• Title/Summary/Keyword: deterioration management program

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Health Promotion Behavior, Perceived Health Status, Social Participation and Empowerment in Frail Elderly Receiving Home Visiting Services (방문건강관리사업 대상 허약노인의 건강증진행위, 주관적 건강상태, 사회참여 및 역량강화)

  • Park, Jeong Sook;Oh, Yun Jung
    • Journal of Korean Public Health Nursing
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    • v.31 no.2
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    • pp.244-256
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    • 2017
  • Purpose: This research was conducted to identify methods of inducing health promotion behavior, perceived health status, social participation and empowerment in the frail elderly receiving home visiting services. Methods: The subjects were 255 frail elders aged over 65 registered in the home visiting services of five public health centers in Daegu. Data were collected from June 9 to August 10, 2015. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient using SPSS Win 18.0. Results: The mean health promotion behavior, perceived health status, social participation and empowerment scores were 2.56 (${\pm}0.33$), 7.11 (${\pm}1.98$), 2.60 (${\pm}0.69$) and 2.90 (${\pm}0.29$), respectively. There was significant difference in health promotion behavior by client classification and life satisfaction. There were significant differences in perceived health status by life satisfaction, social participation by religion and client classification and empowerment by past jobs. Health promotion behavior, perceived health status, social participation and empowerment were positively correlated. Conclusion: An integrative health care program that includes these significant variables of subjects is essential to management and prevention of deterioration of frailty in elderly.

Reliability Analysis for Stress Corrosion Cracking of Suspension Bridge Wires (현수교케이블의 응력부식에 관한 신뢰성해석)

  • Taejun;Andrzej S. Nowak
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2003.04a
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    • pp.537-544
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    • 2003
  • This paper deals with stress corrosion cracking behavior of high strength steel exposed to marine environments. The objective is to determine the time to failure as a function of hydrogen concentration and tensile stress in the wires. A crack growth curve is modeled using finite element method (FEM) program. The coupled hydrogen diffusion-stress analyses of SCC were programmed separately. The first part is calculating stress and stress intensity /sup 1)/factor of a cylindrical shell, prestressing tendon or suspension bridge wires, from the initiation of cracks to rupture. Virtual crack extension method, contour integral method, and crack tip elements are used for the calculation of stresses in front of the crack tip. Comparisons of the result show a good agreement with the analytical equations and wire tests. The second part of the study deals with the programming of hydrogen diffusion, affected by hydrostatic stress, calculated at the location of boundary of plastic area around the crack tip. The results of paper can be used in the design and management of prestressed structures, cable stayed and suspension bridges. Time dependent correlated parallel reliabilities of a cable, composed of 36 wires, were evaluated by the consideration of the deterioration of stress corrosion cracking.

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Study on the Experience of Unbelief in the Process of Providing Home Visiting Care Service: Focusing on the perspective of the Facility Director (재가방문요양 서비스 제공과정에서 겪는 불신경험에 관한 연구: 시설운영자 관점을 중심으로)

  • Jun-Suk Kim;Ji-Hye Kim;Jung-Mi Kim;Mi-Young Park;Byung Woo Lim
    • Journal of Industrial Convergence
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    • v.21 no.10
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    • pp.65-80
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    • 2023
  • Through inductive content analysis, this study sought to examine the crisis experienced by the institution, the quality of service, and the distrust of the system and institution based on the experience of distrust in the home-visiting care service of bbeneficiary and guardians. FGI was conducted on five managers of institutions that provide home-visiting care services. As a result, the central phenomenon was found: deterioration of service quality, distrust of systems and institutions, and difficulties in opera-ting long-term care institutions. In order to improve the quality of home-visited care services and build trust in care workers and institutions, first, home-based associations or operating corporations should develop new education program plans and manuals to strengthen the capabilities of care workers and social workers. Second, the NHIS's monitoring system and the professional management system of care workers should be established. Third, it is necessary to improve awareness of the role, expertise, and rights of care workers, and fourth, improvement measures are required to reduce the turnover rate of care workers, which is the cause of the deterioration of the quality of long-term care services.

