• Title/Summary/Keyword: internal knowledge

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The Level of Awareness and Practice in Prehospital Emergency Patient Assessment and Emergency Care of Paramedic in Fire Station (1급 응급구조사의 병원 전 응급환자평가와 응급처치시행에 대한 인식과 실천정도)

  • Kang, Yong-Ju;Choi, En-Sook
    • The Korean Journal of Emergency Medical Services
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    • v.15 no.2
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    • pp.67-84
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    • 2011
  • Purpose: The aim of this study is to present the basic data for qualitative improvement of emergency care for emergency patient by paramedic in fire station by understanding the level of awareness and practice in prehospital and transfer step, and understanding the level of emergency care and improvement of clinical knowledge through hospital clinical training. Methods: The researchers explained the objective for 143 persons who completed hospital clinical training from June 2nd, 2006 to October 23rd, 2009 among paramedic in fire station. The questionnaire in this research consisted of 80 questions. In the reliability for the awareness of emergency patient assessment, cronbach's $\alpha$ was 0.95, and in the reliability for emergency care fulfillment, cronbach's $\alpha$ was 0.93. reliability for clinical knowledge improvement is cronbach's $\alpha=.95$, and reliability for emergency care fulfillment is cronbach's $\alpha=.82$. Collected data was analyzed through SPSS 18.0 statistics program for frequency, percentage, average, standard deviation, Paired t-test, t-test, Correlation Coefficient, and internal consistency reliability was analyzed by cronbach's $\alpha$. Results: 1) The paramedic awareness and practice difference for emergency patient is statistically signification for general patient assessment(t=14.159, p=.000), trauma patient assessment(t=11.288, p=.000), internal medicine patient assessment(t=10.898, p=.000), and it shows the level of practice is lower than the level of awareness. 2) The paramedic difference between the level of awareness and practice according to whether or not they have clinical career is not signification on awareness(t=3.119, p=.125), and is high on practice(t=3.119, p=.002). 3) The correlation between paramedic awareness and the level of practice shows positive correlation(r=.61, p=.000). The higher the awareness of emergency patient assessment is, the higher the level of practice is. 4) The difference between paramedic clinical knowledge improvement and the level of emergency care practice is statistically significant(t=3.351, p=.001). 5) 89.6%(128 persons) of paramedic replied hospital clinical training experiences are helpful for field activity. 92.3%(133 persons) replied they apply well for clinical knowledge learned during hospital clinical training and emergency care skills in the field. Conclusion: Paramedic in fire station must evaluate the patient's initial assessment and activate the transfer system to the emergency department. It is necessary to develop and implement the effective education program continuously. The education program should systemize currently operated hospital clinical training. emergency disease and symptoms emergency care method, and practice mainly skill education should be progressed. In the prehospital and transfer management, high quality of medical assessment is required to the emergency medical service system. Medical direction from the doctors can feedback the paramedic continuously and continuing education must be provided to the paramedic in fire station.

The Effect of Centralities of Alliance Network on Innovation Performace in Korean Defense Industry (한국 방위산업 제휴네트워크 중심성이 혁신성과에 미치는 영향)

  • Ahn, Hoil;Kim, Changone;Lee, Heesang
    • Journal of Korea Technology Innovation Society
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    • v.18 no.2
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    • pp.292-317
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    • 2015
  • As modern science and technology and warfare become to be advanced and precise, the weapon systems becomes more complex based on state-of-the-art technology. Therefore, firms in the defense industry continue to accelerate research and development for up-to-date weapon systems with high complexity which urge the firms to collaborate with the external organizations to obtain the knowledge required and eventually to reduce costs and risk. This study tries an empirical study about the effect of collaboration on the innovation performances from the network analysis perspective. By surveying collaboration relationships among 530 firms in the Korean defense industry, we analyzed the alliance network of the defense industry. Network centrality including degree, closeness, and betweenness centralities is investigated and then the relationship among the network centrality property, internal R&D capabilities and innovation is analysed. The results show that firms with high internal R&D capabilities place the firm at center of the network. On the other hand, except for the firms with highly connected centrality, no relationship was found between the internal R&D capabilities and its performance and in turn. these capabilities had both direct and indirect effects on innovation performances through mediated collaboration among firms. This study implied that Korean firms with a high internal R&D capabilities in the defense industry which utilize knowledge, information and resources within the network more frequently show more innovative performance. This result claims the policy makers to participate more firms in fostering open innovation for the defense industry.

