• 제목/요약/키워드: post-management

검색결과 2,764건 처리시간 0.031초

농어촌 의료취약지역에서의 고혈압관리 실태와 보건진료전담공무원의 역할 (Hypertension Management Status in Vulnerable Rural Areas and the Role of Community Health Practitioners)

  • 조수연;김순찬;유정임;한종숙;서가원
    • 한국농촌간호학회지
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    • 제13권2호
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    • pp.3-23
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    • 2018
  • Purpose: This study was a descriptive study to investigate correlations between self-care behaviors and quality of hypertension management by hypertensive patients being cared by community health practitioners. Method: Participants were 583 people who were prescribed antihypertensive medications at a health clinic located in South Chungcheong Province. The survey was done from June 1 to July 30, 2018. A self-report questionnaire was administered, and data analysis was performed using descriptive statistics and Pearson correlation coefficients with the SPSS 24.0 program. Results: The rate of awareness, treatment, and control of hypertension were 97.9%, 99.1% and 92.8%, respectively. The number of hypertensive self-care behaviors was 1.82 (${\pm}0.36$) out of 3 points. The quality of hypertension management was 3.22 (${\pm}0.46$) out of 4 points. There was a moderate correlation between hypertensive self-care behaviors and quality of hypertension management (r=.340, p<.001). Conclusions: Results of this study confirm that the quality of hypertension management by community health practitioners is related to self-care behaviors of hypertensive patients. Therefore, it is necessary to improve the quality of hypertension management by health care specialists for self-management of hypertension patients. In addition, a systematic program to improve the quality of hypertension management by community health practitioner is needed.

한국 화장품산업의 한.미 FTA 통상협상전략과 관련 법규 개선방향에 관한 연구 (A study on Strategy of Korea-U.S.A. FTA Negotiation in Cosmetics Industry and Reformation of Cosmetics Law)

  • 박상기
    • 무역상무연구
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    • 제34권
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    • pp.189-223
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    • 2007
  • In Korea-U.S.A. FTA Negotiation, U.S.A. request to eliminate barriers of tariffs and non-tariff in trade of cosmetics. Korea applies tariffs of 8% on most cosmetics and personal care products. There are some non-tariffs barriers in cosmetics trade between Korea and U.S.A., for example, transparency on restriction and regulatory, cosmeceuticals, import clearance review, quality control testing, ingredient labelling. Tariffs of 8% on most cosmetics should be eliminated, a proviso of complementary measures on sanitation of Korean people about imported cosmetics. This is a meaning of reformation of prior management(tariffs) by strong ex post management in cosmetics trade. It is important that Korea should construct system of ex post management, for instance, construction of data base on manufacturer, importer, bland name of cosmetics and all ingredients of cosmetics. This is concerned with labelling of cosmetics and cosmeceutical and publication of Korean edition of INCI(International Nomenclature of Cosmetic Ingredient).

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Synthesis of Machine Knowledge and Fuzzy Post-Adjustment to Design an Intelligent Stock Investment System

  • Lee, Kun-Chang;Kim, Won-Chul
    • 한국경영과학회지
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    • 제17권2호
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    • pp.145-162
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    • 1992
  • This paper proposes two design principles for expert systems to solve a stock market timing (SMART) problems : machine knowledge and fuzzy post-adjustment, Machine knowledge is derived from past SMART instances by using an inductive learning algorithm. A knowledge-based solution, which can be regarded as a prior SMART strategy, is then obtained on the basis of the machine knowledge. Fuzzy post-adjustment (FPA) refers to a Bayesian-like reasoning, allowing the prior SMART strategy to be revised by the fuzzy evaluation of environmental factors that might effect the SMART strategy. A prototype system, named K-SISS2 (Knowledge-based Stock Investment Support System 2), was implemented using the two design principles and tested for solving the SMART problem that is aimed at choosing the best time to buy or sell stocks. The prototype system worked very well in an actual stock investment situation, illustrating basic ideas and techniques underlying the suggested design principles.

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An Empirical Investigation of the Citizens' Freedom of Expression and Trust in Public Agency to use Social Media in Post-Communist Countries: The Case of Mongolia

