• 제목/요약/키워드: Centralization

검색결과 260건 처리시간 0.026초

간호대학생들의 상호작용 특징과 대인관계성향의 관계: 사회연결망 분석을 중심으로 (Relationship between the Interpersonal Disposition and Interactive Characteristics of Nursing College Students: A Social Network Analysis)

  • 박미화;강문정;박창승
    • 부모자녀건강학회지
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    • 제19권1호
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    • pp.25-32
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    • 2016
  • Purpose: The purpose of this study was to use the social network analysis to verify the relationship between the interpersonal disposition and interactive characteristics of nursing college students. Five classes, a total of 117 nursing students were included in the study. Methods: The study interaction network centralization, density and in-degree & out-degree centrality were used as indicators for measuring students' study interaction. Also, the students' interpersonal disposition was measured using verified tool. Results: The results indicated that the ordinary type which gave and took the information generally showed the highest proportions in the study interaction network. Also, the empathic-acceptable tendency of social relation domain showed the highest proportions in the interpersonal disposition. Moreover, the students who play the isolate and the carrier role in the study interaction network had no relation with the expression tendency, and the transmitter role play students had no relation with the role tendency. Conclusion: Based on the results, the tutors should consider the students' interpersonal relationship disposition when implementing the instructional strategy in PBL curriculum.

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A Study on the Impact of Management's Strategic Leadership and Management Strategy on Organizational Performance: Focusing on Small and Medium Venture Companies

  • Kim, Moon Jun
    • International journal of advanced smart convergence
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    • 제9권1호
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    • pp.121-131
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    • 2020
  • We study empirically analyzes the relationship between the leadership styles and management strategies of executives perceived by members of small and medium venture companies through organizational performance through SPSS 24.0. The empirical results are as follows. First, the hypothesis that the strategic leadership of the one-level management team had a significant influence on the management strategy showed that strategic leadership (strategic direction, strategic control, maintaining effective organizational culture, ethical management, human resource development, competency development) The relationship between positive cost, strategy of differentiation, and strategy of concentration was positive. Second, the hypothesis 2 management strategy (cost advantage strategy, differentiation strategy, centralization strategy) was statistically significant for both organizational performance (financial performance and non-financial performance). Therefore, management strategy implemented by management acts as a factor to improve organizational performance. Therefore, the execution ability of management strategy should be strengthened. Third, hypothesis 3 (Strategic Direction, Strategic Control, Maintaining Effective Organizational Culture, Ethical Management, Human Resource Development, Competency Development) could be identified as an important role factor for financial and non-financial performance. The organizational performance of SMEs has been a key factor in the strategic leadership and management strategy implemented by management. Therefore, the establishment and implementation of various practical measures to upgrade this were continuously required.

경도 마비말장애 환자의 발화 유형에 따른 모음 특성 비교 (The change of vowel characteristics for the dysarthric speech along with speaking style)

  • 김지연;성철재
    • 말소리와 음성과학
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    • 제8권3호
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    • pp.51-59
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    • 2016
  • The purpose of present study is to examine differences between habitual speech (HS) and clear speech (CS) in individuals with mild dysarthria. Twelve speakers with mild dysarthria and twelve healthy control speakers read sentences in two speaking styles. Formant and intensity related values, triangular area, and center of gravity of /a/, /i/, and /u/ were measured. In addition, formant-ratio variables such as vowel space area(VSA), vowel articulatory index (VAI), formant centralization ratio (FCR) and F2i/F1u ratio (F2 ratio) were calculated. The results of repeated-measures ANOVA showed a significant difference in F2 of vowel /i/ and F2 energy of vowel /a/ between groups. Regarding formant energy, F2 energy of vowel /a/ were observed as meaningful variables between speaking styles. There were significant speaking style-by-group interactions for F2 energy of vowel /a/. These findings indicated that current parameters could discriminate healthy group and mild dysarthria group meaningfully and that speaker with dysarthria had larger clear speech benefit than healthy talkers. We also claim that various acoustic changes of clear speech may contribute to improving vowel intelligibility.

e-비즈니스 발전단계에 따른 경쟁전략과 e-비즈니스 성과와의 관련성 분석 (An Empirical Study on the Relationship between Competitive Strategy and e-Business Performance by e-Business Development Stages)

