• Title/Summary/Keyword: 사용지침

Search Result 1,282, Processing Time 0.028 seconds

A Study on the Development of Case Management Program for Arthralgia in Customized Visiting Health Care (맞춤형 방문건강관리사업에서의 관절통증 사례관리 프로그램 개발 연구)

  • Lee, Moo-Sik
    • Proceedings of the KAIS Fall Conference
    • /
    • 2009.12a
    • /
    • pp.474-478
    • /
    • 2009
  • 본 연구는 2008년 맞춤형 방문건강관리사업에 사용되고 있는 관절통증을 중심으로 한 사례관리를 수정 보안하여 우리나라 실정에 맞는 관절통증 사례관리 프로그램을 개발, 제안하며, 맞춤형 방문건강 관리사업의 활성화와 완성도를 높이는데 있다. 연구방법으로는 2007년 전국 12주 관절통증 사례관리 결과자료 분석하고, 전국 253개 보건소의 맞춤형 방문건강관리사업 인력에 대한 자료 분석과 전국 보건소 전문가 자문회의와 토론 결과를 통해 설문지를 수정 보완하여 2008년도 충청남도 관절통증 12주 사례관리를 실시하였다. 자료분석은 SPSS 12.0 통계 프로그램을 이용하여, p-value가 0.05 미만과 0.01미만인 경우를 통계적으로 유의한 것으로 판정하였으며, 전국자료는 빈도분석, wilcoxon 부호순위 검정과 McNemar's 검정을 실시하였으며, 12주의 관절통증 사례관리의 연구기간동안 수집된 자료를 1주와 8주간, 1주와 12주간, 8주와 12주간을 paired t-test 검정과 McNemar's 검정을 실시하여 유의성 평가를 실시하였다. 연구결과는 다음과 같다. 12주 기간 동안 사전 사례관리 방문간호사의 교육을 통한 사례관리 서비스의 강도의 조절 및 매주로 서비스의 횟수를 조절하여 사례관리를 실시한 결과 총 109개 항목에서 1주와 8주간에 유의한 항목은 TG(mg/dl)를 비롯한 51개 항목, 1주와 12주간에는 콜레스테롤(mg/dl)을 비롯한 53개 항목, 8주와 12주간에는 지난 48시간동안 관절통증 점수를 비롯한 3개 항목으로 유의한 차이를 볼 수 있었으며, 1주와 8주간은 유의하나 1주와 12주간은 유의하지 않게 나타나는 항목은 TG(mg/dl)를 비롯한 3개 항목, 1주와 8주간은 유의하지 않다가 1주와 12주간은 유의하게 나타나는 항목은 콜레스테롤(mg/dl)를 비롯한 6개 항목, 1주, 8주, 12주간의 모든 기간에서 유의한 항목은 지난 48 시간동안 관절통증 점수를 비롯한 3개 항목으로 조사되었다. 결론적으로 현재 우리나라에서 추진되고 있는 맞춤형 방문건강관리 사업의 사업지침에 대한 보완을 위해 관절통증사례관리 프로그램에 있어 중재 서비스 또는 프로그램의 기간은 12주간에서 8주간으로 조정 되어야 하며, 추가가 필요한 항목으로는 교육, 자기역량 강화, 운동처방, 물리치료, 약물치료, 대체요법, 식이, 영양, 생활지도 등이며, 어골도 분석을 위한 기본 틀 및 주요 구성요소를 제시 및 기여 요인 및 결정요인을 위한 논리적 모형 제시가 필요하며, 개선목표를 위한 유지증진 및 관리능력, 지기 관리 수행도 개선과 대상자별 맞춤형 사례관리를 위한 표준화된 행동 체크리스트 제작 보급 및 사례별 운동, 물리치료 지도 방법 계획 수립에 대한 인력 충원이 필요하다.

