• 제목/요약/키워드: group support system

검색결과 877건 처리시간 0.026초

궁둥신경 가동술이 여성노인의 뻗은다리올림 검사와 보행능력에 미치는 영향 (The Effect of Sciatic Nerve Mobilization on SLR Angle and Gait Ability of Elderly Women)

  • 남기원;고재청;서동열
    • 대한물리의학회지
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    • 제12권4호
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    • pp.11-18
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    • 2017
  • PURPOSE: The purpose of this study was to examine the effects of sciatic nerve mobilization techniques on straight leg raising (SLR) and walking ability in elderly women aged over 65. METHODS: Seventy women aged over 65 were examined using SLR test and forty women were selected as subjects. They were divided into Group I (under $70^{\circ}$ of SLR test of both legs, n=20) and Group II (over $70^{\circ}$ of SLR test of both legs, n=20). Nerve mobilization was applied to both groups (three times a week for 4 weeks). SLR angle was measured using digital goniometer and walking ability was measured by step length, stride length, velocity, double support, using GAITRite System. After 4 weeks, paired t-test was used to compare the changes of SLR test and walking ability within Group I and Group II. RESULTS: In Group I, SLR test, step length, stride length and gait velocity were significantly increased but double support was significantly difference. In Group II, SLR test, step length and stride length were significantly increased but gait velocity was not significantly increased and double support was significantly decreased. CONCLUSION: This study showed that sciatic nerve mobilization techniques had positive effects on the SLR angle and walking ability in elderly women.

인공 종양대치물을 이용한 사지구제술후의 보행 분석 (Gait Analysis of Patients with Tumor Prosthesis around the Knee)

  • 이상훈;정진엽;김한수;김병성;이한구
    • 대한골관절종양학회지
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    • 제3권1호
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    • pp.18-25
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    • 1997
  • Prosthetic replacement is one of the most common methods of reconstruction after resection of malignant tumor around the knee. Gait analysis provides a relative objective data about the gait function of patients with prosthesis. The purpose of this study was to compare the gait pattern of the patients who underwent limb salvage surgery with prosthesis for distal femur and that of patients with prosthesis for proximal tibia. This study included ten patients (4 males, 6 females, mean age 22.7 years, range 14-36) who underwent a wide resection and Kotz hinged modular reconstruction prosthesis replacement and six normal adult(Control). The site of bone tumor was the distal femur (Group 1) in six patients and proximal tibia (Group 2) in 4 patients. The follow-up period ranged from 15 to 82 months (mean : 33 months). The evaluation consisted of clinical assessment, radiographic assessment, gait analysis using VICON 370 Motion Analysis System. The gait analysis included the linear parameters such as, walking velocity, cadence, step length, stride length, stance time, swing time, single support and double support time and the three-dimensional kinematics (joint rotation angle, velocity of joint rotation) of ankle, knee, hip and pelvis in sagittal, coronal and transverse plane. For the kinetic evaluation, the moment of force (unit: Nm/kg) and power (unit: Watt/kg) of ankle, knee and hip joint in sagittal, coronal and transverse plane. In the linear parameters, cadence, velocity, step time and single support were decreased in both group 1 and group 2 compared with control. Double support decreased in group 2 compared with control significantly(p<.05). In contrast to our hypothesis, there was no significant difference between group 1 and group 2. In Kinematics, we observed significant difference (p<.05) of decreased knee flexion in loading response (G2

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일 군 주민에서 사회적 지지의 수준에 따른 심박변이도의 차이 (Difference of the Heart Rate Variability According to the Social Support Level in a County)

