• 제목/요약/키워드: medical resource use

검색결과 95건 처리시간 0.027초

변기 및 세탁기 가정용수 사용량의 시계열모형 연구 (An analysis of time series models for toilet and laundry water-uses)

  • 명성민;김동건;이두진;김화수;조진남
    • Journal of the Korean Data and Information Science Society
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    • 제24권6호
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    • pp.1141-1148
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    • 2013
  • 가정용수의 용도별 사용량은 주거형태, 거주자 생활양식, 주택구조 등의 내부적인 요인과 온도, 날씨, 수도요금 등과 같은 외부요인들의 영향을 받게 된다. 장기적으로는 거주민의 생활양식, 주거형태, 수도관련 시설의 변화에 따라 사용량이 점진적으로 변화하게 되며, 단기적으로는 기온이나 가뭄과 같은 기후조건이나 절수정책과 같은 인위적인 영향에 의해 사용량이 크게 변화하기도 한다. 본 연구에서는 가정에서 사용하고 있는 변기 및 세탁기 용수의 물 사용량 특성을 파악하기 위하여 전국을 대상으로 실측자료를 모니터링하고 각 사용량의 기준이 되는 원단위 (${\ell}pcd$; liter per capita day)를 도출하였으며 향후 가정용수 사용량 예측을 위하여 변기 및 세탁기 용수를 대상으로 오차항이 자기상관을 따르는 시계열 회귀모형을 이용하였다. 분석결과, 자기회귀오차 모형으로 변기 및 세탁기 용수의 사용량을 71% 정도 설명할 수 있다.

보건의료인을 위한 금연지도자 교육용 멀티미디어 컨텐츠 개발 (Development of Multimedia Contents on Smoking Cessation Leadership Program for Health Care Professionals)

  • 신성례;서홍관
    • 성인간호학회지
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    • 제22권6호
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    • pp.582-593
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    • 2010
  • Purpose: Health care professionals represent an immediately available resource to promote smoking cessation. However, the content in smoking cessation intervention courses in most institutions is insufficiently covered due to the limited number of class hours. The purpose of this study was to develop a comprehensive tobacco cessation-web-based, multimedia, educational program for a range of medical professionals. Methods: Based on Jung's Teaching and Learning Structure Plan Model, a development process was proposed comprising four stages: (1) analysis, (2) planning, (3) production, and (4) operation/evaluation. The effectiveness of the program was tested using quasi-experimental design, and the participants in experimental group were required to complete the program. Changes in the level of knowledge and attitude were measured. Results: The educational program developed includes nine topics and 26 sub-topics. A total of 180 storyboards, 15 videos, and 27 pictures were made. After the education, the level of knowledge was significantly increased in the experimental group. Conclusion: This web-based program can be recommended as a potential medium for health care professionals to use in counseling smoking cessation. The study findings also indicated that the program may be either offered as a teaching aid or utilized concurrently with lectures for students studying health care-related topics.

한국어판 간호사 직무순환 스트레스 측정도구 타당도와 신뢰도 (Validity and Reliability of a Korean Version of Nurse Job Rotation Stress)

  • 한정원;이빛나;양보은
    • 임상간호연구
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    • 제22권3호
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    • pp.352-358
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    • 2016
  • Purpose: This study was a methodological research implemented to establish basic data for controlling the job rotation stress of nurses and effectively managing human resources by reflecting the Nurse Job Rotation Stress Scale (NJRS) developed by Huang and others into the domestic nursing environment and verifying the use of measurement tools. Methods: The study selected nurses working at four hospitals, with over 300 beds, in Seoul, Gyeongi-do, and Busan, as its research subjects and verified the content validity, construct validity, concurrent validity, and internal consistency reliability of the measurement tool. Results: The results ultimately formed eight questions from three sub-factors (3 emotional response questions, 2 daily life questions, and 3 communication questions). In terms of reliability, emotional response issued a Cronbach's of .78, daily life issued a Cronbach's of .75, and communication issued a Cronbach's of .86. Conclusion: This study is expected to be used as basic data for achieving effective human resource management by calculating the stress of clinical nurses resulting from job rotation, but the researcher believes that the measurement tools must be expanded by confirming additional job rotation stress questions which reflect the organizational culture of Korea.

