• Title/Summary/Keyword: Delivery Quality

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Women's Experience of Labor Pain : Phenomenological Method (분만통증의 경험에 관한 현상학적 연구)

  • Chung, Eun-Soon;Yeo, Jung-Hee
    • Women's Health Nursing
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    • v.4 no.2
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    • pp.203-216
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    • 1998
  • Pain is commonly characterized as a multi-dimensional experience, varing in quality as well as in intensity. So, We need to understand the lived experience of primiparous women in order to provide basic information of nursing care. Therefore, The purpose of the study is to explore the construction of labor pain experience. The data are collected through in-depth interviews of 20 primiparous women in Pusan city from March 1998 to May 1998. Their labor pain experiences conducted 1-2 days after delivery at admission room. Each interview lasted about 25 minutes average. I have interviews one time with each subject. The record was taken with the consent of the subject. Data were analyzed by means of Giorgi's phenomenological analysis methods and categorized according to the similarities of its contents. The investigator read the data repeatedly to identify and categorized themes and main meaning. Eleven themes of labor pain as experienced by these subjects were : 1) fear 2) suffering 3) evasion of pain 4) will power about overcome 5) support need 6) apprehension of parent 7) producing confidence 8) obtain his roles 9) attributing the cause of labor pain to others 10) not feeling of touching 11) ambivalence. Five main meaning identified were : 1) fear 2) evading and confrontation 3) the maturity of personality 4) unreality 5) ambivalence. The significes of this study for nursing are : 1) It enables nurses and other health care providers understand more clearly the lived experience of labor pain. 2) It provides that the way of more effective pain management.

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Information Engineering and Workflow Design in a Clinical Decision Support System for Colorectal Cancer Screening in Iran

  • Maserat, Elham;Farajollah, Seiede Sedigheh Seied;Safdari, Reza;Ghazisaeedi, Marjan;Aghdaei, Hamid Asadzadeh;Zali, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.15
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    • pp.6605-6608
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    • 2015
  • Background: Colorectal cancer is a major cause of morbidity and mortality throughout the world. Colorectal cancer screening is an optimal way for reducing of morbidity and mortality and a clinical decision support system (CDSS) plays an important role in predicting success of screening processes. DSS is a computer-based information system that improves the delivery of preventive care services. The aim of this article was to detail engineering of information requirements and work flow design of CDSS for a colorectal cancer screening program. Materials and Methods: In the first stage a screening minimum data set was determined. Developed and developing countries were analyzed for identifying this data set. Then information deficiencies and gaps were determined by check list. The second stage was a qualitative survey with a semi-structured interview as the study tool. A total of 15 users and stakeholders' perspectives about workflow of CDSS were studied. Finally workflow of DSS of control program was designed by standard clinical practice guidelines and perspectives. Results: Screening minimum data set of national colorectal cancer screening program was defined in five sections, including colonoscopy data set, surgery, pathology, genetics and pedigree data set. Deficiencies and information gaps were analyzed. Then we designed a work process standard of screening. Finally workflow of DSS and entry stage were determined. Conclusions: A CDSS facilitates complex decision making for screening and has key roles in designing optimal interactions between colonoscopy, pathology and laboratory departments. Also workflow analysis is useful to identify data reconciliation strategies to address documentation gaps. Following recommendations of CDSS should improve quality of colorectal cancer screening.

Proposal of Personalized Recommendation for Korean Food and Tour Using Beacon System (비콘을 활용한 개인 맞춤형 한식과 관광지 추천 관리 시스템 제안)

  • Sung, Kihyuk;Ryu, Gihwan;Yun, Daiyeol
    • The Journal of the Convergence on Culture Technology
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    • v.6 no.3
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    • pp.267-273
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    • 2020
  • Beacon is a wireless communication device that can automatically recognize the smart device in the short distance and transmit the necessary data, Beacon is a representative Internet of Things (IoT) facility in the era of the 4th Industrial Revolution, which is utilized in various fields such as short-distance information delivery, mobile location service, shopping, and marketing, and is constantly evolving. In this paper, it is based on tourist site-based recommendation information service. A system is proposed that recommends customized information according to the user's interest, preference, etc. by incorporating beacon technology. In other words, it acts as an information agent that informs tourists of desired information. In order to meet the needs of tourists, it is necessary to build an intelligent tourism recommendation system. The personalized Korean food and tourism recommendation management system using the beacon technology proposed in this paper is expected to provide high-quality services not only to foreigners visiting Korea but also to Korean tourists.