  • 신유섭;변지상;김석현;신진호;최보율;남정현;오동훈
    • 정신신체의학
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    • 제20권1호
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    • pp.59-65
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    • 2012
  • 연구목적 : 본 연구는 경기도 소재 일 군의 '농촌기반 코호트 사업'의 일환으로서, 사회적 지지의 차이에 따른 심박변이도(heart rate variability, HRV)의 변화를 조사하기 위해 시행되었다. 방 법 : 건강증진 프로그램에 참여중인 일 지역 40세 이상의 1727명의 자료를 이용하였으며, 모든 연구 참여자에게 일대일 면담을 시행하여 사회 인구학적 정보에 대한 조사 및 신체 검진을 시행하였다. 또한 사회적 지지를 평가하기 위해 Medical Outcomes Study-Social Support Survey(MOS-SSS)를 작성하도록 하였으며, 자율신경계 기능을 평가하기 위하여 HRV를 측정하였다. 전체 대상 군 중 MOS-SSS 점수를 기준으로 상위 25%에 속한 432명을 high social support(HSS), 하위 25%에 속한 435명을 poor social support(PSS)로 구분하여 연구를 진행하였다. 결 과 : 두 군은 사회 인구학적 요인 중 평균 연령과 성별 구성에서 유의한 차이를 보였다(p<0.05). HRV 관련 지수 중 HSS 군이 PSS 군에 비하여 SDNN(F=4.938, p=0.027), TP(F=8.088, p=0.005), VLF(F=6.220, p=0.013) 및 LF(F=3.873, p=0.049) 값이 높았다. 결 론 : 연구 결과 PSS 군이 HSS 군에 비해 자율신경계의 기능 손상이 나타났다. 사회적 지지는 개인이 처한 위기를 극복하고 변화에 적응할 수 있도록 도우며 스트레스 상황에서는 완충 역할을 한다고 알려져 있는데, 이러한 사회적 지지의 낮은 수준이 자율신경계 기능에 영향을 주었다고 할 수 있다. 또한 HRV가 자율신경계 기능을 객관적으로 검사할 수 있는 면을 이용하여 사회적 지지에 대한 평가에 보조적으로 활용될 가능성이 있다는 것을 제시할 수 있었다.

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참여자관점에서 공급사슬관리 시스템의 성공에 영향을 미치는 요인에 관한 실증연구 (An Empirical Study on the Determinants of Supply Chain Management Systems Success from Vendor's Perspective)

