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A Pilot Study for Development of the Serious Game Contents for Education in the Elderly Diabetes (노인 당뇨환자 교육용 기능성 게임 콘텐츠 개발을 위한 예비연구)

  • Kim, Yu Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.184-192
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    • 2017
  • This study was a pilot test of serious educational game content(named Roly Poly 160) designed to enhance self-care by elderly diabetics. Roly Poly 160 was developed in eight steps (literature review, demand survey and consultation, extraction of serious content using games, development of Roly Poly 160, pretest for users, workshop for health care workers, final completion of Roly Poly 160 and user satisfaction survey of Roly Poly 160). Roly Poly 160 is intuitively structured in three modules (self-management, card games, and quiz games) that can be self-managed by the elderly and is designed based on six principles. First, we constructed an intuitive interface considering the age of users. Second, the menu was selected as the main menu for Koreans and calorie learning was made at the same time. Third, the calories and nutrients (carbohydrate, fat, protein, calcium, sodium) of selected foods are analyzed, and all test data recorded in the questionnaire chart are graphically displayed by year, month and week so that the change trends can be grasped at a glance. Fourth, necessary data were saved and output and used as educational data. Fifth, user data are made compatible and aggregated and up to 100 million members can be registered. Sixth, it is designed to be developed as a mobile app if necessary. Using Roly Poly 160, 119 diabetic patients were diagnosed with diabetes, and the satisfaction score was 4.26 out of 5. These findings indicate that Roly Poly 160 is appropriate as a diabetes self-care tool and suggests that there is a possibility to use it as a program to educate people about diabetes in public health centers, hospitals and clinics.

The Improvements of a College's Internal Accreditation System (대학 자체교육인증제 개선 방안 모색 -A대학 운영 사례를 중심으로)

  • Seo, Boem-Jong;Ha, Jung-Youn;Kang, Jiyeon;Park, Taeyang
    • The Journal of the Korea Contents Association
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    • v.17 no.12
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    • pp.368-377
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    • 2017
  • The purpose of this study was to find improvement measures of the internal accreditation system which is spontaneously operated by A university. To do so, this study reviewed the historical backgrounds and current issues of A university's internal accreditation system mainly based on government's accreditation and financial support programs on higher education institutes. And, this study also analyzed qualitative data which were collected via interviews with members of the committee of internal accreditation and the minutes of accreditation related meetings. These procedures were conducted by using Nvivo 11, which is specially designed for the qualitative research method. The main results of this study were the following: the current issues that A university's internal accreditation system faced included the faculties' unwillingness to participate due to the administrative work load caused by the internal accreditation program, and the difficulties of the preparation of evaluation reports caused by the ambiguity of evaluation standards. The measures for improving A university's internal accreditation system included (1)offering the enough time and detailed information for the preparation of evaluation reports, and (2)providing the specific feedback and the consistent and systematic management, (3)establishing the ordinary recording system of achievement, (4)setting the standards for the renewal of accreditation, (5)setting the evaluation standards that considers the uniqueness of various faculties, and lastly, (6)providing the official templates for evaluation reports.

Violence Response, Burnout and Job Satisfaction according to Violence Episode of Emergency Room Worker (응급실 종사자의 폭력 경험에 따른 폭력 반응 소진 및 직무 만족)

  • Kim, Mi Yeon;Ha, Tae Uk;Hwang, Yong;Kang, Ji Sook
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.1
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    • pp.406-416
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    • 2017
  • The purpose of this study was to examine violence response, burnout, and job satisfaction according to violent episodes of emergency room workers. Methods : This Study was a descriptive survey design using convenience sampling. This study was exempt from needing an IRB approval. There were 167 emergency room workers, who agreed to participate in this study, and took a self-report questionnaire between July and August 2015. SPSS 21.0 version was used for descriptive analysis, frequency, percentage, mean, standard deviation, independent t-test, Pearson correlation coefficients, and multiple regression. The major findings of this study were as follows: 1) 84.4% of participant experienced violent episodes. The frequency of verbal violence was highest. Violent attackers were patients and guardians with drunken state. The time of violence episodes was usually during the night. Violent experience of doctors and nurses was very high. 2) There were significant differences in the emotional response according to violent episodes (t=2.528, p=0.12) 3) The correlation between \response and burnout was statistically significant, and indicates a high positive correlation (r=.616, p=<.001). The correlation between violence response and job satisfaction was statistically significant, indicating a negative correlation (r=-.512, p=<.001). There was a negative correlation between burnout and job satisfaction with statistical significance (r=-.568, p=<.001). 4) Significant factors influencing job satisfaction were emotional response to violence and burnout. Conclusion: The findings of this study provide basic information for the strategies of preventing violence, decreasing burnout, and improving job satisfaction by developing a violence management program.

