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The Impact of Job Stress and Positive Psychological Capital on Job Embeddedness in Clinical Nurses (임상간호사의 직무 스트레스, 긍정심리자본이 직무배태성에 미치는 영향)

  • Joo, Mi Hee;Shin, Yong Soon
    • Journal of Korean Clinical Nursing Research
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    • v.29 no.3
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    • pp.271-282
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    • 2023
  • Purpose: This study is a descriptive research study attempted to identify the job stress and positive psychological capital of clinical nurses and to identify the factors that impact job embeddedness. Methods: Data were collected from 115 nurses with over one year of clinical experience working at a 500-bed B General Hospital. The collected data were analyzed with the SPSS 27.0 program using frequency and percentage, mean and standard deviation, Independent t-test, One-way ANOVA, Scheffé test, Pearson's correlation coefficients, and multiple linear regression. Results: As a result of multiple regression analysis, hope among the sub-factors of positive psychological capital (β=0.48, p<.001), matters related to the work schedule (β=-0.23, p=.005) among the sub-factors of job stress, and conflict with doctor (β=0.20, p=.013) was found to have an impact on job embeddedness, and the explanatory power of this regression model was 52.0% (F=13.12, p<.001). Conclusion: It was found that the positive psychological capital of clinical nurses has a positive impact on job embeddedness. In order to increase the job embeddedness of clinical nurses, it is necessary to develop, educate, and utilize specific intervention programs that can strengthen positive psychological capital. Efforts should be needed to prepare specific strategies for nurses to recognize the importance of hope and actively utilize positive psychological capital. In addition, it is necessary to create an organization-level working environment and continuous management to reduce the job stress of clinical nurses.

Traumatic degloving injuries: a prospective study to assess injury patterns, management, and outcomes at a single center in northern India

  • Divij Jayant;Atul Parashar;Ramesh Sharma
    • Journal of Trauma and Injury
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    • v.36 no.4
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    • pp.385-392
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    • 2023
  • Purpose: This study investigated the epidemiology, management, outcomes, and postoperative disabilities of degloving soft tissue injuries (DSTIs) treated at a tertiary care center in northern India. Methods: A prospective study of patients with DSTIs was conducted over 15 months. The type of degloving injury, the mechanism of injury, and any associated injuries were analyzed using the World Health Organization Disability Assessment Schedule (WHODAS) 2.0 along with the management, outcomes, and disabilities at a 3-month follow-up. Results: Among 75 patients with DSTIs, the average age was 27.5 years, 80.0% were male, and 76.0% had been injured in traffic accidents. The majority (93.3%) were open degloving injuries. Lower limbs were affected most often (62.7%), followed by upper limbs (32.0%). Fractures were the most commonly associated injuries (72.0%). Most patients required more than two procedures, including secondary debridement (41.3%), split skin grafting (80.0%), flap coverage (12.0%), or vacuum-assisted closure (24.0%), while five patients underwent conservative management for closed degloving injuries. Postoperative complications included surgical site infections (14.7%) and skin necrosis (10.7%). Two patients died due to septic shock and multiple organ dysfunction syndrome. The mean length of hospital stay was 11.5±8.1 days, with injuries affecting the lower limbs and perineum requiring longer hospital stays. The mean WHODAS 2.0 disability score at 3 months was 19. Most patients had mild disabilities. Time away from work depended largely upon the site and severity of the injury. Approximately 75% of patients resumed their previous job or study, 14% changed their job, and 8% stopped working completely due to residual disability. Conclusions: DSTIs are common injuries in trauma and management is challenging. Although open DSTI are clinically evident at secondary survey, closed degloving injuries may be missed in the primary survey, necessitating a high index of suspicion, thorough clinical examination, and protocol-based management. Primary preventive strategies (e.g., road safety protocols, preplacement training, and proper protective equipment in industries) are also needed to reduce the incidence of these injuries.

Boot storm Reduction through Artificial Intelligence Driven System in Virtual Desktop Infrastructure

  • Heejin Lee;Taeyoung Kim
    • Journal of the Korea Society of Computer and Information
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    • v.29 no.7
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    • pp.1-9
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    • 2024
  • In this paper, we propose BRAIDS, a boot storm mitigation plan consisting of an AI-based VDI usage prediction system and a virtual machine boot scheduler system, to alleviate boot storms and improve service stability. Virtual Desktop Infrastructure (VDI) is an important technology for improving an organization's work productivity and increasing IT infrastructure efficiency. Boot storms that occur when multiple virtual desktops boot simultaneously cause poor performance and increased latency. Using the xgboost algorithm, existing VDI usage data is used to predict future VDI usage. In addition, it receives the predicted usage as input, defines a boot storm considering the hardware specifications of the VDI server and virtual machine, and provides a schedule to sequentially boot virtual machines to alleviate boot storms. Through the case study, the VDI usage prediction model showed high prediction accuracy and performance improvement, and it was confirmed that the boot storm phenomenon in the virtual desktop environment can be alleviated and IT infrastructure can be utilized efficiently through the virtual machine boot scheduler.

