• Title/Summary/Keyword: Delivery Charge

검색결과 129건 처리시간 0.029초

호스피스 전달체계 모형

  • 최화숙
    • 호스피스학술지
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    • 제1권1호
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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AHP를 이용한 공공공사 입찰 방식 의사결정지원 모델 (Decision Making Model for a Public Construction Project Delivery Method Selection based on Analytic Hierarchy Process)

  • 이웅균
    • 한국건축시공학회지
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    • 제17권6호
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    • pp.559-566
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    • 2017
  • 공공공사의 입찰 방식 결정은 공무수행담당자의 경험 및 업무의 편의성 등을 고려하여 결정되고 있는데, 입찰을 위한 방식 결정 과정의 타당성 검증은 이루어지지 못하고 있는 실정이다. 입찰방식의 선정에 있어 또다른 도전과제는 경험위주의 의사결정을 근간으로 하고 있어 새로운 형태의 프로젝트 발주 또는 새로운 형태의 입찰방식 적용 시 그것에 대한 객관적 타당성을 마련할 방법이 쉽지 않다는 점이 있다. 따라서 본 연구는 공공공사 프로젝트 발주 방식 선정에 도움을 줄 수 있는 의사결정모델을 개발하고 이의 활용성을 검토하고자 한다. 본 연구는 계층분석적의사결정기법을 이용하여 모델을 개발하였고 실제 업무 수행 담당자 32명을 통해 검증하였다. 모델 활용결과 32명 중 5명의 모델활용에 일관성이 있었으며, 담당자들은 모델에 전적으로 의존할 수 없다는 사실을 인지하면서도 가이드를 제시해줄 수 있다는 점에서 긍정적 의견을 제시하였다. 이를 통해 본 연구에서 제시한 모델이 향후 새로운 형태의 입찰방식 또는 과제 발생 시 관련 업무 수행자의 업무관련 부담을 줄여주고 객관적인 공무수행에 도움을 줄 수 있을 것으로 기대된다.

Photo-controlled gene expression by fluorescein-labeled antisense oligonucleotides in combination with visible light irradiation

  • Ito, Atsushi;Kaneko, Tadashi;Miyamoto, Yuka;Ishii, Keiichiro;Fujita, Hitoshi;Hayashi, Tomonori;Sasaki, Masako
    • Journal of Photoscience
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    • 제9권2호
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    • pp.451-453
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    • 2002
  • A new concept of "photo" -antisense method has been evaluated, where the inhibition of gene expression by the conventional antisense method is enhanced by photochemical binding between antisense oligonucleotides conjugated with photo-reactive compound and target mRNA or DNA. Fluorescein labeled oligodeoxyribonucleotides (F-DNA) was delivered to cell nuclei in the encapsulated form in multilamellar lecithin liposomes with neutral charge. F-DNA was previously shown to photo-bind to the complementary stranded DNA, and the delivery system using neutral liposome to be effective in normal human keratinocytes. In the present study, we used human kidney cancer G401.2/6TG.1 cell line to be advantageous in reproducible experiments. p53 was adopted as a target gene since antisense sequence information has been accumulated. The nuclear localization ofF-DNA was identified by comparing the fluorescence ofF-DNA with that of Hoechst 33258 under fluorescence microscope. After 7hr incubation to accumulate p53 protein induced by UV -B, p53 protein was quantified by Western blot. After 2hrs from F-DNA application, about 30% of cell population incorporated F-DNA in their nuclei with some morphological change possibly due to liposomal toxicity. Irradiation of visible light longer than 400nm from solar simulator at this time enhanced the inhibitory action of antisense F-DNA. The present results suggest that photo-antisense method is promising to control gene expression in time and space dependent manner. Further improvement of F-DNA delivery to cancer cells in the stability and toxicity is in progress. progress.

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분말사출성형을 이용한 다수 캐비티 치과용 요오드 용기 금형제작에 관한 연구 (A Study on mold manufacture of multi-cavity dental iodine container using powder injection molding)

  • 최재훈
    • 한국산학기술학회논문지
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    • 제15권1호
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    • pp.21-26
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    • 2014
  • 치과에서 사용되는 구강 치료용 요오드 용기는 개폐 시 용기의 캡에 부착되어 있는 칼날에 의해 치료용 실은 절단이 된다. 금속의 칼날은 요오드 용액과 반응하여 단기간에 부식이 되는 문제로 인해 환자의 위생에도 영향을 준다. 이러한 문제를 해결하기 위해 최근 세라믹 칼날로 대체되어진 제품들도 개발되어 생산되는데, 이때 세라믹 칼날은 수작업과 기계가공을 통해 만들어 진다. 본 연구에서는 세라믹 칼날을 분말사출성형공정으로 대량 생산할 수 있도록 20Cavity의 균일 충전을 위한 유동 시스템을 제안하였다. Moldflow를 이용하여 20cavity 유동성에 대한 시뮬레이션을 진행하였고, 금형제작과 수정을 통해 금형을 완성하였다. 사출성형 후 탈지와 소결공정을 통해 완성하고, 금형에 세라믹 칼날을 인서트 사출하여 캡 제품을 완성하였다. 본 연구를 통해 유효한 절단 성능을 갖는 세라믹칼날 대량생산 가능성을 검증하였다.

