The purpose of this study is to develop a management model to effectively provide hospice service of nursing home. In a method of study to achieve this purpose, a positive research and literature study have been performed at the same time. Concerning contents to be examined as a definition of notions and patterns about hospice for the aged, foreign hospice and structural elements of hospice management, a literature study to support a theoretical background has presented leading studies as an analysis form of this study through analyzing domestic and foreign literature, thesis, journal and so on. In order to attain the purpose of this study, the positive research is to carry out a survey of demand and desire of people who have already got hospice service in the first place as a fact-finding survey related to the subject of hospice service, investigate organizations to operate nursing home and hospice and relevant experts in the second place as a survey of supply system to provide hospice service, and develop an appropriate management model to connect the demand and supply of nursing home through it. Therefore, this study has developed a delivery system and a chart of the practical trend to be done minutely, presenting a model to manage a hospice of nursing home based on the above results. The management model externally has connected medical team of hospital with hospice team of home based on a community, and internally is composed centering on five elements such as administrative organization, manpower, program and contents of service, finances. In practical model of hospice management of nursing home, in order to plan a program, provide service and give a high-quality service to the aged, this study has presented a trend chart of service management on the basis of five structural elements, an analysis form of this study. In conclusion, this study could present data to develop a hospice in the field of nursing home for the aged by showing a model concerning a hospice management of nursing home, but in my opinion, a following study to be detailed and developed even more than this study should be continued.
The purposes of this study were to : a)determine the percentage of labor activities expen-ded in various work functionsof hospital foodservice b)estimate the labor time utilized in each work functions c)investigate the overall work patterns of hospital foodservice and d)provide the basic data for effective labor control This study was conducted in two hospitals with 1300 and 1200 ed capacities and every employees of the dietary department were included in 10days work measurement. Work sampling methodology developed by Donaldson and Ostenso was modified and used for observing overall activities of hospital dietary department. Consistency of data and observa-tion period were verified by 3$\delta$ control chart and control chart. Observed data were satisfied with confidence level of 95% and confidence interval of $\pm$0.05, The results of this study were as follows: 1) The direct work function indirect work function and delay were 74.8%, 9.2%, 16.0% respectively with A hospital and 82.2% 7.2%, 10.6% respectively with B hospital 2) The productivity indices of direct work indirect work and delay were 9.05 min/meal 1.12 min/meal 1.94 min/meal respectively and total 12.11 minutes were utilized per meal served in A hospital and 10.72 min/meal 0.94 min/meal 1.38 min/meal respectively and total 13.04 minutes were utilized per meal served in B hospital 3) Full time equivalent(FTE) utilized in daily work of irect work indirect work and delay were 62.24 men 7.69 men 13.35 men respectively in A hospital and 64.09 men 5.63 men 8.22 men respectively in B hospital. 4) The contents of work activities of each employee group showed that delay time of the service personnel group was more than any other employee groups in both A hospital and B hospital 5) Examination of daily work schedule by time intervals showed that transportation work function was carried out all day so it is necessary to improve this work.
The purposes of this study were to investigate preference and images of Korean traditional motifs, and to identify the relationship between them. The subjects consisted of 369 male and 356 female undergraduate students. The experimental materials used in this study were 48 stimuli and a questionnaire composed of 7-point semantic differential scales of 26 adjectives. Twelve motifs selected from 3 groups of Korean motifs were used as pattern design stimuli. Twelve repeated patterns were constructed from them to be applied on a CAD-simulated dress. The data were analyzed by ANOVA, Duncan's multiple range test, and regression. The major findings were as follows : 1. Category, composition type, and application object had a significant effect on the preference. Interpretation type has no significant effects on the preference independently, but it had interaction effects when combined with composition type, and category. Especially the composition type had a greater effect than the other variables on the preference. Cloud motif and its abstract and decorative type were found to be more related to the preference than the other category and interpretation type. On the basis of the analysis results, image charts and preference charts were developed. By combining information from the image chart and preference chart, motifs and images preferred by consumers may be selected and developed into new valuable designs. 2. The preference was affected mainly by 'quality'image followed by 'simplicity', 'interest', and 'modernity'image. The preference on pattern design was affected by 'quality', 'simplicity', 'interest', and 'interest', 'simplicity', and 'modernity'image in the order. The relationship between the preference and sensibility images has been represented by equations.