Comparative analysis of RN-BSN Program in Korea and U. S. A. (간호학사 편입학제도의 교과과정 비교분석)

  • Lee Ok-Ja;Kim Hyun-Sil
    • The Journal of Korean Academic Society of Nursing Education
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    • v.3
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    • pp.99-116
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    • 1997
  • In response of the increasing demand for professional degree in nursing, some university in Korea offers RN-BSN program for R. N. from diploma in nursing. However, RN-BSN program in Korea is in formative period. Therefore, the purpose of this survey study is for the comparative analysis of RN-BSN curriculum in Korea and U.S.A. In this study, subjects consisted of 18 department of nursing in university and 5 RN-BSN programs in Korea and 18 department of nursing in university and 12 RN-BSN programs in U.S.A. For earn the degree of Bachelor of Science in Nursing, the student earns 134 of mean credits in U.S.A., whereas 150.3 of mean credits in Korea. The mean credit for clinical pratice is 30.1 in U.S.A., whereas 23.9 in Korea. Students are assigned to individually planned clinical experiences under the direction of a preceptor in U.S.A. In RN-BSN program, total mean credits through lecture and clinical practice for earn the degree of BSN is 35.5(lecture : 27.7, practice ; 7.8)in U.S.A., whereas,48.1 (lecture;42.1, practice;6.0) in Korea. RN-BSN program can be taken on a full-or-part time basis in U.S.A., whereas didn't in Korea. Especially, emphasis is place on the advanced nursing practicum that focus on the role of the professional nurse in providing health care to individuals, families, and groups in community setting in U.S.A. 27.7 of mean credits was earned through lecture in U.S.A., whereas 42.1 of mean credits in Korea. It means that RN-BSN program in Korea is the lesser development in teaching method and appraisal method than in U.S.A. Students of RN-BSN program in U.S.A. can earns credit through CLEP, NLN achievement test, portfolio review session etc as well as lecture. Therefore, the authors suggests some recommendations for the development of curriculum of RN-BSN program in Korea based on comparative analysis of RN-BSN curricula in U.S.A. and Korea. 1. The curriculum of RN-BSN Program in nursing was required to do some alterations. Nursing care, today, is complex and ever changing. According to change of public need, RN-BSN curriculum intensified primary care program in community setting, geriatric nursing, marketing skill, computer language. 2. The various and new methods of earning credit should be developed. That is, the students will earn credits through the transfer of previous nursing college credits, accredited examination of university, advanced placement examination, portfolio review session, case study, report, self-directed learning and so on. Flexible teaching place should ile offered. 3. Flexible teaching place should be offered. The RN-BSN curriculum should accommodate each RN student's geographical needs and school/work schedule. Therefore, the university should search a variety of teaching places and the RN students can obtain their degrees comfortably throughout the teaching place such as lecture room inside the health care agency and establishment of the branch school in each student's residence area. 4. The RN-BSN program should offer a long distance education to place-bound RN student in many parts of Korea. That is, from the main office of university, the RN-BSN courses are delivered to many areas by Internet, EdNet (satellite telecommunication) and other non-traditional methods. 5. For allowing RN student to take nursing courses, program length should be various, depending upon the student's study/work schedule. That is, the various term systems such as semester, three terms, quarter systems and the student's status like full time or part time should be considered. Therefore, the student can take advantage of the many other educational and professional opportunities, making them available during the school year.

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Evaluation of Nutrition Knowledge, Dietary Attitudes and Nutrient Intakes of Nurses Working in Kyungnam Area (경남지역 간호사의 영양지식, 식생활태도 및 영양소 섭취상태 평가)

