Journal of Korean Academy of Nursing Administration
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v.6
no.2
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pp.259-279
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2000
This study is a descriptive analytic research measuring nursing service quality, using SERVQUAL model, to make fundamental data and strategies for nursing service improvement. Data were collected by self-reported questionnaire from 202 patients and 142 nurses, from June 7 to 14, 1999. The reliability of instrument were adequate(Cronbach ${\alpha}=.94$). SAS program was utilized for statistical analysis of collected data. The results were as follows; 1. There was a gab between patient's expectation and perception on nursing service(Gap B). Gap D was indicated an affecting factor to decide nursing service quality. Gap C was indicated an indirect affecting factor of nursing service quality. Because it was not statistically significant in total item analysis, but in individual item analysis, 7 items were appeared statistically significant. Gap A was not a gap occurrence factor of nursing service quality. 2. Focuses of nursing service quality improvement strategies were; (1) to direct qualitative improvement of nursing service in order to correspondence patient's nursing service expectation. (2) to make nurse's service activity modified because nurse's practice were not reached patient's expectation level. (3) to need internal, external factor analysis affecting nurse's service activity. 3. Nursing service quality was decided by rather environmental inappropriateness provided nursing service than itself. Therefore, to make nursing service quality improvement, it is required to improve nursing service environment. For this, followings are required; (1) to strengthen nurse's education on lower part of nursing service satisfaction and QI activities. (2) to balance demand and supply of nursing personnel. 3) to fix computerized system for reducing other duties weight except nursing care through analysis of nursing activity. (4) to construct rational cooperating system among related departments. 4. The important parts for nursing service quality improvement were indicated as follows: (1) Gap B: 'prompt reaction', 'examination symptom before patient's complaint', 'hearted nursing service reducing patient's dissatisfaction', 'explanation goals of nursing activities', 'having special Knowledge enough', 'maintenance position comfortably', 'management of patient's physical hygiene'. (2) Gap C: 'maintenance physical safety', 'explanation about hospital rules and facilities'. (3) Gap D: 'tender, safe injection and wound care'. Because above items are mostly improved through nurse's attitude change and quality improvement, it is required to establish nursing standardization and to strengthen nurse's clinical education. As the based on above results, followings are suggested; 1. SERVQUAL model is very useful to make strategies for nursing service quality improvement because it indicates multiple factors affecting hap occurrence. 2. At individual items analysis of Gap C, statistically significant 7 items appeared higher nurse's perception level than patient's perception level on nursing service were trouble perception level on nursing service quality improvement. So. it need further research to analysis about these difference occurring factors. 3. At analysis of Gap D, it is indicated that in nursing service performance process, multiple factors lowing nursing service quality were intruded. So it needs further research to analysis what these factors are and how each factors affect on nursing performance process. 4. nursing service quality measurement is changeable according to sample select time or sampled subject's characteristics. So to develope strategy for nursing service quality improvement is based on the results of periodical analysis.
In this study, a series of finite element numerical analyzes were performed considering the pavement thickness and traffic load for the purpose of stability analysis on the cavity ground. In order to verify the validity of this numerical method, the previous numerical analysis was used to simulate the mechanical behavior of cavity ground, and the results were compared and analyzed. Also, from the numerical results, it was possible to confirm the dynamic behavior of the ground by confirming the change of ground void ratio, surface settlement, and shear stress, and using the relationship between stress ratio, non-destructive depth and surface settlement, the safety of the was analyzed. As a result, as the pavement thickness decreased and the traffic load increased, the non-destructive depth and the overall stability of the ground decreased with the increase of surface settlement.
Journal of Korean Society of Environmental Engineers
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v.30
no.2
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pp.168-174
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2008
Diagnosis on setteability based on human operator's experimental knowledge, which could be established by long term operation, is a limit factor to construction of automation control system in wastewater treatment plant. On-line SVI(Sludge Volume Index) analyzer was developed which can measure SV30 automatically by image capture and image analysis method. In this paper, information got by settling process was studied using On-line SVI analyzer for better operation & management of WWTPs. First, SV30 detection algorithm was developed using image capture and image analysis for settling test and it showed that automatic detection is feasible even if deflocculation and bulking was occurred. Second, turbidity assessment model was developed using image analysis.
Kim, Yong-Min;Yun, Yeo-Hyeok;Lee, Sung-June;Jeong, Sang-Seom
Journal of the Korean Geotechnical Society
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v.27
no.12
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pp.39-52
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2011
This paper describes a new numerical analysis technique in stability analysis for a slope reinforced with pressure grouted soil nails. The installing effect of pressure grouted soil nails can be simulated in this method. Shear strength reduction method associated with finite element method is used for slope stability analysis. Factors of safety for a slope reinforced with pressure grouted soil nails are compared with those for a natural slope and a slope reinforced with gravity grouted soil nails in order to investigate their reinforcing effects. More than 50% increase in the factor of safety is obtained when the slope is reinforced with pressure grouted soil nails compared to the one with gravity grouted soil nails. The reinforcing effects of pressure grouted soil nails become obvious with increase in their length. The reinforcing mechanism of the pressure grouted soil nails for the slope stability can be explained by the slope failure surface expanding gradually toward the backfill. The increased stability of the slope reinforced with pressure grouted soil nails results mainly from their improved pull-out resistance.