Design of High-Speed VPN for Large HD Video Contents Transfer (대용량 HD 영상콘텐츠 고속전송 VPN(Virtual Private Network)의 설계)

  • Park, Hyoungy-Ill;Shin, Yong-Tae
    • The Journal of the Institute of Internet, Broadcasting and Communication
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    • v.12 no.4
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    • pp.111-118
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    • 2012
  • When broadcasters want immediately a variety of VOD files in a distributed server of them data centers and away contents provider, CPs of different platform to exchange high-quality HD, 3DTV video and other video files over the IP networks of high-performance that can be transferred quickly and must be configured quickly. This paper, by using an optional encryption method to complement a QoS and security of public network, suggests high speed and secure content transmission protocol such as VPN(Virtual Private Network) for large video files and big data. As configured high performance VPN, end to end devices use the best of available resources over public network by parallel transfer protocol and the secure content delivery network.

노인복지시설의 호스피스 운영모형 개발

  • Yun, Eun-Gyeong
    • Korean Journal of Hospice Care
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    • v.2 no.1
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    • pp.1-20
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    • 2002
  • 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.

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Result Analysis of Training Programs for Stengthening Teacher's ICT Competency (교원 정보화 역량강화 연수 운영 성과분석 연구)

  • Suh, Soon-Shik;Kim, Sung-Wan
    • Journal of the Korea Society of Computer and Information
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    • v.16 no.10
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    • pp.111-120
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    • 2011
  • The purpose of this study is to analyze the results of training programs for strengthening teachers' ICT competency and to suggest the ways to improve the existing ones. To do this, we conducted literature review, web survey with teachers, and in-depth interview with training program operators. The results of the online survey indicated that generally speaking, the programs had been operated desirably, although three programs(Thinking with Technology Course, Essential Course, e-PBL Instructional Design Course) needed to take additional efforts for their effectiveness and efficiency. According to the results of in-depth interview with training operators, they demanded re-training for lecturers, self career development, quality control of regional delivery training, expansion of training periods, and post-supports after training etc.

Application of Regression Analysis Model to TOC Concentration Estimation - Osu Stream Watershed - (회귀분석에 의한 TOC 농도 추정 - 오수천 유역을 대상으로 -)

  • Park, Jinhwan;Moon, Myungjin;Han, Sungwook;Lee, Hyungjin;Jung, Soojung;Hwang, Kyungsup;Kim, Kapsoon
    • Journal of Environmental Impact Assessment
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    • v.23 no.3
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    • pp.187-196
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    • 2014
  • The objective of this study is to evaluate and analyze Osu stream watershed water environment system. The data were collected from January 2009 to December 2011 including water temperature, pH, DO, EC, BOD, COD, TOC, SS, T-N, T-P and discharge. The data were used for principle component analysis and factor analysis. The results are as followes. The primary factors obtained from both the principal component analysis and the factor analysis were BOD, COD, TOC, SS and T-P. Once principal component analysis and factor analysis have been performed with the collected data and then the results will be applied to both simple regression model and multiple regression model. The regression model was developed into case 1 using concentrations of water quality parameters and case 2 using delivery loads. The value of the coefficient of determination on case 1 fell between 0.629 and 0.866; this was lower than case 2 value which fell between 0.946 and 0.998. Therefore, case 2 model would be a reliable choice.The coefficient of determination between the estimated figure using data which was developed to the regression model in 2012 and the actual measurement value was over 0.6, overall. It can be safely deduced that the correlation value between the two findings was high. The same model can be applied to get TOC concentrations in future.