Cellular Uptake and Cytotoxicity of β-Lactoglobulin Nanoparticles: The Effects of Particle Size and Surface Charge

  • Ha, Ho-Kyung;Kim, Jin Wook;Lee, Mee-Ryung;Jun, Woojin;Lee, Won-Jae
    • Asian-Australasian Journal of Animal Sciences
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    • 제28권3호
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    • pp.420-427
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    • 2015
  • It is necessary to understand the cellular uptake and cytotoxicity of food-grade delivery systems, such as ${\beta}$-lactoglobulin (${\beta}$-lg) nanoparticles, for the application of bioactive compounds to functional foods. The objectives of this study were to investigate the relationships between the physicochemical properties of ${\beta}$-lg nanoparticles, such as particle size and zeta-potential value, and their cellular uptakes and cytotoxicity in Caco-2 cells. Physicochemical properties of ${\beta}$-lg nanoparticles were evaluated using particle size analyzer. Flow cytometry and confocal laser scanning microscopy were used to investigate cellular uptake and cytotoxicity of ${\beta}$-lg nanoparticles. The ${\beta}$-lg nanoparticles with various particle sizes (98 to 192 nm) and zeta-potential values (-14.8 to -17.6 mV) were successfully formed. A decrease in heating temperature from $70^{\circ}C$ to $60^{\circ}C$ resulted in a decrease in the particle size and an increase in the zeta-potential value of ${\beta}$-lg nanoparticles. Non-cytotoxicity was observed in Caco-2 cells treated with ${\beta}$-lg nanoparticles. There was an increase in cellular uptake of ${\beta}$-lg nanoparticles with a decrease in particle size and an increase in zeta-potential value. Cellular uptake ${\beta}$-lg nanoparticles was negatively correlated with particle size and positively correlated with zeta-potential value. Therefore, these results suggest that the particle size and zeta-potential value of ${\beta}$-lg nanoparticles play an important role in the cellular uptake. The ${\beta}$-lg nanoparticles can be used as a delivery system in foods due to its high cellular uptake and non-cytotoxicity.

삼중수소 저장용기 이종용접부의 수소취화 거동 평가 (II) (Evaluations of Hydrogen Embrittlement Behaviours on Dissimilar Welding Part of SDS Bottles (II))

  • 조경원;최재하;장민혁;이영상;홍태환
    • 한국수소및신에너지학회논문집
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    • 제26권2호
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    • pp.120-126
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    • 2015
  • Recently, the ever-increasing use of fossil fuels for rapid industrial development and population significantly caused an environment pollution and global warming such as climate change. So research and development of sustainable and eco-friendly energy have been performed. Especially the interest in nuclear fusion fuel was significantly increased from the developed countries. The system of fusion energy production was tritium separation, storage and delivery, and purification. Republic of Korea is in charge of Storage and Delivery System (SDS) in the International Thermonuclear Experimental Reactor (ITER). Welding part of the SDS bottles for storing the tritium is known to be susceptible to hydrogen embrittlement. In this study, conducted a study for the relaxation of the stability and hydrogen embrittlement of the weld area. The hydrogen heat treatment was processed through the Pressure-Composition-Temperature (PCT) device according to the time variation. Also mechanical properties such as impact test and hardness test according to using the alkaline cleaning liquid for hydrogen embrittlement relief and the fracture was observed by scanning electron microscopy (SEM) after the mechanical properties evaluation.

신생아 청각선별검사 프로그램에 관한 정보제공이 부모 만족도에 미치는 영향 (Effects of Neonatal Hearing Screening Program (NHSP) Information on Parental Satisfaction)

  • 안현숙;조수진
    • 말소리와 음성과학
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    • 제1권2호
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    • pp.51-59
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    • 2009
  • This study was designed to investigate the effects of neonatal hearing screening program (NHSP) information on parental satisfaction with the Parent Satisfaction Questionnaire with Neonatal Hearing Screening Program (PSQ-NHSP) by Mazlan et al. (2006). The PSQ-NHSP consisted of four aspects including: information, personnel in charge of the hearing test, appointment activity, and overall satisfaction in the neonatal hearing screening program. A total of 106 parents (50 in the experimental group and 56 in the control group) participated in this study in one general hospital and two delivery clinics. The fifty parents in the experimental group received information and counseling with educational materials before filling out the PSQ-NHSP, but the fifty-six parents in the control group did not receive any counseling or education materials before completing the PSQ-NHSP. The PSQ-NHSP demonstrated excellent internal consistency reliability (${\sigma}=0.914$). The results of the study were as follows. First, the overall satisfaction ($3.77{\pm}0.81$) and personnel in charge of hearing test ($3.52{\pm}0.79$) aspects showed higher rates of satisfaction than the appointment activity aspect ($3.51{\pm}0.80$) for total subjects. Second, the overall parental satisfaction rate of the experimental group ($4.15{\pm}0.50$) was significantly higher than that of the control group ($3.09{\pm}0.53$) in all items. Lastly, thirty-two participants (30%) made at least one comment in response to the open-set items. A total of 29 comments were related to satisfaction with participating in the NHSP and II comments were related to dissatisfaction. In conclusion, to improve parental satisfaction it is important to provide parents with education and information about the NHSP before the test. In addition, PSQ-NHSP was found to be a useful instrument for identifying the benefits and shortfalls of the NHSP.