Wisdom Definition Categorization and Wisdom Management as Characteristics of the Modern Business Environment (현대 경영환경의 특징에 따른 지혜 정의 분류와 '지혜경영' 제안)

  • Kim, Joo-Won;Lee, Byong-Jae;Park, Yong-Seung
    • Journal of Distribution Science
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    • v.13 no.7
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    • pp.63-71
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    • 2015
  • Purpose - The characteristics of the modern management environment in Korea clearly involve the limitations of knowledge management, globalization, changes in industrial structures, polarization of the economy, consumption, and education, and the demand for creative management. To achieve a continuous competitive advantage for individuals as well as organizations, Wisdom Management can be said to be a paradigm for the current environment. The Research is an alternative to environmental management in the early study of the need to conceptualize the theoretical approach to wisdom management. In other words, it presents a new management paradigm for a business environment of uncertainty and unpredictability. Furthermore, it aims to propose Wisdom Management as an alternative in the modern management environment as well as a topic of discourse. Its purpose is to provide basic knowledge to people who study and practice in this field to strengthen the competitiveness of individuals and companies. Research design, data, and methodology - This paper first provides six characteristics of the current management environment at home and abroad. It then attempts to emphasize the necessity of wisdom based on such characteristics by classifying wisdom according to recent management study research. This allows the derivation of definitions of wisdom management, suggesting its components and properties. Results - The six characteristics of the modern business environment are: 1) limits of knowledge, 2) intensifying globalized competition, 3) changes in industry structure - IoT (Internet of all Things) trend, 4) serious polarization and social unrest diffusion, 5) personal and organizational competitiveness creativity requirements, and 6) domestic special national and social situations. Therefore, accordingly, wisdom can be defined and classified as: wisdom that offers potential integration beyond knowledge, practicing and maintaining knowledge wisdom as an efficient strategy for an organization wisdom as a decision-making process that addresses ambivalence wisdom as the pursuit of common goods based on ethics; and, wisdom as creativity that involves intuition and insight. This paper attempts to define Wisdom Management in accordance with these definitions of wisdom. Wisdom Management is a management system that is awareof the current environment given in the multidimensional perspective, achieves the efficiency of the organization and the goals of common good through an uncertain decision-making process, based on the organization of individual and organizational knowledge, and the internal experiences and resources. Wisdom Management components include human beings, virtue, knowledge, creativity, and ambivalent thinking. Its properties include intentionality, self-destructiveness, creative and ethical reflexivity, complexity, insight, unpredictability, ambivalence, and wholeness. Conclusions - Since all organizations face the limitations of their environment, crises, and opportunities, applying wisdom in management to develop as Wisdom Management can be an inevitable alternative to the uncertainties of the management environment faced by modern society. The conceptualization of Wisdom Management forms a valuable context to further advance knowledge management theory into practice. It is also a cornerstone of strategic management and can provide insight into its potential for success and implementation.

Research on Supplier's Absorptive Capacity, Knowledge Creation, Intellectual Capital and Competitive Advantage (공급업체의 흡수능력, 지식창출, 지적자본 및 경쟁우위에 관한 연구)

  • Si-Chao Wang;Yan-Nan Li
    • Journal of Digital Convergence
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    • v.21 no.3
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    • pp.1-14
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    • 2023
  • This raises the question of how competitive advantage can be created, prompting firms to enhance their capacity for change. In this context, the role of knowledge creation becomes increasingly vital. This research aims to explore the role of intellectual capital and how to improve knowledge cration ability through absorptive capacity framework. It examines the links among knowledge acquisition, learning of new knowledge, knowledge creation, intellectual capital, and competitive advantage, drawing from both internal and external sources. The study focuses on small and medium-sized supplier firms in Korea, with data collected from 15 industries, totaling 106 responses. The research model employs structural equation modeling (SEM) and utilizes AMOS 22 for analysis. As anticipated, all hypotheses were supported. The study provides robust evidence that absorptive capacity is a pivotal factor in cultivating suppliers' competitive advantage. Furthermore, it posits that intellectual capital should be viewed as a criucial component of suppliers' knowledge stock, significantly enhancing the impact of absorptive capacity on their competitive edge. Future studies should aim to validate the research model in different international settings or across multinational corporations to enhance its generalizabulity.

