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Development of the Key Performance Indicators of Long-term Care Visiting Nursing Centers Using Balanced Score Cards (균형성과표를 이용한 노인장기요양 방문간호센터의 핵심성과지표 개발)

  • Kim, Seonhee;Lim, Ji Young
    • Journal of Home Health Care Nursing
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    • v.28 no.2
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    • pp.164-177
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    • 2021
  • Purpose: The purpose of this study was to develop effective management indicators for improving efficiencies of visiting nursing centers. Method: This was a methodological research study to develop the key performance indicators based on balanced score cards for long-term care visiting nursing centers. The main methods used in this study were literature review, focus group interview, and content validity index. The data analysis was used frequency, percentage, mean, and standard deviation. Results: The common vision of the long-term care visiting nursing centers was identified as "The healthy visiting nursing center to serve high quality cares." Eight action strategies and 15 key performance indicators to achieve this vision were developed. Conclusion: Based on the results of this study, we suggest that the developed balanced score cards will be used as an effective managerial guideline to improve performances of long-term care visiting nursing centers.

An adaptive neuro-fuzzy inference system (ANFIS) model to predict the pozzolanic activity of natural pozzolans

  • Elif Varol;Didem Benzer;Nazli Tunar Ozcan
    • Computers and Concrete
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    • v.31 no.2
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    • pp.85-95
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    • 2023
  • Natural pozzolans are used as additives in cement to develop more durable and high-performance concrete. Pozzolanic activity index (PAI) is important for assessing the performance of a pozzolan as a binding material and has an important effect on the compressive strength, permeability, and chemical durability of concrete mixtures. However, the determining of the 28 days (short term) and 90 days (long term) PAI of concrete mixtures is a time-consuming process. In this study, to reduce extensive experimental work, it is aimed to predict the short term and long term PAIs as a function of the chemical compositions of various natural pozzolans. For this purpose, the chemical compositions of various natural pozzolans from Central Anatolia were determined with X-ray fluorescence spectroscopy. The mortar samples were prepared with the natural pozzolans and then, the short term and the long term PAIs were calculated based on compressive strength method. The effect of the natural pozzolans' chemical compositions on the short term and the long term PAIs were evaluated and the PAIs were predicted by using multiple linear regression (MLR) and adaptive neuro-fuzzy inference system (ANFIS) model. The prediction model results show that both reactive SiO2 and SiO2+Al2O3+Fe2O3 contents are the most effective parameters on PAI. According to the performance of prediction models determined with metrics such as root mean squared error (RMSE) and coefficient of correlation (R2), ANFIS models are more feasible than the multiple regression model in predicting the 28 days and 90 days pozzolanic activity. Estimation of PAIs based on the chemical component of natural pozzolana with high-performance prediction models is going to make an important contribution to material engineering applications in terms of selection of favorable natural pozzolana and saving time from tedious test processes.

Development of an IAQ Index for Indoor Garden Based IoT Applications for Residents' Health Management (실내거주자 건강 관리를 위한 IoT기반 실내정원용 IAQ지수 개발)

  • Lee, Jeong-Hun;An, Sun-Min;Kwak, Min-Jung;Kim, Kwang Jin;Kim, Ho-Hyun
    • Journal of Environmental Health Sciences
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    • v.44 no.5
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    • pp.421-432
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    • 2018
  • Objectives: In this study, we started to develop an indoor garden integrated IoT solution based on IAQ (indoor air quality) and interconnection with an environmental database for smart management of indoor gardens. The purpose of this study was to develop and apply an integrated solution for customized air purification from an indoor garden through big data analysis using IoT technology. Methods: An IoT-based IAQ monitoring system was established in three households within a new apartment building. Based on real-time and long-term data collected, $PM_{2.5}$, $CO_2$, temperature, and humidity changes were compared to those of indoor garden applications and the analyzed results were indexed. Results As a result of the installation, all three households had no results exceeding the standard for indoor air pollution on average $PM_{2.5}$ and $CO_2$ indices. In the case of indoor garden installation, the IAQ index increased to the "Good" section after the installation, and readings in the "Bad" section shown before the installation disappeared. The comfort index also did not dip into the "Uncomfortable" section, where it had been preinstallation, and significantly lowered the average score from "Uncomfortable for sensitive groups" to "Good". Overall, the IAQ composite index for the generation of installations decreased the "Good" interval, but "Bad" did not appear. Conclusions In this study on developing an integrated solution for IAQ based on IoT indoor gardens, big data was analyzed to determine IAQ and comfort indexes and an IAQ composite index. Through this process, it became understood that it is necessary to monitor IAQ based on IoT.