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학습과 소통의 관점에서 본 기업의 지속가능성 추구: 현황과 가능성 (Pursuing Sustainability in Private Sector Focused on Learning and Communication)

  • 이선경;김남수;김찬국;장미정;주형선;권혜선
    • 한국환경교육학회지:환경교육
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    • 제24권2호
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    • pp.112-130
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    • 2011
  • The study is aimed to investigate the current status of ESD(Education for Sustainable Development) programs in private sector(businesses) carried out in Korea since UN DESD was launched in 2005, For this purpose we conducted a questionnaire survey and case studies on those companies who have supposedly pursued sustainability management Results of questionnaire surveys showed that those in charge of writing sustainability reports in companies had an extremely high understanding of SO, but were not well aware of ESD. These businesses started to pursue sustainable management due to global trends and decisions of CEOs, and most of them had divisions that took charge of or are responsible for sustainable management Sustainability issues that they mainly dealt with were corporate social responsibility, energy and climate change, but other issues were being covered, too. Internal stakeholders got involved in projects related to sustainability from the planning stage. Learning on sustainable management was primarily made through information delivery, and education programs were usually conducted for staff members and executives. Those who cooperated on their sustainable development projects were mostly local communities, universities, etc. They had few ESD programs that they directly developed and carried out, and few cases of ESD-related cooperation; and in those few cases, their partners were often elementary/middle/high schools and universities. Results of ESD case studies and questionnaire surveys showed that businesses dealt with various issues of sustainable development in addition to corporate social responsibility and diversified education programs were carried out inside these companies, Business themselves, therefore, need to be considered and researched in further detail as important targets of ESD as well as supporters or cooperation partners on ESD programme.

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물류 중소 IT 기업과 학부 프로젝트 교과목 운영 연구 (A Study of an Undergraduate Project Course on IT Distribution in Small and Medium Industries)

  • 장진욱;최부관
    • 정보과학회 컴퓨팅의 실제 논문지
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    • 제21권11호
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    • pp.739-744
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    • 2015
  • 본 논문에서는 물류 중소 IT기업과 학부 프로젝트 교과목을 연계하여 기업 실무 주제인 로컬 푸드 재고관리시스템을 공동개발하고 솔루션화하는 프로젝트 중심 교육사례를 연구하였다. 기존 이론 및 텀 프로젝트 진행방식에 탈피하여 기업의 실무 프로젝트를 대상으로 기업의 실무자가 멘토로 참여하여 프로젝트 주제를 제시하고 학생들이 그 주제의 시스템을 개발하였고 기업 실무자와 토의하는 과정에서 실무적인 지식을 습득하게 유도하였다. 이러한 방식을 통하여 상호 최신기술을 공유하고 물류 비즈니스 도메인을 이해하는 기회가 되었으며 프로젝트 수행을 위해 필요한 비용, 품질, 납기에 대하여 학생 스스로 이해하고 해결해 가는 경험을 하였으며 자신감을 얻을 수 있었다. 기업은 시제품 개발을 위한 비용절감과 우수인력을 교류할 수 있는 기회가 되었다.

지능형 약물전달시스템을 위한 pH 감응형 P(MAA-co-EGMA) 수화젤 미세입자의 탑재거동 (Loading Behavior of pH-Responsive P(MAA-co-EGMA) Hydrogel Microparticles for Intelligent Drug Delivery Applications)

  • 신영찬;김규식;김범상
    • 폴리머
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    • 제32권5호
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    • pp.421-426
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    • 2008
  • pH감응형 P(MAA-co-EGMA) 수화젤을 분산 광중합을 이용하여 마이크로 크기의 미세입자로 합성하고 화장품 제형으로서의 응용 가능성을 평가하기 위하여 모델 탑재물질인 Rh-B와 화장품 분야에서 기능성 물질로 사용되는 ascorbic acid, adenosine, EGCG, arbutin을 이용하여 탑재 및 방출 거동을 조사하였다. Rh-B 탑재의 경우, pH 6.5인 수용액에서 이온화에 의한 P(MAA-co-EGMA) 수화젤의 음전하와 Rh-B의 양전하 사이의 정전기적 인력으로 인하여 가장 높은 탑재효율을 나타내었다. 그러나 화장품 기능성 물질들의 경우, pH 6.5 수용액에서 이온화된 P(MAA-co-EGMA) 수화젤의 음전하와 기능성 물질들이 나타내는 음전하 사이의 정전기적 반발력 때문에 상대적으로 낮은 탑재효율을 나타내었다. Rh-B를 사용한 방출실험 결과, p(MAA-co-EGMA) 수화젤 미세입자는 높은 pH에서는 다량의 Rh-B를 그리고 낮은 pH에서는 소량의 Rh-B를 방출하는 pH 감응성 방출거동을 나타내었다.