  • 윤현숙;최윤영;이경혜
    • Journal of Nutrition and Health
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    • v.36 no.3
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    • pp.306-318
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    • 2003
  • This study was performed to investigate the dietary attitudes and nutrient intakes of nurses. A total of 291 nurses working at hospitals in the Kyungnam area participated in the study. The general characteristics and dietary attitudes of the subjects were surveyed using a self-administered questionnaire, and nutrient intakes was examined using one-day 24-hour recall method. The results were as follows : 67.7 percent of the subjects were nurses, 32.3% were nursing assistants. Average age of the subjects was 26.9 years old, average nursing experience was 5.7 years, and 70.7% of the subjects graduated from junior college. The rates of shift work (45.4%) and non-shift work (54.6%) were similar, and 91.5% of subjects worked on a three-shift a day schedule. The average nutrition knowledge score was 14.3 $\pm$ 2.5 out of a possible 20 points. Most of the nurses had experienced dietary problems such as skipping meals and overeating. Sixty-eight point three percent of the nurses had breakfast less than 3 times a week, and the main reason for skipping meals was a lack of time. Most of the nurses (74.1%) didn't exercise regularly. The average score on dietary habits was 55.6 out of 100, and most of the subjects belonged to the‘fair’group in terms of dietary habits. Married nurses, and those over 31 years of age, scored significantly higher on dietary habits than unmarried nurses, and those under 25 years of age (p < 0.001), and the scores significantly increased with increasing age. Mean daily carbohydrate and fat intake was 231.5 $\pm$ 66.1 g, 41.1 $\pm$ 18.8 g, and cholesterol and crude fiber intake was 238.2 $\pm$ 184.6 mg, 5.2 $\pm$ 2.0 g. respectively. Compared with the recommended allowances, the energy (1560.0 $\pm$ 448.5 kcal), calcium (453.8 $\pm$ 222.3 mg) iron (10.6 $\pm$ 7.6 mg), vitamin A (658.5 $\pm$ 538.1 R.E) and vitamin B$_2$ (0.96 $\pm$ 0.5 mg) figures were below the Korean RDA, and the protein (65.9 $\pm$ 31.0 g), vitamin B, (1.14 $\pm$ 0.5 mg), vitamin C (143.2 $\pm$ 119.6 mg), niacin (14.4 $\pm$ 6.3 mg) and phosphorus (958.1 $\pm$ 352.1 mg) figures were above the Korean RDA. The average carbohydrate, protein, fat ratio of energy intake was 60:17:23. The intake ratio of Ca and P showed an unbalance of 1:2. The dietary habits had a positive correlation (p < 0.001) with nutrition intake except vitamin A and vitamin C. Therefore, In order to improve overall dietary behavior and nutritional status, systematic nutrition education programs should be developed.

Applications of Mathematical Optimization Method for Chemical Industries (화학 산업에서 수학적 최적화 기법을 적용한 사례)

  • Kim, Eun-Yong;Heo, Soon-Ki;Lee, Kyu-Hwang;Lee, Hokyung
    • Korean Chemical Engineering Research
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    • v.58 no.2
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    • pp.209-223
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    • 2020
  • Executions of SCM in a chemical company of which divisions produce petrochemicals, compounds, batteries, IT material and medicine directly affect their own profit. Execution level of SCM or optimization is very important. This work presents activities of SCM and optimization of inefficient issues in several industrial divisions using mathematical optimization method. The meaning is not only academic research but also making a useful tool which active partner deals with in his work. It is explained how to do beforehand and afterward optimization problem. The benefits are mentioned in the sections. The first of examples would be cover supply plan optimization, optimal profit business plan, and scheduling of a stretching process of polarizer based on minimizing raw material loss in polarizer production. The second example would be cover the optimization of production/packaging plans to maximize productivity of Poly Olefin processes, and the third example is minimization of transition loss in the production of battery electrodes. The fourth example would be cover scheduling of vessel approaching to berth. Because transportation of large portion of raw material and products of petrochemical industry is dealt with vessel, scheduling of vessel approaching to berth is important at the shore of large difference of tide. The final example would be scheduling problem to minimization of change over time of ABS semi products.

A Study on the Compression of Construction Period by the Improvement of Trench Excavation for Slurry Wall Method (지하연속벽 시공 시 트렌치 굴착방법 개선을 통한 공기단축에 관한 연구: 현장적용사례를 중심으로)

  • Lee, Young Soo;Park, Hyung-Keun;Kang, Kyubyung
    • KSCE Journal of Civil and Environmental Engineering Research
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    • v.32 no.5D
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    • pp.499-505
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    • 2012
  • As the excavation depths during excavation works in urban sites are getting deeper and bigger, It is necessary to study for the improvements to solve the problems in the excavation processes. This research deals with the excavation method that can not only minimize the effect on the surrounding constructions, but also shorten the construction period of the excavation work. For this research, there have been an extensive literature review of the bibliographic data about Slurry Wall Method, which is recognized around the world, and the analysis of the major problems in the existing ineffective construction step. These efforts led to the technical improvements. Accordingly, a new construction method applied with the new technical factors has been suggested, and it was possible to compare Slurry Wall Method with the construction method and analyze them on the base of the examples using the suggested method. This new method decreased the excavation period by 15 days. It took only 33days to finish the excavation work, as compared to 48 days that can be seen on the pre-modification schedule. Furthermore, the suggested method in this research is safer, more economically feasible, and better for the environment than Slurry Wall Method. It will contribute to shortening the construction period of Slurry Wall Method in the end.