A Study on the Preservation Programs in Libraries and Archives (도서관 및 기록관 자료보존프로그램에 관한 고찰)

  • Cho, Young-Ju
    • Journal of Korean Society of Archives and Records Management
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    • v.4 no.1
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    • pp.101-116
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    • 2004
  • Deterioration and brittleness of resources on the shelves of institutions such as libraries and archives have been increased and accelerated as time passes in accordance with the preservation environment and the nature of their own material. It can be a loss of current information with little importance in prolong the life of valuable materials and to preserve them in security, integrated preservation programs should be developed and implemented according to missions, sizes, the nature of collections, users, and budgets of individual institutions. In reality, most institutions, however, are not able to implement perfect preservation programs due to lack of budget, human resources, and expertise. To solve this problem, some institutions in similar circumstances have planned cooperative preservation programs in various levels. Through cooperative systems individual institutions can not only pursue common interests but gain real benefits for themselves. Consequently institutions are recommended to collaborate with in development and implementation of various preservation programs at local, national, and international levels in addition to individual institutional programs.

Estimation of Structural Deterioration of Sewer using Markov Chain Model (마르코프 연쇄 모델을 이용한 하수관로의 구조적 노후도 추정)

  • Kang, Byong Jun;Yoo, Soon Yu;Zhang, Chuanli;Park, Kyoo Hong
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.43 no.4
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    • pp.421-431
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    • 2023
  • Sewer deterioration models can offer important information on prediction of future condition of the asset to decision makers in their implementing sewer pipe networks management program. In this study, Markov chain model was used to estimate sewer deterioration trend based on the historical structural condition assessment data obtained by CCTV inspection. The data used in this study were limited to Hume pipe with diameter of 450 mm and 600 mm in three sub-catchment areas in city A, which were collected by CCTV inspection projects performed in 1998-1999 and 2010-2011. As a result, it was found that sewers in sub-catchment area EM have deteriorated faster than those in other two sub-catchments. Various main defects were to generate in 29% of 450 mm sewers and 38% of 600 mm in 35 years after the installation, while serious failure in 62% of 450 mm sewers and 74% of 600 mm in 100 years after the installation in sub-catchment area EM. In sub-catchment area SN, main defects were to generate in 26% of 450 mm sewers and 35% of 600 mm in 35 years after the installation, while in sub-catchment area HK main defects were to generate in 27% of 450 mm sewers and 37% of 600 mm in 35 years after the installation. Larger sewer pipes of 600 mm were found to deteriorate faster than smaller sewer pipes of 450 mm by about 12 years. Assuming that the percentage of main defects generation could be set as 40% to estimate the life expectancy of the sewers, it was estimated as 60 years in sub-catchment area SN, 42 years in sub-catchment area EM, 59 years in sub-catchment area HK for 450 mm sewer pipes, respectively. For 600 mm sewer pipes, on the other hand, it was estimated as 43 years, 34 years, 39 years in sub-catchment areas SN, EM, and HK, respectively.

Road Maintenance Planning with Traffic Demand Forecasting (장래교통수요예측을 고려한 도로 유지관리 방안)

  • Kim, Jeongmin;Choi, Seunghyun;Do, Myungsik;Han, Daeseok
    • International Journal of Highway Engineering
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    • v.18 no.3
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    • pp.47-57
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    • 2016
  • PURPOSES : This study aims to examine the differences between the existing traffic demand forecasting method and the traffic demand forecasting method considering future regional development plans and new road construction and expansion plans using a four-step traffic demand forecast for a more objective and sophisticated national highway maintenance. This study ultimately aims to present future pavement deterioration and budget forecasting planning based on the examination. METHODS : This study used the latest data offered by the Korea Transport Data Base (KTDB) as the basic data for demand forecast. The analysis scope was set using the Daejeon Metropolitan City's O/D and network data. This study used a traffic demand program called TransCad, and performed a traffic assignment by vehicle type through the application of a user equilibrium-based multi-class assignment technique. This study forecasted future traffic demand by verifying whether or not a realistic traffic pattern was expressed similarly by undertaking a calibration process. This study performed a life cycle cost analysis based on traffic using the forecasted future demand or existing past pattern, or by assuming the constant traffic demand. The maintenance criteria were decided according to equivalent single axle loads (ESAL). The maintenance period in the concerned section was calculated in this study. This study also computed the maintenance costs using a construction method by applying the maintenance criteria considering the ESAL. The road user costs were calculated by using the user cost calculation logic applied to the Korean Pavement Management System, which is the existing study outcome. RESULTS : This study ascertained that the increase and decrease of traffic occurred in the concerned section according to the future development plans. Furthermore, there were differences from demand forecasting that did not consider the development plans. Realistic and accurate demand forecasting supported an optimized decision making that efficiently assigns maintenance costs, and can be used as very important basic information for maintenance decision making. CONCLUSIONS : Therefore, decision making for a more efficient and sophisticated road management than the method assuming future traffic can be expected to be the same as the existing pattern or steady traffic demand. The reflection of a reliable forecasting of the future traffic demand to life cycle cost analysis (LCCA) can be a very vital factor because many studies are generally performed without considering the future traffic demand or with an analysis through setting a scenario upon LCCA within a pavement management system.

