Journal of The Korean Society of Integrative Medicine
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v.12
no.3
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pp.237-247
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2024
Purpose : This study aimed to systematically review the effectiveness of nursing interventions for patients receiving extracorporeal membrane oxygenation (ECMO). As the use of ECMO increases in critical care settings, it is important to understand how nursing interventions affect patient outcomes, survival, and complication rates. Methods : This systematic review followed the preferred reporting items for systematic reviews and meta-analysis guidelines. A literature search was performed using terms related to ECMO and nursing interventions in several international electronic databases including CINAHL, Embase, MEDLINE, and Web of Science. Studies were screened and selected according to predefined eligibility criteria, focusing on those that evaluated the impact of nursing interventions on adult. Data extraction and risk-of-bias assessment were independently performed by two researchers. Results : A total of 647 studies were identified, and seven met the inclusion criteria for qualitative analysis. The included studies demonstrated that high-quality nursing care significantly improves clinical outcomes and reduces complications in patients receiving ECMO. Effective nursing interventions included prone positioning combined with ECMO for patients with acute respiratory distress syndrome, meticulous infection control, comprehensive and continuous nursing protocols, skilled nursing, and multidisciplinary management. These interventions have been shown to improve oxygenation, reduce complications, such as bleeding, manage blood pressure, and enhance overall clinical outcomes. Conclusion : High-quality nursing interventions are critical to improve survival and reduce complications in patients receiving ECMO. Implementing a multidisciplinary approach and comprehensive nursing protocols, including infection control and psychological support, is essential for the effective management of these patients. The findings of this study provide a foundation for the development of practical guidelines and educational programs to improve the quality of care for patients undergoing ECMO, ultimately enhancing the effectiveness of ECMO treatment and patient outcomes.
Journal of the Korean Operations Research and Management Science Society
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v.24
no.2
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pp.135-150
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1999
Service quality is very important to marketers and consumers in that it has many strategic benefits in contributing to profitability of marketing activities and consumers' problem-solving activities. Moreover, despite the phenomenal growth of physical fitness centers little research has focused on the evaluation of service quality from exercisers' perspectives. The major purpose of this article is to explore the concept of two-factor model and its influences on exerciser's perception of quality. This article attempts to achieve its purpose by (1)classfying critical service attibutes into hygiene factors and satisfiers (2) measuring the relative importance of need criteria (3) evaluating SERVPERF model and SERVQUAL model in service sector and (4)identifying the relationship between overall satisfaction and behavior. In explaining the relationship between perceived performance and overall satisfaction only 27 out of original 33 survey items were appreared to be statistically significant. Hence a penalty-reward analysis was performed on these critical attributes to find out 11 satisfiers and 9 hygiene factors. In addition, it was found that only experience-based norms(SERVPERF model) were more appropriate than expectations to serve as a benchmark against which service experiences were compared(SERVQUAL model). However it must be noted that the degree of association to overall satisfaction was not consistent.
Proceedings of the Korean Institute of Building Construction Conference
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2019.05a
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pp.78-79
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2019
A construction project with a total construction cost of over 10 billion KRW should be evaluated whether construction works are appropriately executed. The evaluation is carried out on quality management, process management, construction management, safety management, environmental management. The implementation period is within 60 days after completion of construction of the construction, from the time when the construction rate of the construction work has progressed by more than 90% to the construction cost. However, the participating construction engineers should prepare the evaluation within the period according to the evaluation criteria, but there are difficulties in preparation for the evaluation due to the reasons such as the change of engineers in charge and loss of data. Therefore, this study proposes the procedure of construction evaluation and adjusts timing of construction evaluation.
This study looks at priorities in managing public hospitals by figuring out categories needed to examine the quality of each hospital. In order to analyze priorities and relative importance of valuation indicator in Seoul municipal hospitals, surveys were sent via e-mail to medical professionals who have participated in evaluation of municipal hospitals. The analytic hierarchy process (AHP) was conducted using the Expert Choice 11.5 program. The results show that 'providing public service' is considered to be the most important category for all kinds of public hospitals, followed by 'improving the quality of medical care', 'hospital management and governance', and 'efficient hospital management'. The importance of 'hospital management and governance' and 'efficient hospital management' is different depending on the types of hospitals, but the importance of 'providing public service' and 'improving the quality of care' remains the same regardless of the types of hospitals. Based on these results, the study comes to a conclusion that public hospitals should place high value on certain categories and their management purposes should differ depending on their specific fields and characteristics. This study will help furthering discussions on the identity and roles of public hospitals.
Pak, Minjung;Yoo, Jaeryong;Ha, Wi-Ho;Jin, Young-Woo
Journal of Radiation Protection and Research
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v.41
no.3
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pp.274-281
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2016
Background: Whole-body counters are widely used to evaluate internal contamination of the internal presence of gamma-emitting radionuclides. In internal dosimetry, it is a basic requirement that quality control procedures be applied to verify the reliability of the measured results. The implementation of intercomparison programs plays an important role in quality control, and the accuracy of the calibration and the reliability of the results should be verified through intercomparison. In this study, we evaluated the reliability of 2 whole-body counting systems using 2 calibration methods. Materials and Methods: In this study, 2 whole-body counters were calibrated using a reference male bottle manikin absorption (BOMAB) phantom and a Radiation Management Corporation (RMC-II) phantom. The reliability of the whole-body counting systems was evaluated by performing an intercomparison with International Atomic Energy Agencyto assess counting efficiency according to the type of the phantom. Results and Discussion: In the analysis of counting efficiency using the BOMAB phantom, the performance criteria of the counters were satisfied. The relative bias of activity for all radionuclides was -0.16 to 0.01 in the Fastscan and -0.01 to 0.03 in the Accuscan. However, when counting efficiency was analyzed using the RMC- II phantom, the relative bias of $^{241}Am$ activity was -0.49 in the Fastscan and 0.55 in the Accuscan, indicating that its performance criteria was not satisfactory. Conclusion: The intercomparison process demonstrated the reliability of whole-body counting systems calibrated with a BOMAB phantom. However, when the RMC-II phantom was used, the accuracy of measurements decreased for low-energy nuclides. Therefore, it appears that the RMC-II phantom should only be used for efficiency calibration for high-energy nuclides. Moreover, a novel phantom capable of matching the efficiency of the BOMAB phantom in low-energy nuclides should be developed.
