Our medical care system is trying to diversify in order to meet the client's needs, and to adjust to a medical environment which is changing very rapidly. Because current nursing theory and practice focus on holistic care, health care management, education, and research, contrary to the traditional emphasis on only assisting a physician, more autonomy and specialization for the implementation of nursing are required. Considering these trends and actual needs, the category of clinical nurse specialist should be established as soon as possible. In order to develop strategies for implementing this new professional specialty, the authors conducted a field survey and literature review of the current system in Korea. As a result, various obstacles and constraints were discovered as follows : 1) There are few accredited educational programs for the training of CNS's. 2) Several hospitals already have staff designated as clinical nurse specialist (CNS) even though the term CNS is not yet standardized or adopted in nationwide. 3) The role of the CNS is not clearly understood by the medical societies, or even nursing societies. A nurse who works in specific nursing areas such as central supply, kidney dialysis, intensive care, coronary care, etc. for a long time, considers herself /himself a CNS. Based upon the above findings, the following alternatives are recommended. 1) The role of the CNS should be defined according to specified functions and authority : professional autonomy ; counselling and educating patients and their familes, nurses, and even other medical personnel ; research on improvement of nursing ; and management of the nursing environment including medical resources, information, and cases. 2) the qualification of CNS should be attained only by a nurse who has an RN license and clinical experience of more than 3 years in a specific nursing field: passes a qualifying examination; and contributes to the professional development of peers, colleagues, and others. A master's degree should only be optional, because of the insufficient of graduate programs which are well designed for the CNS. 3) The CNS should initially be a head nurse rather than line staff in order to deal with as wide an experience base as possible. 4) The nursing specialty could be divided into two areas such as a clinical field and a community field. The clinical field could then be categorized by the Styles' classification such as diseases and pathogenics, systems, ages, acuity, skills/techniques, and function/role ; the community field could be classified according to work site.
Kim, Yoo-Mi;Choi, Yun-Kyoung;Kang, Sung-Hong;Kim, Won-Joong
Journal of the Korea Academia-Industrial cooperation Society
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v.12
no.3
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pp.1234-1243
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2011
Our study was carried out to develop the severity-adjustment model for length of stay in hospital for community-acquired pneumonia so that we analysed the factors on the variation in length of stay(LOS). The subjects were 5,353 community-acquired pneumonia inpatients of the Korean National Hospital Discharge In-depth Injury Survey data from 2004 through 2006. The data were analyzed using t-test and ANOVA and the severity-adjustment model was developed using data mining technique. There are differences according to gender, age, type of insurance, type of admission, but there is no difference of whether patients died in hospital. After yielding the standardized value of the difference between crude and expected length of stay, we analysed the variation of length of stay for community-acquired pneumonia. There was variation of LOS in regional differences and insurance type, though there was no variation according whether patients receive their care in their residences. The variation of length of stay controlling the case mix or severity of illness can be explained the factors of provider. This supply factors in LOS variations should be more studied for individual practice style or patient management practices and healthcare resources or environment. We expect that the severity-adjustment model using administrative databases should be more adapted in other diseases in practical.
The purpose of this research was to get basic information for the development of Korean native chicken industry by reviewing the current native chicken farm management and marketing situation of native chicken products(meat and eggs). The research was carried on the basis of the farm field survey covering 210 native chicken feeders out of 9 different local areas, and the results were as follows ; 1. Average raising size of native chicken flocks of sample farms was 1,787 heads and about 50% of those farms raised less than 500 heads chickens for self-sufficiency or on the side. 2. Most farmers made the decision to start on feeding native chickens in small scale with small amount of capital without sound feeding program, and their decision was mainly influenced by recommendation of mass-media( 19.5%) and neighbors (17.2%). 3. The average income per farm earned by raising the native chickens was 13,719 Won, and income per head of chicken was 8,800 Won. 4. About 40% of feeders expressed that the poor marketing management and lack of capital were the bottleneck to native chicken farm management. 5. About 70% of feeders evaluated the prospect of native chicken industry positively and so, about 60% of feeders hoped to expand the raising size in the future. 6. Most farmers directry made a bargain with marketer including middleman and enduser in selling the chicken products because there was not established special marketing system for native chicken products. 7. The sales age of native broiler was about 16~20 weeks and average body weight of broiler was 1.5~2.0 kg. And farm recieved price was not decided on the basis of each body weight or meat quality but only number of heads. 8. The average first egg-laying age of chickens was about 165 days and average annual laying rate was only about 56%. 9. In order to develop the successful Korean native chicken industry, followings are recommended ; 1) Reducing the production costs and increasing the productivity of native chickens should be carried out through technological research and development for sound feeding program of native chickens and sufficient fund supply. 2) Orderly native chicken marketing and pricing system should be established to give good vision about native chickens to farmers and to delight the consumers. 3) The measures for product differentiation including meat quality and nutritional value of native chicken products against other improved chickens should be actively taken by feeders and government.