Park, Bohyun;Choi, Eun Jeung;Ha, Eunhee;Choi, Jong Hyuk;Kim, Yangho;Hong, Yun-Chul;Ha, Mina;Park, Hyesook
Environmental Analysis Health and Toxicology
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v.31
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pp.23.1-23.6
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2016
Objectives A stable follow-up participation rate is a very important factor for validity in a cohort study. This study analyzed the factors that affect the participation rate at one hospital-based birth cohort in South Korean. Methods The participants were recruited from the Mothers' and Children's Environmental Health study between 2006 and 2010. The analysis targeted 1751 mothers who participated in a birth cohort. We conducted analyses of general characteristics during pregnancy and those of infants at birth that affect the participation rate of the 6-month follow-up survey. Results The participation rate for the 6-month follow-up survey was 60.4%. The participation rate in the follow-up of the subsequent period decreased within a 5% to 10% range compared to the number of subjects. The participation rate of premature infants was 16.9% lower than that of a full-term infant (52.6% vs. 69.5%). Analysis showed a 16.7% difference between the participation rate of low-birthweight infants in follow-ups (53.7%) and the participation rate of infants with normal weight (70.4%). The participation rate of mothers who were employed during pregnancy was significantly lower for the 6-month follow-up compared to the participation rate of mothers who were unemployed during pregnancy. Conclusions In this study, factors such as premature birth, low-birthweight, and the employment status of the mother during pregnancy affected the participation rate of the follow-up survey for the birth cohort at six months. A specific strategy is needed to encourage survey participation for the high risk groups in the follow-ups.
In contemporary Korean society, urban community environment is often associated with high-density and high-rise residences that make people's relationships superficial, instrumental and impersonal. Furthermore, urban community consistently interplays with neighboring residents and childhood emotional experience are influential on their unconscious images and attitude about their current neighborhood environment, while affecting the environmental attitude and the formation of community sense. Previous research found evidences that increased level of community sense is fostering more feeling of living in so-called "real neighborhood environment." This study aimed to cross-culturally examine what the respondents' emotional perception and their attitude were about the community environment in their childhood through environmental autobiography method and to examine the effects of the results on adults' formation of sense of community for their current community environment. Extensive literature review explored a few important theoretical framework which are closely related to sense of community (SOC) as a result of emotional experience: membership, influence, integration and fulfillment of needs, shared emotional connection and community satisfaction. Chi-square and GLM analysis revealed that there were no demographic, and socio-economic differences between two groups of Korean and US residents. Correlation analysis indicated that childhood emotional experience of Koreans and US citizens was statistically significant on sense of community for their current living community. Multi-regression analysis also found that the degree of influence were the main predictors for building strong sense of current community throughout a cross-cultural group. Furthermore, the relationship between various emotional experience of each factor in previous and current community environment were statistically significantly related. It is concluded that as the positive childhood experience of influence in their past community was going up, the level of sense of community for their current community was strengthened across their cross-cultural background.
Moon, Seok Ki;Lee, Eun Yeob;Han, Sung Sik;Lee, Ki Joon
Journal of the Korean Society of Environmental Restoration Technology
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v.4
no.1
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pp.98-109
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2001
This study aimed to investigate the effect of revegetation technique for water attacking point using waterlogged prevention frame revetment. In this study, we evaluate frame revetment stability, water quality, plant growth and ecological and envirnomental changes in Mooshim streamside landscape. The results are as follows; 1) The waterlogged prevention frame revetment appeared to be stable despite of two big floods. The materials used for the revetment were not eroded on the water attacking point. Thus, we confirmed the effect of scour prevention of the frame work. 2) The effects of the frame revetment on the water quality appeared to be good for the surrounding environment. Dissolved Oxygen(DO) was higher about $0.4{\sim}0.6mg/{\ell}$ at the frame revetment than that of the main stream flow. pH value was lower about 0.4~0.5. Electric Conductivity(EC) showed lower about $0.8{\sim}1.1{\mu}s/cm$. at submersion prevent frame than the low-flow of the stream. Turbidity was lower about $0.6{\sim}1.2mg/{\ell}$. 3) As the effects on ecological and environmental conditions, we discovered a number of carassius auratus and Zacco platypus in the frame revetment area. Also, sympetrum balteata, coenagrionidae was observed frequently. 4) The plant growth did not appear to tumble or wither despite of two big floods. The visual rating of plant growth was evaluated as medium (around 5 point) 5) The landscape analysis derived four factors(i.e. the harmony, the variation, the flexibility and the provincial characteristics) from the factor analysis.