  • 강성배;문태수;정윤
    • Asia pacific journal of information systems
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    • 제20권3호
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    • pp.139-166
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    • 2010
  • The supply chain management (SCM) systems have emerged as strong managerial tools for manufacturing firms in enhancing competitive strength. Despite of large investments in the SCM systems, many companies are not fully realizing the promised benefits from the systems. A review of literature on adoption, implementation and success factor of IOS (inter-organization systems), EDI (electronic data interchange) systems, shows that this issue has been examined from multiple theoretic perspectives. And many researchers have attempted to identify the factors which influence the success of system implementation. However, the existing studies have two drawbacks in revealing the determinants of systems implementation success. First, previous researches raise questions as to the appropriateness of research subjects selected. Most SCM systems are operating in the form of private industrial networks, where the participants of the systems consist of two distinct groups: focus companies and vendors. The focus companies are the primary actors in developing and operating the systems, while vendors are passive participants which are connected to the system in order to supply raw materials and parts to the focus companies. Under the circumstance, there are three ways in selecting the research subjects; focus companies only, vendors only, or two parties grouped together. It is hard to find researches that use the focus companies exclusively as the subjects probably due to the insufficient sample size for statistic analysis. Most researches have been conducted using the data collected from both groups. We argue that the SCM success factors cannot be correctly indentified in this case. The focus companies and the vendors are in different positions in many areas regarding the system implementation: firm size, managerial resources, bargaining power, organizational maturity, and etc. There are no obvious reasons to believe that the success factors of the two groups are identical. Grouping the two groups also raises questions on measuring the system success. The benefits from utilizing the systems may not be commonly distributed to the two groups. One group's benefits might be realized at the expenses of the other group considering the situation where vendors participating in SCM systems are under continuous pressures from the focus companies with respect to prices, quality, and delivery time. Therefore, by combining the system outcomes of both groups we cannot measure the system benefits obtained by each group correctly. Second, the measures of system success adopted in the previous researches have shortcoming in measuring the SCM success. User satisfaction, system utilization, and user attitudes toward the systems are most commonly used success measures in the existing studies. These measures have been developed as proxy variables in the studies of decision support systems (DSS) where the contribution of the systems to the organization performance is very difficult to measure. Unlike the DSS, the SCM systems have more specific goals, such as cost saving, inventory reduction, quality improvement, rapid time, and higher customer service. We maintain that more specific measures can be developed instead of proxy variables in order to measure the system benefits correctly. The purpose of this study is to find the determinants of SCM systems success in the perspective of vendor companies. In developing the research model, we have focused on selecting the success factors appropriate for the vendors through reviewing past researches and on developing more accurate success measures. The variables can be classified into following: technological, organizational, and environmental factors on the basis of TOE (Technology-Organization-Environment) framework. The model consists of three independent variables (competition intensity, top management support, and information system maturity), one mediating variable (collaboration), one moderating variable (government support), and a dependent variable (system success). The systems success measures have been developed to reflect the operational benefits of the SCM systems; improvement in planning and analysis capabilities, faster throughput, cost reduction, task integration, and improved product and customer service. The model has been validated using the survey data collected from 122 vendors participating in the SCM systems in Korea. To test for mediation, one should estimate the hierarchical regression analysis on the collaboration. And moderating effect analysis should estimate the moderated multiple regression, examines the effect of the government support. The result shows that information system maturity and top management support are the most important determinants of SCM system success. Supply chain technologies that standardize data formats and enhance information sharing may be adopted by supply chain leader organization because of the influence of focal company in the private industrial networks in order to streamline transactions and improve inter-organization communication. Specially, the need to develop and sustain an information system maturity will provide the focus and purpose to successfully overcome information system obstacles and resistance to innovation diffusion within the supply chain network organization. The support of top management will help focus efforts toward the realization of inter-organizational benefits and lend credibility to functional managers responsible for its implementation. The active involvement, vision, and direction of high level executives provide the impetus needed to sustain the implementation of SCM. The quality of collaboration relationships also is positively related to outcome variable. Collaboration variable is found to have a mediation effect between on influencing factors and implementation success. Higher levels of inter-organizational collaboration behaviors such as shared planning and flexibility in coordinating activities were found to be strongly linked to the vendors trust in the supply chain network. Government support moderates the effect of the IS maturity, competitive intensity, top management support on collaboration and implementation success of SCM. In general, the vendor companies face substantially greater risks in SCM implementation than the larger companies do because of severe constraints on financial and human resources and limited education on SCM systems. Besides resources, Vendors generally lack computer experience and do not have sufficient internal SCM expertise. For these reasons, government supports may establish requirements for firms doing business with the government or provide incentives to adopt, implementation SCM or practices. Government support provides significant improvements in implementation success of SCM when IS maturity, competitive intensity, top management support and collaboration are low. The environmental characteristic of competition intensity has no direct effect on vendor perspective of SCM system success. But, vendors facing above average competition intensity will have a greater need for changing technology. This suggests that companies trying to implement SCM systems should set up compatible supply chain networks and a high-quality collaboration relationship for implementation and performance.

가족센터 평가사업에 대한 메타평가 (A Meta-Evaluation of the Evaluation Project at the Family Support Center)

  • 강복정
    • 가족자원경영과 정책
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    • 제28권2호
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    • pp.27-38
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    • 2024
  • 본 연구의 목적은 메타평가 분석 모형으로 가족센터 평가사업 평가자와 가족센터의 인식 차이를 분석하고 가족센터 평가사업의 쟁점을 도출하여 개선 대안을 모색하는 것이다. 그 결과 평가자와 가족센터 간 집단별 평균은 5점 만점에 평가위원 4.21점, 가족센터 3.20점으로 유의미한 차이가 있었다. 메타평가 구성 요소별 개선 대안은 다음과 같다. 평가환경에서는 여성가족부 지침 내 평가목적 및 활용 내용 구체화, 평가군 재조정이 필요하다. 평가투입에서는 한국건강가정진흥원 내 평가지원 조직 설치, 자체평가보고서 양식 간소화, 정량평가 정보공개, 평가교육 및 컨설팅 사업 체계화가 요구된다. 평가과정에서는 가족지원통합정보시스템 활용도 향상, 정성평가 내용의 구체화, 평가 주체별 평가활용 사업개선, 의사소통 채널 다양화가 필요하다. 평가결과에서는 평가지표 개선과 가족센터 대상 평가 후속 교육 강화가 요구된다. 평가활용에서는 다양한 인센티브 및 하위센터 지원 강화, 우수사례 활용 공유 확산이 필요하다. 이에 평가의 질적 향상을 위해서는 3년 주기로 위탁하여 실시되고 있는 가족센터 평가사업에 대한 제도적 근거를 개선하여 한국건강가정진흥원의 고유사업으로 전환하고, 여성가족부는 가족센터 평가의 전 과정에 대한 모니터링 및 지도점검을 강화할 필요가 있다. 이 연구는 사례연구로서 다양한 정책 서비스 전달체계에 대한 평가제도 개선에 시사점을 제공하였다.

