• 지역사회간호학회지
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• 제9권1호
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• pp.181-199
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• 1998

This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.

• 농촌계획
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• 제17권1호
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• pp.13-27
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• 2011

This study analyzed the budget investment plans for the unit-project items(UPI) of 176 project districts for the rural village comprehensive development projects (RVCDP). This study classified the master plan reports of 176 project districts into 88 unit project items in aspect of project management, in order to analyze characteristics of distribution of budget in each project item. Most of all unit project items have similar types of uniform distribution with plus skewness in frequency pattern analysis except the total budget of the project district. This study analyzed the characteristics of budget distribution per province, year, and geographical types of region. Furthermore this paper also analyzed ratio of budget in unit project items to find out distribution pattern of each budget between project items over time. The hierarchical system for UPI of RVCDP consisted of three steps, which are 4 items of the first step on Strength of Rural-urban Exchange & Regional Capability (RURC), Green-income Infrastructure & Facility (GIF), Culture- health-welfare Facility, and Eco-environment & Landscape facility (ELF), 13 items for the second one, and 52 items for the third project items. From the results of the budget investment analysis for 5 years from 2004 to 2008, the budget investment ratios of RURC and ELF have steady state for every year, while GIF in decreasing and ELF in increasing over time. The ratios of UPI on infrastructure were decreased, whereas those on culture, health, and welfare were increased. Portion of tow project items among 52 items, which are community centers for village residents and rural experimental study facility, has 30% of total budget investment. Futhermore, the budget ratios of seven project items showed 50% of total budget. Average value of project budgets for five years was optimized as a type of exponential function in the case of decent array for ranking order.

• 한국콘텐츠학회논문지
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• 제15권3호
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• pp.265-271
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• 2015

본 연구는 보건소에서 예방접종을 실시한 2012년 출생아 397명을 연구대상으로 하였으며 예방접종등록관리 보건정보시스템 전산등록 데이터에 축적된 2012년~2014년까지의 수집된 자료를 SPSS win 18.0 프로그램을 이용하여 빈도분석을 실시하였다. 연구대상자의 출생월별, 백신별, 접종시기별 미접종 현황을 분석한 결과 89명(22.4%)이 예방접종 전산 미등록, 미접종 영유아로 SMS 문자전송을 통해, 예방접종 안내 및 예방접종 실시를 하였으며 오류로 인한 전산등록 누락자, 연락처 부재로 인한 연락불가 20명을 제외한 69명(17.4%)의 미접종 영유아들로 39명(9.8%)이 기본접종을 완료하여 92.4%의 높은 예방접종률을 확인하였다. 예방접종을 통해 지역사회 내 감염병을 예방하고, 예방접종사업비 지원과 보건정책 방안을 마련하는데 기초 자료로 활용하기 위한 것이다.

• 한국임상약학회지
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• 제20권1호
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• pp.39-49
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• 2010

The present study was aimed to examine the occurrence and influencing factors therapeutic duplication (TD) of medications for anxiety disorders by analyzing the relevant prescription data. In this study, the prescription data issued on March 19, 2008 in domestic medical institutes were utilized. TD was defined as more than two medications under the same therapeutic classification per prescription based on the Anatomical Therapeutic Classification (ATC) code. The assessment of TD was performed based on the number of cases and on the ratio determined. To identify the influencing factor of TD, the variables related to the differences in the TD ratio were analyzed based on the results of the Chi-Square test conducted with the variables; patients, medical institutes, diseases, and treatments. The number and ratio of TD were determined to be 1,333 out of the total of 19,219 anxiety disorder cases, and 6.94%, most cases involving benzodiazepine derivatives, respectively. The TD ratio was found to be higher in relation to males than to females. Patients with national health insurance benefits have a higher TD ratio compared to the medical-aid beneficiaries. The TD ratios were highest in clinics, psychiatry divisions, and Gyeongsang district. The TD ratio of the cases with more than two anxiety disorders was found to be higher than that of the cases with only one anxiety disorder. As the number of medications per prescription increased, the TD ratio was shown to have become gradually higher. In conclusion, in order to prevent TD, the concurrent DUR system should be implemented. The prescribers and pharmacists must be educated regarding duplicated medications to promote the safe and effective use of medicines, without unnecessary TD.

