• Title/Summary/Keyword: Effective Design

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Influence of Individual and Job Characteristics, Professional Job Perception, and Group Cohesiveness on Organizational Citizenship Behavior of Physical Therapists in Hospitals (물리치료사의 개인 및 직무특성, 전문직업성, 집단응집성이 조직시민행동에 미치는 영향)

  • Lim, Jung-Do;Lee, Key-Hyo;Kim, Won-Joong
    • Korea Journal of Hospital Management
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    • v.8 no.2
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    • pp.70-92
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    • 2003
  • The main objective of this paper is to investigate the factors affecting organizational citizenship behavior of hospital employees, and based on the investigation, to suggest some implications for effective human resources management of hospitals. For this purpose, physical therapists were selected as the subject of the research. Using their individual characteristics, job characteristics, professionalism and group cohesiveness as the variables affecting organizational citizenship behavior, an empirical model was constructed and tested. A survey was conducted through structured and self-administered questionnaire for the physical therapists working at hospitals of Busan-Kyongnam area, and data from 240 therapists were utilized in the final analysis. Major results of the empirical analysis are as follows: First, perception on professionalism and the degree of organizational citizenship behavior were higher for male, older, relatively more-educated and higher-grade employees. It is necessary to develope some measures to educate and motivate the employees who are in lower state of professionalism and organizational citizenship behavior. Second, among the individual characteristics, need for growth was found to have significant, positive influence on professionalism and group cohesiveness, but no direct effect on organizational citizenship behavior. On the other hand, extroversion had direct, positive effect on organizational citizenship behavior, as well as on professionalism and group cohesiveness. This result suggests that personnel selection and personality education should be conducted carefully. Third, job characteristics appeared to have very large, positive effect on professionalism, but not directly on organizational citizenship behavior. Fourth, professionalism was found to have very large, positive influence on group cohesiveness and direct, positive effect on organizational citizenship behavior. This implies that enhancing professionalism of physical therapists can strengthen organizational citizenship behavior in hospitals, and hence top management should actively support the programs for job re-design, skill education and quality improvement to enhance professionalism of their employees. Fifth and last, as an intervening factor, group cohesiveness appeared to have the largest, direct, positive effect on organizational citizenship behavior. It is, therefore, important for top management to improve group cohesiveness by exploring ways toward greater harmony and solidarity among the members of physical therapy department.

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Intervention Effect on Health Efficacy and Knowledge in Cardiovascular Health Promotion Behaviors in Children (초등학생 대상의 건강 효능감과 지식을 중심으로 한 심혈관 건강증진 중재 효과)

  • Tak, Young-Ran;Yun, E-Hwa
    • Korean Journal of Health Education and Promotion
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    • v.26 no.5
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    • pp.97-113
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    • 2009
  • Objectives: This study was conducted to identify the intervention effects on health efficacy and health knowledge related to health behaviors for improving cardiovascular health in elementary school children. Methods: A repeated measure, pre-post-test design was used to identify the intervention effect on health efficacy and health knowledge among 5th grade school children. Intervention consisted of a curriculum classroom intervention and parent intervention. Health efficacy, health knowledge, and perceived parental monitoring were measured for testing intervention effect. A sample of 219 participants completed a baseline pre-test and two tests during intervention and after intervention from March to July 2004. Results: Mental health efficacy improved significantly from baseline test to the test after intervention (F = 32.88, p < 0.0001). Physical health efficacy also significantly increased during intervention (F = 50.51, p < 0.0001), but did not significantly change after parent intervention. Health knowledge increased significantly from baseline test to the test after education (F =10.23, p < 0.0001), but decreased after parent intervention. Perceived parental monitoring had a significant impact on mental health efficacy and physical health efficacy. Conclusion: The findings support school-based cardiovascular health promotion intervention as effective in improving health efficacy and health knowledge. Parental influence should also be considered to maintain improved health efficacy and health knowledge by thinking process in the intervention for elementary school children.

Oxaliplatin-induced Peripheral Neuropathy in Patients with Advanced or Metastatic Gastric Cancer (진행성 또는 전이성 위암 환자에 있어서 Oxaliplatin 투여로 인한 말초신경통증 분석)