Journal of the Korean Graphic Arts Communication Society
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v.31
no.1
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pp.39-49
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2013
Nowadays the printing market has shift from 2D(two dimension) industry to 3D(three dimension) industry, along with IT. With rapidly changing market, it's true that the effort to develop the printing materials and upgrade the printing qualities is produced actively in the country. Particularly, the differences in printing materials can often determine the quality of printings in the printability. In the case of the printability of offset, 9 items(paper, ink, order of printing, ink supply, blowing-up halftone, grey balance, key color(base color), overlap efficiency, quality at the halftone dot reproduction etc.) are usually considered as the important factors and used to estimate the printability at abroad. However, in domestic, ink-jet paper is not used for the printing/publishing by ink-jet printing for digital, but done mainly for offset printing. Because the paper of gloss coated type, which is the ink-jet paper, has high price, it's too hard to manufacture massively printing/publishing. Also, in the case of the paper of uncoated type, in spite of its reasonable price rather than the former, the type of uncoated one also has demerit that the ink-jet paper has a clear difference between the front and the back. Therefore, it's tough reality that Ink Jet paper is hardly taken advantage of as the printing/publishing. Thus, what is done in the first to print and/or publish on ink-jet paper is that the front and the back must be printed evenly, and appropriate to the printability of ink-jet. Although there're some kinds of ink-jet paper in the country, it has not been produced in true domestic production yet. In addition, thanks to the brightness of fluorescence brightening agent, the foreign product can offer the good-qualified one-time printing. But when it comes to the printing/publishing, there're difficulties that it may cause the Ocular Fatigue because of long-term exposure of the eyes to text. This research tries to find out the optimum ink-jet paper in domestic for the printing/publishing by studying on the printability of ink-jet on digital web-printing. And it also tries to look for the paper's brightness which can be reduce the possibility to cause the consumers' Ocular Fatigue.
Journal of the Korea Academia-Industrial cooperation Society
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v.14
no.8
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pp.4033-4038
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2013
Sedimentary rocks from construction waste are discarded through open storage and landfilling, which causes an increase in construction cost and inefficient of execution of works. Some sandstone are selected and utilized as aggregates, but shale is buried as industrial waste. Therefore, in this research, we evaluated weathering properties of shale aggregate that is widely distributed throughout Daegu-Kyeongbuk region and freeze-thaw characteristics of concrete according to the replacement ratio of shale aggregate, in an effort to stabilize aggregate supply-demand in Daegu-Kyeongbuk region and develop alternative aggregates. We used red shale and black shale in the experiment, which were exported from a construction site in Deagu. We verified the usage of shale as a concrete aggregate by comparing andesite, which is broadly used as a thick aggregate for concrete, to hornfels, which is a metamorphic sedimentary rock. As a result of the experiment, we observed no degradation phenomenon for andesite and hornfels. However, a part of country rock containing black shale was found to be exfoliated. Red shale started having cracks in the direction of stratification after 1.5 months of direct exposure, and it broke into smaller pieces after approximately 4 months. After 300 cycles of freeze-thaw process on the concrete manufactured according to the replacement ratio of shale aggregate, the modulus of elasticity was 97% for plain and 95% for hornfels. In the case of RS_100, it was 57% after 210 cycles, and for BS_100, it was 54% after 240 cycles. Therefore, we established that, as the number of repetition increases, the freeze-thaw resistance decreases dramatically.
Journal of the Korea Academia-Industrial cooperation Society
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v.18
no.3
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pp.122-126
/
2017
The aim of this study was to develop a device for solving the heating problem of living space using heated air, utilizing a simple air heater type collector for solar energy. At the present time, this study assessed the possibility of a development system through theoretical calculations for the amount of available energy according to the size change of the air-heated solar energy collector. To produce and supply hot water using the heat energy of the sun, hot water at $100^{\circ}C$ or less was produced using a flat or vacuum tube type collector. The purpose of this study was to research the air heating type solar collector that utilizes heating energy with heating air above $75^{\circ}C$, by designing and manufacturing an air piping type solar collector that is a simpler type than a conventional solar collector system. The analysis results were obtained for the generated air temperature ($^{\circ}C$) and the production of air (kg/h) to determine the performance of air heating by an air-heated solar collector according to the heat transfer characteristics in the collector of the model when a specified amount of heat flux was dropped into a solar collector of a certain size using PHOENICS, which is a heat flow analysis program applying the Finite Volume Method. From the analysis result, the temperature of the air obtained was approximately $40.5^{\circ}C$, which could be heated using an air heating tube with an inner diameter of 0.1m made of aluminum in a collector with a size of $1.2m{\times}1.1m{\times}0.19m$. The production of air was approximately 161 m3/h. This device can be applied to maintain a suitable environment for human activity using the heat energy of the sun.
