• 제목/요약/키워드: tailored management

검색결과 419건 처리시간 0.023초

인지적 의사결정에 근거한 증상별 자기관리프로그램이 만성 심부전 환자의 신체·기능상태, 건강지식 및 삶의 질에 미치는 영향 (Effects of a Symptom Focused Self-Management Program on Symptom and Functional status, Health Perception, and Quality of Life of Patients with Chronic Heart Failure)

  • 김기연
    • 성인간호학회지
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    • 제19권1호
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    • pp.132-143
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    • 2007
  • Purpose: The purpose of this study was to identify effects of a self-management program on symptom and functional status, health perception, and quality of life(QOL) of patients with CHF. Methods: Patients with CHF as defined through clinical judgment using the Framingham criteria and EF<50% were enrolled in the study (experimental: 21, control: 20). The symptom focused self-management program consisted of coping behaviors for symptoms including dyspnea, chest discomfort/pain, dizziness, ankle edema, and basic self-management including medications, diets, activity, lifestyle changes. Experimental group received an educational booklet after survey, and periodic telephone follow-up by a trained nurse. Data were collected the 3rd day after admission and at 1 month, 3 months, and 6 months after discharge using questionnaires. Results: Significant differences were found in the presence of symptoms, health perception, and QOL between groups during follow-up. Although no significant difference was found in functional status, the experimental group reported better functional status than the control group. Conclusion: By facilitating self-management of CHF using tailored interventions including education programs and telephone monitoring, it is expected that patients will be able to monitor their symptoms routinely, adhere to therapeutic regimen, and have a better QOL.

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폐경 전 비만 여성들의 체중 감량 프로그램의 성공도와 관련된 일반적 특성과 심리 및 환경 요인 분석 (General Characteristics and Psychological and Environmental Factors Related to Successful Weight Reduction Programs in Obese Premenopausal Women)

  • 김상연
    • 동아시아식생활학회지
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    • 제17권5호
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    • pp.634-643
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    • 2007
  • This study was performed to develop a tailored multi-disciplinary obesity management program, as well as an obesity assessment sheet identified the general characteristics and psychological and environmental factors related to weight loss success for obese premenopausal women participating in obesity management programs performed at weight reduction health centers. The results are as follows. The primary general characteristics related to successful weight reduction in the obesity management programs were education level, occupational status, reason for obesity onset, aids used in weight control, basis of frequency, and reason for weight reduction. The initial psychological factors related to successful weight reduction were less stress and disordered eating. The initial environmental factors included an expression of ones opinion and the eating environment. Animal protein and animal fat consumption were significantly less in the unsuccessful group than in those who were unsuccessful at weight loss. The consumption of crude fiber was significantly greater in the successful group than in the unsuccessful group. Psychological factors such as stress, depression, and disordered eating, and the environmental factor of eating environment were significantly better in the successful group than in the unsuccessful group. In conclusion, we have found evidence to suggest what is required in determining the types of programs most suitable for obese women prior to starting an obesity management program.

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유비쿼터스 환경에서 적응적 학습을 위한 사용자 모델 확장 (User Model Expansion for Adaptive Learning in Ubiquitous Environment)

  • 정화영;김윤호
    • 한국항행학회논문지
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    • 제14권2호
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    • pp.278-283
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    • 2010
  • 본 논문에서는 유비쿼터스 환경에서 학습자 맞춤형 학습을 지원하기 위한 사용자 모델 확장의 프레임워크를 설계 및 제시하였다. 이를 위해 기존의 모델인 도메인 모델, 사용자 모델, 적용 모델, 인터액션 모델을 LMS(Learning Management System)와 LCMS(Learning Contents Management System)에 연동하였다. 사용자 모델의 확장인 학습자 정보 관리 프로세스를 LMS와 적응적 시스템 사이에 두었으며, 이를 u-러닝에서 사용할 수 있도록 u-LMS와 연결하였다. u-LMS와 u-LCMS는 학습자의 접속 및 요구에 따라 적절한 변환을 통해 이동형 기기에 제공할 수 있도록 하였다.