  • PDF

다세대 확산모형을 활용한 기업용 전용선 서비스 시장 수요예측

  • 전효리
    • Proceedings of the Korean Operations and Management Science Society Conference
    • /
    • 2001.10a
    • /
    • pp.338-341
    • /
    • 2001
  • 본 연구는 현재 정부의 규제완화 및 다양한 대체서비스의 등장으로 인해 점차 시장내 경쟁이 심화되어 가고 있는 기업용 전용선 서비스 시장에 있어 향후 경쟁상황이 어떻게 진행될지에 대한 연구를 통하여 이에 속한 기업들의 향후 시장전략을 제시하는 것을 목적으로 하고 있다. 향후 경쟁상황을 예측하는데 있어 본 연구에서는 사용하는 방법론으로 첫째, 기업용 전용선 서비스 시장의 전체 수요예측을 우선적으로 실시한 후 둘째, 전체 시장의 수요를 바탕으로 이에 속하는 개별 서비스간의 경쟁관계와 대체관계에 의한 개별 서비스 수요를 예측하게 된다. 이상과 같은 서비스간의 수요를 도출함으로써 시장내 경쟁상황과 경쟁정도를 파악하게 된다. 현재 기업용 전용선 서비스 시장의 경우 가장 큰 특징이 바로 신규 대체 서비스들의 등장이고, 이들 서비스에 의해 전체 시장규모가 얼마나 성장할 것인지, 전체 시장에서 개별 서비스들의 기여도는 어느 정도가 되는지가 최대 관심사이다. 이에 대한 문제를 해결하기 위해 본 연구에서는 신규 대체 서비스가 시장에 진입하였을 때 파급효과가 얼마나 되는지를 추정하여 수요를 예측하였다. 이에 대한 추정결과 연구대상으로 하고 있는 전용회선서비스, 프레임릴레이서비스, 가상사설망서비스에서 전용회선서비스에 대한 타 유사서비스들의 영향력은 그리 크지 않는 것으로 나타났으며, 이에 반해 가상사설망서비스는 프레임릴레이서비스를 대체하고 있는 것으로 분석되었다. 연구 결과를 통해 사업자들은 향후 시장경쟁 상황을 예측할 수 있기 때문에 이에 대해 적절한 사업전략을 수립하는데 큰 도움을 얻게 되리라 기대한다.적 분할납품 전략 적용 수요지로 선택하고 사이버 거래를 통해 생성된 물류가 부분적 분할납품 전략 적용 수요지에 분배되게 함으로써 각 분배 센타의 재고 완충역할을 수행하게 한다. 이에 따라 안전 재고 및 역 배송을 최소화 할 수 있을 뿐 아니라 미 출고로 인한 손실을 최소화하며 고객의 서비스를 일정하게 유지시킬 수 있을 것으로 기대된다.증진, 페기물 발생 억제 분야에 상당한 성공을 거두었으며, 지금도 지속적으로 유지 관리 및 미비한 부분(CAER, 등)의 향상에 노력하고 있다. Dow Korea의 수입 판매 부분에 주로 관련된 Product Stewardship 및 Distribution Code는 여러 사업부 및 여러 지역(미국, 유럽, 아시아 등)에 위치한 담당자가 관련된 까닭에 가장 복잡한 부분이어서 많은 인력과 시간을 소비하면서 노력하고 있으나 아직까지 소정의 목표에 도달하지 못했으며, 2000년 말에 모든 실행지침이 실행되도록 목표, 실행 계획 및 조직을 수정하여 노력하고 있다.lumn density at distant position from MD5 is larger than that in the (:entral region. We have deduced that this hot-core has a mass of 10sR1 which i:s about an order of magnitude larger those obtained by previous studies.previous studies.업순서들의 상관관계를 고려하여 보다 개선된 해를 구하기 위한 연구가 요구된다. 또한, 준비작업비용

  • PDF

Application of Suggested Equations to determine the Elastic Constants of A Transversely Isotropic Rock from Single Specimen (평면이방성 암석의 단일시험편에서 탄성상수 결정에 제안된 수식들의 적용연구)

