• Journal of Digital Convergence
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• v.14 no.5
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• pp.1-10
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• 2016

New systems and management strategies have been successfully settled in order to be linked to enhancing organizational performance internalization process. The most successful methods for internalization are training and communication strategies. However, the organization must be supported by trust and cooperation cultures for successful education and communication. In this study, we measured the degree of internalization of organized vision, and core values. And then, a successful convergence business strategy internalization plan was presented. Strengthening training plan, communication strategies and management strategies must be internalized in parallel with seeking a change of organizational culture. First, iterative learning is very effective in order to strengthen education and management strategies through talking frequently. Second, chief executive officer should pay attention to communication with employees for the internalization. Finally, in order to change the organizational culture, organizational leaders will establish strategic plan to build open and collaborative culture among colleagues and quantitative and qualitative expansion of the human network.

• Proceedings of the Korean Society of Medical Physics Conference
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• 2003.09a
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• pp.51-51
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• 2003

국민건강보험재정건전화특별법 (제정 2002.1.19 법률 제 6620호)은 건강보험의 재정적자를 조기에 해소하고 재정수지의 균형을 이루도록 함으로써 건강보험제도의 발전과 국민건강 증진 도모를 그 목적으로 하며, 제14조(특수의료장비의 설치ㆍ운영)에서 의료기관은 보건복지부장관이 고시한 특수의료장비를 설치ㆍ운영하고자 하는 때에는 보건복지부령이 정하는 바에 따라 이를 등록하여야 하며 설치 인정 기준에 적합하게 설치ㆍ운영하여야 하고 정기적인 품질관리를 받아야한다고 명시하였다. 특수 의료장비의 설치 및 운영에 관한 규칙 (제정 2003.1.14 보건복지부령 제235호)은 국민건강보험재정건전화특별법이 제정됨에 따라 특수의료장비의 적정 한 설치와 활용을 위하여 의료기관에서 설치ㆍ운영하는 특수의료장비의 등록절차 설치인정기준 및 품질관리 절차 등을 정하고 특수의료장비에 대한 관리체계를 확립하려는 것이다. 특수의료장비의 설치 및 운영에 관한 규칙의 주요 골자는 가. 의료기관에서 특수장비를 설치ㆍ운영하고자 하는 경우 보건복지부장관 또는 시ㆍ도 지사에게 등록하도록 하였는바, 이 등록에 대한 절차와 특수의료장비의 설치인정기준을 정함, 나. 특수의료 장비에 대한 정기적인 품질관리검사를 서류검사와 정밀감사로 구분하여 서류검사는 1 년마다, 정밀검사는 3 년마다 받도록 함, 다. 품질관리검사기관의 장은 특수의료장비품질관리검사성적서를 신청인에게 교부하고, 보건복지부 또는 시ㆍ도지사 및 건강보험심사평가위원장에게 검사결과를 통보하도록 함, 라. 특수의료정비를 설치ㆍ운영하는 의료기관의 개설자 또는 관리자 및 품질관리검사기관의 장이 작성ㆍ비치ㆍ보존하여야할 서류를 정함이다. 보건복지부장관에게 등록하여야할 특수의료장비는 자기공명영상촬영장치와 전산화단층촬영 장치이며, 시ㆍ도지사에게 등록하여야할 특수의료장비는 유방촬영용장치이다. 본 발표에서는 특수의료장비의 설치 및 운영에 관한 규칙에 대한 개요와 연세의료원 세브란스병원에서 시행하고 있는 특수의료장비의 정도관리 검사, 팬텀영상검사, 그리고 임상영상검사를 소개하고자한다.

• Journal of Chest Surgery
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• v.38 no.8 s.253
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• pp.583-588
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• 2005

Congenital tracheal stenosis can be a life-threatening disease, especially in cases involving the long-segment of the trachea. When patients are symptomatic immediately after birth or develop an accompanying complex cardiac anomaly, surgical repair can be a considerable challenge. We experienced a tracheoplasty in one early infant weighing 2.6 kg and one neonate who had ventilator dependency from long-segment congenital tracheal stenosis and congenital cardiac anomaly. One early infant, who had diffuse stenosis of distal trachea after ventricular septal defect closure, underwent resection and extended end to end anastomosis. One neonate who had diffuse stenosis of proximal trachea with tetralogy of Fallot (TOF), underwent slide tracheoplasty with total correction for TOF Postoperative chest computed tomography showed widely patent trachea. Both infants are now well without symptoms.