Inhibitory Activity of Three Varieties of Adlay (Coix Seed) on Adipocyte Differentiation in 3T3-L1 cells

  • Lee, Mi-Kyeong;Shin, Eun-Jin;Liu, Qing;Hwang, Bang-Yeon;Lee, Jung-Bok;Kim, Sun-Yeou;Lee, Jae-Hak
    • Natural Product Sciences
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    • 제16권4호
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    • pp.291-294
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    • 2010
  • In obesity, adipocytes undergo abnormal growth characterized by increased cell numbers and differentiation. Thus, inhibition of mitogenesis of preadipocytes and their differentiation to adipocytes would be beneficial for the prevention and progression of obesity. In the present study, we attempted to evaluate antiadipogenic activity of adlay (Coix seed, the seed of Coix lacryma-jobi L. var. ma-yuen Stapf) employing preadipocytes cell line, 3T3-L1 as an in vitro assay system. Because several varieties of adlay are in use in Korea, anti-adipogenic activity of three varieties of adlay such as Sang-Gang, Jo-Hyun and Yulmu-Ilho was evaluated. All the three varieties of adlay showed significant inhibitory activity on adipocyte differentiation as assessed by measuring fat accumulation using Oil Red O staining. Adlay, however, showed little effects on adipocyte proliferation. Further studies with interval treatment demonstrated that adlay exerted inhibitory activity on adipocyte differentiation via acting on early stage of adipogenesis. Taken together, adlay might be useful in the prevention of obesity.

IEEE 802.11n 기반에서 성능측정을 통한 최적의 캠퍼스 무선 랜 설계 (An Optimal Design Guide for Campus wireless LAN by Evaluating Performance Measurements in IEEE 802.11n-based Networks)

  • 김방룡;이길흥
    • 디지털산업정보학회논문지
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    • 제9권1호
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    • pp.9-23
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    • 2013
  • In recent days, there are many researches of wireless LAN services as the communication environment of wireless LAN are so improved that a lot of services are available in wireless environments. The frequency of the wireless LAN is a general resource that can be used to everyone without any permission. Many technologies using this ISM (Industry Science Medical) frequency band are developed fast and widely. But, as many devices use the same frequency band at th same time, the service quality is degraded and the speed of the service rate id degraded by the result of the interference. For overcome this problem, we must provide the new technology of the mobile devices and a new cell design scheme for obtaining maximum throughput that considering the wireless environments effectively. In this paper, we explain the main technology at the IEEE 802.11n environments and proposes the optimal cell design and reference model for gaining maximum performance to many mobile devices at the same time by investigating real environment testing results.

Online resources for information on shoulder arthroplasty: an assessment of quality and readability

  • Mohamad Y. Fares;Jaspal Singh;Amar S. Vadhera;Jonathan Koa;Peter Boufadel;Joseph A. Abboud
    • Clinics in Shoulder and Elbow
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    • 제26권3호
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    • pp.238-244
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    • 2023
  • Background: Many patients use online resources to educate themselves on surgical procedures and make well-informed healthcare decisions. The aim of our study was to evaluate the quality and readability of online resources exploring shoulder arthroplasty. Methods: An internet search pertaining to shoulder arthroplasty (partial, anatomic, and reverse) was conducted using the three most popular online search engines. The top 25 results generated from each term in each search engine were included. Webpages were excluded if they were duplicates, advertised by search engines, subpages of other pages, required payments or subscription, or were irrelevant to our scope. Webpages were classified into different source categories. Quality of information was assessed by HONcode certification, Journal of the American Medical Association (JAMA) criteria, and DISCERN benchmark criteria. Webpage readability was assessed using the Flesch reading ease score (FRES). Results: Our final dataset included 125 web pages. Academic sources were the most common with 45 web pages (36.0%) followed by physician/private practice with 39 web pages (31.2%). The mean JAMA and DISCERN scores for all web pages were 1.96±1.31 and 51.4±10.7, respectively. The total mean FRES score was 44.0±11.0. Only nine web pages (7.2%) were HONcode certified. Websites specified for healthcare professionals had the highest JAMA and DISCERN scores with means of 2.92±0.90 and 57.96±8.91, respectively (P<0.001). HONcode-certified webpages had higher quality and readability scores than other web pages. Conclusions: Web-based patient resources for shoulder arthroplasty information did not show high-quality scores and easy readability. When presenting medical information, sources should maintain a balance between readability and quality and should seek HONcode certification as it helps establish the reliability and accessibility of the presented information. Level of evidence: IV.