  • Park, Ae-Ryoung;Kim, Soon-Joo;Bang, Joon-Seok;La, Hyen-Oh
    • Korean Journal of Clinical Pharmacy
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    • v.19 no.1
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    • pp.18-22
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    • 2009
  • Oxaliplatin is a tolerable and effective drug of choice in the treatment of advanced or metastatic gastric cancer. However, it has many dose-limiting neurotoxicities. This study was performed to assess the incidence and types of oxaliplatin-related neurotoxicities. Sixty-four patients receiving oxaliplatin-involved regimen as salvage therapy on metastatic gastric cancer or as the first-line therapy on advanced gastric cancer were evaluated during the period between September 1, 2006 and February 29, 2008. The patients were treated with oxaliplatin 100 $mg/m^2$ and leucovorin 100 $mg/m^2$ simultaneously as 2-hour-lasting infusion on Day-1 followed by 5-FU 1200 $mg/m^2$ as a 22-hour-lasting continuous infusion both on Day-1 and Day-2 by every other week. We developed questionnaires to evaluate patient-recognized neurotoxic symptoms rather than the observer-described events. Surveys were completed at bedside or via telephone interview. Acute and chronic neurotoxicities were graded according to the National Cancer Institute Common Toxicity Criteria (NCI-CTC, version 3) as well as the Oxaliplatin-specific Neurotoxicity Scale. The Grade-3 neuropathy was reported in 19% of the patients (n=12) and grade-1/2 neuropathy occurred in 70% (n=45). The most common symptom was cold-related dysesthesia (83%) regarded as nociperception by the patients. Some patients (19%) experienced functional impairment affecting activities of daily living such as writing, buttoning, and walking. Even though 74% of the patients (42/57) were prescribed with gabapentin to reduce these peripheral symptoms, it did not appear to derive any benefit from this medication. It is suggested that notify the patients about their oxaliplatin-associated, debilitating symptoms, and educate them any self-care strategy at the initiating phase of the chemotherapy. Moreover, it needs to design the intervention studies regarding the prevention and management of the peripheral neuropathy.

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A Study on the Factors Affecting Self-Regulation Program for Hypertensives (본태성 고혈압환자를 위한 자기조절 프로그램 관련요인 연구)

  • Park, Young-Im
    • Research in Community and Public Health Nursing
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    • v.6 no.2
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    • pp.234-249
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    • 1995
  • Essential hypertension, one of the leading primary cause of death in Korea, is a typical chronic disease requiring adequate and continuous management. Though these hypertensives need to maintain desirable health practice by themselves for their life time, many previous studies indicated that most of the essential hypertensives have no specific symptoms and thus, reluctant to follow appropriate medical regimens causing the condition further aggravated and complicated. Thus the comprehensive self-regulation program was conducted as a nursing intervention on the promotion self-care 'performance and improvement in physical parameters of hypertensives. For this purpose, a one group quasi -experimental research with pre and post test design was used. And the whole program was carried out from October, 1993 to February, 1994. Self-regulation program was consisted with group education on hypertension and self-care, self-regulation including the blood pressure self-monitoring and recording, recording of daily self-care activities, and encouraging and reinforcing self-efficacy through verbal persuation and enactive attainment. The subjects were asked to measure their own blood pressure by themselves twice per day and to record blood pressure and the daily self-care performance according to the instructions provided during the whole period of 9 weeks. The data was analyzed by experimental stages: the first week, the fifth week, and the ninth week since the experimental imput began. Data were analyzed by the SPSS PC+ program with paired t -test and F-test, and multiple correlation to determine the variables affecting the effect of program. The results were as follows : 1) Subjects in J company were significantly lower diastolic blood pressure than K company after the program (t=2.39, p=.024). Level of cholesterol was significant difference according to position(t=2.23, p=.034), family history (t=-2.66, p=.013), diagnosis duration, and career(t=2.88, p=.055). Perceived self-efficacy was more significantly increased among the group with family history(t=-3.00, p=.013). 2) Before the program, there were significant positive correlation among the variables: internal-LOC and self-efficacy(r=.3952, p=.015), external-LOC and barriers (r=.6515, p=.000), chance-LOC and Barriers(r=.4133, p=.012). However there were significant negative correlation between internal-LOC and barriers (r=-.3236, p=.041, external-LOC and self -efficacy(r=-.3517, p=.028), self-efficacy and barriers(r=-.6654, p=.000). 3) There were significant relationships between changes in self - care performance and self-efficacy at 5th week (r=.5313, p=.001) and changes in self-efficacy at 9th week(r=.4586, p=.005). 4) After the program, internal health locus of control and perceived benefits showed significant correlation(r=.5673, p=.001, but perceived barriers was negative correlation with perceived self-efficacy (t=-4242, p=.01). From the above results, it can be concluded that the self-regulation program is an effective nursing strategy through the change of variables to promote self-care performance of hypertensives and to increase the self-efficacy. Thus this program can be recommended in the management of the hypertensives in workplaces and community settings.

