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The Analysis of the Flight Nurses Activities in Helicopter Emergency Medical Services (HEMS) (응급의료전용헬기 항공간호사의 항공이송업무분석)

  • Lee, Eun Ja;Choi, Min Kyung;Park, Yu Jin
    • Journal of Korean Clinical Nursing Research
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    • v.19 no.2
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    • pp.218-232
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    • 2013
  • Purpose: This study was aimed to describe Helicopter Emergency Medical Services (HEMS) and analyze the flight nurses' activities in HEMS. Methods: Data were collected retrospectively from the air transportation reports that contained data of 168 patients transported by aircraft to G University medical center in Incheon since June, 2012 to March, 2013. Data were analyzed using descriptive statistics, and Mann-Whitney U test. Results: Average distance of flights was 44.0 km, duration of field treatment took 13.6 minutes, and duration of a flight from scene to hospital was 14.5 minutes. Nursing activities were categorized into 12 direct nursing activities and 5 nursing management activities, and a total number of 7806 nursing activities were occurred in HEMS. The most frequently performed nursing activity was measurement and monitoring (27.9%) followed by medication (11.5%) and respiratory management (8.7%). The most frequent nursing management were information management (11.0%). Nursing activities performed were significantly different depending on the patient's level of consciousness, cause of illness, crew configuration, and type of transportation. Conclusion: This study described HEMS nursing activities performed by flight nurses. Difference in nursing activities according to patient characteristics, crew configuration and type of transportation requires flight nurses to be prepared through educational programs to improve nursing activities and nursing management during air transportation.

Effects of Nursing Workplace Spirituality on Job Satisfaction, Burnout and Turnover Intention among General Hospital Nurses (간호일터영성이 병원간호사의 직무만족, 소진 및 이직의도에 미치는 영향)

  • Jin, Ju Hyun;Ju, Hyeon Ok;Kim, Kyoung Soo;Park, Youn Mi
    • Journal of Korean Clinical Nursing Research
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    • v.23 no.2
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    • pp.142-150
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    • 2017
  • Purpose: Nursing workplace spirituality (NWS) has received attention as a new and meaningful subject for nursing to consider, but little is known about the relation of NWS to nursing. The purpose of this study was to identify the effect of NWS on job satisfaction, burnout and turnover intention. Methods: Participants were 145 clinical nurses, who had worked for over 6 months in one of four general hospitals in B city. Data were collected using self-reported questionnaires and analyzed using descriptive statistics, independent t-test, ANOVA, Pearson coefficient and hierarchical multiple regression. Results: In the second hierarchy controlling general characteristics, significant predictors of job satisfaction were burnout and NWS, which explained 45.0% of the variance. NWS had more influence on job satisfaction than burn out, and the model was suitable. NWS showed no statistically significant effect on burnout and turnover intention, when general characteristics and job related factors were controlled. Conclusion: Findings indicate that nursing workplace spirituality has a positive influence on job satisfaction, but no direct influence on burnout or turnover intention, which may indicate an indirect influence. Nurse managers need to develop the NWS enhancement program and provide them to nurse to improve job satisfaction.

The Management Strategy of Network Competitiveness by Korean Enterprises in local Turkey (터키 현지 진출 한국 기업의 네트워크 경쟁 전략)

  • Bae, Kyung-Won;Park, Myung-Chan
    • International Commerce and Information Review
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    • v.13 no.4
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    • pp.101-124
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    • 2011
  • This paper is framed for analyzing what the most significant factors are in Turkey, where the Korean investing enterprises should overcome and accomodate to the various barriers of management, especially in terms of network construction. The main purpose of this research is to test empirically some connections of between the managing strategy of network competitiveness by Korean enterprises and the management performances of Korean ones in Turkey while this is composed of two stages. First, the study model is planned by discussing relevant theories, previous studies and the current investment circumstances in local Turkey. Second, the survey of Korean enterprises participated in investment activities in there is practiced by gathering questionnaires. The strategic method of structural equation modeling is implemented to testing some hypotheses. Summing up partially, to maximize profits growth, Korean enterprises have been making application of the internal worker controlling as the means of network competitive advantages.

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An Empirical Comparative Study of Overall Service Quality Path on Consumer Performance of B2C Electronic Commerce in Korea, China and Japan (한.중.일 3개국 B2C 전자상거래의 전반적 물류서비스 품질 영향경로와 고객성과에 관한 실증적 비교연구)

  • Joo, Hye-Young;Choi, Seok-Beom
    • International Commerce and Information Review
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    • v.14 no.2
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    • pp.497-521
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    • 2012
  • This paper is to conduct comparative analysis of the impact of overall logistics service quality and its different influence across countries in internet shopping mall context. After reviewing the different approaches given by the literature, SEM analysis was used to testify the hypotheses. A questionnaire based on personal survey was conducted from internet shopping mall users in Korea, China, Japan. This paper collected data from 786 respondents in the countries. Structural equation modeling was also applied to these data to test relationships among the variables in the study. The empirical results of this study are summarized as follows. First, overall logistics service quality of internet shopping mall has a positive direct effect on the consumer assurance as well as consumer satisfaction. Second, consumer assurance and consumer satisfaction have mediated effects between overall logistics service quality and post-purchasing behaviors intention. Third, its effect size of the '$GLSQ{\rightarrow}$ consumer assurance' and the '$GLSQ{\rightarrow}$ consumer satisfaction' links are the same in each country. However, that of the consumer assurance and the consumer satisfaction for the organizational performance are different for each country.