  • 박용재;정경수
    • 한국정보시스템학회지:정보시스템연구
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    • 제16권2호
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    • pp.1-33
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    • 2007
  • Selecting and implementing competitive strategies based on e-business is extremely important since it determines if an enterprise can continue to grow or not. Accordingly, systematic and empirical study on the implementation of e-business based on competitive strategy is required, and in-depth studies considering various e-business development stages of enterprises are also needed. The purpose of this study is to present guideline for the staff in charge and managers of enterprises to achieve competitive advantage and to increase organizational performance in e-business environments. What we have found are as follows. (1) Factors greatly influencing on competitive strategy selection through e-business were environmental uncertainty, centralization, innovative culture, technological competence, and formalization. (2) Results of the relationship between competitive strategies and e-business performance showed that each strategy had different effects on financial performance, process performance, and customer performance. and (3) Data analysis between internal and external environmental factors and competitive strategy by each e-business development stage proved that the relationships between competitive strategy and e-business performance were different based on e-business development stage. Implications of the study and guidelines for the managers are provided in the paper.

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A Design for a Hyperledger Fabric Blockchain-Based Patch-Management System

  • Song, Kyoung-Tack;Kim, Shee-Ihn;Kim, Seung-Hee
    • Journal of Information Processing Systems
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    • 제16권2호
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    • pp.301-317
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    • 2020
  • An enterprise patch-management system (PMS) typically supplies a single point of failure (SPOF) of centralization structure. However, a Blockchain system offers features of decentralization, transaction integrity, user certification, and a smart chaincode. This study proposes a Hyperledger Fabric Blockchain-based distributed patch-management system and verifies its technological feasibility through prototyping, so that all participating users can be protected from various threats. In particular, by adopting a private chain for patch file set management, it is designed as a Blockchain system that can enhance security, log management, latest status supervision and monitoring functions. In addition, it uses a Hyperledger Fabric that owns a practical Byzantine fault tolerant consensus algorithm, and implements the functions of upload patch file set, download patch file set, and audit patch file history, which are major features of PMS, as a smart contract (chaincode), and verified this operation. The distributed ledger structure of Blockchain-based PMS can be a solution for distributor and client authentication and forgery problems, SPOF problem, and distribution record reliability problem. It not only presents an alternative to dealing with central management server loads and failures, but it also provides a higher level of security and availability.

중심지이론을 이용한 의사의 지역적 분포에 관한 실증분석 (An Empirical Analysis on Geographic Distribution of Physicians using the Central Place Theory)

  • 김춘배;강명근;고상백;김한중;유승흠;손명세
    • 보건행정학회지
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    • 제6권2호
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    • pp.58-90
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    • 1996
  • This study provides an empirical analysis of location competition for demand maximization by central place theory among physicians in nonmetropolitan areas of Korea. The results show that the primary care physicians distribute themselves evenly from urban communities to rural communities. The subspecialists, however, cluster together in major cities rather than decentralize themselves in rural counties. This study establishes the three statistical models : Primary care physicians, subspecialist physicians, and total physicians. Two models of primary care physicians and total physicians have a strong significance in multiple regression analysis (p=-.0001). The primary care model explains approximately 45% of the variation and the total physicians model explains approximately 70% of the variation in physician/1,000 population ratios across national counties. The subspecialist physicians model analysze the tobit regreassion because of the left consored and truncated values(57 cases = 0). In all three models, analysis of the coefficiencts for physician centralization degrees in the 0- to 5- and 5- to 10-km rings around the core county reveals each a positive and negative association betwee these degrees and the physician/1,000 population ratios in the core county. Also, the results provide moderate evidence that the relationship between clinic physicians and community hospitals is competitive, and the relationship between clinic physicians and pharmaceutists is synergistic. This suggests that public policy makers and local self-governing bodies must take an active role to ensure procider availability and the regional health planning in all nonmetropolitan areas of Korea.