The characteristics of the microcrack lengths(①), microcrack spacings(②) and Brazilian tensile strengths(③) related to the six directions of rock cleavages(H2~R1) in Geochang granite were analyzed. First, the 18 cumulative graphs for the above three major factors representing unique characteristics of the rock cleavages were made. Through the general chart for these graphs classified into three planes and three rock cleavages, the 28 parameters on the length, spacing and Brazilian tensile strength have been determined. The results of correlation analysis among these parameters are summarized as follows. Second, the above parameters were classified into six groups(I~VI) according to the sorting order on the magnitude of parameter values among three rock cleavages and three planes. The values of parameters belonging to group I and II are in order of R(rift) < G(grain) < H(hardway) and H < G < R. The values of the 8 parameters on the length of line(os2, 𝚫s, 𝚫L and oSmean), the exponent(λLmean and λSmean), the slope(amean) and the anisotropy coefficient (Anmean) are in order of R < G < H and H'(hardway plane) < G'(grain plane) < R'(rift plane). Third, the noticeable differences in distribution patterns among the six types of charts for three planes and three rock cleavages are as follows. From the chart for three planes, the values of 𝚫L, 𝚫s and 𝚫σt, corresponding to the distance between two points where the two fitting lines meet on the X-axis, increase in the order of R' < H' < G'. In particular, the two graphs of R2 and G2 related to the length and Brazilian tensile strength are almost parallel to each other and show the distribution characteristics of hardway plane. Among the graphs related to the Brazilian tensile strength, the overall shape for hardway plane is similar to that for grain. From the chart for three rock cleavages, the slopes of the graphs related to the length increase in the order of R < G < H, while those of the graphs related to the spacing and Brazilian tensile strength decrease in the order of R < G < H. Lastly, the characteristics of variation among the six rock cleavages, the three planes and the three rock cleavages were visualized through the correlation chart among the above parameters from this study.
Ha, Ju-Ho;Kim, Yong-Ha;Nam, Hyun-Jae;Kim, Tae-Gon;Lee, Jun-Ho
Archives of Craniofacial Surgery
/
v.10
no.2
/
pp.91-96
/
2009
Purpose: Frontal sinus fractures are relatively less common than other facial bone fractures. They are commonly concomitant with other facial bone fractures. They can cause severe complications but the optimal treatment of frontal sinus fractures remains controversial. Currently, many principles of treatment were introduced variously. The authors present valid and simplified protocols of treatment for frontal sinus fractures based on fracture pattern, nasofrontal duct injury, and complications. Methods: A retrospective chart review was performed on 36 cases of frontal sinus fractures between January, 2004 and January, 2009. The average age of patients was 33.7 years. Fracture patterns were classified by displacement of anterior and posterior wall, comminution, nasofrontal duct injury. These fractures were classified in 4 groups: I. anterior wall linear fractures; II. anterior wall displaced fractures; III. anterior wall displaced and posterior wall linear fractures; IV. anterior wall and posterior wall displaced fractures. Also, assessment of nasofrontal duct injury was conducted with preoperative coronal section computed tomographic scan and intraoperative findings. Patients were treated with various procedures including open reduction and internal fixation, obliteration, galeal frontalis flap and cranialization. Results: 12 patients are group I (33.3 percent), 14 patient were group II (38.8 percent), group III, IV were 5 each (13.9 percent). Frontal sinus fractures were commonly associated with zygomatic fractures (21.8 percent). 9 patients had nasofrontal duct injury. The complication rate was 25 percent (9 patients), including hypoesthesia, slight forehead irregularity, transient cerebrospinal fluid leakage. Conclusion: The critical element of successful frontal sinus fracture repair is precise diagnosis of the fracture pattern and nasofrontal duct injury. The main goal of management is the restoration of the sinus function and aesthetic preservation.
Background : In order to improve the quality of life of dying patients, they need to receive not only the physical, psychological, social, and spiritual care, but also systematic and continuous care to die with dignity. However, no adequate medical services are available for these terminal cancer patients. We studied their behavior patterns of health care utilization to understand more of their medical and social needs. Methods : We investigated 108 bereaved families through the telephone interview with structured questionnaires. They were randomly selected through the retrospective chart review of the terminal patients who passed away due to cancer. Results : Most of the terminal cancer patients received their care from proper medical services including admission to hospital (45.4%), outpatient clinic (22.2%), emergency room (16.7%), and oriental medicine (12.0%). But during the terminal phase of their illness, 32.4% of patients never received medical care including oriental medicine, and 28.7% received alterative natural care. 26 bereaved families (24.1%) pointed out the indifference of medical staff as a problem receiving proper hospital care, and 22 (20.4%) emphasized emotional strain of their helplessness with the patients' suffering as a problem of caring at home. Over 90% suggested availability of continuous care, hospice care, home care, and 24 hour telephone service to be improved. Conclusions : Due to various reasons, adequate medical care is not delivered to the terminal cancer patients in our present medical system. These problems can be approached with the establishment of proper education and medical delivery system. The role of comprehensive medical specialty cannot be overly emphasized to accomplish this most effectively.