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A Model for Organizational Effectiveness in Nursing Unit (간호단위의 조직유효성 모형 구축;조직행동론적 관점에서)

  • Yoon, Sook-Hee
    • Journal of Korean Academy of Nursing Administration
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    • v.8 no.3
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    • pp.457-474
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    • 2002
  • Purpose : The purpose of this study was to construct the Organizational Effectiveness Model that explains and predicts the effectiveness of a nursing unit from the organizational-behavioral perspective. Furthermore, this study arms to develop a comprehensive organizational effectiveness model. Method : The subjects of this study consist of two groups: 455 nurses and 538 patients. Staff nurses who were employed and twenty patients from each ward in four university hospitals located in Seoul, Pusan and Kyungki were involved. Data were collected from October 4th to October 14th in 2000 by self-report questionnaire. Data were analyzed by the SAS for the general characteristics of the subjects, descriptive statistics, test for the reliability and correlations. Fitness of the hypothetical model were tested using Lisral 8.12(a) program. Result : With the findings from this study, duration of employment and the locus of control among the characteristics of the nurses, job enrichment among the characteristics of nursing job were direct or indirect predictors of the organizational effectiveness of the nursing units. Group dynamics in the nursing units and the characteristics of organizational behavior were mediating variables for the organizational effectiveness of the nursing units, and affect directly and indirectly on the individual outcome and group outcome to the great extends. Conclusion : Therefore, nursing managers ought to develop career ladder program and based job enrichment program in order to improve the organizational effectiveness of the nursing units. Additionally, programs to improve organizational effectiveness via improve group dynamics and characteristics of the organizational behaviors should be developed.

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Prediction Modeling on Family Life Satisfaction of Old Adults Living at Home (재가노인의 가족생활 만족도 예측모형)

  • Huh, Young Mi;Sok, Sohyune
    • Journal of Korean Academy of Nursing
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    • v.48 no.5
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    • pp.534-544
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    • 2018
  • Purpose: This study was conducted to construct and test a structural model on family life satisfaction of aged individuals living at home. The conceptual model was based on Bandura's self-efficacy and social cognitive theories (1977; 1986) and Bowen's (1976) family systems theory. Methods: From January 25 to March 5, 2016, 227 older adults living at home completed a structured questionnaire. Data were analyzed to calculate the direct and indirect effects of factors affecting family life satisfaction. SPSS WIN 20.0 and AMOS 20.0 were used. Results: The hypothetical model was a good fit for the data. The model fit indices were ${\chi}^2=78.05$, ${\chi}^2/df=1.35$, RMSR=.02, GFI=.98, AGFI=.96, NFI=.94, CFI=.98, and RMSEA=.05. Family life satisfaction was positively affected by perceived collective family efficacy, status of physical health, family communication, and family support. Depression resulted in a significant negative effect. Family differentiation had a significant indirect effect on family life satisfaction. The model explained 76% of variance in family life satisfaction. Conclusion: Perceived collective family efficacy, status of physical health, depression, family differentiation, family communication, and family support were significant factors explaining family life satisfaction among older adults staying at home. Further research should be conducted to seek intervention strategies to improve family life satisfaction among older adults living at home by focusing on the respective contributing factors.

Efficacy of arthrocentesis and lavage for treatment of post-traumatic arthritis in temporomandibular joints

  • Park, Joo-Young;Lee, Jong-Ho
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.46 no.3
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    • pp.174-182
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    • 2020
  • Objectives: Joint injuries frequently lead to progressive joint degeneration that causes articular disc derangement, joint inflammation, and osteoarthritis. Such arthropathies that arise after trauma are defined as post-traumatic arthritis (PTA). Although PTA is well recognized in knee and elbow joints, PTA in the temporomandibular joint (TMJ) has not been clearly defined. Interestingly, patients experiencing head and neck trauma without direct jaw fracture have displayed TMJ disease symptoms; however, definitive diagnosis and treatment options are not available. This study will analyze clinical aspects of PTA in TMJ and their treatment outcomes after joint arthrocentesis and lavage. Materials and Methods: Twenty patients with history of trauma to the head and neck especially without jaw fracture were retrospectively studied. Those patients developed TMJ disease symptoms and were diagnosed by computed tomography or magnetic resonance imaging. To decrease TMJ discomfort, arthrocentesis and lavage with or without conservative therapy were applied, and efficacy was evaluated by amount of mouth opening and pain scale. Statistical differences between pre- and post-treatment values were evaluated by Wilcoxon signed-rank test. Results: Patient age varied widely between 20 and 80 years, and causes of trauma were diverse. Duration of disease onset was measured as 508 post-trauma days, and 85% of the patients sought clinic visit within 2 years after trauma. In addition, 85% of the patients showed TMJ disc derangement without reduction, and osteoarthritis was accompanied at the traumatized side or at both sides in 40% of the patients. After arthrocentesis or lavage, maximal mouth opening was significantly increased (28-44 mm on average, P<0.001) and pain scale was dramatically decreased (7.8-3.5 of 10, P<0.001); however, concomitant conservative therapy showed no difference in treatment outcome. Conclusion: The results of this study clarify the disease identity of PTA in TMJ and suggest early diagnosis and treatment options to manage PTA in TMJ.