  • Erdenebold, Tumennast;Kim, Suk-Kyoung;Rho, Jae-Jeung;Hwang, Yoon-Min
    • 아태비즈니스연구
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    • 제12권1호
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    • pp.41-56
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    • 2021
  • Purpose - This empirical study examined the influence of post-communist countries sociol-political factor of freedom of expression preconditioning, and trust in agency, mediating performance expectancy of social media users representing the citizens' behavioural intention to utilize social media in a post-communist country, the case of Mongolia. Design/methodology/approach - This research collected 403 valid survey data from citizens those who use social media in Mongolia. The study used Partial Least Squire (PLS) analysis with the research conceptual model founded on the UTAUT model. Findings - The study shown that citizens in post-communist, they strongly willing freedom of expression, which driving as a positive precondition factor, and this has an indirect positive influence, and trust in agency mediates to enhance performance expectancy. Social influence, and effort expectancy factors have direct positive influence on the intention to use of social media systems in the public sector domain of Mongolia. Research implications or Originality - This research proposed a new model to test citizens' intention to use social media as a communication tool to engage with public organizations in the pre-adoption stage of post-communist countries. Theoretically, this research builds up to the unique theoretical contribution with social media by examining a new social media-based third-party intercommunication medium, incorporating intent to utilize for citizens with government in post-communist countries. Practically, this article lays out the directions to aid social media usage for government sector with concerning citizens intentions in the post-communist situation.

우정건축물(郵政建築物)의 효율적(效率的)인 에너지 및 인력(人力) 관리(管理) 방안(方案) - 통합 자원 군(群) 관리시스템의 도입을 중심으로 - (A Study on the Efficient Energy & Manpower Management in Post Office Building : Focused on Introduction of Total Resource Group Management System)

  • 강오식;이상중
    • 한국조명전기설비학회:학술대회논문집
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    • 한국조명전기설비학회 2007년도 추계학술대회 논문집
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    • pp.25-30
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    • 2007
  • 정보통신부에서 소비되는 에너지는 우체국 건물의 운영에 주고 사용되고 있어, 에너지절약은 건물의 실비를 효율적으로 관리하는 것이 매 중요하다. 이에 우체국 건물의 에너지 소비현황과 운용실태를 조사 분석하였으며, 그 결과 비효율적인 운영체계가 문제점으로 도출되었다. 이 문제점을 개선하기 위하여 시스템, 조직, 인력, 운영 등을 유기적으로 통합 관리 할 수 있는 방안이 필요하다. 본 논문은 도출된 문제점에 근거하여, 인터넷을 이용한 군 관리시스템 도입으로 전국에 우체국 건물의 자원을 통한, Group 관리하는 방안을 제시하였으며, 군(群) 관리시스템 적용 시 얻어지는 예산질감 및 기대효과에 대하여 도시하였다.

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어린이급식관리지원센터의 영양 및 위생·안전관리 방문교육지원 효과 -울산지역을 중심으로- (Effects of Periodic Visiting Education Support on Nutrition and Hygiene Practices at Center for Childeren's Foodservice Management -Focus on Ulsan Area-)

  • 이지혜
    • 대한영양사협회학술지
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    • 제22권1호
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    • pp.1-12
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    • 2016
  • The purpose of this current study was to examine the effects of nutrition and food safety management support by the Center for Children's Foodservice Management (CCFSM) in foodservice facilities for children in the Ulsan area. From December 2014 to July 2015, the status of nutrition practices and hygiene practices was assessed by dietitians using nutrition and hygiene practice checklists. The subjects of study were 48 institutional foodservice facilities for children. Some nutrition practice items showed significant increases in average scores of 'using CCFSM menus (P<0.001), revising menus (P<0.05), and reconfirm menus (P<0.01)' from pre-support to post-support. Regarding hygiene practices, some items between pre-support to post-support showed significant increases in average scores of 'having equipment for hand washing & disinfecting' (P<0.01), 'wearing disinfected clothing for kitchen hygienically' (P<0.05), 'proper sterilization' (P<0.05), 'recording the origin of ingredients' (P<0.01), 'use of different knives/cutting boards' (P<0.05), and 'an appropriate thawing process' (P<0.05) from pre-support to post-support. Based on the above results, we found that nutrition and hygiene management support by CCFSM in foodservice facilities for children had a positive influence on status of some nutrition and food safety practices.

Endoscopic retrograde cholangiopancreatography-related complications: risk stratification, prevention, and management

  • Clement Chun Ho Wu;Samuel Jun Ming Lim;Christopher Jen Lock Khor
    • Clinical Endoscopy
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    • 제56권4호
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    • pp.433-445
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    • 2023
  • Endoscopic retrograde cholangiopancreatography (ERCP) plays a crucial role in the management of pancreaticobiliary disorders. Although the ERCP technique has been refined over the past five decades, it remains one of the endoscopic procedures with the highest rate of complications. Risk factors for ERCP-related complications are broadly classified into patient-, procedure-, and operator-related risk factors. Although non-modifiable, patient-related risk factors allow for the closer monitoring and instatement of preventive measures. Post-ERCP pancreatitis is the most common complication of ERCP. Risk reduction strategies include intravenous hydration, rectal nonsteroidal anti-inflammatory drugs, and pancreatic stent placement in selected patients. Perforation is associated with significant morbidity and mortality, and prompt recognition and treatment of ERCP-related perforations are key to ensuring good clinical outcomes. Endoscopy plays an expanding role in the treatment of perforations. Specific management strategies depend on the location of the perforation and the patient's clinical status. The risk of post-ERCP bleeding can be attenuated by preprocedural optimization and adoption of intra-procedural techniques. Endoscopic measures are the mainstay of management for post-ERCP bleeding. Escalation to angioembolization or surgery may be required for refractory bleeding. Post-ERCP cholangitis can be reduced with antibiotic prophylaxis in high risk patients. Bile culture-directed therapy plays an important role in antimicrobial treatment.