Detection of Circulating Tumor Cells in Breast Cancer Patients: Prognostic Predictive Role

  • Turker, Ibrahim;Uyeturk, Ummugul;Sonmez, Ozlem Uysal;Oksuzoglu, Berna;Helvaci, Kaan;Arslan, Ulku Yalcintas;Budakoglu, Burcin;Alkis, Necati;Aksoy, Sercan;Zengin, Nurullah
    • Asian Pacific Journal of Cancer Prevention
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    • v.14 no.3
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    • pp.1601-1607
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    • 2013
  • A determination of circulating tumor cell (CTC) effectiveness for prediction of progression-free survival (PFS) and overall survival (OS) was conducted as an adjunct to standard treatment of care in breast cancer management. Between November 2008 and March 2009, 22 metastatic and 12 early stage breast carcinoma patients, admitted to Ankara Oncology Training and Research Hospital, were included in this prospective trial. Patients' characteristics, treatment schedules and survival data were evaluated. CTC was detected twice by CellSearch method before and 9-12 weeks after the initiation of chemotherapy. A cut-off value equal or greater than 5 cells per 7.5 ml blood sample was considered positive. All patients were female. Median ages were 48.0 (range: 29-65) and 52.5 (range: 35-66) in early stage and metastatic subgroups, respectively. CTC was positive in 3 (13.6%) patients before chemotherapy and 6 (27.3%) patients during chemotherapy in the metastatic subgroup whereas positive in only one patient in the early stage subgroup before and during chemotherapy. The median follow-up was 22.0 (range: 21-23) and 19.0 (range: 5-23) months in the early stage and metastatic groups, respectively. In the metastatic group, both median PFS and OS were significantly shorter in any time CTC positive patients compared to CTC negative patients (PFS: 4.0 vs 14.0 months, Log-Rank p=0.013; and OS: 8.0 months vs. 20.5 months, Log-Rank p<0.001). OS was affected from multiple visceral metastatic sites (p=0.055) and higher grade (p=0.044) besides CTC positivity (log rank p<0.001). Radiological response of chemotherapy was also correlated with better survival (p<0.001). As a result, CTC positivity was confirmed as a prospective marker even in a small patient population, in this single center study. Measurement of CTC by CellSearch method in metastatic breast carcinoma cases may allow indications of early risk of relapse or death with even as few as two measurements during a chemotherapy program, but this finding should be confirmed with prospective trials in larger study populations.

The Effect of 8 Weeks Walking Exercise and Acaiberry Ingestion on Inflammatory Markers in Middle age Women (8주간 걷기운동과 아사이베리 섭취가 중년여성의 염증지표에 미치는 영향)

  • Nam, Sang-Nam;Kang, Hui-Won
    • Journal of Digital Convergence
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    • v.12 no.12
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    • pp.643-650
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    • 2014
  • The purpose of this study is to research the effect of walking exercise with acaiberry ingestion for 8 weeks on inflammatory markers of middle age women. The participators were aging from 40 to 50 aging healthy women. The first group is classified to ingest acaiberry(AB), the second group is classified to walking exercise with acaiberry ingestion(WE+AB), and third group is classified to just walking exercise(WE). The program was doing walking exercise 3 times per week for 8 weeks. Acaiberry ingestion is after walking exercise for 8 weeks. The amount of the acaiberry is 5g acaiberry dilutes with 100mg water to inhale before breakfast and dinner to monitor CRP of each group before ingest acaiberry and 8 weeks later how to change CRP and cardiovascular disease. Consequently, all of three groups such as: acaiberry ingestion group, walking exercise with acaiberry ingestion group, and just walking exercise group, has positive effect with WBC(white blood cell), Albumin, ESR(erythrocyte sedimentation rate), CRP(C-reactive protein), but Albumin increases very small amount of gaze. Therefore, this study has no longer period time for research, and in the future there should be more concrete and various studies, such as adding more exercise of method, intensity, and measure of ingestion for supporting this study.