This study employed the Analytical Hierarchy Process (AHP) methodology with the enhancement of the competitiveness of Vietnamese commercial banks set as the overall goal of the model. Analysis of the survey questionnaire based on pair-wise comparisons and collected from experts in the field of banking led to three significant findings. First, banking safety is the most important evaluation criteria for the competitiveness of local commercial banks in Vietnam, followed by operating efficiency, intangible values and large scale. Second, in order to achieve the overall goal of enhancing competitiveness for local banks, securing healthy financial conditions should be made the priority. Effective management systems, strategic human resource planning and high-quality products and services all show strong connections to achieving the evaluation criteria. Third, the study found that bad debt settlement is essential in obtaining healthy financial conditions. In order to introduce effective management systems as well as high-quality products and services, technological advances are very important. Improving the quality of executives and staff is imperative for strategic human resource planning purposes.
This study was tried for the improvement of software process ability of the software firms, and analyzed empirically the impact that a software process infrastructure level influences on the software process level and process performance. The questionnaire were developed and data were collected from the process improvement correspondences or project quality managers of the 78 software firms. The result was shown that management-organization infrastructure was composed of software process improvement organization's role and activity, process standard and education, management system and supporting, management guides and procedures. And organization's standard development procedure or criteria, process asset, process support tools were included in technical infrastructure. This study provides that some components of software process infrastructure had an significant influence on the process level, process infrastructure management level, and software process performance.
The purpose of this study was analyze how korean adult women\`s swimming suit buying behavior varied according to consumer characteristics. Especially, it was intended to provide basic materials for swimming suit product development and quality improvement appropriate to consumer characteristics with a focus on product evaluation criteria. Questionnaire research was conducted for 850 adult women resident in Seoul, to whom questionnaire were distributed and who were asked to complete their questionnaires. 1. As for buying motive, of swimming suit buying behavior, it was shown that the highest proportion of adult women bought their new swimming suit because their old swimming suit was wornout and most adult women tended to buy their new swimming suit or their own will rather than at others\` suggestion. 2. As for the source of information at a time. of swimming suit purchase, adult women collected information from the product on display most and bought their swimming suit in a planned way in relation to the degree of purchase planning. 3. As for product evaluation criteria, adult women showed the high scores in order of the type and quality of material, activity and functionalism, dimensions and fitness. 4. In many cases actual swimming suit purchasers were the adult women who bought their swimming suit, and they used the department store or the large shopping center as the place of purchasing the swimming suit. Its reason was that the department store or the large shopping center had a diverse assortment of products. As for the degree of their travelling companion\`s influence, it was found that most adult women were influenced by their travelling companions when purchasing their swimming suits. 5. As for the level of satisfaction with swimming suit purchase, it was shown that adult women were generally satisfied with their swimming suit purchase. It was found that their level of satisfaction was higher in order of activity and functionalism, the type and quality of swimming suit materials, and ease in washing management while they showed the low level of satisfaction with price, the fastness of color to washing, light and detergents and durability.
Surface of fine-size exposed aggregate portland cement concrete pavements(FS-EAPCC) is consist by exposed coarse aggregate to remove upper 2~3mm mortar of concrete slabs. Advantages of FS-EAPCC are maintaining low-noise and adequate skid-resistance level during the performance period. However, FS-EAPCC is required rational management criteria for field application, since it is early stage for application. Design construction and quality control criteria of FS-EAPCC was temporary laboratory tests which including optimum mix and exposing method, selection of adequate aggregate, resistance against, environmental loading and etc. However, these criteria need to be validated base on field application. In this study, experimental constructions were performed and construction procedure and quality control criteria were suggested based on the performance of the FS-EAPCC.
Nan-He Yoon;Sunghun Yun;Dongmin Seo;Yoon Kim;Hongsoo Kim
Health Policy and Management
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v.33
no.4
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pp.479-488
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2023
Background: By applying the suggested criteria for needs-based chronic medical care and long-term care delivery system for the elderly, the current status of delivery system was identified and regional delivery systems were categorized according to quantity and quality of delivery system. Methods: National claims data were used for this study. All claims data of medical and long-term care uses by the elderly and all claims data from long-term care hospitals and nursing homes in 2016 were analyzed to categorize the regional medical and long-term care delivery system. The current status of the delivery system with a high possibility of transition to a needs-based appropriate delivery system was identified. The necessary and actual amount of regional supply was calculated based on their needs, and the structure of delivery systems was evaluated in terms of the needs-based quality of the system. Finally, all regions were categorized into 15 types of medical and care delivery systems for the elderly. Results: Of the total 55 regions, 89.1% of regions had an oversupply of elderly medical and care services compared to the necessary supply based on their needs. However, 69.1% of regions met the criteria for less than two types of needs groups, and 21.8% of regions were identified as regions where the numbers of institutions or regions with a high possibility of transition to an appropriate delivery system were below the average levels for all four needs groups. Conclusion: In order to establish an appropriate community-based integrated elderly care system, it is necessary to analyze the characteristics of the regional delivery system categories and to plan a needs-based delivery system regionally.
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