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Supply and demand of nursing manpower for small and medium hospitals in rural area: nursing shortage versus wage disparity (중소병원의 간호인력 수급 논쟁: 인력난 vs 임금난)

  • Park, Kwang-Ok
    • Perspectives in Nursing Science
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    • v.6 no.1
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    • pp.67-76
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    • 2009
  • Recently, small and medium-sized hospitals which are located in rural areas have many difficulties in securing high quality nurses. That is because working environments for nurses in small and medium-sized hospitals in rural areas are poor compared with those of big hospitals in urban. As a result, the migration of nurses from small and medium-sized hospitals in rural areas to big hospitals in urban is continuously happening. In general, big hospitals provide nurses with high level of salary and fringe benefits. To prevent the migration of nurses, chief executive officers of small & medium hospitals in rural areas have been interested in improving nurses' working conditions including wages. Also, they have raised nurses' salary and improved working conditions. But, basically these individualized efforts have some limit. In connection with this, medical interest groups have produced various voices in terms of interpretation and solutions for these issues. However, from the future perspectives, it seems evident that two approaches for both manpower supply and demand plans of nurses are necessary. They should contain not only accurate estimation of the supply-demand of nursing manpower but also the improvement of working conditions and wages of nurses. Estimation of nursing manpower supply-demand depends on the standards and criteria being used. Supply and demand may be met or not in accordance with the points emphasized on the decision. In the articles, issues regarding nursing manpower, levels of salary, other working conditions and social support system for child care are discussed. According to Joe's report (2005), most health institutions did not meet the guidelines of nurse staffing in Medical Law. The wages of nurse vary on every hospital and there is a big difference in wages' range. The average starting salary for a nurse is 22 million won a year. In case of tertiary hospitals, it reaches up to 30 million won a year. Nurse as a profession should have a strong responsibility and should take care of the patients for 24 hours with three working shifts. Also, most of them are female who have the burden of child rearing. Therefore, it is suggested to increase the salary, to provide comfortable working conditions, and to have social support system for nurses with household affairs.

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A Study on the Quality of Farmers and Characters of Rural Human Resources in China (중국의 농민 소질과 농촌인력자원의 특성에 관한 연구)

  • Bae, Sung-Eui
    • Journal of Agricultural Extension & Community Development
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    • v.16 no.2
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    • pp.285-304
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    • 2009
  • The objectives of this study were finding out some methods about development of oversea agriculture in Korea. It is a tough task that faces us now. China is a big agricultural country, most agricultural investment country and the nearest located in Korea. So this study researches on the quality of farmers and characters of rural human resources in China. In China, agriculture industry is the basic industry among national economy developments. The majority of populations in China are living in rural region. Agriculture, villages and farmers are main issues in China. From this point, An analysis of Chinese farmers' characters and qualities; general conditions of farmers' knowledge of science and technology, their education level, quality of minds and sprit, and rural public health service situation in China. The result of this study is following; First, Chinese farmers' factors that low education level, big cultural differences between cities and country sides affect the development of China's agriculture as obstruction factors. Second, Practice conditions of farmers' science knowledge and technology are low level, output of higher rural human resources, low quality of minds and sprit and problems of agricultural extension service. It is negative influenced of agriculture and farmers economic development in China. Third, unsociable culture of the peasantry influences Chinese farming in the negative ways. Also, conventional notions of family are getting weaker, it makes connection of the kinship weaken. But, Chinese think that this kind of kinship is the most important thing in their life. Fourth, in the case of situations that the farmer's sanitation and health, low level of the medical service is getting worse than before relatively. And there are a lot of discordances between a planned childbirth policy and personal recognitions. Also, lacking of nourishment makes labor productivity falling tendencies. The medical industry falls short of the standard as compared to the number of farming people. Fifth, in the peasantry's consciousness of the legal system, this causes difficulties to farmers in the market. Shortage of the legal knowledge exerts a bad influence upon rural economy.

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The Study of Restoring Silsangsa Wooden Pagoda (실상사 목탑의 복원 연구)

  • Kim, Kyeong-Pyo
    • Journal of architectural history
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    • v.16 no.6
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    • pp.7-26
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    • 2007
  • This article is about restoring the wooden pagoda which located in Silsangsa Temple after historical research. The process of this study, first of all, the theoretical study was considered about similar examples of wooden pagoda and gilt-bronze pagoda in Gorye period and wooden pagoda in contemporary period. After that, the study was established by the present condition of Silsangsa wooden pagoda site, the characteristic of Silsangsa wooden pagoda, the form of arrangement, the scale and height. Finally, considering those studies, the wooden pagoda designed in detail. This restoring design tried to follow the inference in that time. Moreover, the design tried to involve the elements of characteristic of region and Silsangsa wooden pagoda. Therefore, the research establish period of Silsangsa wooden pagoda in Gorye period. Locally, it considered both elements of Silla and Baeckje. The arrange form of restoring wooden pagoda was freestyle arrangement that had two main building of a temple and one middle pagoda. The idea of structure was to establish of double Core system. This system inferred from the system of building structure in ancient wooden pagoda and middle and modern age of multistory wooden construction. According to measurement of foundation stone, the scale of restoring wooden pagoda followed the skill of Tang-scale. The connection structure of each floor followed laminated structure which was the general form of log frame in that time. After study of foundation's condition, the present writer deseeded to have restoring the wooden pagoda 9 stories tall. The final aim was to depend on the structural intuition of the present writer, the writer tried to restore beautiful wooden pagoda according to in those days which is solution for contradiction of unclear point. So, it could be make out a plane of restoring wooden pagoda.