  • Park, Chul-Whan;Park, Chan;Jung, Yong-Bok;Park, Eui-Seob
    • Tunnel and Underground Space
    • /
    • v.20 no.3
    • /
    • pp.153-168
    • /
    • 2010
  • A fifth equation is required to determine the five independent elastic constants of a transversely isotropic rock from compression test of a single specimen. As an approximation proposed by Saint-Venant has been used for long time, it may cause an erroneous result in some cases, especially for specimen with low angle of anisotropy. Three equations were suggested replacing this traditional equation and proved to be applicable by the model analysis in the previous studies. As Saint-Venant's approximation is turned out the same as the first one of them, it has the characteristics that the apparent Young's modulus is monotonously increasing according to the anisotropic angle. The methodology to analyze the elastic constants from four independent strain measurements by uniaxial compressive test of a single standard specimen is concisely described, and the necessity and compatibility of new suggested equations are discussed. Saint-Venant's approximation can determine the elastic constants close to true values and other equations may be unnecessary in specimens with medium to large angle. Nevertheless, they may become applicable because they can produce the almost same amount. For the specimens of small angle of anisotropy, Saint-Venant's approximation may result in out of general ranges or thermodynamic constraints, but other suggested equations can produce the almost true value. Thus they can be applied before other alternative equation is known. The guide map constructed by model study may decide the most compatible one of the three equations.

A Comparison Study of Different Offset Transition Lengths in Simulation Environment (모의실험 환경에서의 옵셋전이길이 비교연구)

  • Kim, Jin-Tae;Chang, Myung-Soon;Park, Jae-Wan
    • Journal of Korean Society of Transportation
    • /
    • v.23 no.7 s.85
    • /
    • pp.43-52
    • /
    • 2005
  • Signal timing transition has recently been highlighted with Adaptive Traffic Control Systems (ATCS) providing advanced traffic signal operation including real-time grouping of coordinated intersections. Signal timing transition occurs when such signal timings as cycles and offsets are changed at coordinated intersections. Setting a proper length of signal timing transition has become in interest for real-time coordination. This paper presents a study verifying the effects of different lengths of signal timing transition. Four different transition lengths were tested and compared in simulation environment. They include a single, double, treble, quadruple cycle length transitions. The number of cycles represents the ones used (interpolation) for transition. Signal timings were controlled to be adjusted uniformly and discretely during a transition period. Transition times considered in the test are within ranges of ${\pm}20$ percents of cycle lengths. It was found from the study that a single cycle transition performs better than or at least equal to the ones from the other with fifteen different operational conditions, which are developed based on a hypothetical arterial. It was suggested that a single cycle length transition be beneficial when amount of transition is within ${\pm}20$ percents of cycle lengths.

An Assessment of Air Sampling Location for Stack Monitoring in Nuclear Facility (원자력시설 굴뚝 내 공기시료채취 위치의 적절성 평가)

  • Lee, JungBok;Kim, TaeHyoung;Lee, JongIl;Kim, BongHwan
    • Journal of Nuclear Fuel Cycle and Waste Technology(JNFCWT)
    • /
    • v.15 no.2
    • /
    • pp.173-180
    • /
    • 2017
  • In this study, air sampling locations in the stack of the Advanced Fuel Science Building (AFSB) at the Korea Atomic Energy Research Institute (KAERI) were assessed according to the ANSI/HPS N13.1-1999 specification. The velocity profile, flow angle and $10{\mu}m$ aerosol particle profile at the cross-section as functions of stack height L and stack diameter D (L/D) were assessed according to the sampling location criteria using COMSOL. The criteria for the velocity profile were found to be met at 5 L/D or more for the height, and the criteria for the average flow angle were met at all locations through this assessment. The criteria for the particle profile were met at 5 L/D and 9 L/D. However, the particle profile at the cross-section of each sampling location was found to be non-uniform. In order to establish uniformity of the particle profile, a static mixer and a perimeter ring were modeled, after which the degrees of effectiveness of these components were compared. Modeling using the static mixer indicated that the sampling locations that met the criteria for the particle profile were 5-10 L/D. When modeling using the perimeter ring, the sampling locations that met the criteria for particle profile were 5 L/D and 7-10 L/D. The criteria for the velocity profile and the average flow angle were also met at the sampling locations that met the criteria for the particle profile. The methodologies used in this study can also be applied during assessments of air sampling locations when monitoring stacks at new nuclear facilities as well as existing nuclear facilities.