Kim, Soo-Byung;Min, Choong-Ki;Lee, Na-Ra;Lee, Seung-Wook;Shim, Tae-Kyu;Yim, Yun-Kyoung;Lee, Yong-Heum
Korean Journal of Acupuncture
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v.26
no.4
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pp.1-11
/
2009
Objectives : The object of this study is measuring energy (skin capacitance) distribution on the specific acupionts and analyzing change patterns of meridian energy according to time or synchronous time. Methods : To check energy distribution using the meridian energy measurement system(DMM-1000), ten specific acupoints(ST34, ST36, ST40, ST41, ST42, ST43, ST44, ST45, BL21, CV12) were chosen. We checked the energy distribution and analyzed the change patterns before and after meal. We checked the state of the energy of ST meridian which is considered to have relation to stomach organ activity. Based on the hypothesis regarding energy difference due to Qi flowing, we compared energy potential on 10 specific acupoints. Results and Conclusions : Electric energy of each specific acupoint was different according to subjects and time. Through this study, we proposed an indispensable condition of energy difference due to Qi flowing through meridian.
Lee Hyung-Seok;Tae Kyung;Kim Joo-Mook;Park Joon-Soo;Kim Sun-Kon
Korean Journal of Head & Neck Oncology
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v.13
no.1
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pp.24-29
/
1997
Background: Supraglottic and hypopharyngeal regions drain into the upper deep cervical lymph nodes. And bilateral neck node metastasis is frequently occured especially, in the early stage. It influences on the prognosis of above diseases. The prognosis for patients wih supraglottic and hypopharyngeal cancers, although usually poor, has improved by modern imaging technique, better application of treatment modalities, increasing assortment of reconstructive procedures and improved application of radiation therapy. Objectives: This study was designed to obtain objective data about the patterns of neck node metastasis and to identify the necessity of elective bilateral neck dissection. Material and Methods: Twenty four patients with supraglottic cancer and twenty six patients with hypopharyngeal cancer were investigated from the chart review. Results: In supraglottic cancer, the most frequent sites of neck metastasis is level II (52.9%) and level III (52.9%) in ipsilateral side, level II (29.4%) in contralateral side, in hypopharyngeal cancer, level II (73.7%) and III (52.6%) in ipsilateral side, level II (10.5%) in contralateral side. In elective neck dissection, the occult metastasis is about 50% in supraglottic cancer, but there is no occult metastasis in hypopharyngeal cancer. Conclusion: In supraglottic cancer, elective bilateral neck dissection is necessary because of early contralateral neck metastasis, but in hypopharyngeal cancer, elective contralateral neck dissection may not be always necessary because of rare occult metastasis and contralateral neck metastasis.
Purpose: To evaluate the clinical manifestations, the patterns and the functional outcome of the amputations due to the diabetic foot complications. Materials and Methods: Fifty patients (50 feet) of diabetic foot amputations were followed for more than 1 year. The mean age was 62.5 years, and the mean follow-up period was 46 months. Retrospective analysis was performed using chart review and interview with the patients. The outcome was assessed with modified AOFAS scale. Results: The diabetic foot lesions were infection in 45 feet, gangrene in 35 feet and ulcer in 15 feet. Toe amputation was most commonly performed procedure (23 cases) followed by below knee and ray amputation. Postoperative modified AOFAS score was average 51.5 points, and 94% were satisfied with outcome. Minor amputations showed better outcome than the major amputations. Conclusion: Overall postoperative functional outcome was encouraging with high patient satisfaction rate (94%). Better outcome was obtained with the minor amputations.
Journal of Korean Institute of Industrial Engineers
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v.32
no.3
/
pp.210-218
/
2006
Traditional statistical process control (SPC) applied to discrete part industry in the form of control charts can look for and eliminate assignable causes by process monitoring. On the other hand, engineering process control (EPC) applied to the process industry in the form of feedback control can maintain the process output on the target by continual adjustment of input variable. This study presents controlling and monitoring rules adopted by variable sampling interval (VSI) to change sampling intervals in a predetermined fashion on the predicted process levels under integrated EPC and SPC systems. Twelve rules classified by EPC schemes(MMSE, constrained PI, bounded or deadband adjustment policy) and type of sampling interval combined with EWMA chart of SPC are proposed under IMA (1,1) disturbance model and zero-order (responsive) dynamic system. Properties of twelve control rules under three patterns of process change (sudden shift, drift and random shift) are evaluated and discussed through simulation and control rules for integrated VSI EPC and SPC systems are recommended.
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