Estimation of Soil Erosion and Sediment Yield in Mountainous Stream (산지형 하천의 토양침식 및 토사유출량 산정)

  • Ko, Jae-Wook;Yang, Sung-Kee;Yang, Won-Seok;Jung, Woo-Yeol;Park, Cheol-Su
    • Journal of Environmental Science International
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    • v.22 no.5
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    • pp.599-608
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    • 2013
  • Jeju island, which is located along the moving path of typhoon, suffers from flooding and overflow by torrential rain. So abrupt runoff occurring, damages of downstream farm field and shore culturing farms are increasing. In this study, Oaedo stream, one of the mountainous streams on Jeju island, was selected as the basin of study subject and was classified into 3 sub-basins, and after the characteristics of subject basin, the soil erosion amount and the sediment delivery of the stream by land usage distribution were estimated with the use of SATEEC ArcView GIS, the sediment yield amount of 2000 and 2005 was analyzed comparatively. As a result of estimating the sediment yield amount of 2000, the three sub-basins were respectively 12,572.7, 14,080 and 157,761 tons/year. and sediment yield amounts were estimated as 35,172.9, 5,266 and 258,535 tons/year respectively in 2005. The soil erosion and sediment yield amount of 2005 using single storm rainfall were estimated high compared with 2000, but for sub-basin 2, the values rather decreased due to changes in land use, and the land coverage of 2005, since there are many classifications of land usage compared with 2000, enabling to reflect more accurate land usage condition, could deduce appropriate results. It is anticipated that such study results can be utilized as basic data to propose a direction to predict the amount of sediment yield that causes secondary flooding damage and deteriorates water quality within detention pond and grit chamber, and take action against damages in the downstream farm field and shore culturing farms.

The Improvement for Geo-spatial Information Utilization of Environment Impact Assessment Supporting System (환경영향평가 정보지원시스템의 지형공간정보 서비스의 활용성 개선)

  • Chang, Hoon;Jeon, Hyung Jin
    • Journal of Korean Society for Geospatial Information Science
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    • v.21 no.1
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    • pp.45-52
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    • 2013
  • EIASS(Environment Impact Assessment Supporting System) provided the various updated quality environment impact assessment data and the assessment reports through database system to support cost effective and stable services. Through this system users can access environment impact assessment information and have great convenience in their relevant works. This study introduces geo-spatial information usages in EIASS and how this system developed the use of convenience and expansion of service ranges by user surveys. This study also demonstrated step-wise delivery and links on one-stop database inventory for data collection, manipulation, and usages of geo-spatial information among environmental information.

Comparisons of Student Satisfaction with the School Food Service Programs in Middle and High Schools by Food Service Management Types (급식유형에 따른 중 . 고등학생의 학교급식 만족도)

  • 김숙희;이경애;유춘희;송요숙;김우경;윤혜려;김주현;이정숙;김미강
    • Journal of Nutrition and Health
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    • v.36 no.2
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    • pp.211-222
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    • 2003
  • This study on satisfaction with school food service (FS) programs was conducted with 485 middle school students and 515 high school students based on FS management type. There were four types of FS management: independent-conventional (IC), independent-commissary (ICM), contract-conventional (CC), and contract-delivery (CD). About seventy percent of the students expressed satisfaction with the food quantity of the school lunches. But one third of the students, who felt the quantity was insufficient, cited the small size of the rice serving. Many high school students cited the small size of the side dishes as well as the rice serving. It is suggested that the meal quantity should be determined in consideration of the students' physical development. The satisfaction with FS sanitation was lower than that with the meal quality, eating environment, and environment of dining room with respect to all four types of FS management, and was lowest in the CD. It is suggested that FS sanitation should be managed more thoroughly for the students' safety, and that the school FS Committee should carefully monitor the sanitary management of the contract FS companies by means of a well-designed and monitored management system. Most of middle and high school students expected good taste and a diversity of foods in their school lunches. Food taste should be improved, and various food materials and cooking methods should be used for balanced nutrition and greater student satisfaction, particularly in contract FS types (CC and CD).