A Study on the Quantitative Process Facility Standards that Require H2S Toxic Gas Detectors and Location Selection for Emergency Safety (H2S 독성가스감지기가 필요한 정량적 공정설비 기준 및 비상시 안전을 위한 위치선정 방안에 대한 연구)

  • Choi, Jae-Young;Kwon, Jung-Hwan
    • Journal of the Korean Institute of Gas
    • /
    • v.22 no.2
    • /
    • pp.90-96
    • /
    • 2018
  • Design techniques for minimizing the damage caused by leakage of $H_2S$ gas, contained in natural gas and petroleum, have been widely studied abroad in chemical plants that purify and process natural gas and petroleum. However, there is no domestic engineering practice and regulation of $H_2S$. In accordance with the circumstances, this study proposes the quantitative criteria of process equipment to install $H_2S$ toxic gas detector as 500 ppm and explains the valid basis. The $H_2S$ gas dispersion radius up to IDLH 100 ppm is calculated by ALOHA under previous $H_2S$ gas leak accident scenario. The weather conditions of modeling include the conditions of Ulsan, Yeosu and Daesan, the three major petrochemical complexes in Korea. The long radius up to 100 ppm was derived in order of Ulsan, Daesan, Yeosu. For emergency safety the dispersion radius up to 100 ppm of the $H_2S$ gas obtained in this study should be extended to apply the additional $H_2S$ toxic gas detector, and local climate conditions should be considered.

Application of Geo-Statistic and Data-Mining for Determining Sampling Number and Interval for Monitoring Microbial Diversity in Tidal Mudflat (갯벌 미생물 다양성 모니터링 시료 채취 개수 및 간격 선정을 위한 지구통계학적 기법과 데이터 마이닝 적용 연구)

  • Yang, Ji-Hoon;Lee, Jae-Jin;Yoo, Keun-Je;Park, Joon-Hong
    • Journal of Korean Society of Environmental Engineers
    • /
    • v.32 no.12
    • /
    • pp.1102-1110
    • /
    • 2010
  • Tidal mudflat is a reservoir for diverse microbial resources. Microbial diversity in tidal mudflat sediment can be easily influenced by various human activities. It is necessary to take representative samples to monitor microbial diversity in tidal mudflat sediments. In this study, we analyzed the microbial diversity and chemical characteristics of vegetation and non-vegetation tidal mudflat regions in the Kangwha tidal mudflat using geo-statistics and data-mining. According to the geo-statistical analysis, most correlation range values for the vegetation region were smaller than those for the non-vegetation region, which suggested that the shorter number and interval of sampling are required for the vegetation tidal mudflat environment due to its higher degree of chemical and biological complexity and heterogeneity. The data-mining analysis suggested that the organic content and nitrate were the major environmental factors influencing microbial diversity in the vegetation region while pH and sulfate were the major influencing factors in the non-vegetation region. Using the geo-statistical and data-mining integration approach, we proposed a guideline for determining the sampling interval and number to monitor microbial diversity in tidal mudflat.