Internal Property and Stochastic Deterioration Modeling of Total Pavement Condition Index for Transportation Asset Management (도로자산관리를 위한 포장종합평가지수의 속성과 변화과정의 모델링)

  • HAN, Daeseok;DO, Myungsik;KIM, Booil
    • International Journal of Highway Engineering
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    • v.19 no.5
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    • pp.1-11
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    • 2017
  • PURPOSES : This study is aimed at development of a stochastic pavement deterioration forecasting model using National Highway Pavement Condition Index (NHPCI) to support infrastructure asset management. Using this model, the deterioration process regarding life expectancy, deterioration speed change, and reliability were estimated. METHODS : Eight years of Long-Term Pavement Performance (LTPP) data fused with traffic loads (Equivalent Single Axle Loads; ESAL) and structural capacity (Structural Number of Pavement; SNP) were used for the deterioration modeling. As an ideal stochastic model for asset management, Bayesian Markov multi-state exponential hazard model was introduced. RESULTS:The interval of NHPCI was empirically distributed from 8 to 2, and the estimation functions of individual condition indices (crack, rutting, and IRI) in conjunction with the NHPCI index were suggested. The derived deterioration curve shows that life expectancies for the preventive maintenance level was 8.34 years. The general life expectancy was 12.77 years and located in the statistical interval of 11.10-15.58 years at a 95.5% reliability level. CONCLUSIONS : This study originates and contributes to suggesting a simple way to develop a pavement deterioration model using the total condition index that considers road user satisfaction. A definition for level of service system and the corresponding life expectancies are useful for building long-term maintenance plan, especially in Life Cycle Cost Analysis (LCCA) work.

Development of Evaluation Index and Multi-layer Evaluation System for Quality Management of Elderly Long-term Care Institution (노인장기요양기관(시설급여) 평가의 품질관리를 위한 평가지표 개발 및 다층평가시스템 방안)

  • Lee, Sang-Jin;Kim, Yun-Jeong
    • Asia-pacific Journal of Multimedia Services Convergent with Art, Humanities, and Sociology
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    • v.9 no.11
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    • pp.1015-1026
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    • 2019
  • The purpose of this study is to develop evaluation indexes for improving the quality of long-term care institutions (facility salary) evaluation in the sense that the applicability and effectiveness of previous studies related to the development of evaluation indexes for long-term care facilities for elderly are insufficient. There was this. To this end, an analytical review of the 2018 long-term care institution (accommodation benefit) evaluation index, an analysis of Japan's elderly long-term care home evaluation index, and the elderly long-term care facility workers in Korea and the special care home for the elderly in Japan FGI on evaluation indicators and evaluation system was conducted. Based on the results of the research, evaluation indicators were developed in terms of supporting users to receive high quality services. The characteristics of the elderly, that is, the characteristics of elderly diseases that are difficult to maintain and improve, the direction and transparency of institutional operation, and the need for terminal care were reflected. Forty-three evaluation indicators were presented, covering institutional operations, environment and safety, beneficiary rights protection, payroll process, and payroll results. In addition, we proposed a four-step multi-level evaluation system that can improve the efficiency of the evaluation process by improving the redundant and unnecessary evaluation process.

What Happens without Treating Chronic Lateral Ankle Instability (외측 발목 불안정성을 치료하지 않으면 어떻게 되는가)

  • Woo, Seung Hun;Chung, Hyung-Jin
    • Journal of Korean Foot and Ankle Society
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    • v.25 no.1
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    • pp.6-9
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    • 2021
  • The term chronic lateral ankle instability (CLAI) embraces a spectrum of conditions that involve functional and mechanical instability, both in athletes and lower-demand patients. The hallmarks of CLAI are recurrent sprains, persistent pain, and repeated episodes of the ankle giving way. CLAI is the main complication of acute ankle sprains, which can cause discomfort in daily and sports activity. Approximately 10% to 30% of patients with acute ligament ruptures will develop chronic instability over the course of a year from the index injury. An accurate diagnostic approach and successful treatment plan should be established based on a comprehensive understanding of the concept of functional and mechanical instability. Unfortunately, the optimal modality for the management of CLAI is unclear. Even after conservative treatment or surgical intervention, it could result in degenerative changes to the ankle joint in the long term. Thus far, the incidence of ligamentous posttraumatic ankle osteoarthritis was reported to be 13% to 78%. The mean latency time between injury and osteoarthritis was at least 10 to 34.3 years. CLAI is an important pathological condition that can cause discomfort or dysfunction in daily activity in the short term, resulting in joint destruction in the long term. Therefore, it is important to understand the various complications that can occur when CLAI is not treated properly.