• 대한지리학회지
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• 제41권6호
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• pp.682-700
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• 2006

본 연구는 지속가능한 과학단지 환경계획의 모형을 제시하기 위하여 진행되었다. 이를 위하여 지속가능한 과학단지의 녹지환경을 환경건전성, 생태안정성, 경관심미성 측면에서 분석하였고, 이러한 원리들을 본 연구의 사례지역으로 선정한 오송생명과학단지 개발사업지에 적용하였다. 먼저 Habitat Agenda(II)와 선행연구의 결과를 종합하여 모두 15개의 지속가능한 과학단지 환경계획 요소를 도출하였다. 그리고 오송생명과학단지로 이전하게 되는 공공기관이 연구직 공무원들을 대상으로 이들 요소에 대해 중요도 설문을 실시하였다. 그 결과 과학단지의 환경적 지속가능성을 위해서는 기존의 자연녹지를 최대한 보존하여 자연환경과 조화를 이루어야 한다는 의식이 응답자들에게 매우 강하다는 것을 확인할 수 있었다. 지속가능한 과학단지의 녹지환경은 녹색의 이미지를 증진시켜 건전한 환경을 제공할 뿐만 아니라, 생태적으로도 안정해야 한다. 따라서 본 연구에서는 오송생명과학단지 개발사업을 평가하여 경관생태학적 환경계획에 의한 대안을 제시하였다. 또한 녹지공간의 경관심미성을 유지하기 위해서는 건물에 의해 산림이 가려지지 않도록 고도를 규제할 필요가 있다.

• Asian Pacific Journal of Cancer Prevention
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• 제17권12호
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• pp.5203-5209
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• 2016

Objective: To explore the prevalence of malignant tumors in the adult population through 2003-2014 in parts of the Aral Sea region: a zone of ecological disaster, a zone of ecological crisis and a zone of precritical conditions. Methods: The long-time average annual levels of cancer morbidity stratified by zones of the Aral Sea region and trends of long-time average annual incidence indicators of malignant tumors were identified. Leading cancer localizations in the adult population was established and associations between cancer incidence and environmental pollution were analyzed. In addition, associations between individual risk factors and cancer incidence in the adult population was established. Correlations between a hazard index and the cancer incidence in the adult population were calculated. Results: In all three Aral Sea regions, as well as in Zhanaarkinskii district, leading cancer in adult population was esophageal, stomach, tracheal, lung, hepatobiliary, and breast. Long-time average annual levels of cancer morbidity in adult population living in the Aral sea region is 1.5 times higher comparing to the control region. In particular, long-time average annual levels of cancer morbidity in adult population living in the zone of ecological disaster was 57.2% higher, in the zone of ecological crisis - 61.9% higher, and in the zone of precritical condition - 16.8% higher. Long-time average annual levels in the adult population of the Aral Sea region significantly exceeded control levels for brain and central nervous system cancer, cancer of bone and articular cartilage, and thyroid cancer. Conclusion: It has was established that the total cancer morbidity depended on the total hazard index associated with the inhalation of nickel and the combined cadmium intake (r=0.8).

• 한국사회복지학
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• 제36권
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• pp.147-173
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• 1998