OPTIMAL DEELECTION OF EARTH-CROSSING OBJECT USING A THREE-DIMENSIONAL SINGLE IMPULSE (3차원에서의 순간적인 속도변화에 의한 ECO의 최적궤도변경)

  • Mihn, Byeong-Hee;Park, Sang-Young;Roh, Kyoung-Min;Choi, Kyu-Hong;Moon, Hong-Kyu
    • Journal of Astronomy and Space Sciences
    • /
    • v.22 no.3
    • /
    • pp.249-262
    • /
    • 2005
  • Optimization problems are formulated to calculate optimal impulses for deflecting Earth-Crossing Objects using a Nonlinear Programming. This formulation allows us to analyze the velocity changes in normal direction to the celestial body's orbital plane, which is neglected in many previous studies. The constrained optimization in the three-dimensional space is based on a patched conic method including the Earth's gravitational effects, and yields impulsive ${\Delta}V$ to deflect the target's orbit. The optimal solution is dependent on relative positions and velocities between the Earth and the Earth-crossing objects, and can be represented by optimal magnitude and angle of ${\Delta}V $ as a functions of a impulse time. The perpendicular component of ${\Delta}V $ to the orbit plane can sometimes play un-negligible role as the impulse time approaches the impact time. The optimal ${\Delta}V $ is increased when the original orbit of Earth-crossing object is more similar to the Earth's orbit, and is also exponentially increased as the impulse time reaches to the impact time. The analyses performed in present paper can be used to the deflection missions in the future.

A Phenomenological Study on the Re-employment Experiences of the Young-old (초기 노인의 은퇴 후 재취업 경험)

  • Yeo, Hyeong-Nam;Kim, Yeong-Kyeong
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.19 no.1
    • /
    • pp.168-178
    • /
    • 2018
  • This study was conducted to develop a supportive nursing intervention plan for the young-old by identifying the essence and meaning structure of re-employment experience after retirement. Participants of this study were selected by convenience sampling of seven Korean young-old individuals from 60 to 74 years of age who had re-employment experience after retirement in C city. Data were collected from June to August of 2016 based on an in-depth interview and tape-recording. The interview data were analyzed by the phenomenological analysis method developed by Giorgi. The analysis revealed the following constituents; confusion in response to the change of life, recognizing that it is not easy to work again, adaption to new changes, opening a new life. It is becoming increasingly important that nurses, who have played an important role in elderly nursing because of the increase in average life expectancy and overall elderly population, take care of extended tasks throughout the society, away from clinical work. Therefore, a social support system and nursing guidelines necessary for continuous nursing intervention should be provided so that the elderly, including those at early retirement age, can be satisfied with their life after retirement.

Study of On- and Off-Campus Clinical Practice Satisfaction and Major Satisfaction among Dental Hygiene Students in Some Regions (일부지역 치위생(학)과 학생들의 교내·외 임상실습만족도와 전공만족도에 관한 조사연구)

  • Moon, Seon-Jeong;Ku, In-Young;Choi, Hwa-Young;Ka, Kyung-Hwan
    • Journal of the Korea Academia-Industrial cooperation Society
    • /
    • v.15 no.11
    • /
    • pp.6793-6803
    • /
    • 2014
  • A self-administered survey was conducted on dental hygiene students at colleges or universities in Chungcheong Province to increase the levels of practice for them and provide basic data that could improve their major satisfaction after practice. The data was collected from December 2012 to April 2013 and 766 questionnaires, except for 13 containing insincere responses, were finally analyzed using SPSS/Win18.0. The on- and off-campus practice groups formed 59.7% and 57.4%, respectively. The most frequent place for practice was university dental hospitals, followed in order by hospitals/clinics and health centers. University students were more satisfied with on-campus practice in terms of factors, such as practice contents, practice time, and practice performance than those at three-year colleges. The students in the higher grades were more satisfied with the practice time. The university students were also more satisfied with off-campus practice in terms of all the factors than those at three-year colleges. The students in higher grades were more satisfied with the practice time and practice performance. The on- or off-campus practice group was generally more satisfied with their major than the non-practice group, and each of the factors-practice performance, practice time, practice environment, and practice contents-significantly affected the major satisfaction. The results highlight the need to plan and provide satisfactory education based on an understanding and awareness of students so that they can take pride in their major through on- and off-campus practice. In addition, it is also necessary to develop educational guidelines for clinical practice and efficient programs so that clinical practice can create the optimal learning situation.