SE & SW Infra를 활용한 실용적인 SEMP 템플릿 개발에 관한 연구 (A Study on the Development of Practical Systems Engineering Management Plan Template Using the Systems & Software Engineering Infra)

  • 변보석;최요철;박영택
    • 한국철도학회논문집
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    • 제15권5호
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    • pp.442-446
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    • 2012
  • 본 논문은 SE & SW Infra를 활용한 실용적인 시스템엔지니어링관리계획서(SEMP) 템플릿 개발에 관한 연구이다. SEMP는 시스템엔지니어링 업무활동 관리를 위한 최상위 수준의 계획서로서 경량전철 사업 수행 시 국내 실정에 맞도록 개발 하였다. 경량전철사업 수행 시 생성 되는 SEMP를 효과적이고 효율적으로 관리 및 개발하기 위하여 SE & SW 연계 Infra를 구축하였다. 본 논문을 통해서 전산기반의 SE & SW Infra 도구간 통합하는 것을 사례로 제시함으로써 향후 인력, 비용, 일정을 줄일 수 있을 것이다.

성인 비만여성들의 체중감량프로그램의 완수도와 관련된 생태학적 요인 분석 (The Ecological Factors Related to Completion of Weight Reduction Program in the Obese Premenopausal Women)

  • 김상연
    • 대한지역사회영양학회지
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    • 제9권6호
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    • pp.683-694
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    • 2004
  • The objective of this study is to improve the health related quality of life through the efficient weight reduction by analyzing the ecological factors related to completion of weight reduction program in the obese premenopausal women aged 20-29 years. The factors influencing completion of obesity management programs in the obese women were the preferences of sweet and salt taste, health related quality of life (general health, role emotional), eating attitude scores, and regularity of mealtime scores. The finding that the completion of obese management programme were improved if the health-related quality of life was high and the physiological status related symptoms of stress, depress, and eating disorder were good has implications for the treatment of obesity. The questionnaire used this study can be available to develop the obesity assessment sheets which is required the exploration of the characteristics of obese women and the tailored multi-disciplinary obesity management program. Moreover, the obesity assessment sheets will make a contribution to determine types of the programs that is suitable for obesity women before starting an obesity management program.

Selection of Business Types for the Installation of Nonpoint Pollution Source Control Facilities

  • Choi, Ji-Yong;Hwang, Dae-Ho
    • Environmental Engineering Research
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    • 제15권1호
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    • pp.29-33
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    • 2010
  • In 2004, the Korean government launched comprehensive measures for nonpoint pollution that were intended to reduce their amount by 34.3% over of those forecast by 2020. During the first and second stages of their implementation; from 2004 to 2011, nonpoint source (NPS) measures have focused on systemic improvements and project management, as well as the introduction of optimal management techniques; accordingly, reductions have been small. However, during the third stage in 2011, serious reductions will be pursued. Accordingly, the gradual expansion of sites subject to NPS measures has focused on the establishment of a basis for reduction measures in connection with model projects during the first half of the plan, with full scale enforcement due in the second half. For Korea, rather than commencing NPS management en masse, it has been more appropriate to gradate NPS management into stages tailored to the different needs of new and existing businesses, as well as to the needs of large and small-scale businesses, in consideration of their specific circumstances. This has allowed sufficient time for such businesses to become accustomed to the concept of NPS management.