최근 들어 국내외에서 '여성복지'에 대한 관심의 증가와 더불어 사회복지정책이나 서비스를 성인지적(gender-sensitive)관점에서 분석하는 작업이 시도되고 있다. 그러나 아직도 클라이언트로서의 여성에 대한 관심은 그리 많지 않으며 여성을 서비스의 주 이용자로 하는 여성복지서비스 전달체계에 관한 연구 또한 미흡한 실정이다. 이에 본 연구에서는 여성복지서비스 전달체계의 현황을 개괄하고, 전달체계의 기능이 서비스 효과에 미치는 영향을 분석하였다. 이를 위해 여성복지담당 공무원인 여성복지계장과 여성복지상담원을 대상으로 설문조사를 실시했다. 이들의 주관적 평가내용에 기초하여 통합성, 접근용이성, 지속성, 적합성, 노력성, 전문성의 6가지 원칙으로 여성복지서비스 전달체계의 기능을 평가하고, 직무만족도와 업무효과를 중심으로 전달체계의 서비스효과를 측정하였다. 분석결과를 정리하면 1)여성복지계장과 여성복지상담원 모두 전달체계의 기능 중 노력성(재정과 인력의 충분성)이 미흡하다고 지적하였다. 2)업무효과에서는 여성복지계장의 경우 대부분 긍정적인 평가를 하고 있으나 여성복지상담원은 업무내용에 따라 비교적 긍정적인 평가와 부정적인 평가가 엇갈렸다. 3)직무만족도에서는 여성복지계장과 여성복지상담원 모두 동료나 지도감독자, 상담소 이용자 등과의 인간적인 관계에 있어서는 만족하고 있으나 업무수행과 관련된 부분에서는 불만족스러워하고 있었다. 4)전달체계 기능 중 업무효과에는 전문성(계장)과 접근용이성(상담원)이, 직무만족도에는 노력성(계장), 통합성, 접근용이성, 적합성(상담원)이 유의미한 영향을 미치는 것으로 나타났다. 집단에 따라 상이한 결과를 보이긴 했어도 전달체계의 접근용이성, 적합성, 통합성, 노력성 및 전문성이 부분적으로 서비스의 효과와 만족도에 통계적으로 유의미한 영향을 미치는 것으로 나타난 것은 전달체계의 기능과 서비스의 효과성간에 유의미한 관계가 있음을 어느 정도 뒷받침해주고 있다.

• 한국시스템다이내믹스연구
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• 제17권2호
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• pp.81-99
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• 2016

The service for waterworks is important infrastructure structuring the cities and the public properties affecting the health and the abundant lives of the residents at the same time. However, the waterworks project still has many problems in reality in spite of the continuous efforts from the nation, local governments and many related people in waterworks projects. From the aspect of the situation, this purpose of this study is to review the actual operation state and the operation principle on the basis of the accidents in the system and to suggest the policy leverages for accurate diagnosis of the waterworks project and for the efficient operation. The operation structure of the service for waterworks is the complicated system showing the overlapped forms of the relation with other various factors. Moreover, as this has been influenced by other external environments, it has flexible features that can be changed by unexpected factors even if the internally close causality has been established The domestic local operation of waterworks have been divided by an administrative district and it causes inefficiency in the aspect of the country and the local government with small sized of budget faces the insufficient investments. These phenomena have been shown in some small sized areas located in Chungcheongbuk-do and, making a realistic suggestion by the related local government to improve the waterworks operation project is urgent. For this reason, this study is to lead the policy leverages to increase the efficiency of the service for waterworks and to stabilize the structure of virtuous circle in the system. At first, the reformation of the waterworks structure should be performed after the various supports and system maintenance. At second, the service quality should be improved through the creativity in management and the consideration of the efficiency by the participation of private enterprises for waterworks service. At third, through the specialized waterworks operation, the quality improvement of the waterworks and satisfying the standard of natural environment should be related. In this context, the fundamental solutions for the problems of domestic waterworks service and finding realistic alternatives are considered to be the priority for the waterworks project to be operated efficiently.

• 한국보건간호학회지
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• 제10권1호
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• pp.118-138
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• 1996

