• 제목/요약/키워드: Current practice

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Registered dietitian nutritionists and perceptions of liberalizing the hemodialysis diet

  • Welte, Alyssa L.;Harpel, Tammy;Schumacher, Julie;Barnes, Jennifer L.
    • Nutrition Research and Practice
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    • 제13권4호
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    • pp.310-315
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    • 2019
  • BACKGROUND/OBJECTIVES: The objective of this study was to assess the level of awareness, comfort, and likelihood of liberalizing the hemodialysis diet in practicing renal registered dietitian nutritionists (RDN). SUBJECTS/METHODS: An original, cross-sectional survey was sent to the Academy of Nutrition and Dietetics' Renal Practice Group in May 2017, consisting primarily of renal dietitians. RESULTS: A total of 187 renal dietitians responded to the survey designed to assess their current practices regarding the renal diet for hemodialysis patients and how comfortable they would be liberalizing the current restrictions. On average, 16.3% of dietitians are extremely likely to liberalize the restrictions on various food groups including fruits and vegetables, beans and legumes, and whole grains. CONCLUSIONS: RDN feel confident in their ability to interpret and apply evidence-based literature into practice, and they are moderately comfortable liberalizing the renal diet. The participants were generally more comfortable liberalizing the phosphorus restriction than the potassium restriction, and the sodium restriction remains important to control interdialytic weight gain and hypertension. Future research is needed to establish efficacy of a liberalized diet as well as interventions to help RDN feel more comfortable implementing a liberalization of the renal diet.

Safe clinical photography: best practice guidelines for risk management and mitigation

  • Chandawarkar, Rajiv;Nadkarni, Prakash
    • Archives of Plastic Surgery
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    • 제48권3호
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    • pp.295-304
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    • 2021
  • Clinical photography is an essential component of patient care in plastic surgery. The use of unsecured smartphone cameras, digital cameras, social media, instant messaging, and commercially available cloud-based storage devices threatens patients' data safety. This paper Identifies potential risks of clinical photography and heightens awareness of safe clinical photography. Specifically, we evaluated existing risk-mitigation strategies globally, comparing them to industry standards in similar settings, and formulated a framework for developing a risk-mitigation plan for avoiding data breaches by identifying the safest methods of picture taking, transfer to storage, retrieval, and use, both within and outside the organization. Since threats evolve constantly, the framework must evolve too. Based on a literature search of both PubMed and the web (via Google) with key phrases and child terms (for PubMed), the risks and consequences of data breaches in individual processes in clinical photography are identified. Current clinical-photography practices are described. Lastly, we evaluate current risk mitigation strategies for clinical photography by examining guidelines from professional organizations, governmental agencies, and non-healthcare industries. Combining lessons learned from the steps above into a comprehensive framework that could contribute to national/international guidelines on safe clinical photography, we provide recommendations for best practice guidelines. It is imperative that best practice guidelines for the simple, safe, and secure capture, transfer, storage, and retrieval of clinical photographs be co-developed through cooperative efforts between providers, hospital administrators, clinical informaticians, IT governance structures, and national professional organizations. This would significantly safeguard patient data security and provide the privacy that patients deserve and expect.

In Search of Demanded Green Marketing Practices to Encourage Customer's Eco-friendly Purchasing Intention

  • KANG, Eungoo;HWANG, Hee-Joong
    • 동아시아경상학회지
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    • 제10권3호
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    • pp.93-104
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    • 2022
  • Purpose - The green marketing practice improves consumers' environmental knowledge, consequently bolstering their environmental purchase intention. It also improves consumers' green brand knowledge, positively influences their attitude toward green brands. This research examines the role of green brand image between green marketing practice and consumers' green purchasing intention Research design, Data, and methodology - This research has conducted the 'Qualitative Content Analysis' in the current literature dataset. It is crucial to create the procedures and processes that is used to acquire the data needed to structure or solve problems. Finally, total 35 prior studies included for the analysis. Result - Based on prior studies, the current authors figured out that the green brand image plays an essential role in promoting companies' efforts in green marketing practices and green purchase intentions through its mediating ability by fostering trust, green perceived value, green brand loyalty, and social responsibility as a significant determiner of green practices Conclusion - This research concludes that green brand positioning helps companies secure a special place in a consumers' mind by facilitating the design of the desired green brand awareness image and strengthening consumers' desire to purchase a specific green product/service. Green brand positioning centers on the way marketing communications of green brand features green brand knowledge.