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Continuity for Double Tee Slabs (더블티 슬래브의 연속화)

  • 유승룡
    • Journal of the Korea Concrete Institute
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    • v.13 no.2
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    • pp.99-106
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    • 2001
  • The main objective of this study is to develop a continuity of double tee slab with two modified dap-ends to solve the problems of excessive moment, slab depth, deflection, and joint cracking in the original simply supported double tee slab systems. The modified joint is produced in a combination with two slabs with modified dap and one rectangular beam. The modified joint can be justified as following different merits. The span capacity for a design load is increased, while the deflection of the slab is decreased due to the decrease of positive moment at the center span of the slab. The joint cracking between slab and beam, which occur frequently in the original slab systems of double tee will be reduced. No more additional form work is needed to cast topping concrete for continuity. Three point loading tests are performed on the specimens with a variable of an amount of main longitudinal reinforcement to evaluate flexural and shear behavior. Following conclusions are obtained from the experimental investigation. The continuity of double tee slab effectively is provided by placing longitudinal steel reinforcement in the topping concrete over the connection, and generally leads to an increase in span capacity of double tee slabs with reduced deflection. It is more effective to control the initial cracking at the connection than that of some simply supported double tee slab systems.

Optimization of Microwave-Assisted Pretreatment Conditions for Enzyme-free Hydrolysis of Lipid Extracted Microalgae (탈지미세조류의 무효소 당화를 위한 마이크로파 전처리 조건 최적화)

  • Jung, Hyun jin;Min, Bora;Kim, Seung Ki;Jo, Jae min;Kim, Jin Woo
    • Korean Chemical Engineering Research
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    • v.56 no.2
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    • pp.229-239
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    • 2018
  • The purpose of this study was to effectively produce the biosugar from cell wall of lipid extracted microalgae (LEA) by using microwave-assisted pretreatment without enzymatic hydrolysis process. Response surface methodology (RSM) was applied to optimization of microwave-assisted pretreatment conditions for the production of biosugar based on enzyme-free process from LEA. Microwave power (198~702 W), extraction time (39~241 sec), and sulfuric acid (0~1.0 mol) were used as independent variables for central composite design (CCD) in order to predict optimum pretreatment conditions. It was noted that the pretreatment variables that affect the production of glucose (C6) and xylose (C5) significantly have been identified as the microwave power and extraction time. Additionally, the increase in microwave power and time had led to an increase in biosugar production. The superimposed contour plot for maximizing dependent variables showed the maximum C6 (hexose) and C5 (pentose) yields of 92.7 and 74.5% were estimated by the predicted model under pretreatment condition of 700 w, 185.7 sec, and 0.48 mol, and the yields of C6 and C5 were confirmed as 94.2 and 71.8% by experimental validation, respectively. This study showed that microwave-assisted pretreatment under low temperature below $100^{\circ}C$ with short pretreatment time was verified to be an effective enzyme free pretreatment process for the production of biosugar from LEA compared to conventional pretreatment methods.

90/150 RCA Corresponding to Maximum Weight Polynomial with degree 2n (2n 차 최대무게 다항식에 대응하는 90/150 RCA)

  • Choi, Un-Sook;Cho, Sung-Jin
    • The Journal of the Korea institute of electronic communication sciences
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    • v.13 no.4
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    • pp.819-826
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    • 2018
  • The generalized Hamming weight is one of the important parameters of the linear code. It determines the performance of the code when the linear codes are applied to a cryptographic system. In addition, when the block code is decoded by soft decision using the lattice diagram, it becomes a measure for evaluating the state complexity required for the implementation. In particular, a bit-parallel multiplier on finite fields based on trinomials have been studied. Cellular automata(CA) has superior randomness over LFSR due to its ability to update its state simultaneously by local interaction. In this paper, we deal with the efficient synthesis of the pseudo random number generator, which is one of the important factors in the design of effective cryptosystem. We analyze the property of the characteristic polynomial of the simple 90/150 transition rule block, and propose a synthesis algorithm of the reversible 90/150 CA corresponding to the trinomials $x^2^n+x^{2^n-1}+1$($n{\geq}2$) and the 90/150 reversible CA(RCA) corresponding to the maximum weight polynomial with $2^n$ degree by using this rule block.

A Study on Self-Hardening Characteristics of Coal Ash by Mixing Ratio of Fly Ash and Bottom Ash (비회와 저회의 배합비에 따른 석탄회의 자경성에 관한 연구)