Because of accelerated urbanization public body visiting nursing project that started according as matter of health on urban class in the lower brackets of income was concentrated on Social interests has a unsatisfied points to propel project efficiently from the lack of rating materials. Therefore centering around written contents in documentary literature of citizen health by household in five years from starting year of project to now. visiting frequency by medical manpower was evaluated quantitatively and qualitatively in aspect of management hereupon. for the sake of giving a basic materials for public health project of this field. This research presents documentary literature of citizen health which become materials is that as one person's charged region of nurse in duty scale. district is Kang-Buck Gu. the object is resident in the lower brackets of income grounded livelihood protection law and who is admitted by the head of organ~chief of health care). and the number of material centering around the head of a household is 415 copy. The result of research is summarized. as follow. 1. Average visiting frequency examinated by medical manpower show difference according to valuables of supervision characteristics namely average visiting. Frequency of nurse has long term residence in case registration season is early and supervision season is the first year and is high incase a kind of house is unlicdnsed mountain town. Average visiting frequency with doctor is high incase supervision season is the first year and the medical insurance system is admitted by chief of health care. That shows that a man of discomfort behavior left alone are yet many in local society. The meaning of this result shows that the continuity of official relation about class in the lowest brackets of income of long term residence goes well between househole who is a user of visiting nursing service of the object according to midway income under management influences a given duty of nurse s and so causes quantitative decrease. 2. In case behavier and condition of health that nurse diagnoses are bad. as the type matter is a lack of health and the number of patient is large. the average visiting frequency of nurse is high. because average visiting frequency with doctor is high as the condition of health is bad and the number of patient is large. That is similar with that of nurse. CD Average visiting frequency of nurse s seen by matter of disease is very high only in apoplexy by 39.50 and is confined within limits from 7.63 to 11.36 in other disease. But average visiting frequency with doctor is double as many as that of nurse but defined in apoplexy hypertension and articulate. (1) Average visiting frequency of nurse by existence in inoculation of hepatitis is low by 6.73 in unidentified group and very high by 26.89 in group of non-inoculation and the case of the antigenic positive man of B type hepatitis or epileptic who can't be inoculated shows 13.00 and that even family nursing service is needed to them. That result shows that though one person nurse of local charge has a large scale of duty. as visting nursing service is given a class who has a large demand preferentially by respectively accurate nursing diagnosis. the number of diagnosis service is similar with it. 3. During five years. average visiting frequency of nurse is 10.84 and average visiting frequency with doctor is 76.50 seeing from the official scale of nurse. visiting by household is performed two more per year to the average. Seeing this by type of service. average visiting frequency of nurse is higher in indirectly nursing than in directly nursing and that suggests that at the time of visiting household nurse performs education of protection lively save patient but at the time of contrastedly visiting with doctor. directly nursing is more contents of service show no difference by man power and medication dressing by demand is 14.3 and 18.6 the aid of hardship term of doctor and nurse is high by 18.7 and 17.00 in the request of hospitalization when seeing by demands. 4. Action by turns exemplified 1994 is well in sequence of 2/4 turn. 3/4 turn. 1/4 turn. 4/4 turn. When seen by average visiting frequency of nurse but gradually is even. Without difference by turns. average visiting frequency of doctor is much higher in 1/4 turn than other turns. Type of service by turns is all even but directly nursing is inactive in 4/4 and indirectly nursing. Very increases in 4/4 and so. Nurse's quantity of duty is plentiful that shows that by evaluation of last turn and plan of project. Contents of service follows that medication and dressing is the highest by' 5.57 in 1/4turn. goes down gradually by turn. becomes 3.57 in 3/4 turn. and increases again by 4.83 in 4/4 turn. the rest service is higher in 2/4 turn than other turns. 5. Total visiting frequency of nurse is explained to total $37.5\%$ by six valuables of visiting frequency of doctor. nursing demand. demand of diagnosis. condition of behavior. year. Special terms and magnitude of influential power is the same as sequence of enumerated valuables. Namely. the higher the visiting frequency of doctor. the bigger nursing and demand of diagnosis is. the worse the condition of behavior is. the older the object is and the more the household of special terms is. the high total visiting frequency of nurse is.

• 한국전자거래학회지
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• 제19권3호
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• pp.91-105
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• 2014

본 논문의 목적은 지역을 대상으로 자료포락분석방법을 적용하여 한방병원에 내원한 환자의 지역적 특성 분석 및 성과개선규모를 파악하는 데 있다. 본 논문에서 사용된 자료는 대전광역시에서 운영 중인 일개 한방병원을 대상으로 수집되었다. 환자의 위치 정보는 행정구역의 가장 작은 단위인 '동'을 사용하였으며, 연구대상 병원의 의무기록 자료에서 환자 주소를 기준으로 수집하였다. 각 행정동의 인구사회학적 변수들은 통계청 자료를 사용하였다. 자료포락분석을 이용하여 행정동에서 내원한 환자의 규모를 비교 평가하였고, 그리고 Tobit 회귀분석을 이용하여 효율성 점수와 지역 특성 변수들 간의 관계를 분석하였다. DEA 분석결과 효율적인 동은 6개였으며, Tobit 회귀분석에서는 각 동별 기초생활수급자수와 총인구수 변수에서 통계적으로 유의하였다. 본 논문에서는 분석단위를 행정구역의 최소단위인 행정동 별로 세분화하여 자료포락분석방법이 가지는 벤치마킹의 개념을 이용하여 분석하였다는 점에서 의의가 있다. 그리고, 병원의 성과 개선을 위해 필요로 하는 각 지역별 환자수를 구체적으로 파악하여다는 점에서 의의가 있다.