해양자원을 활용한 심신치유기법이 여성 감정노동자들의 수면, 우울 및 기분 증상 개선에 미치는 효과 : 예비 연구 (Effects of a Mindfulness-Based Mind-Body Intervention Program using Marine Resources on the Improvement of Sleep Quality and Mood Symptoms in Korean Female Emotional Labor Workers : A Pilot Study)

  • 이상아;이성재;육영숙;허유정;이민구;조휘영;이재헌
    • 수면정신생리
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    • 제25권2호
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    • pp.58-67
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    • 2018
  • 목 적 : 본 연구는 과도한 감정노동에 노출되어 있는 여성 감정노동자들을 대상으로 해양자원을 활용한 심신치유 기법이 효과가 있는지 여부를 알아보는 예비 연구이다. 방 법 : 정상 참고치 이상의 감정노동에 노출되어 있는 신체건강한 여성 감정노동자 12명을 대상으로, 경남 고성 당항포 일대에서 해양자원을 이용한 심신치유 프로그램을 4박 5일간 시행하였다. 피험자들에게 프로그램에 참여하도록 한 뒤 사전, 사후, 추후의 평가를 바탕으로 수면, 기분, 인지기능 영역의 변화를 확인하기 위해 통계분석을 실시하였다. 결 과 : 프로그램에 참가한 뒤 피험자들의 수면의 질이 호전되고 수면 잠복기가 유의하게 감소하였고 우울, 긴장, 분노, 피로 등 기분상태의 호전을 보였으며, 인지기능 또한 향상되었다. 수면의 질, 우울기분을 비롯한 상기 효과는 한 달 반 뒤 실시한 추후 평가에서도 동일하게 확인되었다(PSQI t = 2.63, p = 0.02, HAM-D t = 5.92, p < 0.001). 결 론 : 해양자원을 활용한 심신치유 기법이 긴장을 이완하고 스트레스를 낮추는데 효과적일 수 있음을 시사하며, 이와 관련해 대조군을 포함한 추후연구 및 체계적인 프로그램 개발이 필요하다.

의사 특성에 따른 외래 진료내용의 변이 (A Study on the Practice Variations According to Physician Characteristics)

  • 정은경;문옥륜;김창엽
    • Journal of Preventive Medicine and Public Health
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    • 제26권4호
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    • pp.614-627
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    • 1993
  • It is well known that a physician's personal characteristic affects his practice pattern. Furthermore, a physician's specialty has powerful influences on his practice pattern. However, despite the fact that specialization has received the most attention for its influence on physician's service behavior, few studies have been conducted on the variations of contents and volume of physician's services. This study has intended to identify factors influencing the practice variations according to various physician characteristics. There are some other evidences that medical care providers are different in using of health services and resources in Korea. Four physician characteristics were selected for the analysis, two demographical factors, age and sex, and two practice factors, place of practice and medical specialty. Also, three indicators of service amount (total amount of insurance claim bill, number of visits per case, number of prescriptions per case) were selected. From the pool of insurance claims for ambulatory care received by the Korean National Federation of Medical Insurance(NFMI), 84,898 cases were randomly sampled. In the meantime using physician database of NFMI, 613 general practitioners (GP), 107 regular family physicians (FP), 483 'grandfather' family physicians(GFP), and 1,157 specialist practitioners(SP) were randomly sampled. Their different practice contents were compared concerning the specialty, age groups, sex, and practice sites (urban-rural) Specialist physicians tend to provide more costly care than do generalists. General practitioners and family physicians usually make fewer following visits and prescriptions. Age is also the important factor in determining the amount of services, which is highest at the physician's age group of 40's. Female doctors and urban practitioners use much more resources than their counterparts respectively. Research findings suggest that physician's characteristics particularly the specialty can affect practice patterns and resource utilizations. Other characteristics such as age and sex are not controllable but physician's specialty is relatively easily controllable during the entire phases of policy implementation. This is all the more true in the individual's initial decision of his specialty. Specialization therefore should receive policymaker's attention for its potential influence on medical care utilization and health care expenditure.