Bayesian Theorem-based Prediction of Success in Building Commissioning

  • Park, Borinara
    • 국제학술발표논문집
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    • The 6th International Conference on Construction Engineering and Project Management
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    • pp.523-526
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    • 2015
  • In recent years, building commissioning has often been part of a standard delivery practice in construction, particularly in the high-performance green building market, to ensure the building is designed and constructed per owner's requirements. Commissioning, therefore, intends to provide quality assurance that buildings perform as intended by the design and often helps achieve energy savings. Commissioning, however, is not as widely adopted as its potential benefits are perceived. Owners are still skeptical of the cost-effectiveness claims by energy management and commissioning professionals. One of the issues in the current commissioning practice is that not every project is guaranteed to benefit from the commissioning services. This, coupled with its added cost, the commissioning service is not acquired with great acceptance and confidence by building owners. To overcome this issue, this paper presents a unique methodology to enhance owner's predicting capability of the degree of success of commissioning service using the Bayesian theorem. The paper analyzes a situation where a future building owner wants to use a pre-commissioning in an attempt to refine the success rate of the future commissioned building performance. The author proposes the Bayesian theorem based framework to improve the current commissioning practice where building owners are not given accurate information how much successful their projects are going to be in terms of energy savings from the commissioning service. What should be provided to the building owners who consider their buildings to be commissioned is that they need some indicators how likely their projects benefit from the commissioning process. Based on this, the owners can make better informed decisions whether or not they acquire a commissioning service.

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충북지역 학교급식 조리종사자의 위생지식과 위생관리 수행수준 (Employees' Sanitation Practice Level and Sanitation Knowledge at School Foodservice Operations in Chungbuk Province)

  • 한정숙;이영은
    • 한국생활과학회지
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    • 제20권3호
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    • pp.637-649
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    • 2011
  • The purpose of this study was to analyze employees' practice levels and knowledge of sanitation at school foodservice operations, to examine the sanitation conditions of current school foodservice, and to suggest an effective sanitary training program. A questionnaire survey was conducted on a total of 578 subjects and 501 reponses were made available for this study. The collected data was analyzed using SPSS of windows. The main results can be summarized as follows: Training through handouts was the most effective (53.2%) and lack of time caused by overwork (57.1%) made the practice of sanitation training difficult. The degree of employees' perceptions of the necessity of sanitary training programs was marked at 4.18 points. According to the foodservice employees' evaluation about the knowledge of sanitation concerning the sanitary training program contents, the area of environmental sanitation (96.3%) was the highest while food poisoning control (72.9%) was lowest. Foodservice employees' practice levels was ranked above 4 points (out of 5 points) in 9 areas. Practice levels of cleaning and disinfection management were highest while that of safety management was lowest. About the food service employees' practice levels of sanitation, the degree of practice and the application of knowledge was 4.39 points. There was a significantly positive correlation between the practice level of sanitation and sanitation knowledge(p<.01). Thus, educational material needs to be standardized in order to improve employees' sanitation practice level.

직무분석에 비교한 현장실습 직무 적절성과 일의 요소 수행에 관한 연구 (A Study On Appropriation of Clinical Practice and Carried Out Task Elements Compare with Job Analysis)

  • 이일훈;류경호;정수아
    • 한국안광학회지
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    • 제17권4호
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    • pp.345-352
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    • 2012
  • 목적: 현장실습 내용의 적절성과 표준화된 실습내용을 개발하는 기초자료를 얻고자 하였다. 방법: 2009 년도부터 2011년도까지 현장실습을 이수한 전체 인원에 대하여 연도별, 성별, 지역별 실습 내용을 분석하였다. 결과: 평균 실습 일수는 24.27일 이었고 일일 평균 수행 일의 요소는 2.74개로 나타났다. 연도별, 지역별 실습내용의 변화를 볼 수 있었다. 남 여 학생의 실습내용도 일의 요소 수행에서 남학생의 경우 전체 일의 요소에 대한 빈도는 차이가 났다. 결론: 현장실습을 규격화할 수 있고 현장실습에서 요구하는 일의 요소가 포함되며 안경광학과 교육목표에 부합되도록 체계화된 실습매뉴얼의 개발이 필요하다.

대법원 판례로 살펴본 무면허 한방의료행위의 법리 (The Legal Aspect of Supreme Court Cases on the Unlicensed Medical Practice of Korean Medicine)