Details of Lymphedema, Upper Limb Morbidity, and Self Management in Women after Breast Cancer Treatment

  • Chung, Chae-Weon;Hwang, Eun-Kyung;Hwang, Shin-Woo
    • 여성건강간호학회지
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    • 제17권5호
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    • pp.474-483
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    • 2011
  • Purpose: To examine the details of lymphedema, upper limb morbidity, and its self management in women after breast cancer treatment. Methods: Using a cross-sectional survey design, 81 women were recruited from a university hospital. Lymphedema was detected by a nurse as a 2-cm difference between arm circumferences at 6 different points on the arm. Degrees of pain, stiffness, and numbness were scored using a drawing of upper limb on a 0~10 point scale. Aggravating conditions and self-management for lymphedema were also recorded. Results: The mean age of the participants was 52.5 years; the average time since breast surgery was 29.7 months. Histories of modified radical mastectomy (55%) and lymph node dissection (81%) were noted. Lymphedema was found in 59% of women, then pain and stiffness were prevalent most at upper arm while numbness was apparentat fingers, and the symptom distress scores ranged 3.9~6.7. Women experienced aggravated arm swelling after routine housework with greatly varied duration. Self-management was conservative with a wide range of times for the relief of symptoms. Conclusion: Lymphedema education for women with breast cancer should be incorporated into the oncologic nursing care system to prevent its occurrence and arm morbidity. Risk reduction guidelines, individually tailored self-care strategies, and self-awareness for early detection need to be refined in clinical nursing practices.

Employee Perceptions of Their Organization's Level of Emergency Preparedness Following a Brief Workplace Emergency Planning Educational Presentation

  • Renschler, Lauren A.;Terrigino, Elizabeth A.;Azim, Sabiya;Snider, Elsa;Rhodes, Darson L.;Cox, Carol C.
    • Safety and Health at Work
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    • 제7권2호
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    • pp.166-170
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    • 2016
  • A brief emergency planning educational presentation was taught during work hours to a convenience sample of employees of various workplaces in Northern Missouri, USA. Participants were familiarized with details about how an emergency plan is prepared by management and implemented by management-employee crisis management teams - focusing on both employee and management roles. They then applied the presentation information to assess their own organization's emergency preparedness level. Participants possessed significantly (p < 0.05) higher perceptions of their organization's level of emergency preparedness than non-participants. It is recommended that an assessment of organizational preparedness level supplement emergency planning educational presentations in order to immediately apply the material covered and encourage employees to become more involved in their organization's emergency planning and response. Educational strategies that involve management-employee collaboration in activities tailored to each workplace's operations and risk level for emergencies should be implemented.

연구개발 표준 프로세스의 개발­E 연구원의 사례를 중심으로­ (Development of R&D Standard Processes for E Research Institute)

  • 박종근;성기순;김해숙
    • 품질경영학회지
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    • 제31권4호
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    • pp.127-149
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    • 2003
  • With the rapid change in today's R&D environment and the enlargement of the expected quality level for R&D outcomes, it has become increasingly necessary to effectively define the R&D standard processes tailored for our organization and projects. To meet this needs, we defined the R&D standard processes based on the standards for systems and software engineering and our traditional work methods and applied them to our ongoing projects. We will improve our defined R&D standard processes continuously by monitoring of the processes and the feedback of the application results. In this paper, we introduce the R&D standard processes developed by E Research Institute and the requirements and approaches used for their development. We compare our defined R&D standard processes with ISO/IEC 15288 which is the first international standard for systems engineering.

Fuzzy 밀집기법을 이용한 맞춤형 부픔 분류법의 개발 (Development of a Company-Tailored Part Classification & Coding System Using fuzzy clustering Techniques)

  • 박진우
    • 한국경영과학회지
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    • 제13권1호
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    • pp.31-38
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    • 1988
  • This paper presents a methodology for the development of a part classification and coding system suited to each individual company. When coding a group of parts for a specific company by a general purpose part classification & coding system like OPITZ system, it is frequently observed that we use only a small subset of total available code numbers. Such sparsity in the actual occurrences of code numbers implies that we can design a better system which uses digits of the system more parsimoniously. A 2-dimensional fuzzy ISODATA algorithm is developed to extract the important characteristics for the classification from the set of given parts. Based on the extracted characteristics nd the distances between fuzzy clustering cenetroids, a company-unique classification and coding system can be developed. An example case study for a medium sized machine shop is presented.

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