This study was carried out to develop the proper cultivation methods of Brachythecium rivulare and Myuroclada maximowiczii which showed high-value for the interior landscaping and potting. Growth of two moss species cultivated in the compost covered with cloth was vigorous compared to that grown in containers only using cloth or compost, and their harvesting processes were easier. The growth and harvest easiness of mosses cultivated in compost were great rather than in bark or peatmoss. Compared to division, the spray of crushed mosses using mixer was effective for both gametophyte generation and their harvesting processes. In addition, the optimum inoculum for each container ($27{\times}17{\times}3cm$) was 2.0 g in B. rivulare and 4.0 g in M. maximowiczii. Overall growth of B. rivulare treated with nutrient solution (N:P:K=20:20:20) was inhibited compared to control, fresh-weight gain was reduced toward the higher concentration. But fresh-weight gain of M. maximowiczii was the highest with $0.25g{\cdot}L^{-1}$ treatment. Therefore, adequate moisture supply, after spraying crushed mosses (2.0 and 4.0 g each) in the compost covered with cloth, were the appropriate cultivation methods for B. rivulare and M. maximowiczii. Nutrient solution treatment with low concentration, during the cultivation period, would be the proper way only for M. maximowiczii.
Objective: Substituting starch with digestible fiber (dF) can improve digestive health of rabbits and reduce costs. Therefore, it is necessary to develop a criterion for dF and starch supply. Effects of the dietary dF-to-starch ratio on pellet quality, growth and cecal microbiota of Angora rabbits were evaluated. Methods: Five isoenergetic and isoproteic diets with increasing dF/starch ratios (0.59, 0.66, 0.71, 1.05, and 1.44) were formulated. A total of 120 Angora rabbits with an average live weight of 2.19 kg were randomly divided into five groups with four replicates. At the end of 40 day feeding trial, cecal digesta were collected to analyse microbiota. Results: The results showed that the dF/starch ratio had linear effects on pellet variables (p<0.01). When the dF/starch ratio was 1.44, the pellets had the lowest powder and highest durability. The dF/starch ratio had unfavorable linear effects on growth variables (p<0.001). When analyzed by quadratic regression, the optimal dF/starch ratios for average weight gain and feed/gain were 0.59 and 0.74, respectively. There were differences in wool yield, fiber length and fiber diameter caused by the dF/starch ratio (p<0.05), and the dF/starch ratios that ranged from 0.66 to 1.06 were appropriate for good results. The cecal microbiota operational taxonomic unit (OTU) number index in the 1.05 dF/starch treatment was higher than that in the 0.66 and 0.71 dF/starch treatments. The higher dF/starch ratio resulted in a higher cecal microbiota OTU number index (p<0.05). The proportion of Ruminococcus in the 0.71 dF/starch treatment was higher than that in the 0.59 dF/starch treatment (p<0.05) Conclusion: The most suitable dF/starch ratio for feed pellet quality is 1.44, and for rabbit growth the optimal range of ratios is from 0.59 to 0.74. With combination of the wool growth, output cost, and cecal microbiota, we suggest that a dietary dF/starch ratio ranging from 0.74 to 1.06 is optimal.
Journal of the Korea Academia-Industrial cooperation Society
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v.9
no.2
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pp.360-369
/
2008
The solar cells should be operated at the maximum power point because its output characteristics were greatly fluctuated on the variation of insolation, temperature and load. It is necessary to install an inverter among electric power converts by means of the output power of solar cell is DC. The inverter is operated supply a sinusoidal current and voltage to the load and the interactive utility line. In this paper, the proposes a photovoltaic system is designed with a step up chopper and single phase PWM voltage source inverter. Synchronous signal and control signal was processed by one-chip microprocessor for stable modulation. The step up chopper is operated in continuous mode by adjusting the duty ratio so that the photovoltaic system tracks the maximum power point of solar cell without any influence on the variation of insolation and temperature for solar cell has typical dropping character. The single phase PWM voltage source inverter is consists of complex type of electric power converter to compensate for the defect, that is, solar cell cannot be develop continuously by connecting with the source of electric power for ordinary using. It can be cause the efect of saving electric power, from 10 to 20%. The single phase PWM voltage source inverter operates in situation, that its output voltage is in same phase with the utility voltage. The inverter are supplies an ac power with high factor and low level of harmonics to the load and the utility power system.
The Journal of the Convergence on Culture Technology
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v.6
no.2
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pp.191-197
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2020
As an effective means of price discrimination, some suppliers offer trade credit to the distributors for the purpose of increasing the demand of the product they produce. The availability of the delay in payments from the supplier enables discount of the distributor's selling price from a wider range of the price option in anticipation of increased customer's demand. In this regard, we consider the problem of determining the distributor's optimal price and lot size simultaneously when the supplier permits delay in payments for an order of a product whose demand rate is represented by a constant price elasticity function. It is assumed that the distributor pays the shipping cost for the order and hence, the distributor's ordering cost consists of a fixed ordering cost and the shipping cost that depend on the order quantity. For the analysis, it is also assumed that inventory is depleted not only by customer's demand but also by decay. We are able to develop a solution algorithm from the properties of the mathematical model. A numerical example is presented to illustrate the algorithm developed.
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