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A Review of Recent Developments in Buffalo Reproduction - A Review

  • Warriach, H.M.;McGill, D.M.;Bush, R.D.;Wynn, P.C.;Chohan, K.R.
    • Asian-Australasian Journal of Animal Sciences
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    • 제28권3호
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    • pp.451-455
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    • 2015
  • The buffalo is an important livestock resource in several countries of South Asia and the Mediterranean regions. However, reproductive efficiency is compromised due to known problems of biological and management origins, such as lack of animal selection and poor nutrition. Under optimal conditions puberty is attained at 15 to 18 months in river buffalo, 21 to 24 months in swamp buffalo and is influenced by genotype, nutrition, management and climate. However, under field conditions these values deteriorate up to a significant extant. To improve reproductive efficiency, several protocols of oestrus and ovulation synchronization have been adopted from their use in commercial cattle production. These protocols yield encouraging pregnancy rates of (30% to 50%), which are comparable to those achieved in buffaloes bred at natural oestrus. The use of sexed semen in buffalo heifers also showed promising pregnancy rates (50%) when compared with conventional non-sexed semen. Assisted reproductive technologies have been transferred and adapted to buffalo but the efficiency of these technologies are low. However, these latest technologies offer the opportunity to accelerate the genetic gain in the buffalo industry after improving the technology and reducing its cost. Most buffaloes are kept under the small holder farming system in developing countries. Hence, future research should focus on simple, adoptable and impact-oriented approaches which identify the factors determining low fertility and oestrus behaviour in this species. Furthermore, role of kisspeptin needs to be explored in buffalo.

님추출물 아자디라크틴의 살충활성과 국내 이용현황에 대한 고찰 (A Review on the Insecticidal Activity of Neem Extracts (Azadirachtin) and its Current Status of Practical use in Korea)

  • 김동순
    • 한국응용곤충학회지
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    • 제60권4호
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    • pp.463-471
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    • 2021
  • 열대식물인 인도멀구슬나무(Azadirachta indica)는 병해충과 방제와 의학적인 목적으로 오랫동안 이용하였다. 본고에서는 님제의 활성성분인 아자디라크틴의 해충에 대한 곤충생장조절, 기피, 섭식저해, 산란억제 등 다양한 작용기작과 국내 이용현황에 대하여 고찰하였다. 국내 유통되는 친환경유기농자재 중에서 님제 제품은 총 57종이었다. 그중 효능효과가 표시된 자재는 7종이었고 평균 아자디라크틴 함량은 0.38%로써 세계적으로 유통되는 평균 함량 2.1%와 비교할 때 약 5.5배 낮았다. 국내에서 님제의 방제효과에서 진딧물은 실험에서 다소 변이는 있었으나 대부분 90% 이상의 방제효과를 보였다. 꽃매미 약충에 누적살충률은 73~77%를 보였고, 총채벌레에 대한 방제가는 50~72% 범위로 살포효과가 인정되었다. 노린재와 나방류에 대한 방제효과는 대체적으로 낮았다. 본고는 유통되는 님제품의 이해와 실험자료의 해석에 필요한 주요한 정보를 제공해줄 수 있을 것으로 기대된다.