• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제23권2호
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• pp.27-35
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• 2017

Purpose: This study analyzed the status of general hospitals as an expanded concept of medical resources including medical staff and equipment. The purpose of this study is to provide a basic for the feasibility study of the scale and establishment of facility guidelines at the planning stage of general hospitals. Methods: The subjects of this study were limited to general hospitals. The status of medical resources was based on the data of the Health Insurance Review and Assessment Service. The number of beds, doctors, nursing grades and major medical equipment were surveyed in 335 general hospitals. Results: 1) The characteristic of general hospitals varies depending on the number of inpatient beds. To be concrete, there were differences in the number of medical staffs and equipments in general hospitals based on 300 500 800 1,000 beds. 2) As the number of hospital beds increases, the number of medical staff increases more than medical equipment and facilities. Medical equipment and facilities remain constant, even when the number of beds increases. On the other hand, the number of medical staff increased about 1.5 times in each level. Implications: Architectural plans for medical staff should be considered differently depending on the number of beds. In particular, architectural planning and facility guidelines should be applied differently based on 300 and 500 beds.

• 수산경영론집
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• 제14권2호
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• pp.15-68
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• 1983

From the economic point of view the fishing port is the complex of installations on land, organized to serve the fishing fleet and its cargo, and is the main link in the production chain of all components of the fishing industry, with the aim of achieving the planned targets with the minimum cost. Fishing port investment decisions have had significant impact on the development aims of Korean fisheries. Fishing port investments in Korea are made mostly by public or semipublic port authorities. Such investments should be judged not purely on the basis of financial profitability but rather on the extent to which they serve the development aims of the fishing industry. This makes the economic appraisal process more complex and presents certain problems in correctly quantifying the economic costs and benefits of the fishing port projects. This study concentrates more on the theoretical economic appraisal models than on the purely financial aspects of fishing port investments and points out the difference between the two approaches. In the result, there is clearly an element of judgment as to whether or not a shadow price needs to be used in estimating economic benefits and costs. From this viewpoint, some attempts are made to provide definitions of the possible economic benefits and costs, and methods for estimating and evaluating them in Part III and IV. Especially queueing theory is applied in the calculation of economic benefits. When a project is contemplated and analysis shows it to Lave a positive NPV, one question that arises is whether it should be implemented now or delayed. In this paper, the first year rate of return method is regarded as a more concise way of solving the timing of investment, At the end of Part IV, risk analysis of fishing port investments is considered. It can be handled in a number of ways, ranging from informal judgment to complex statistical analyses involving large-scale computer models, This paper recommends that evaluators of fishing port investments use the sensitivity analysis indicating exactly how much NPV will change in response to a given change in an input variable, other things held constant. Decisions regarding the amount of capacity to provide must be made in fishing port investments. Providing too much service would involve excessive capital costs. On the other hand, not providing enough service capacity would cause the waiting line of fishing vessels to become excessively long at times. Therefore, in Part V, the optimal number of berths and berth productivity in fishing port are defined as follows: Minimize E(TC) ＝ E(WC)＋E(SC) The minimum of this function is the solution and that is the optimal number of berth and berth productivity in fishing port.

• 한국융합학회논문지
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• 제6권6호
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• pp.285-291
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• 2015

현재 FTMS(Freeway Traffic Management System: 고속도로 교통관리 시스템), TCS(Toll Collection System: 요금 징수 시스템), 하이패스(Hi-Pass: 통행료 전자 지불 시스템)등의 고속도로 ITS(Intelligent Transportation System) 설비들은 단순한 이력관리 및 수동적인 사후관리가 이루어져 고장관련 DB가 부족하여 시설물의 통합운영관리 활용을 최대화 하지 못하고 있다. 또한, 부품의 교체시기가 없어 고장 발생 시마다 부품을 교체하다 보니 고장건수 증가 및 수리시간이 증가하며, 매번 교체 할 때마다 서비스가 중단되는 문제 점이 발생한다. 본 연구에서는 고속도로 ITS 시설물의 고장이력을 사전에 관리하여 예방적 유지관리를 하려한다. 따라서 하이패스 시설물의 고장이력을 신뢰성 이론에 기반을 두고 체계적인 통계분석을 통해 시스템의 신뢰도인 운용가용도를 산출한다. 교체시기 산정을 통해 고장건수 및 시간이 감소하며 예비품 수량을 확보하여 예산 비용을 줄일 수 있고, 부품의 관리계획을 수립하여 지속적인 예방적 유지관리를 통해 시스템의 품질을 향상시키고, 서비스 품질을 항시 가용한 상태인 무 중단 운용상태를 지향 할 수 있도록 하는 것이 본 연구의 목적이다.