• Proceedings of the Korea Technology Innovation Society Conference
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• 2012.05a
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• pp.30-44
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• 2012

지난 96년 PBS제도가 시행되면서, 많은 연구에서 PBS제도의 문제점을 제시해 왔다. 선행 연구에서는 인건비 확보를 위한 과도한 경쟁으로 연구활동의 안정성 저하 및 불안감 조성, 기관 내 외 연구자간의 경쟁구도 심화로 상호협력을 통한 융합연구의 어려움, 관리 운영체계의 제약요인으로 인한 제도 확산은 정부출연연구기관의 성과를 저하시킨다고 지적하였다. 하지만 PBS제도 도입당시의 기대효과였던 기관의 자율성 강화, 연구책임자 책임성 강화, 사업관리의 투명성 강화는 정부출연연구기관의 성과를 높이는 효과를 가져올 수 있다. 따라서 본 연구에서는 PBS제도 도입 후 15년이 경과한 현재 PBS제도가 출연연구기관의 연구과제 수행 성과에 어떠한 영향을 미치는지에 대한 실증분석을 하였다. 기초기술연구회 소속 13개 기관을 대상으로 질적 논문성과를 분석해본 결과, 기관이 수행한 과제의 PBS제도는 논문성과에 영향을 미치지 않는 것으로 나타났다. 하지만 수행 과제의 기술적 특성을 기술분야별, 기술단계별로 나눠보았을 경우, 기술단계별 구분에서 기초기술연구회 소속 정부출연연구기관의 논문성과는 기초기술 단계의 과제를 수행하였을 경우 높은 질적 논문성과를 보여주는 것으로 나타났다.

• Journal of the Korean Society of Marine Environment & Safety
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• v.27 no.5
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• pp.675-682
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• 2021

Fire accidents on land and at sea can cause serious casualties; specifically, owing to the nature of marine plants and ships, the mortality rate at sea from suffocation in confined spaces is significantly higher than that on land. To prevent such cases of asphyxiation, it is essential to install ventilation fans that can outwardly direct these toxic gases from fires; however, considering the scale of marine fires, the installation of large ventilation fans is not easy owing to the nature of marine structures. Therefore, in this study, we developed a new concept for fire safety technology to control toxic gases generated by fires from applied direct current (DC) electric fields. In the event of a fire, most flames contain large numbers of positive and negative charges from chemi-ionization, which generates an "ionic wind" by Lorentz forces through the applied electric fields. Using these ionic winds, an experimental study was performed to artificially control the fire smoke caused by burning paper and styrofoam, which are commonly used as insulation materials in general buildings and ships. The experiments showed that a fire smoke could be artificially controlled by applying a DC voltage in excess of ±5 kV and that relatively effective control was possible by applying a negative voltage rather than a positive voltage.

• Proceedings of the Korean Society of Propulsion Engineers Conference
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• 2002.04a
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• pp.2-3
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• 2002

일반적으로 연소과정에서 발생한 고온고압의 연소가스로 인하여 액체추진기관의 연소실 및 노즐 벽면 그리고 추진기관 후방부위에 대류열전달(Convective heat transfer)과 복사열전달(Thermal radiative heat transfer)이 발생하는 것으로 알려져 있으며, 액체추진기관에서 발생하는 복사열전달 현상은 재생냉각장치의 열입력량 예측 및 발사체의 추진기관 후방부위에 탑재되는 전자장이 및 구조물의 열적환경(Thermal environmental phenomena)을 분석하는데 매우 중요하다. 이에 본 연구에서는 노즐 후방부위에서 발생하는 복사열전달량(Radiative heat transfer rate)을 측정하고 연소압(Chamber pressure)과 혼합비(Mixture ratio)에 따른 영향을 파악하였다.

• The Korean Nurse
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• v.21 no.1 s.114
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• pp.27-30
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• 1982

본 조사는 1981년 6월부터 7월까지 전국 50개 간호교육기관의 교육실태를 조사하여 다음과 같은 결과를 얻었다. 1. 전국 간호교육기관 수는 총 51개교로 대학 과정 15개교, 전문대학과정 36개교이다. 2. 간호교육기관 기관장의 전공분야는 간호학 전공자가 $42.0{\%}$, 비간호학 전공자, $58.0{\%}$이다. 3. 1981년도 재학생은 11.574명으로 대학과정 2,843명, 전문대학과정 8.731명이고, 남학생이 7개교에 재학하고 있으며, 총 남학생은 45명이다. 4. 1981년도 총 졸업생 수는 3,278명으로 대학과정 19.8%, 전문대학과정 $80.2{\%}$이다. 5. 1981년도 졸업생의 취업율은 $74.9{\%}$, 미취업율은 $25.1{\%}$이며, 취업분야는 임상분야에 $82.4{\%}$, 보건분야에 $7.2{\%}$, 교육분야에 $7.5{\%}$, 기타$2.9{\%}$이다. 6. 전국 간호교육자는 662명이고 1979년 9월부터 1981년 3월까지 출판된 저서는 96권, 논문은 503편이다.