Validity and Reliability of an Oral Health Assessment Tool for Elderly in Long-Term Care Facilities (요양시설 노인을 위한 구강건강 평가 도구의 타당도와 신뢰도)

  • Kim, Na-Yeon;Bae, Hyun-Sook
    • Journal of Korean Dental Hygiene Science
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    • v.4 no.1
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    • pp.53-64
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    • 2021
  • Background: The elderly in long-term care facilities tend to have a diminished oral health status, with a high prevalence of dental caries and periodontal disease, as reduced cognitive function, joint mobility, and gait ability hinder the performance of oral hygiene. To improve the oral health of the elderly at long-term care facilities, it is necessary to have precise guidelines for oral health care and assessment; however, such guidelines are not readily available. Therefore, the present study aimed to develop an oral care assessment tool with verified reliability and validity. Methods: The participants in this study were 100 elderly patients at a care facilities and 10 clinical dental hygienists. Collected data were analyzed using the descriptive statistics, content validity index, and inter-rater reliability, as well as the analyses of intra-class correlation coefficient. Results: After a review of relevant literature, a preliminary questionnaire comprised of seven questions related to the evaluation of oral health was formed. After revising and supplementing the questions through a content validity test, a total of nine questions were selected. Conclusion: The novel assessment tool developed for the present study is anticipated to allow analyses of the level of problems related to oral health care before routine and professional care. Moreover, regular oral health status check-ups will enable the early diagnosis and treatment of diseases.

Analysis of causality of Baltic Drybulk index (BDI) and maritime trade volume (발틱운임지수(BDI)와 해상 물동량의 인과성 검정)

  • Bae, Sung-Hoon;Park, Keun-Sik
    • Korea Trade Review
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    • v.44 no.2
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    • pp.127-141
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    • 2019
  • In this study, the relationship between Baltic Dry Index(BDI) and maritime trade volume in the dry cargo market was verified using the vector autoregressive (VAR) model. Data was analyzed from 1992 to 2018 for iron ore, steam coal, coking coal, grain, and minor bulks of maritime trade volume and BDI. Granger causality analysis showed that the BDI affects the trade volume of coking coal and minor bulks but the trade volume of iron ore, steam coal and grain do not correlate with the BDI freight index. Impulse response analysis showed that the shock of BDI had the greatest impact on coking coal at the two years lag and the impact was negligible at the ten years lag. In addition, the shock of BDI on minor cargoes was strongest at the three years lag, and were negligible at the ten years lag. This study examined the relationship between maritime trade volume and BDI in the dry bulk shipping market in which uncertainty is high. As a result of this study, there is an economic aspect of sustainability that has helped the risk management of shipping companies. In addition, it is significant from an academic point of view that the long-term relationship between the two time series was analyzed through the causality test between variables. However, it is necessary to develop a forecasting model that will help decision makers in maritime markets using more sophisticated methods such as the Bayesian VAR model.

The Influence of Customer Satisfaction on Market Value of the Corporate (고객만족도가 기업가치에 미치는 영향)

  • Bae, Jungho;Lee, Hee-Tae
    • Journal of Distribution Science
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    • v.16 no.10
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    • pp.55-64
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    • 2018
  • Purpose - The most important goal of corporate management is the maximization of firm value in the market. Executives of companies are making effort to increase corporate value and initiate various management strategies, which is to develop the products or service with value. Through these efforts, consumer satisfaction grows and loyalty increases, which leads to the positive change of customer satisfaction index. The purpose of this research is to find out the abnormal return after the KCSI(Korean Customer Satisfaction Index) is announced. Research design, data, and methodology - This research data is collected from 11 years' stock price in KOSPI market and KCSI. The authors analyze the abnormal return triggered by the announcement of KCSI through the event study. Results - First, newly enlisted companies in the KCSI show statistically significant short-term abnormal rate of return. Second, the value of the customer satisfaction index is not the level of customer satisfaction but the direction of the change in the CSI. Conclusion - Customer satisfaction has the important intangible asset in the marketing area. However, firms' investment for CS is not an easy decision, because of the difficulty to measure the effect on corporate market value. This research investigates the change of the market value after the announcement of KCSI. Based on the results, firms have to keep trying to increase KCSI relative to the previous year. And the small company has to struggle for being newly listed in the KCSI.

Methods and Estimates of the Reimbursement for the Nurse Midwifery Center in the National Health Insurance (조산원의 건강보험수가 산출방법과 추계)

  • Im, Hyo-Min;Kim, Jin-Hyun
    • Women's Health Nursing
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    • v.17 no.4
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    • pp.328-336
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    • 2011
  • Purpose: The purpose of this study is to develop the optimal nursing fee for nurse-midwifery center (MC) in the national health insurance system. Methods: The three methodologies used to calculate the conversion factors for the MCs in the national health insurance include cost accounting method, sustainable growth rate (SGR) model, and index model. In this study, the macro-economic indicators and the national statistics were used to estimate the conversion factors for the MCs. Results: The optimal nursing fee for the MCs in 2011 was estimated to be an increase of 57.7% by cost accounting analysis, a decrease of 17.1% by SGR model, and a decrease of 16.1% by index model. The results from SGR model and index model could had been biased due to the upswing of medical spendings in the short-term period (2008~2009). A sensitivity analysis of pre-delivery subsidy program for OB & GYN hospitals and clinics showed that the program has substantially diminished the demand for the MC services. Conclusion: More reliable methodologies to estimate nursing fees precisely are required to prove the value of nurses' services and a government subsidy program for the MC services should be followed from a social perspective.