<사례보고> 보건진료소 치매관리 실태 보고 (Primary Health Care Post Dementia Management Status Report for 2016)

  • 백종숙;조수연;백현희;김영숙;최영미
    • 한국농촌간호학회지
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    • 제12권2호
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    • pp.45-54
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    • 2017
  • Purpose: The purpose of this study was to provide a survey of patients with dementia registered and managed by primary health care posts. Method: Computation of 2016 dementia data registered in Health Care Center programs of 14 municipalities in ChoongNam province was analyzed. Data collection was done based on a pretest for dementia prevention and general management of registered dementia patients. Results: Results showed; Screening tests for dementia, 40% of population 60 or over, average number of cases, 174, average number of dementia registrants, 3.1, programs for prevention, approximately 70% special policy measures and 28% cognitive rehabilitation programs, counseling and education operating well overall, average number of dementia registrants/clinic 11.8, with women accounting for 70%, elders with less than 3 years of education, 75%, residence type cohabitation by married couples, 41%, and elders with Alzheimer type dementia, 64%. Conclusion: During early detection of dementia and follow-up examinations, high-risk groups (women, elders) should receive a dementia examination. In management of dementia there is a need to develop various programs including physical, economic, and emotional support not only for patients, but also for families. Health care managers also need systematic education to give them expert knowledge of dementia and management of dementia.

영양상담이 제2형 당뇨병 환자의 혈당과 식사요법에 대한 지식과 실천에 미치는 영향 (Effects of Nutrition Counseling on Diabetes Management in Type 2 Diabetes Mellitus Patients)

  • 이승림
    • 대한영양사협회학술지
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    • 제15권2호
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    • pp.188-196
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    • 2009
  • The purpose of this study was to investigate the effects of nutrition counseling on diabetes management by determining changes in anthropometry and blood components as well as knowledge and practice of diet therapy and nutrient intake in 34 (male 11, female 23) type 2 diabetes patients. The knowledge and the practice of diet therapy, drinking, smoking and exercise were analyzed by questionnaires. Dietary nutrient intake were obtained from the patients by the 1 day 24-hr recall. Blood glucose level and blood pressure were measured before and 3 months after the treatment. The results are summarized as follows: Average weight (p<0.05) and body mass index (p<0.05) were significantly lower post-counseling. Fasting blood glucose levels (p<0.01) and postprandial-2hour blood glucose levels (p<0.01) were also significantly lower post-counseling. In lifestyle changes for self-management the patients showed significantly higher exercise habits post-counseling (p<0.01). Regarding their level of diet knowledge, they showed significantly higher levels post-counseling in six items such as importance of diet therapy for diabetes (p<0.001), principles of diet therapy (p<0.001), nutrient composition of foods (p<0.01), carbohydrate composition of foods (p<0.001), the prescribed calories (p<0.001) understanding food item and exchange units of cereals, grains (p<0.001) and fruits, juices (p<0.001). Regarding their diet practices, the patients showed significantly higher levels of practice post-counseling in keeping within permitted meal size (p<0.001), using food exchange lists (p<0.001), keeping exact meal times (p<0.01), and controling sweet foods (p<0.001). Protein (p<0.05), animal lipid (p<0.05), and vitamin C (p<0.05) intakes were significantly higher post-counseling.

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전환연구와 탈추격론의 확장 (Transition Studies and Post Catch-up)

  • 송위진
    • 과학기술학연구
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    • 제16권1호
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    • pp.63-89
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    • 2016
  • 이 글에서는 새롭게 부상하고 있는 전환연구의 관점에서 우리나라 혁신정책담론 중의 하나인 탈추격론을 재해석하는 작업을 수행했다. 탈추격론의 지향점, 주요 연구 대상, 시스템 혁신에 대한 논의를 전환연구의 관점에서 확장하여 지속가능성, 산업과 사회의 공진화, 전환관리 등의 개념을 탈추격론에 도입했다. 이를 통해 탈추격 혁신과 정책은, 기존 시스템의 개선과 최적화가 아니라 탈추격 지속가능 시스템으로의 전환을 지향하고, 사회 환경문제의 해결을 수반하는 탈추격 혁신을 진행해야 하며, 탈추격과 지속가능성의 맹아를 담고 있는 니치를 전환의 관점에서 전략적으로 관리해야 한다는 점을 지적하였다.