A Systematic Review and Meta-analysis of Sensory Integration Intervention Studies in Children with Cerebral Palsy (뇌성마비 아동의 감각통합 중재 연구에 대한 체계적 고찰과 메타분석)

  • Kim, Eun-Joo;Choi, Yoo-Im
    • Journal of Digital Convergence
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    • v.11 no.4
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    • pp.383-389
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    • 2013
  • The purpose of this study was to investigate evidence-based practice (EBP) for sensory integration (SI) intervention in children with cerebral palsy (CP) through a systematic review and meta analysis. The screening strategy was performed to select studies for analysis after that, a meta-analysis was implemented for calculating the effect size (ES) in group studies. Twenty-four studies were included for a systematic review and included seven case reports, three single-subject designs, and fourteen group experimental design studies(three randomized controlled trials, three two groups nonrandomized studies, and six one group nonrandomized studies). The ES of the experimental group studies was moderate size of 0.272. The results of the ES according to the dependent variables, the ES was the largest in the fine motor development. The effect size of the published papers was greater than the unpublished paper's and two groups nonrandomized studies' size effect was the largest in the design. The ES of the infants was larger than the children. The ES for a period of 8 weeks, the number of five times a week, and time in 90 minutes showed the biggest in SI program. Although the ES of SI intervention in children with CP showed moderate effect, accumulation of research well be needed.

A Study on the conflicts and satisfaction at the adults' places of work - family (성인의 직장-가정에서의 갈등과 만족도에 관한 연구)

  • Kim Heung-Gyu;Ka Yong-Hee
    • Journal of Families and Better Life
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    • v.23 no.1 s.73
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    • pp.85-98
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    • 2005
  • The purpose of this study is to make it clear that the influence the adults' work-family conflicts affect the family life satisfaction and the work life satisfaction of theirs, according to the personal backgrounds (sex, age, monthly income and whether the person works S days a week or not). The target group of this study is the selected 754 adults who are married with children that are in the employ of the various companies in Seoul and Incheon. The picked data are analyzed to factor analysis, frequencies, means, One-way ANOVA and multiple regression analysis etc..using Spss 11.5 version statistical program. Following is the result of the study: First, the level of work-family conflicts have been shown to be different as the result of verification by sex, age, monthly income and the type of duty(whether working 5days a week or not) out of the personal variables. The study shows that the level of work-family conflicts is different by the subordinate variables of work-family conflicts as the results of male and female comparison. And the older the age, the higher the level of family conflicts.'rho study shows that The level of the places of work conflicts is the highest in the 30s. The smaller monthly income, the higher the level of work-family conflicts. The study shows that the level of family conflicts is high in working 6days a week and the level of work conflicts is high in working 5days a week. Second, such factors for conflicts at home as family support, family expectations and financial difficulties affect the level of satisfaction at work, while such personal backgrounds as monthly pay, kinds of work and age level also play a role. At the same time, satisfaction in family life is influenced by such factors for conflicts at the places of work as support, involvement, expectations and work-overload at the places of work, with such personal backgrounds as monthly pay, age and sex compounding the impact. On the point how much conflicts at work and home affect the satisfaction at home, work and leisure, the study shows that family life does not have noticeable influence in the level of satisfaction at the places of work, whereas situations at the place of work have significant impact on the level of satisfaction in family lives. In other words, the lesser conflicts the work situations cause to family lives, the greater the level of satisfaction at work, home and at leisure.

Bioequivalence of Procezil Tablet 250 mg to $Cefzil^{(R)}$ Tablet 250 mg (Cefprozil 250 mg) (세프질$^{(R)}$ 정 250밀리그람 (세프프로질 250밀리그람)에 대한 프로세질 정 250밀리그람의 생물학적동등성)

  • Kim, Se-Mi;Kang, Min-Sun;Cho, Hea-Young;Lee, Yong-Bok
    • Korean Journal of Clinical Pharmacy
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    • v.20 no.3
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    • pp.255-261
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    • 2010
  • Cefprozil is a broad-spectrum oral beta-lactam cephalosporin consisting of cis- and trans-isomeric mixture whose ratio is approximately 90:10. Cefprozil is used to treat certain infections caused by bacteria such as bronchitis and ear, skin, and throat infections. The purpose of the present study was to evaluate the bioequivalence of two cefprozil tablets, $Cefzil^{(R)}$ tablet 250 mg (BMS Pharmaceutical Korea., Ltd.) and Procezil tablet 250 mg (Hanmi Pharm. Co., Ltd.), according to the guidelines of the Korea Food and Drug Administration (KFDA). The in vitro release of cefprozil from the two cefprozil formulations were tested using KP VIII Apparatus I method with water dissolution media. Thirty five healthy male subjects, $24.00{\pm}1.53$ years in age and $69.77{\pm}9.99$ kg in body weight, were divided into two groups and a randomized $2{\times}2$ cross-over study was employed. After four tablets containing 1000 mg as cefprozil were orally administered, blood samples were taken at predetermined time intervals and the concentrations of cefprozil in serum were determined using HPLC/UV detector. The dissolution profiles of two formulations were similar in water tested dissolution media. The pharmacokinetic parameters such as $AUC_t$, $C_{max}$ and $T_{max}$ on the basis of total-cefprozil were calculated, and computer program (K-BE Test 2002) was utilized for the statistical analysis of the parameters using logarithmically transformed $AUC_t$, $C_{max}$ and untransformed $T_{max}$. The results showed that the differences between two formulations based on the reference drug, $Cefzil^{(R)}$ tablets, were -0.81%, -3.00% and -6.83% for $AUC_t$, $C_{max}$ and $T_{max}$, respectively. There were no sequence effects between two formulations in these parameters. The 90% confidence intervals using logarithmically transformed data were within the acceptance range of log 0.8 to log 1.25 (e.g., log 0.9515~log 1.0454 and log 0.9613~log 1.0465 for $AUC_t$ and $C_{max}$, respectively). Thus, the criteria of the KFDA bioequivalence guideline were satisfied, indicating Procezil tablet was bioequivalent to $Cefzil^{(R)}$ tablet.