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종합병원 암 종별 수술량이 병원 내 사망에 미치는 영향 (Effects of Surgery Volume on In Hospital Mortality of Cancer Patients in General Hospitals)

  • 윤경일
    • 보건행정학회지
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    • 제24권3호
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    • pp.271-282
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    • 2014
  • Background: Although the mortality rate in cancers has been decreased recently, it is still one of the leading causes of death in most of the countries. This study analyzed the relationship between surgery volume and in hospital mortality of cancer patients. The purpose of this study is to investigate the relationship in Korean healthcare environment and to provide information for the policy development in reducing cancer mortality. Methods: The study sample was the 20,517 cancer patients who underwent surgery and discharged during a month period between 2008-2011. The data were collected in Patient Survey by Korean Institute of Social Affairs. Logistic regression was used to analyse a comprehensive analytic model that includes a binary dependent variable indicating death discharge and independent variables such as surgery volume, organizational characteristics of hospitals, socio-economical characteristics of the patients, and severity of disease indicators. Results: In chi-square test, as the surgery volume increases, the in-hospitals mortality showed a downward trends. In regression analysis, the relationship between surgery volume and mortality showed significant negative associations in all types of cancer except for pancreatic cancer. Conclusion: In the absence of other information patients undergoing cancer surgery can reduce their risk of operative death by selecting a high-volume hospital. Therefore, policies to enhance centralization of cancer surgery services should be considered.

보건의료체계의 거버넌스 개혁 (Reform of Health System Governance in South Korea)

  • 최병호
    • 보건행정학회지
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    • 제28권3호
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    • pp.226-232
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    • 2018
  • The objectives of this study were to evaluate the current state of governance structure and management of the health system to achieve the goals of the health system in South Korea, and to propose reform plan. This study drew implications from the governance of United Kingdom, Germany, and Netherlands, based on the principle of health system proposed by World Health Organization. The presidency and the health ministry should make macroscopic decision-making. The government has to decentralize the enforcement by municipality to operate public health and national health insurance (NHI), and to distribute the centralized NHI fund by municipality. The front line health centers and community centers should provide integrated health and social services. The government has to establish diversified regulatory bodies to enhance both the patient-centered care and the efficiency and equity of health care, and to provide mechanisms for ensuring autonomy of providers. The governance of the health system should be composed of the centralization of macro decision-making, the decentralization of implementation by municipality, the integration of health and social services on the front line, and the well-balanced regulation and autonomy on both consumers and suppliers.

비주얼파닉스를 활용한 조음중재가 청각장애아동의 말 명료도와 모음공간에 미치는 영향 (The effect of articulation therapy using visual phonics to improve the speech intelligibility and vowel space of children with impaired hearing)

  • 심희정;이효주;서창원
    • 말소리와 음성과학
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    • 제10권2호
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    • pp.85-96
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    • 2018
  • The purpose of this study was to investigate the effect of articulatory intervention using visual phonics to improve the speech intelligibility of children with impaired hearing. The subjects of the study were five hearing impaired children. As per the results of the UTAP articulation tests, five phonemes with the most frequent errors were selected for each child and a total of 10 sessions were provided. The methodology involved analyzing vowel space and related measures (vowel space area, vowel articulatory index, formant centralization ratio, and F2i/F2u ratio) before and after the visual phonics intervention. After the articulation intervention, every child's speech intelligibility improved, their vowel space area was widened, the FCR value decreased, and the F2ratio value increased. These results show that the use of visual phonics through symbolic images and hand clues has a positive effect in terms of improving the speech intelligibility of children with impaired hearing.

3차원 공간 기반의 화재피난 시뮬레이션 시스템 개발 (A Development of Fire Evacuation Simulation System Based 3D Modeling)

  • 황연정;구원용;황은경;윤호주
    • 한국화재소방학회논문지
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    • 제25권6호
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    • pp.156-167
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    • 2011
  • 최근 건물의 대형화, 고층화, 복잡화가 이루어지고 있으며, 건축물 화재 발생건수와 이로 인한 인명 및 재산 피해의 증가함에 따라 화재피난 시뮬레이션을 통한 건축물의 안전성 점검의 필요성이 대두되고 있다. 따라서 본 연구에서는 외산 프로그램에 의존하고 있는 화재피난 시뮬레이션 분야에 한국인의 특성을 고려한 시뮬레이션 시스템을 구현하고자 하였다. 그 결과 3차원 공간 정보 기반으로 공간의 토폴로지를 생성하고, 피난 경로를 탐색하는 화재피난 시뮬레이션을 구축하였다.