  • Shin, Woonggi;Lim, Daesung;Chun, Byungsik
    • Journal of the Korean GEO-environmental Society
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    • v.11 no.6
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    • pp.85-91
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    • 2010
  • As enormous construction projects of land development are carried out around Korea, useful construction materials are needed to perform the construction projects. However, there are no more enough of fill and reclamation materials in our country. That is why the coal ash is expected to be utilized as an alternative material. Since the coal ash has the characteristics of a pozzolan and a selfhardening material, it is adjudged that coal ash has a great possibility to be used as a fill and reclamation material. In this study, grain size analysis, Atterberg limit test, and specific gravity test were performed to examine the physical characteristics of the coal ash about a self-hardening material before utilizing the coal ash in the construction. Compaction test, unconfined compression test, direct shear test, and flexible wall permeability test were conducted to investigate the engineering characteristics according to mixture ratios of fly ash and bottom ash. As a result of the tests, it was confirmed that the mixing ratio 1:1 of fly ash and bottom ash is the most effective to use as a fill and reclamation material. If the mixture of coal ash is used as a backfill material with light weight around structure, it is expected to play a significant role in reducing earth pressure on the back of the structure. As the age of the mixture of coal ash goes by, it intends to decrease the coefficient of permeability. As described above, the coal ash should be considered as an alternative material of fill and reclamation materials since the result of the tests indicates that the coal ash is suitable to a useful material on the construction design.

Horizontal Behavior Characteristics of Umbrella-Type Micropile Applied in Sandy Soil Subjected to Seismic Motion (사질토 지반에 설치된 우산형 마이크로파일의 지진 시 수평거동 특성)

  • Kim, Soo-Bong;Son, Su Won;Kim, Jin Man
    • Journal of the Korean GEO-environmental Society
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    • v.21 no.7
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    • pp.5-16
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    • 2020
  • Currently, the seismic design standards have been strengthened due to the occurrence of the Gyeongju and Pohang earthquake, and seismic performance evaluation of existing facilities is being conducted. It aims to secure a seismic performance effect during earthquakes by improving the micro-pile method, which can be constructed in limited confined places while minimizing damage to existing facilities. The improvement method is to construct all the piles in the square-tray-type plate on the top of the pile by constructing the slope pile in the form of an umbrella around the vertical pile, the main pillar. In this paper, the numerical analysis was performed to analyze the horizontal displacement behavior of an umbrella-type micropile for various real-measurement seismic waves in sandy soil. As a result of numerical analysis, the softer the ground, the better the effect of horizontal resistance of umbrella-type micropile. The horizontal displacement reduction effect was pronounced when the embedded depth was 15 m or more at the same ground strength, and it was found to be effective in earthquakes if it was settled on the ground with an N value of 30 or more. The embedded depth and horizontal displacement suppression effect of the micropile was proportional. Generally, the weaker the ground, the greater the displacement suppression effect. Umbrella-type micropile had a composite resistance effect in which the vertical pile resists the moment and inclined pile resists the axial force.

Comparative Review of Current Clinical Trials on Abdominal Obesity (복부비만 관련 임상시험의 국내외 연구경향 고찰)

  • Lim, Je-Yeon;Song, Yun-Kyung;Lim, Hyung-Ho
    • Journal of Korean Medicine Rehabilitation
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    • v.20 no.2
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    • pp.63-77
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    • 2010
  • Objectives : It is known that abdominal obesity increases the possibility of cardiovascular diseases, early death, and metabolic syndrome including dyslipidemia and insulin resistance. Clinical trials have been under way to verify the effectiveness of treatment for abdominal obesity. The objective of this study is to set criteria about how effective oriental medicine and acupuncture are in abdominal obesity. Methods : I manually search "www.clinicaltrial.gov", 4 Korean medical databases and 4 Korean medical journals of abdominal obesity. Search terms used were "abdominal obesity" or "visceral obesity". In order to see detail review, searching was performed from 01, 01, 2005 to 11, 31, 2009. And I classified all the searched studies into design, intervention, purpose, end point, diseases, condition and etc. Results : 1. I could search total 67 trials in "www.clinicaltrial.gov". I found 9, 10, 13, 8, 6 clinical trial from 2005 to 2009 every year. 2. Test on both gender and adult or adult and senior have been most frequent. 3. Randomization clinical trial is 51 cases that occupied 96.2%. 38 cases use control group. 4. Body mass index(BMI) and waist circunference(WC) are major criteria of abdominal obesity clincal trial. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial. 5. I could search total 86 cases in domestic study. I found 15, 23, 23, 20, 5 cases from 2005 to 2009 every year. 6. Test on female and adult have been most frequent in domestic study. 7. Randomization clincal trial is only 2 cases that occupied 2.3%. 62 cases use control group in domestic study. 8. BMI, body fat percent, WC, visceral-subcutaneous fat ratio(VSR), waist-hip ratio(WHR) are criteria of abdominal obesity clincal trial in domestic study. WC, BMI, abdominal fat mass, body weight are measured at end point of abdominal obesity clincal trial in domestic study. Conclusions : To improve abdominal obesity study in traditional korean medicine, it is need to activate clinical trial, meta analysis, develope of clinical practice guidelines, co-works with conventional medicine and etc.