Intelligent and Responsive Window Opening-Closing Operation Process for Carbon Dioxide(CO2) Management of Secondary School Classroom (중등학교 교실의 이산화탄소(CO2) 관리를 위한 지능형 창호개폐 작동 프로세스)

  • Choi, Yoon-Young;Lee, Hyun-Soo
    • Journal of the Korean Institute of Educational Facilities
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    • v.25 no.4
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    • pp.19-30
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    • 2018
  • The school classroom is a common living place where students spend 7 to 14 hours a day to prepare for their careers. Therefore, if the ventilation of the classroom is not properly performed, it may lead to the deterioration of learning ability due to the unclear air. The concentration of carbon dioxide in the classroom is reported to be high, and the increase in carbon dioxide concentration has a negative effect on the learner's academic performance. In this context, the purpose of this study is to propose a methodology for intelligent and responsive window opening-closing operation process that can reduce the concentration of $CO_2$ in the classroom in order to build a support space that can create an effective teaching-learning environment for adolescents. The specific objectives are as follows. First of all, we define the concept of window opening-closing operation. Secondly, twe develop the operation process of window opening-closing. Thirdly, we develop an algorithm for real-time window opening and closing (process) (Window Opening-Closing Operation Process). Finally, we verify the intelligent responsive window opening-closing operation process through developing examples of window opening-closing operation process using the parametric design program. This study is a preliminary study to develop algorithms necessary for window opening-closing operation. Based on the first-order algorithm, We simulated window opening-closing operations according to a hypothetical scenario. As a result, This study can show that the window is open and close depending on the $CO_2$ concentration, but the $CO_2$ concentration in the room is higher than outdoors. Consequentially, we suggest that it is necessary to develop an algorithm to supplement these results because window is often not working when the temperature difference between indoor and outdoor in winter is large.

Development of a Flexible Critical Pathway with Electronic Medical Record for Gastrectomy Patients in a University Hospital (위 절제술 환자의 진료계획표 개발 및 전자 의무 기록화)

  • Bae, Myung Sun;Song, Jung Hup
    • Quality Improvement in Health Care
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    • v.18 no.1
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    • pp.37-55
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    • 2012
  • Objectives : This study was conducted to evaluate the effect of fixed critical pathway with emr (electronic medical record) on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a university hospital and to develop flexible critical pathway with emr which can be used excluded or drop-out patients. Methods : Thirty-eight patients with gastrectomy were included as case group and Thirty-four patients included as control group. The comparison between control and case with using fixed critical pathway were done. To develop and to evaluate usefulness of flexible critical pathway with flexible data base, simulation was done for flexible critical pathway with drop-out patients. Result : The major results of this study were as follows: There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. The length of hospital stay was 11 days in control group, 8 days in path group(P<0.01). The total costs during the hospital stay were reduced in path group. However the cost per day was significantly increased from reduction of hospital stay(554,352 won in control, 645,669 won in path group). One hundred percentage of drop out patients(60) in the simulation of flexible critical pathway was successful. Conclusion : Computerized critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care. The flexible critical pathway program can be used as one of the powerful management tools for reducing the practice variations and increasing the efficiency of care process and decreasing the workload of doctors and nurses in Korean hospital settings.