여러종류의 문제에 대한 집단의사결정단계에서의 GDSS 활용 (The Application of GDSS at Group Decision Stages for Various Task Types)

  • 손달호
    • 산업공학
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    • 제9권3호
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    • pp.269-282
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    • 1996
  • This paper introduced a procedure for improving the quality of group decision making in various task types. Emphasis is placed on the construction of the optimal GDSS(Group Decision Support System) design with identifying the group decision characteristics of decision stages on the various task types. Especially, the identification of outliers and the establishment of confidence limits in group decision making were stressed. Participants in group decision making whose 'opinions fall outside the group's tolerance level are further studied to annex the source of this variation. The result showed that a preparation stage in the generating idea-type task and a illumination stage in the negotiating-type task were critical. Furthermore, the degree of the disagreement was severe in the verification and the preparation stages on group decision making. This paper developed a general procedure for improving the quality of group decision making. The procedure presented helps in identifying those stakeholders whose opinions may significantly deviate from that of the group.

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불안정 지면에 앉아 추가적으로 수행한 몸통운동이 만성 뇌졸중 환자의 균형과 보행 능력에 미치는 영향 (Effects of Additional Trunk Exercises on an Unstable Surface on the Balance and Walking Ability of Individuals with Chronic Stroke)

  • 봉순녕;김용남
    • PNF and Movement
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    • 제16권2호
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    • pp.249-257
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    • 2018
  • Purpose: This study aimed to explore the effects of additional trunk exercises on an unstable surface on the balance and walking ability of individuals with chronic stroke. Methods: Sixteen patients with chronic stroke participated in this study. The participants were randomly assigned to two groups: experimental group (n=8) and control group (n=8). All the participants underwent a typical physical therapy program for 30 min a day. Moreover, the experimental group participated in a 30 min trunk exercise program on an unstable surface, whereas the control group participated in a 30 min trunk exercise program on a stable surface. Both groups performed the exercises five times a week for three weeks. The Berg Balance Scale (BBS) was used to measure changes in balance. The gait variables were measured using the GAITRite system (CIR System Inc., Clifton, NJ, USA) to examine changes in walking ability. Results: Both groups showed a significant intragroup improvement in balance, gait speed, cadence, stride length, and double support period (p<0.05). In the intergroup comparisons after the intervention, the experimental group showed significant improvements over the control group in balance, gait speed, cadence, stride length, and double support period (p<0.05). Conclusion: This study applied additional trunk exercises on an unstable surface to chronic stroke patients, and the results showed a significant improvement in the patients' balance and walking abilities. Therefore, trunk exercise on an unstable surface may be applicable as an intervention method to improve the balance and walking ability of chronic stroke patients.