• Tuberculosis and Respiratory Diseases
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• v.45 no.6
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• pp.1277-1283
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• 1998

Background : Surgical tracheostomy(ST) is usually performed by surgeons in operating room. For a patient with mechanical ventilation, however, transportation to operating room for ST could be dangerous for patients. In addition, ST is often delayed due to unavailability of operating room or surgeon. Percutaneous dilatational tracheostomy(PDT), although novel in Korea, is gaining popularity as a bedside procedure in the hospitals of western countries. We evaluated the technical ease and safety of PDT in comparison with ST. Method : Thirty-eight patients in medical intensive care unit (ICU) who were either under mechanical ventilation for more than 7 days or required airway protection, were randomly assigned to ST(18 patients) or PDT(20 patients). Between two groups, there was no significant clinical difference except that female to male ratio was higher in the ST group. ST was performed by second year residents of the department of otolaryngology while PDT was performed by third grade medical resident and pulmonologist under bronchoscopic guide using Ciaglia Percutaneous Tracheostomy Set(Cook Critical Care, Bloomington, USA) in medical ICU. The following factors were compared between two groups : number of delayed cases after the decision for tracheostomy, procedural time, complications related to tracheostomy. Results : Delayed cases were 11 in ST group and 3 in PDT group (P<0.05). Procedural time was significantly shorter in PDT group ($15.6{\pm}7.1min$) than in ST group ($29.1{\pm}11.6min$, P<0.0001). Complications related to tracheostomy occurred in 5 cases in ST group : accidental decannulation (1), subcutaneous emphysema (2) and minor bleeding (2), and in 4 cases in PDT group : minor bleeding (2), subcutaneous emphysema (1) and premature extubation (1) (P>0.05). Conclusion : Since percutaneous dilatational tracheostomy was easy to practice and its complications were not different from surgical tracheostomy, PDT can be a useful bedside procedure for mechanically ventilated patients.

• Journal of Chest Surgery
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• v.37 no.6
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• pp.474-481
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• 2004

Background: Tracheal transplantation is necessary in patients with extensive tracheal stenosis, congenital lesions and other oncologic conditions but bears. many critical problems compared to other organ transplantations. The purpose of this study was to develop intestine-cartilage composite grafts for potential application in tracheal reconstruction by free intestinal graft. Material and Method: Hyaline cartilage was harvested from trachea of 2 weeks old New Zealand White Rabbits. Chondrocytes were isolated and cultured for 8 weeks. Cultured chondrocytes were seeded in the PLGA scaffolds and mixed in pluronic gel Chondrocyte bearing scaffolds and gel mixture were embedded in submucosal area of stomach and colon of 3 kg weighted New Zealand White Rabbits under general anesthesia. 10 weeks after implantation, bowels were harvested for evaluation. Result: We identified implantation site by gross examination and palpation. Developed cartilage made a good frame for shape memory. Microscopic examinations included special stain s howed absorption of scaffold and cartilage formation even though it was not fully matured. Conclusion: Intestine-cartilage composite graft could be applicable in the future as tracheal substitute and should be further investigated.

• Journal of the Korean Society of Marine Environment & Safety
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• v.27 no.5
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• pp.683-690
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• 2021

The ventilation system of the engine room of a ship is generally installed to supply the combustion air necessary for the internal combustion engine and to remove the heat source generated in the engine room, and it must satisfy the international standard (ISO 8861) for the design conditions and calculation standards for the ventilation of the ship engine room. The response delay of the ventilation system including the fire detector is affected by the airflow formed inside the area and the location of the fire detector. In this study, to improve the initial fire detection response speed of a fire detector installed on a fishing vessel and to maintain the sensitivity of the installed detector, the smoke behavior was simulated using the air flow field inside the engine room, the amount of combustion air in the internal combustion engine, and the internal pressure of the engine room as variables. Analysis of the simulation results showed that reducing the flow rate in the air flow field and increasing the vortex by reducing the internal pressure of the engine room and installing a smoke curtain would accelerate the rise of the ceiling of the smoke component and improve the smoke detector response speed and ventilation system.