A Case of Accelerated Silicosis Mimicking Miliary Pulmonary Tuberculosis (속립성 결핵과 감별이 필요했던 가속형 규폐증 1례)

  • Kim, Kwang Hyun;Kim, Sang-Ha;Kwon, Woo Cheol;Lee, Myong Kyu;Choi, Hoon;Lee, Nak Won;Hong, Tae Won;Yong, Suk Joong;Shin, Kye Chul;Jung, Soon Hee;Lee, Won Yeon
    • Tuberculosis and Respiratory Diseases
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    • v.59 no.6
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    • pp.684-689
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    • 2005
  • Silicosis is a chronic fibrosing lung disease that is initiated by prolonged and extensive exposure to respirable free crystalline silica. Accelerated silicosis is rare and is clinically identical to the classic form of silicosis with the exception that the time from initial exposure to the onset of the disease is shorter and the rate of disease progression is dramatically faster. We describe a case of accelerated silicosis, which mimicked miliary pulmonary tuberculosis. The patient had worked in a mine coal for a period of 9 years. Subsequently, he worked in construction dealing with cement and sand for 14 years until he visited this clinic. The clinical course was notable for the rapid progression of the radiological features of silicosis over a period of 2 months. Polarizing light microscopic studies of the biopsied specimens by a transbronchial lung biopsy showed polarizing particles, which were typical of silica. To the best of our knowledge, this is the first case report of accelerated silicosis in Korea.

A Case of Disseminated Mycobacterium intracellulare Infection in an Immunocompromised Host (면역 저하 환자에서 발생한 파종성 Mycobacterium intracellulare 감염 1예)

  • Kim, Sun Young;Oh, Dong Wook;Yu, Ji Hee;Kim, Donghoi;Noh, Sehui;Roh, JaeHyung;Jung, Sang-Su;Yoo, Dong-Jun;Shim, Tae Sun
    • Tuberculosis and Respiratory Diseases
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    • v.67 no.1
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    • pp.32-36
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    • 2009
  • We report a case of disseminated Mycobacterium intracellulare infection in a 31-year-old man who had been diagnosed as having dermatomyositis and systemic lupus erythematosus 3-years prior. The patient developed a left pleural effusion M. intracellulare was repeatedly isolated from the pleural fluid. After antimycobacterial treatment, the patient's pleural effusion resolved, but a left knee joint effusion developed newly and M. intracellulare was cultured from the joint fluid. At present, the patient has been taking antimycobacterial medication for 15 months but his left knee joint fluid remains positive for M. intracellulare. To our knowledge, this is the second reported case of disseminated NTM infection in a non-HIV infected patient in Korea.

The Behavioral Attitude of Financial Firms' Employees on the Customer Information Security in Korea (금융회사의 고객정보보호에 대한 내부직원의 태도 연구)

  • Jung, Woo-Jin;Shin, Yu-Hyung;Lee, Sang-Yong Tom
    • Asia pacific journal of information systems
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    • v.22 no.1
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    • pp.53-77
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    • 2012
  • Financial firms, especially large scaled firms such as KB bank, NH bank, Samsung Card, Hana SK Card, Hyundai Capital, Shinhan Card, etc. should be securely dealing with the personal financial information. Indeed, people have tended to believe that those big financial companies are relatively safer in terms of information security than typical small and medium sized firms in other industries. However, the recent incidents of personal information privacy invasion showed that this may not be true. Financial firms have increased the investment of information protection and security, and they are trying to prevent the information privacy invasion accidents by doing all the necessary efforts. This paper studies how effectively a financial firm will be able to avoid personal financial information privacy invasion that may be deliberately caused by internal staffs. Although there are several literatures relating to information security, to our knowledge, this is the first study to focus on the behavior of internal staffs. The big financial firms are doing variety of information security activities to protect personal information. This study is to confirm what types of such activities actually work well. The primary research model of this paper is based on Theory of Planned Behavior (TPB) that describes the rational choice of human behavior. Also, a variety of activities to protect the personal information of financial firms, especially credit card companies with the most customer information, were modeled by the four-step process Security Action Cycle (SAC) that Straub and Welke (1998) claimed. Through this proposed conceptual research model, we study whether information security activities of each step could suppress personal information abuse. Also, by measuring the morality of internal staffs, we checked whether the act of information privacy invasion caused by internal staff is in fact a serious criminal behavior or just a kind of unethical behavior. In addition, we also checked whether there was the cognition difference of the moral level between internal staffs and the customers. Research subjects were customer call center operators in one of the big credit card company. We have used multiple regression analysis. Our results showed that the punishment of the remedy activities, among the firm's information security activities, had the most obvious effects of preventing the information abuse (or privacy invasion) by internal staff. Somewhat effective tools were the prevention activities that limited the physical accessibility of non-authorities to the system of customers' personal information database. Some examples of the prevention activities are to make the procedure of access rights complex and to enhance security instrument. We also found that 'the unnecessary information searches out of work' as the behavior of information abuse occurred frequently by internal staffs. They perceived these behaviors somewhat minor criminal or just unethical action rather than a serious criminal behavior. Also, there existed the big cognition difference of the moral level between internal staffs and the public (customers). Based on the findings of our research, we should expect that this paper help practically to prevent privacy invasion and to protect personal information properly by raising the effectiveness of information security activities of finance firms. Also, we expect that our suggestions can be utilized to effectively improve personnel management and to cope with internal security threats in the overall information security management system.