The Characteristics Analysis of The PCB Pattern for The Mobile panel Power Supply on The PMIC (모바일 패널 전원 공급을 위한 PMIC의 PCB 패턴의 특성 분석)

  • Chung, Sung-In;Kim, Seo-Hyeong
    • Journal of the Institute of Electronics Engineers of Korea SD
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    • v.48 no.6
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    • pp.39-44
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    • 2011
  • This purpose of this study is to propose the characteristics analysis of the PCB pattern designed two modes for the output voltage value on the PMIC through converting the limited voltage value inputted from a battery. The PCB design technology has been undergoing difficulty in getting the related technology in a domestic market because of increasing EMI/EMC, Cross-talk, Impedance. And it requires to have the appropriate clearance between the patterns and the technology of PCB pattern width with a amperage according to various uses. The study carried out the characteristics analysis of the PCB pattern designed from a direct output method without a capacitor[mode1], to an output method through a capacitor[mode2] for PMIC output voltage value. Besides, we calculated the pattern width with a amperage using the equation suggested by IPC-2221, presenting the right way of the layout design to analyze the trouble with the test. Therefore, this study is expected to contribute not only to applying the PMIC design for the mobile panel power supply, but also helping the design and application technology in various areas such as car control, camera, note-book, computer, PDA, etc.

Seismic Performance Evaluation of Non-Seismic Reinforced Concrete Buildings Strengthened by Perimeter Steel Moment Frame (철골 모멘트골조로 보강된 철근콘크리트 건물의 내진성능 평가)

  • Kim, Seonwoong
    • Journal of the Earthquake Engineering Society of Korea
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    • v.24 no.5
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    • pp.233-241
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    • 2020
  • This paper is to investigate the retrofitting effect for a non-seismic reinforced concrete frame strengthened by perimeter steel moment frames with indirect integrity, which ameliorates the problems of the direct integrity method. To achieve this, first, full-scale tests were conducted to address the structural behavior of a two-story non-seismic reinforced concrete frame and a strengthened frame. The non-seismic frame showed a maximum strength of 185 kN because the flexural-shear failure at the bottom end of columns on the first floor was governed, and shear cracks were concentrated at the beam-column joints on the second floor. The strengthened frame possessed a maximum strength of 338 kN, which is more than 1.8 times that of the non-seismic specimen. A considerable decrease in the quantity of cracks for the strengthened frame was observed compared with the non-seismic frame, while there was the obvious appearance of the failure pattern due to the shear crack. The lateral-resisting capacity for the non-seismic bare frame and the strengthened frame may be determined per the specified shear strength of the reinforced columns in accordance with the distance to a critical section. The effective depth of the column may be referred to as the longitudinal length from the border between the column and the foundation. The lateral-resisting capacity for the non-seismic bare frame and the strengthened frame may be reasonably determined per the specified shear strength of the reinforced columns in accordance with the distance to a critical section. The effective depth of the column may be referred to as the longitudinal length from the border between the column and the foundation. The proposed method had an error of about 2.2% for the non-seismic details and about 4.4% for the strengthened frame based on the closed results versus the experimental results.

The Effects of Ubiquitous learning Characteristics on learning satisfaction in the digital textbook : Focused on the Moderating Effect of computer self-efficacy and digital textbooks usability (디지털교과서 학습에서 유비쿼터스 학습특성이 학습만족도에 미치는 영향: 컴퓨터 자기효능감과 디지털교과서 활용도의 조절효과를 중심으로)

  • Kim, Kyung-Gie;Kim, Su-Min;Kang, Il-Mo;Baek, Hyeon-Gi
    • Journal of Digital Contents Society
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    • v.10 no.2
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    • pp.269-278
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    • 2009
  • This study was conducted to provide standards for the development of contents and systems for digital textbooks by examining the learners' satisfaction from digital textbooks, which are now being distributed to schools, in terms of ubiquitous learning, and by verifying the moderation effect of learners' computer self efficacy and digital textbook usage. SPSS win 13.0 was used for technical statistics, Cronbach's $\alpha$ coefficient calculation and correlation analysis for empirical analysis, and the MMR (moderated multiple regression) analysis was conducted for the hypothesis test. The following principal results were obtained from the hypothesis tests. First, the ubiquitous learning features had direct effects on the learning satisfaction from the digital textbooks. Second, when the ubiquitous learning features had positive effects on the learning satisfaction from digital textbooks, both the computer self efficacy and digital textbook usage reacted with the ubiquitous learning feature and showed moderation effects. These results were statistically significant.

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