 2.40-21.32; P<0.001), consuming 2-3 ladles of rice/meal (aOR, 2.14; 95% CI, 1.38-3.32; P=0.001), consuming >3 ladles of rice/meal (aOR, 2.69; 95% CI, 1.11-6.46; P=0.27), watching <2 hours of television/day (aOR, 2.18; 95% CI, 1.19-4.01; P=0.012), and watching >2 hours of television/day (aOR, 2.60; 95% CI, 1.36-4.96; P=0.004). Conclusion: Many sociodemographic, dietary, and behavioral factors were related to overweight and obesity among school-aged children not only in urban but also rural communities of Thailand.

The Effects of Job Stress on Depression by Burnout in The Hospital Employees (의료기관 종사자의 직무스트레스가 정서적 소진, 우울에 미치는 영향)

  • Kyoungjin Song;Jeongwon Lee
    • Journal of Service Research and Studies
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    • v.12 no.3
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    • pp.26-44
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    • 2022
  • Job stress experienced during work has a positive effect on the organization, such as performance improvement, but if not properly managed, it can cause physical diseases such as digestive diseases and mental diseases such as depression and neurological diseases. If job stress persists for a long time, it causes emotional exhaustion and depression, which has a significant adverse effect on individuals and organizations, so proper management is essential. Therefore, in this study, a descriptive survey study was conducted using a self-report questionnaire method to find out the relationship between job stress, emotional exhaustion and depression of medical institution workers. As a result of the analysis, it was found that job stress of medical institution workers had a significant (+) effect on emotional exhaustion and depression, and emotional exhaustion of medical institution workers had a significant (+) effect on depression. Through this study, it was found that there was a significant relationship between job stress, emotional exhaustion, and depression of hospital employees, and that emotional exhaustion acts as a parameter in the relationship between job stress and depression. Considering that job stress of hospital employees causes adverse organizational effects, such as threatening workers' mental and physical health and causing deterioration in the quality of medical services, organizational efforts will be needed to relieve and properly manage job stress of hospital employees.

The Introduction of Design Thinking to Science Education and Exploration of Its Characterizations as a Method for Group Creativity Education (집단 창의성 교육을 위한 방안으로서 과학 교육에 디자인적 사고의 도입과 속성 탐색)

  • Lee, Dohyun;Yoon, Jihyun;Kang, Seong-Joo
    • Journal of The Korean Association For Science Education
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    • v.34 no.2
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    • pp.93-105
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    • 2014
  • Group creativity has recently been heightened as a core competence in the 21st century. Therefore, there is a need for introduction of concepts on design thinking emphasizing the collaboration and empathy to science education as an effective method for fostering group creativity. Understanding design thinking for effective introduction should be preceded, so we explore the characterizations of design thinking through the generic model overlay method, focus group interview, and critical incident technique analysis. The results reveal 4 cluster units of competency and 15 core competencies. The collaboration cluster consists of 5 competencies and they are as follows: organization of the team, communication, self-control, persuasiveness, and initiative competency. The integrative thinking cluster consists of 3 competencies and they are as follows: analytical, strategic, and intuitive thinking competency. The human-centeredness cluster consists of 3 competencies and they are as follows: user-orientation, relationship building, and interpersonal understanding competency. The multidisciplinary cluster consists of 4 competencies and they are as follows: achievement orientation, information seeking, curiosity, and flexibility competency. Findings are expected to provide the basic data for developing programs and establishing strategies in order to foster group creativity as well as introducing design thinking to science education effectively.

Art and Collectivity (미술과 집단성)

  • Kwok, Kian-Chow
    • The Journal of Art Theory & Practice
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    • no.4
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    • pp.181-202
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    • 2006
  • "When it comes to art, nationalism is a goodticket to ride with", says the title of a report in the Indian Express (Mumbai, 29 Oct 2000). The newspaper report goes on to say that since Indian art was kept "ethnic" by colonialism, national liberation meant opening up to the world on India's own terms. Advocacy, at the tail end of the 20th century, would contrast dramatically with the call by Rabindranath Tagore, the founder of the academy at Santiniketan in 1901, to guard against the fetish of nationalism. "The colourless vagueness of cosmopolitanism," Tagore pronounced, "nor thefierce self-idolatry of nation-worship, is the goal of human history" (Nationalism, 1917). This contrast is significant on two counts. First is the positive aspect of "nation" as a frame in art production or circulation, at the current point of globalization when massive expansion of cultural consumers may be realized through prevailing communication networks and technology. The organization of the information market, most vividly demonstrated through the recent FIFA World Cup when one out of every five living human beings on earth watched the finals, is predicated on nations as categories. An extension of the Indian Express argument would be that tagging of artworks along the category of nation would help ensure greatest reception, and would in turn open up the reified category of "art," so as to consider new impetus from aesthetic traditions from all parts of the world many of which hereto fore regarded as "ethnic," so as to liberate art from any hegemony of "international standards." Secondly, the critique of nationalism points to a transnational civic sphere, be it Tagore's notion of people-not-nation, or the much mo re recent "transnational constellation" of Jurgen Habermas (2001), a vision for the European Union w here civil sphere beyond confines of nation opens up new possibilities, and may serve as a model for a liberated sphere on global scale. There are other levels of collectivity which art may address, for instance the Indonesian example of local communities headed by Ketua Rukun Tetangga, the neighbourhood headmen, in which community matters of culture and the arts are organically woven into the communal fabric. Art and collectivity at the national-transnational level yield a contrasting situation of, on the idealized end, the dual inputs of local culture and tradition through "nation" as necessary frame, and the concurrent development of a transnational, culturally and aesthetically vibrant civic sphere that will ensure a cosmopolitanism that is not a "colourless vagueness." In art historical studies, this is seen, for instance, in the recent discussion on "cosmopolitan modernisms." Conversely, we may see a dual tyranny of a nationalism that is a closure (sometimes stated as "ethno-nationalism" which is disputable), and an internationalism that is evolved through restrictive understanding of historical development within privileged expressions. In art historical terms, where there is a lack of investigation into the reality of multiple modernisms, the possibility of a democratic cosmopolitanism in art is severely curtailed. The advocacy of a liberal cosmopolitanism without a democratic foundation returns art to dominance of historical privileged category. A local community with lack of transnational inputs may sometimes place emphasis on neo-traditionalism which is also a double edged sword, as re kindling with traditions is both liberating and restrictive, which in turn interplays with the push and pull of the collective matrix.

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