• 한국의료질향상학회지
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• 제2권2호
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• pp.20-30
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• 1996

Background : Theoretically as the waiting-time of patient is estimated in queueing, many men and much money are needed. But being the estimation of patient s waiting-time very important in hospital service, so the continuous monitoring of waiting-time is inevitable. To verify that the estimation of waiting-time using parking time is economical, effective and continuous monitoring method and to develop utilizing the method, this study was done. Method : In parking confirmation office, the personnel of parking office wrote parking confirm time, chart number and whether medical examination and treatment finish or not in parking ticket. The next day the parking tickets were gathered and the above data were input. The input parking data were connected with the hospital outpatient file indexing chart number. Then the patient' s data for department, new patient or not, reservation or not, receipt time and payment time were retrieved. The group for finishing medical treatment were compared with that for not finishing in average time lag between confirmation and out-time for hospital. And In-time for hospital, receipt time, payment and out-time for hospital were also analyzed. Result : Confirming parking ticket, the group for finished medical treatment left hospital after 7 minutes. This result showed that the patient for finished medical treatment left hospital immediately. So parking time was reasonable to estimation of hospital-time was concluded. The time for medical treatment, diagnosis and test was constant for all patients and short for waiting time, Then I concluded that the parking time was reasonable for estimation patient's waiting time. Overall patient's waiting time was 113 minutes and new patient's time was 149 minutes, old patient's times was 109 minutes. Waiting time for reservation patient was 98 minutes and for non reservation patient was 122 minutes. The time from hospital arrival to payment was 50 minutes for the group of reservation patient and 69 minutes for non-reservation group. The time from payment to hospital leaving was 51 minutes and 56 minutes for non reservation group. The short time difference between reserved group and not reserved group from payment to hospital leaving time was due to bottle neck effect. Conclusion : The estimation of patient's waiting time using parking time was reasonable because the possession of car was common and the time for medical treatment was equal and the patient after treatment left hospital immediately. Using this method, timely, fast evaluation and continuous monitoring of the intervention effect were possible.

• 한국산학기술학회논문지
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• 제21권9호
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• pp.32-38
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• 2020

화차 제동은 공기 제동관의 압력변화를 이용해 제동 체결과 완해를 반복적으로 작동하여 수행한다. 화차 공기 제동 완해 불량은 기관사의 제동완해 취급 후에 제동 제어밸브의 오작동으로 인해 부분적인 제동체결상태를 의미한다. 이 현상은 화차 주행 동안 차륜 찰상과 열손상을 발생시킴으로서, 차륜파손 또는 열차 탈선사고를 일으킨다. 따라서 화차의 운행 지연 및 사고방지를 위해서는 공기제동 완해불량을 방지하는 체계적인 연구가 중요하다. 이를 해결하기 위하여 본 연구에서는 철도운영기관의 제작과 기능요구사항을 고려하여 완해불량 방지밸브를 개발하였다. 또한 본 밸브의 내구성 시험은 화차제동성능 시뮬레이터 성능시험기를 이용하였으며, 이의 작동성능은 반복적인 제동과 완해불량 조건하에 공압이력으로부터 평가하였다. 본 밸브의 보증수명은 화차 주행동안 제동횟수를 고려하여 무고장 시험기법에 준하여 12개 시제품에 대하여 총 16만회 성능시험을 수행하였다. 내구성 시험동안 본 밸브의 공압 입력 시간과 출력시간 및 출력속도의 차이는 거의 일정하였다. 본 밸브의 보증수명은 신뢰수준 95%에서 59,860회이며, 화차 대차에 본 밸브를 설치할 경우에 요구조건인 4년간 고장없이 운용될 수 있음을 의미한다.

• 한국치위생학회지
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• 제9권3호
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• pp.282-293
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• 2009

The purpose of this study was to examine the degree of infection control implemented at dental offices and factors affecting it in an attempt to help promote the health of dental health care workers. The subjects in this study were 180 medical personnels who worked at dental offices in the region of South Jeolla Province. A self-administered survey was conducted from April 1 to May 30, 2008, and the collected data were analyzed. The findings of the study were as follows: 1. As for the implementation of infection control at the dental offices, what the health care workers investigated did the most was post-treatment hand washing(95.0), a constant separation of infectious wastes(94.4), wearing rubber gloves all the time during medical instrument cleansing(92.8) and pre-treatment hand washing(91.7). 2. In regard to the implementation of infection control at the dental offices, what the dental personnels did the least was drying their hands with air(5.0), wearing goggles in times of treatment(23.3), receiving regular education on infection control(26.7) and putting sterilizers to a performance test on a regular basis(43.9). 3. The dental health care workers were significantly different according to age in the management of contagious diseases(p=0.005). Their career made a significant difference to the management of contagious diseases(p=0.000) and instrument cleansing/sterilization(p=0.043). The service area made a significant difference to wearing and managing personal protective clothes (p=0.040) and waste management(p=0.040). 4. Concerning the relationship between the acquisition of dental hygienist certificate and the practice of infection control, whether the dental health care workers were certified or not made no significant difference to that. 5. As to the correlation among the factors affecting the prevention and management of contagious diseases, there was a positive correlation among hand washing(r=0.379), wearing and managing personal protective clothes(r=0.349), instrument cleansing/sterilization(r=0.323) and waste management(r=0.388). All the factors made a statistically significant difference to the prevention and management of contagious diseases(p<0.01).