Multiple genetic and environmental factors have been reported to play key role in the development of nasopharyngeal carcinoma (NPC). Here, we investigated interactions of XRCC1 Arg399Gln and XRCC2 Arg188His polymorphisms and environmental factors in modulating susceptibility to NPC in Northeast India. One-hundred NPC patients, 90 first-degree relatives of patients and 120 controls were enrolled in the study. XRCC1 Arg399Gln and XRCC2 Arg188His polymorphisms were determined using PCR-RFLP, and the results were confirmed by DNA sequencing. Logistic regression (LR) and multifactor dimensionality reduction (MDR) approaches were applied for statistical analysis. The XRCC1 Gln/Gln genotype showed increased risk (OR=2.76; P<0.024) of NPC. However, individuals with both XRCC1 and XRCC2 polymorphic variants had 3.2 fold elevated risk (P<0.041). An enhanced risk of NPC was also observed in smoked meat (OR=4.07; P=0.004) and fermented fish consumers (OR=4.34, P=0.001), and tobacco-betel quid chewers (OR=7.00; P=0.0001) carrying XRCC1 polymorphic variants. However, smokers carrying defective XRCC1 gene showed the highest risk (OR = 7.47; P<0.0001). On MDR analysis, the best model for NPC risk was the five-factor model combination of XRCC1 variant genotype, fermented fish, smoked meat, smoking and chewing (CVC=10/10; TBA=0.636; P<0.0001); whereas in interaction entropy graphs, smoked meat and tobacco chewing showed synergistic interactions with XRCC1. These findings suggest that interaction of genetic and environmental factors might increase susceptibility to NPC in Northeast Indian populations.
Han, Man Hyeong;Chon, Young Woo;Lee, Ik Mo;Hwang, Yong Woo
Journal of Korean Society of Occupational and Environmental Hygiene
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v.29
no.1
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pp.69-81
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2019
Objective: The purpose of this study was to find out what kind of change in death rate when job stress is solved by calculating job stress relieve coefficient. Methods: This study used the data of the fourth working condition survey. Regression analysis was used to determine the relationship between health effects recognition and Death rate per 10,000 workers. After that the recognizing and non - recognizing groups were categorized by health effects recognition, and the differences between the two groups were confirmed by cross tabulation analysis. Results: Regress analysis P-value is 0.011 and $R^2$ is 0.979. Death rate per 10,000 worker increased with the increase in the number of non - health impact recognizing group. The relieve factors were (1) work culture(2.859) (2) physical environment(2.184), (3) improper reward (1,839), (4) relationship conflict(1.646), (5) job requirement(1.613), (6) job autonomy(1.354), (7) job instability(1.334), And (8) organizational system(1.201). The higher the relieve coefficient is, the higher the probability of belonging to the non - health impact recognizing group when there is no job stress factor. Conclusions: When job stress is resolved, there is a high probability that the health impact recognition is reduced, which can lead to an increase in death rate. but according to previous studies, Job stress can cause accidents by reducing the safety behavior of accidents. The job stress management plan should simultaneously consider reducing job stress and increasing health impact recognition.
Hyeong-Joo, Kim;James Vincent, Reyes;Peter Rey, Dinoy;Tae-Woong, Park;Hyeong-Soo, Kim;Jun-Young, Kim
Geomechanics and Engineering
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v.31
no.5
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pp.505-518
/
2022
This study introduces soil resistance multipliers at locations encompassed by the zone of influence of the helix plate to consider the added lateral resistance provided to the helical pile. The zone of influence of a helix plate is a function of its diameter and serves as a boundary condition for the modified soil resistance springs. The concept is based on implementing p-multipliers as a reduction factor for piles in group action. The application of modified p-y springs in the analysis of helical piles allows for better characterization and understanding of the lateral behavior of helical piles, which will help further the development of design methods. To execute the proposed method, a finite difference program, HPCap (Helical Pile Capacity), was developed by the authors using Matlab. The program computes the deflection, shear force, bending moment, and soil resistance of the helical pile and allows the user to freely input the value of the zone of influence and Ω (a coefficient that affects the value of the p-multiplier). Results from ten full-scale lateral load tests on helical piles embedded at depths of 3.0 m with varying shaft diameters, shaft thicknesses, and helix configurations were analyzed to determine the zone of influence and the magnitude of the p-multipliers. The analysis determined that the value of the p-multipliers is influenced by the ratio between the pile embedment length and the shaft diameter (Dp), the effective helix diameter (Dh-Dp), and the zone of influence. Furthermore, the zone of influence is recommended to be 1.75 times the helix diameter (Dh). Using the numerical analysis method presented in this study, the predicted deflections of the various helical pile cases showed good agreement with the observed field test results.
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