• 대한간호학회지
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• 제24권4호
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• pp.545-556
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• 1994

Medical insurance and health care delivery system enabled Korean people to get the necessary medical service, but it caused increased needs for medical service, and resulted in the occurence of some problems such as a lack of manpower and medical facilities. In order to solve these problems, many countries, which already had medical insurance system had developed home care system and it has been regarded effective both in reducing costs and in increasing the rates of turnover of bed. Recently, Korea has included home nursing care in its health care delivery system, and some models of the hospital based home nursing care had been tried and its effects had been evaluated. So, author tried to run a home nursing care for the Cesarean section mothers and evaluate Its effects both in the mother's health and costs. This study was designed as a Quasi-experimental study. Subjects were thirty mothers who got Cesarean section operation in hospital in Seoul. Experimental group consisted of 15 volunteers, and control group were selected by means of matching technique. Data were gathered from February 1st to March 26th by two assistants who were trained by author. Experimental group were discharged on the 4th day after their operation, and got nursing care and assessment about their home three times on the 5th, 6th, and 7th day. Control group stayed in the hospital until 7th day as usual and were checked on the same day as above mentioned To evaluate the state of physiological recovery, vital signs, H.O.F, presence of edema in the legs, bathing, appetite, sleep, presence of pain or discomfort in the breasts, amount of lochia, color of lochia, defecation urination. To compare incidence of complication in experimental group with that in control group, specific assessment was done such variables as smell of lochia, presence of inflammation of operation wound, dizziness, and presence of immobilization in the extremities. The activities of daily living were checked Satisfaction of nursing were checked To calculate costs, author asked subjects to specify expenditure including hospital charge, traffic enpenses, and food expenses. The results were as fellows. 1. On effectiveness of home nursing careThere were n significant differences between experimental and control group in incidence of abnormal symptoms and any complication. The number of taking a bath [POD #5 P=0.001, #6 P=0.0003, #7 P=0.001] and the degree of appetite [POD #5 P=0.03, #6 P=0.02, #7 P=0.013] were significantly higher in experimental group than in control group. Contrary to author's expectation, the degree of the activities of daily living in experimental group was not higher than that of control group. All of the experimental group said they were satisfied with the home nursing care. 2. Cost analysis 1) Hospital charge of experimental group was lower than that of control group. ［P=0.009］ By taking home nursing care, average period of hospitalization was shortened to 3.1 days, and family members could save 22.8 hours. Total amount of money saved by early discharge was 3,443,093 Won. It is estimated that total amount of money saved by early discharge in a year will be 40,398,956 Won. 2) Home nursing care charge of 15 mothers was 1,781,633 Won. It is estimated that total amount of money Saved by it in a year Will be 20,904,493 Won. It was lower altogether than hospital charge of the three days which is 5th, 6th, 7th day of operation. The average cost of single home visit was calculated 10,940 Won. It took 87 minutes per round and it costed 1,017.3 Won. The average hour of home care was 39.0 minutes. 3) It is expected that early discharge can bring forth the increase of hospital income. On the condition that the rate of running bed is 100%, the expected increase of hospital income will be 202,374, 026 Won in a year. Suggestions for further study and nursing practice are as follows : 1. For the welfare of patients and the increased rates of running bed, home nursing care system should be included in the hospital nursing care system. 2. Studies to test effect of home nursing care on the patients with other diseases are needed. 3. Establishment of law on the practice of home nursing care is strongly recommended.

• 농촌계획
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• 제26권4호
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• pp.27-39
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• 2020

With the COVID-19 pandemic, the global economy has stagnated and our daily lives have changed. The rural economy is also experiencing damage, such as an average of 65% or more decrease in the number of visitors to rural experience resort villages due to the spread of COVID-19. In order to minimize the damage arising from the prolonged coronavirus, a hospitality system in response to changes in rural tourism behavior and consumer demand is needed to revitalize rural areas and maintain continuous economic independence. Therefore, this study attempted to find ways to utilize landscape resources such as education, culture, history, and ecology in order to complement the existing experience programs in connection with local resources and local environment. Wibong Village, which is the subject of the study, attempted to revitalize the village using the resources through the "Creative village creation" project in 2015. Due to poor management of historical resources, difficulty in operating experience programs, and response to changes in the natural environment, the rate of implementation of the project plan was very low. Currently, the demand for experience is also decreasing due to the COVID-19 effect, so it was judged that it was necessary to develop an experience village program suitable for the needs of experienced visitors by discovering additional local resources for the continuous operation of the experience village. In order to solve the problem of the use of landscape resources and the spatial composition of the study site, additional investigations of local resources were made, and an experience program course that could be operated by theme was proposed by configuring a space suitable for the use of landscape resources. By dividing the additionally investigated landscape resources into history, ecology, and region, an experiential course was created to separate the traffic lines, and the space composition for large-scale experienced visitors that had been previously operated was constructed in a form suitable for the post-corona era. In addition, at least two experiential tour courses that can be operated by period were proposed to maintain economic effects. Starting with this study, if further research on the creation and spatial composition of a rural experience village centered on the connection with the region, it will be used as research results that can be referenced in projects such as village creation, rural space planning, and living area analysis. It is expected that it will be able to effectively cope with the construction of a rural area suitable for the post-corona era, where demand is expected to increase in the future.