Convergence Research on Oral Care and Subjective Oral Health of Elderly with Diabetes: Focus Group Interview (노인 당뇨병 환자의 구강관리 및 주관적 구강건강에 관한 융합연구: 포커스그룹 면담)

  • So, Kwon-Seob;Park, Shin Suk;Kang, Kyung-hee
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.69-73
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    • 2020
  • This study was intended to prepare the basic data required for the development of oral products for the patient with diabetes by analyzing the relation between diabetes and oral health and the actual condition of oral care from the senior citizens diagnosed with diabetes out of the senior citizens over 65. In this study, 8 senior citizens who visited the senior welfare center in D city, were organized into the group of 4 senior citizens and the interview approximately for 40 minutes per group was conducted. In the results of this study, 5 core topics of 'Diabetes and Oral Health", 'Oral Discomfort', 'Oral Care Method', 'Visit to Dentist' and 'Demand for Oral Care' were drawn. For the relation between diabetes and the oral health, the most of research subjects answered that they heard about it for the first time, They answered that for the oral health care, they brushed the teeth using toothpaste 3 ~ 4 times a day and for the visit to dentist, they visited the dentist only when they had oral problem. For what is necessary for oral care, they answered that they wish that the oral care education customized for patient with diabetes and diverse oral care products such as toothpaste, etc. would be developed. Considering the results of this study, the development of oral care management program and the development of oral products in future are deemed to be necessary.

A Study on Policy and Movement to Strengthen the Competitiveness of U.S. Textile and Apparel Industries (미국 의류직물산업의 경쟁력 강화정책 고찰)

  • 황춘섭
    • Journal of the Korean Home Economics Association
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    • v.27 no.2
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    • pp.21-30
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    • 1989
  • The U.S. response to increased international competition was examined in the present study in order to have more comprehensive understanding of the U.S. textile and clothing market. The method employed to conduct the study was the analysis of the written materials, interview with professionals, and the survey of the actual situations of the U.S. textile and apparel industries. The results are summarized as follows; 1. Official U.S. textile and apparel trade policy has been quite has been quite protective since 1950's. The protective trend has been embodied in Japan Cotton Textile Export Control (reciprocal trade agreement signed by the U.S. and Japan in 1957), Short Term Arrangement Regarding International Trade in Cotton Textiles, Long Term Cotton Textile Arrangement (1962∼1973), and Multi-fiber Arrangement (1974∼). Other governmental programs designed to improve the competitiveness of the U.S. textile and apparel industries include Long-term Textile and Apparel Products Export-expansion Program, and 807 Trade to take labor cost advantage. 2. Along with the quite protective governmental trade policy, the corporate responses have been made such as new sourcing mixes, investment in technology, specialization in the textile and apparel industries, and recent strategies pursued by retailer's. The apparel industry was subject to pressure from imports that increased at moderate levels, and the U.S. textile and apparel industries have made extensive efforts to adjust to the increasing competition from abroad. The textile and apparel industries have taken steps to increase labor productivity through automation, to speed management to create and introduce new products and new methods, and have lowered indirect overhead costs. Several industrywide promotion campaigns have attempted to establish a greater public awareness of international competition and to develop a preference for apparel produced in the United States. 3. Regarding these response of the U.S. and other situations of world textile and apparel trade market, much of the sense of crisis that pervades Korean textile and apparel industries has to do with the problem of adjusting government and corporate policy. Textile and apparel industry of Korea faces on going pressure to reduce costs, improve quality, increase service, develop new markets, diversify, and differentiate itself from its foreign competitors. The strategies that have been adopted in the past have generally worked in the past, but the time has come to adopt strategies that reflect present conditions. If this is not done, then we stand to lose large segments of these industries, which once lost will not easily be regenerated.

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