Primary Management Factors for Collaboration among Participants in Technical Proposal Tendering (기술제안입찰 참여자간의 협업지원을 위한 중점협업관리요소 도출)

  • Koo, Seonkeun;Lim, Susang;Yoon, Yousang;Han, Sangwon;Hyun, Changtaek
    • Korean Journal of Construction Engineering and Management
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    • v.17 no.5
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    • pp.3-12
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    • 2016
  • Recently government is set to expand its policy to promote technical proposal tendering in a dimension of technical competitiveness reinforcement. Because a variety of complicated techniques are applied in technical proposal tendering and variables could be occurred in terms of cost, schedule, constructability and others when techniques are reflected on design document collaboration management among participants is considered insignificantly. So the research would determine primary management factors and presents management direction for collaboration among participants. First action for this is categorization of hindrance factors to collaboration into five factors as 'Poor work processing', 'Communication cap among participants', 'Lack of understanding about technical proposal tendering', 'Difficulty of decision making' and 'Insufficiency in managing the work data'. Second correlation analysis is conducted between the categorized factors and participants according to tasks in technical proposal tendering to figure out the correlation degree of variables. If there is a strong correlation between variables, hindrance factor in that case regarded primary management factor to collaboration and finally management direction is presented at each task.

A Study on the Evaluation of Container Terminal Logistics Systems in SCM's Perspective (SCM 관점의 컨테이너터미널 물류시스템 평가)

  • Kim, Sungu;Choi, Yongseok;Yeun, Dongha
    • Journal of Korea Port Economic Association
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    • v.30 no.4
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    • pp.47-67
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    • 2014
  • This study examined elements which could evaluate a container terminal logistics system from the viewpoint of supply chain management. This study derived the elements of a container terminal logistics system such as flexibility, reliability, responsiveness, and information sharing and 16 evaluation sub-items in the aspect of a supply chain. In the result of analysis, the weight between SCM elements of a container terminal logistics system was the highest in reliability(0.282), followed by flexibility(0.273), responsiveness(0.224), and information sharing(0.221). The conversion weight was calculated by combining the weight of elements of a container terminal logistics system and the weight of evaluation sub-items. The highest weight which was considered as the most important factor to evaluate a container terminal logistics system was work planning(berth, yard) of flexibility(0.081), followed by accurate fulfillment of container work schedule(ship, yard) and the optimum distribution and arrangement of equipment(QC, TC, YT)(0.079), stable works without damage of containers and ships(0.071), and preventive maintenance of equipment and operators' skill(0.070).

Shiftwork and Sickness Absence in Korean Manufacturing Industries (우리나라 제조업체의 교대작업실태와 교대작업여부에 따른 상병결근 및 이직에 관한 연구)

  • Park, Jung-Sun;Paek, Do-Myung;Lee, Ki-Beom;Rhee, Kyung-Yong;Yi, Kwan-Hyung
    • Journal of Preventive Medicine and Public Health
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    • v.27 no.3 s.47
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    • pp.475-486
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    • 1994
  • In order to provide necessary information for better health of workers through understanding the actual status of the industries adopting shift systems. The data were gathered from a stratified random sample of 347 (0.5%) firms selected out of about 70,000 manufacturing industries throughout the nation in 1993. Stratification during sampling was by industrial group and number of workers. The major findings obtained from 288 firms surveyed completely were as follows : 1. About 20.2% of the 288 firms were adopting shift systems and shirtworkers accounted for about 25.1% of the total work force in 288 firms. 2. The bigger number of workers was, the higher the adopting rate of shift system was. 3. The rate of having welfare facilities such as dining room, commuting bus, washing facilities, and health care room etc. was higher in the industries adopting shift systems. 4. The major industrial groups adopting shift systems were the rubber a: plastic goods manufacturing industry (54.1 per 100 firms) and the textile manufacturing industry (44.8 per 100 firms). However, the proportion of shiftworkers was higher in the textile manufacturing industry (70.5 per 100 firms) and the electronics industry (57.9 per 100 frms). 5. The most predominant work schedule was the weekly rotating, semi-continuos 2-crew 2-shift system (47.5%). 6. In the industries adopting shift systems, shiftworkers had an adjusted average of 0.29 spells per 100 workers ($0.14{\sim}0.45$ in 95% C.I.) compared to 0.23 spells per 100 nonshift dayworkers ($0.15{\sim}0.31$ in 95% C.I.) for 1 month. 7. Also, in the industries adopting shift systems, the adjusted average annuel turn-over rate of shiftworkers was 13.07 per 100 workers ($12.03{\sim}14.12$ in 95% C.I.) compared to 10.18 per 100 nonshift dayworkers ($9.53{\sim}10.82$ in 95% C.I.).

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