• 한국입자에어로졸학회지
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• 제17권4호
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• pp.91-106
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• 2021

Daily PM_2.5 was collected during summer period in 2020 in Gwangju to investigate its chemical and light absorption properties. In addition, real-time light absorption coefficients were observed using a dual-spot 7-wavelength aethalometer. During the study period, SO₄^2- was the most important contributor to PM_2.5, accounting for on average 33% (10-64%) of PM_2.5. The chemical form of SO₄^2- was appeared to be combination of 70% (NH₄)₂SO₄ and 30% NH₄HSO₄. Concentration-weighted trajectory (CWT) analysis indicated that SO₄^2- particles were dominated by local pollution, rather than regional transport from China. A combination of aethalometer-based and water-extracted brown carbon (BrC) absorption indicated that light absorption of BrC due to aerosol particles was 1.6 times higher than that due to water-soluble BrC, but the opposite result was found in absorption Ångström exponent (AAE) values. Lower AAE value by aerosol BrC particles was due to the light absorption of aerosol BrC by both water-soluble and insoluble organic aerosols. The BrC light absorption was also influenced by both primary sources (e.g., traffic and biomass burning emissions) and secondary organic aerosol formation. Finally the ATR-FTIR analysis confirmed the presence of NH₄⁺, C-H groups, SO₄^2-, and HSO₄^2-. The presence of HSO₄^2- supports the result of the estimated composition ratio of inorganic sulfate ((NH₄)₂SO₄) and bisulfate (NH₄HSO₄).

• 대한토목학회논문집
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• 제26권1A호
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• pp.75-89
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• 2006

본 논문에서는 생애주기동안 발생하는 부식이나 일평균교통량 및 중차량의 통행량와 같은 사용환경에 의존하는 강교의 생애신뢰성에 기초한 생애주기비용(Life-Cycle Cost: 이하 LCC) 최적설계 방법론을 제안하였다. 강교 최적설계를 위한 LCC는 초기비용, 생애주기 기대유지관리비용, 생애주기 기대직접복구비용과 인적 혹은 물적손실비용, 도로이용자비용, 그리고 사회-경제 손실비용을 포함하는 간접복구비용을 현재가치의 합으로 정식화하였다. 이러한 LCC비용항목 중에서 생애주기 복구비용의 산정을 위해서는 하중과 저항이력에 의존하는 누적손상확률로부터 산정되는 연파손확률이 고려되어야한다. 이를 위해 본 논문에서는 Nowak의 활하중 모델(1993)과 부식개시, 부식률, 그리고 재도장영향을 고려한 수정된 부식모델을 제안하였다. 이와같이 본 연구에서 제안된 LCC 최적설계 방법론은 3 경간연속(40 m+50 m+40 m=130 m)의 실제 강박스거더교에 적용되었고, 강재종류, 부식환경, 교통량 및 할인율에 따른 LCC의 효율성에 대해 비교 고찰하였다. 적용예를 통해 부식환경, 일평균교통량, 그리고 중차량의 통행량, 할인율 등은 강교 LCC최적설계에 매우 중요한 영향을 미칠 수 있음을 알 수 있었으며, 이러한 교량의 사용환경인자들은 경우에 따라 LCC 최적설계에 대한 주요 변수로 고려되어야 할 것으로 판단된다.

• 대한토목학회논문집
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• 제26권6A호
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• pp.977-988
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• 2006

본 연구에서는 열화하는 교량의 생애주기비용(Life-Cycle Cost: 이하 LCC)-효율적인 최적 내진보강과 유지관리전략의 선정문제의 의사결정을 위한 현실적인 방법론을 제안하고자 한다. 제안된 방법론은 설계규준과 같은 제약조건하에서 내진보강비용, 기대 유지관리비용, 그리고 기대 경제손실비용의 합으로 표현되는 총 기대 LCC의 최소화 개념에 기초하고 있다. 본 연구에서 제안된 방법론은 동반논문에서 고려된 예제교량의 최적 내진보강과 유지관리전략의 선정을 위한 문제에 적용되었고, 부식환경과 교통조건에 따른 LCC-효율성에 대하여 고찰해 보았다. 또한, 개발된 방법론의 타당성을 검증해보기 위해 고려된 조건에 따른 LCC분석결과를 기존 연구에서 제안된 방법론과 비교 및 고찰을 수행하였다. 적용 예를 통해 제안된 방법론은 LCC-효율적인 내진보강과 유지관리전략의 선정을 위한 의사결정에 있어서 매우 효율적인 도구로 활용될 수 있을 것으로 기대된다.