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A Study on the Effectiveness of Youth Smoking Cessation Education through the Program by School Doctor of Korean Medicine (한의사 교의 사업을 통한 소아청소년기 금연 교육의 효용성 연구)

  • Kim, Dong-Su;Sung, Hyun Kyung;Shin, Seon Mi;Go, Ho Yeon;Park, Jeong-Su;Lee, Seung Hwan;Park, Jang Kyung
    • The Journal of Pediatrics of Korean Medicine
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    • v.32 no.3
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    • pp.62-71
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    • 2018
  • Objectives Childhood & adolescence is the most crucial period in a lifetime to learn ability to maintain one's health even though this period usually has the least death rate or illness. Smoking is the one of the most common cause of one's death and illness, but can be avoidable. The purpose of this study is to investigate the effectiveness of the smoking cessation education through the program by school doctor of Korean medicine. Methods In 2017, the Seoul metropolitan office of education and the Seoul Korean medicine association implemented the program by school doctor of Korean medicine including smoking cessation education for 2 elementary schools (470 students) and 3 middle schools (1,106 students). And we carried out questionnaire to 211 people (1 elementary school and 1 middle school) and analyzed the results. Results The score in regards to smoking knowledge, before and after education, was increased from 3.35 to 4.22. The score in regards to negative perceptions about smoking, before and after education, was increased from 17.62 to 18.08. Conclusions After the smoking cessation education through the program by school doctor of Korean medicine, participants were highly satisfied because their knowledge about the smoke was increased as well as negative perception of the smoke. Therefore, development and application of smoking cessation programs will be needed.

A Peer-support Mini-counseling Model to Improve Treatment in HIV-positive Pregnant Women in Kupang City, East Nusa Tenggara, Indonesia

  • Artha Camellia;Plamularsih Swandari;Gusni Rahma;Tuti Parwati Merati;I Made Bakta;Dyah Pradnyaparamita Duarsa
    • Journal of Preventive Medicine and Public Health
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    • v.56 no.3
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    • pp.238-247
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    • 2023
  • Objectives: Low adherence to antiretroviral (ARV) therapy in pregnant women with human immunodeficiency virus (HIV) increases the risk of virus transmission from mother to newborn. Increasing mothers' knowledge and motivation to access treatment has been identified as a critical factor in prevention. Therefore, this research aimed to explore barriers and enablers in accessing HIV care and treatment services. Methods: This research was the first phase of a mixed-method analysis conducted in Kupang, a remote city in East Nusa Tenggara Province, Indonesia. Samples were taken by purposive sampling of 17 people interviewed, consisting of 6 mothers with HIV, 5 peer facilitators, and 6 health workers. Data were collected through semi-structured interviews, focus group discussions, observations, and document review. Inductive thematic analysis was also performed. The existing data were grouped into several themes, then relationships and linkages were drawn from each group of informants. Results: Barriers to accessing care and treatment were lack of knowledge about the benefits of ARV; stigma from within and the surrounding environment; difficulty in accessing services due to distance, time, and cost; completeness of administration; drugs' side effects; and the quality of health workers and HIV services. Conclusions: There was a need for a structured and integrated model of peer support to improve ARV uptake and treatment in pregnant women with HIV. This research identified needs including mini-counseling sessions designed to address psychosocial barriers as an integrated approach to support antenatal care that can effectively assist HIV-positive pregnant women in improving treatment adherence.

Knowledge, Attitude, and Education Needs of Radiation Protection Among Nursing Students and Nurses (간호학생과 간호사의 방사선 방어에 대한 지식, 태도와 교육 요구)

  • Yun, Soojung;Oh, Jina;Im, Mihae
    • The Journal of the Korea Contents Association
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    • v.16 no.10
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    • pp.563-572
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    • 2016
  • The purpose of this study was to examine the knowledge, attitude and educational needs of radiation protection among nursing students and nurses, because it is needed to raise awareness of the importance of radiation protection. The participants in this study were 274 including 135 registered nurses on bachelor's degree course who had experience of the operating room practice and 139 nursing students. The questionnaire consisted of 45 items including knowledge, attitude, and educational needs of radiation protection. The findings of the study suggest that safe management education was insufficient for protection of radiation. Though, educational needs and intention of involvement were high, the respondents who were more knowledgeable about radiation protection took a better attitude of radiation protection. A radiation protection course development is needed according to educational needs. Nurses have to get a chance to receive education outside the hospital or be provided with a radiation protection program as internal education. Also, radiation educational experts and various visual and auditory materials are needed to promote effectiveness of education.