고유수용성신경근촉진법을 이용한 저항보행훈련이 만성뇌졸중환자의 보행과 균형능력에 미치는 영향 (The Effects of Resistant Gait Training with Proprioceptive Neuromuscular Facilitation on the Walking and Balancing Abilities of Chronic Stroke Patients)

  • 방대혁;봉순녕
    • PNF and Movement
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    • 제15권1호
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    • pp.57-65
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    • 2017
  • Purpose: The purpose of this study was to examine the effects of resistant gait training with proprioceptive neuromuscular facilitation (PNF) on the walking and balancing abilities of chronic stroke patients. Methods: Twelve chronic stroke patients were randomly assigned to either a control group (n = 6) that underwent treadmill gait training or an experimental group (n = 6) that underwent resistant gait training using PNF. The interventions were performed five times per week for four weeks. Gait variables were measured using a GAITRite system (CIR System Inc, Clifton, NJ, USA) to examine changes in walking ability; the Berg balance scale (BBS) was used to measure changes in balance; and the activity-specific balance confidence scale (ABC) was measured to examine changes in confidence about balance. A Wilcoxon signed-rank test was used to examine intragroup differences before and after the interventions, and a Mann-Whitney U-test was used for intergroup comparisons of the effects of the interventions. All statistical significance levels were set to ${\alpha}=0.05$. Results: Both the experimental group and the control group showed significant intragroup improvement in walking speed, the number of steps per minute, stride length, double support time, balance, and confidence about balance after the interventions (p < 0.05). In intergroup comparisons after the interventions, the experimental group showed significant improvements over the control group in walking speed, the number of steps per minute, stride length, balance, and confidence about balance (p < 0.05). No significant difference in double support time was seen in the intergroup comparison after training (p > 0.05). Conclusion: This study applied resistant gait training using PNF to chronic stroke patients, and the results showed significant improvements in the patients' walking and balancing abilities. Therefore, resistant gait training using PNF is thought to be applicable as an intervention method for chronic stroke patients.

원전 시뮬레이터 노심모델 Tuning 지원 프로그램 개발 (Development of the Tuning-Support Program for Neutronics Model in the NPP Simulator)

  • 서인용;홍진혁;이명수;고병만
    • 한국시뮬레이션학회:학술대회논문집
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    • 한국시뮬레이션학회 2005년도 추계학술대회 및 정기총회
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    • pp.165-170
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    • 2005
  • 원전 시뮬레이터의 노심모델(REMARK)은 원자로에서 발생하는 1차원 열원을 정확히 모사하고, 정상상태 및 과도상태의 반응도 변화에 따른 중성자속의 거동을 실제 원자로와 유사하게 모사할 수 있어야 한다. 모사의 정확성을 높이기 위해 Tuning 작업이 필수적이나 그 작업 단계가 매우 복잡하여 많은 시간과 노력이 필요하기 때문에 이를 간소화하면서 정확성을 높일 수 있는 Tuning 지원 프로그램을 개발하였다. 개발된 프로그램의 사용결과 신속하고 정확한 Tuning이 가능하였다.

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만성 관절염 환자의 사회적 지지가 우울, 자아존중감에 미치는 영향 (Influence of the Social Support on their Mental Health of the Rheumatoid Arthritis Patients)

  • 이선옥
    • 한국간호교육학회지
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    • 제9권2호
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    • pp.253-263
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    • 2003
  • Rheumatoid arthritis patients not only suffer from the physical damage, but they are afflicted severely mental and psychologic after effects. Their depression and low self-esteem eventually yields serious mental damages, which makes difficult for them to recover. The states of mental health of arthritis patients are diversified depending on the characters and surrounding circumstances, although they may have suffered from the similar condition. Therefore this research was conbucted to the factors that can give positive influences to the patients. In recent time, social support for the arthritis patients has become an important factor that can positively influence their mental health. In other words, social support can act as an important environmental system for arthritis patients to recover their damaged mental health. In order to fulfill this purpose, 118 patients were examined to identify the relationship between the variables. The summary of the result obtained from the research is as follow: 1. The structural aspect of social support for arthritis patients showed the most of them had various social support network size and their highest support system were 'family', 'relative' and 'friends'. The functional aspect of social support for arthritis patients showed moderate degree and their highest sub component was 'approval'. 2. High correlation was found between duration of relationship, similarity, frequency of meeting and functional support. There was no relationship between depression, self-esteem and social support. 3. Therefore this research has suggested that nurses who care rheumatoid arthritis patient consider the above condition to develop self-help group.

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