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Directions towards sustainable agricultural systems in Korea

  • Kim, Chang-Gil
    • Proceedings of the Korean Society of Crop Science Conference
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    • 2017.06a
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    • pp.3-3
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    • 2017
  • The question of how to establish sustainable agricultural systems has become as prominent as questions related to water, energy and climate change. High input/high output agriculture has brought with it many adverse effects; the massive deterioration of soil and water in both quantity and quality, increased greenhouse gas emissions and an increased prevalence of unsafe foods. Additionally, urbanization and climate change has worsened the shortage of farmland and reduced the supply of agricultural water. Given these challenges, maintaining, conserving and efficiently using agri-environmental resources, through fostering of sustainable agriculture, have emerged as key tasks in solving these problems. What is needed therefore is research, based on systematic and comprehensive empirical analyses, that can propose plans and methods for establishing an appropriate sustainable agricultural system. The empirical analysis of sustainable agricultural system is approached separately from economic, environmental and social aspects. An analysis of environment effect reveals that the available phosphate level is 1.3~2.1 times greater than the optimal amount in rice paddies, upland fields and orchards. Further examination has revealed that the excess nutrient is polluting both ground water and surface water. Analytical results for economic feasibility show that factors of production have been invested heavily in the rice crop. Under these conditions, sustainable agriculture, including low-input agriculture, appears to be a possible alternative that will facilitate simultaneous improvements in both economic feasibility and environment effects. Analysis results for sociality reveal that social factors include the value of producer, association and interior networks. Social conditions are comprised of leadership, consumers' awareness, education and conflict solutions. In addition, analysis as to the degree investments contribute to improving agricultural value added has revealed that the direct payment program is the most effective instrument. Experts confirm that economic feasibility can be improved by scientific and well-reasoned nutrient management on the basis of soil testing. Farmers pointed to 'economic factors' as being the largest obstacle to switching to the practice of sustainable agriculture. They also indicate 'uncertainty with regards to sustainable agriculture technology' as an impediment to practicing sustainable agriculture. Even so, farmers who believe environmental and regional issues to be the most pressing problems have expanded their practice of sustainable agriculture. The keys to establishing sustainable agriculture system are classified into the following four aspects. Firstly, from an economic aspect, the research indicates that agricultural policy needs to be integrated with environmental policy and that the function of market making based on the value chain needs to be revitalized. Secondly, from an environmental aspect, there is a need for an optimal resource management system to be established in the agricultural sector. In addition, sustainable agriculture practice will need to be extended with attendant environmentally-friendly and sustainable intensive technology also requiring further development. Thirdly, from a social aspect, green agriculture management needs to be fostered, technology and education extended, and social conflict mediated. Lastly, from a governance aspect, it will be necessary to strengthen good governance, assign and share suitable roles and responsibilities, build a cooperation system and utilize community supported agriculture.

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Survey on the Actual Condition and the Improvement Factors of Foreign Workers at the Construction Site. (건설현장 외국인근로 실태조사 및 개선요소 도출)

  • Baek, Nak-Ku;Hong, Jun-Pyo;Lim, Hyoung-chul
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.19 no.1
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    • pp.136-145
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    • 2018
  • Companies that have suffered serious labor shortages are relocating their factories abroad where they can solve this problem by increasing the employment of foreign workers. Construction sites also employ foreign workers to supplement the scarce manpower, and the demand for foreign workers has been gradually increasing over time. Recently, based on discussions on whether or not to introduce foreign workers, the policy on the input of foreign workers into domestic construction sites has been shifted to exploring the actual input conditions and efficient management methods. In this study, we investigated the current status and input situation of foreign workers at the construction sites of the target area, analyzed the problems they posed from the manager's viewpoint, and derived a method of improving the utilization of foreign workers at construction sites. In order to proceed with this study, we surveyed the actual situation of the construction sites, which consisted mainly of foreign workers and domestic workers (managers), by investigating the construction sites, and conducted 1: 1 interviews to ensure the reliability of the survey. The data obtained from the survey were analyzed using the SPSS analysis program, and the response rate was analyzed for each item. As a result, various problems, such as institutional problems, communication problems, and quality deterioration due to malfunction, appeared. Therefore, this study derives an improvement plan for the efficient utilization of foreign workers by improving the institutional level related to their language education, wages and employment.