  • 이해웅
    • 대한예방한의학회지
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    • 제23권1호
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    • pp.15-26
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    • 2019
  • Background and Aim : Health care and cosmetics as well as quality of life is now a matter of concern and many categories of complementary and alternative medicine fall into the territory of the medical practice of Korean medicine. Accordingly, penalties are being taken for unlicensed medical practices of Korean medicine in so called complementary and alternative medicine area. There is a possibility of violating the law for the public part because it is not clearly stipulated in the law as to what is a licensed medical practice. Materials and Method : The significance of the Medical Service Act and the Act on Special Measures for the Control of Public Health Crimes were reviewed, and the related supreme court cases were discussed upon the legal aspect of processing the unlicensed medical practice of Korean medicine. The legal information was provided from the National Law Information Center of the Ministry of Government Legislation, and the information websites of the Supreme Court and the Constitutional Court. Results : The concept of medical practice, which is essential in judging the case of unlicensed medical practice, is 'prevention and treatment of diseases through diagnosis, examination, prescribing, medication, or surgical procedures based on medical expertise', and the 'acts that may result in harm and injury of health unless performed by a medical person'. With respect to the medical practice of Korean medicine, the concept includes 'prevention and treatment of diseases using the principle of traditional Korean Medicine'. Conclusions : The concept of medical practice should be clearly stipulated in the law for the control over the unlicensed medical practices of Korean medicine. And it is important to move from the current concept of medical person-oriented medical practice emerging from the national system of healthcare control, to a concept that can accept the era of health managing-oriented medical environment and the co-governance of the healthcare providers and consumers for the future.

종합건설사 실행예산 편성 시 리스크 비용 산정에 관한 인식 및 실태에 관한 연구 - 건축공사를 중심으로 - (A Study on the Perceptions and Current Practices in Estimating Risk Cost of Contractor's Construction Budget - Focused on Building Projects -)

  • 최정원;김한수
    • 한국건설관리학회논문집
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    • 제23권3호
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    • pp.13-24
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    • 2022
  • 건설공사는 다양한 리스크에 노출되어 있으며, 건설공사의 리스크는 더욱 증가하는 경향을 보이고 있다. 건설공사의 리스크 증가는 건설사의 리스크 예측 및 대응의 중요성을 더욱 증가시키고 있다. 건설사가 건설공사의 리스크를 대응하는 방법 중 하나는 리스크 비용을 사전에 예측 또는 산정하여 이를 실행예산에 반영하는 것이다. 리스크 비용과 관련하여 다양한 연구들이 수행되어 왔지만, 국내 건설사의 실행예산 편성 시 리스크 비용 산정에 관한 인식과 실태에 관한 분석은 미흡한 것으로 나타났다. 본 연구의 목적은 종합건설사의 실행예산 편성 시 리스크 비용 산정과 관련된 인식과 실태를 조사·분석하여 주요 특징 및 시사점을 도출하는데 있다. 본 연구의 주요 결과를 요약하면 실행예산 편성 시 리스크 비용 반영의 중요성에 대한 인식은 상당히 높았으나, 상대적으로 리스크 비용을 산정하는 수준은 상대적으로 미흡한 것으로 나타났다. 리스크 비용 산정을 효과적으로 수행하기 위해서는 실적 데이터, 가이드라인, 전사적 표준절차 등 실무기반이 구축되어야 하며, 충분한 견적기간도 할애될 필요가 있었다. 또한 리스크 비용 산정을 위해 빅데이터 분석기법을 포함한 정교한 분석기법의 활용에 대한 관심은 높지만 현재 준비 및 활용 수준은 낮은 것으로 나타나 이에 대한 실무 적용성을 높이기 위한 연구개발이 필요하다고 할 수 있다.

에너지 흡수효율에 의한 철근콘크리트 구조물의 감쇠비 수정계수 결정 (Determination of Damping Modification Factor in RC Structures Due to Energy Absorption Efficiency)

  • 김장훈;좌동훈
    • 한국콘크리트학회:학술대회논문집
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    • 한국콘크리트학회 2002년도 가을 학술발표회 논문집
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    • pp.161-166
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    • 2002
  • The modification factor( k-factor) of equivalent damping ratio utilized in the current state-of-the-practice to account for the imperfection of reinforced concrete structures in hysteresis loop is investigated. From this, it is found that the current modification factor does not include the effect of cyclic loading, one of the important characteristic properties of earthquake loading. This could be taken into account by considering the energy absorption efficiency based on the cummulative plastic deformation. From the study, it is suggested that the current approach for the modification factor for the equivalent damping ratio should be reformed.

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개선된 Brushless DC Motor의 토크리플 최소화 (An Improved Torque Ripple Minimization of Brushless DC Motor)

  • 정진화;정선태
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 1994년도 하계학술대회 논문집 A
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    • pp.298-302
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    • 1994
  • Brushless DC motors have a trapezoidal back EMF wave form and are fed with rectangular stator currents. Under these conditions, the torque produced is theoretcally constant. However, in practice, torque ripple may exist, one major cause of which conies from phase current commutation. In this paper we propose an improved method of reducing the torque ripple due to phase current commutation of indirectly restricting the uncommutated current through control of the other phase currents. Simulation results are present.

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