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Bibliographic Study on the Tongue-Acupunccture Therapy (설침요법(舌鍼療法)에 대한 문헌적(文獻的) 고찰(考察))

  • Lee, Jun Ho;Kim, Kee Hyun
    • Journal of Haehwa Medicine
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    • v.1 no.1
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    • pp.255-278
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    • 1992
  • Based on recent 27 document, reported in Huang Ti Nei Ching, the following results concering the tongue and Tongue-acupuncture were obtained: 1. It was observed that the tongue has direct or indirect connection with the Heart meridian, the Liver meridian, the Spleen meridian, the Kidney meridian, the Triple energizer meridian and the Stomach meridian. 2. The Tongue-acupunccture, needlingon tongue, is one of new acupunctures treating general disorder and 31 acu-points have been found; 17 points on the upper part and 14 points on the lower part of the tongue. 3. The Tongue-acupuncture is employed by dividing the tongue into threeregions; Sangcho area(下焦穴), Jungcho area(中焦穴) and Hacho area(下焦穴). Each region cures its own corresponding symptoms. 4. The upper part of the tongue is divided into 4 regions by the sidelines along with Chuy Cheon(聚泉), So Jang Hyul(小腸穴) and Dae Jang Hyul(大腸穴). Sangcho area(上焦穴) includes Sim Hyul(心穴), Pye Hyul(肺穴), Sang Gi Hyul(上肢穴) and Jungcho area(中焦穴) includes Ui Hyul(胃穴), Bi Hyul(脾穴), Dam Hyul(膽穴) and Hacho area(下焦穴) includes Gan Hyul(肝穴), Bang Kwang Hyul(膀胱), Sin Hyul(腎穴) and the inner region includes Yim Hyul(陰穴), Ha Gi Hyul(下肢穴), on The lower part of the tongue, there are aec Hyul(額穴), Mok Hyul(目穴), Bi Hyul(鼻穴), I Hyul(耳穴), In Hu Hyul(咽喉穴) in contrast with the face above the center of the tongue as well as Gi Maek Hyul(支脈穴), Hae Chun Hyul(海泉), Gyum Gin Ok Aek(金津玉液), Seol Ha Hyul(舌下穴), Seol Gu(舌柱), Joa Chun Hyul(佐泉穴), Sin Gyun Hyul(神根穴), Jung Gu(中矩), Aek Bang Hyul(液旁穴). 5. The Tongue-acupuncture can be applied to the disease internal medicine, surgery, ophthalmology, otorhinolaryngology, gynecology, musculoskeletal system, symptomatology.

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Nonlinear Analytical Model for RC Flat Plate Frames (RC 플랫 플레이트 골조의 비선형 해석모델)

  • Park, Young-Mi;HwangBo, Jin;Han, Sang-Whan
    • Proceedings of the Korea Concrete Institute Conference
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    • 2008.04a
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    • pp.241-244
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    • 2008
  • In general, RC flat plate frames have been used as a gravity load resisting system(GLRS) in building. This system should be constructed with lateral force resisting system(LFRS) such as shear walls and brace frames. When lateral loads such as earthquakes occur, LFRS undergo displacement by which connected gravity systems experience lateral displacement. Thus, flat plate system designed as GLRS should be predict unbalanced moments and punching failure due to lateral deformation. This study developed an analytical mode for predicting nonlinear behavior of RC slab column connection for the seismic performance evaluation of RC flat plate frames. For verifying the analytical model, the test results of two flat plate specimens having two continous spans with the difference gravity shear ratio($V_g/{\phi}V_c$) were compared with the results of analysis. The developed model can predict the failure modes and punching failures.

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Mobile Ad Hoc Routing Protocol Supporting Unidirectional Links (단방향 링크를 지원하는 이동 Ad Hoc 라우팅 프로토콜)

  • Lee, Kwang-Bae;Kim, Hyun-Ug;Jung, Kun-Won
    • Journal of IKEEE
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    • v.5 no.1 s.8
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    • pp.59-66
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    • 2001
  • In this paper, we propose a dynamic source routing protocol supporting asymmetric paths for mobile Ad Hoc networks that contain unidirectional links. At present, the existing dynamic source routing protocol supports only symmetric paths that consist of bidirectional links for routing. However, in fact, there can exist unidirectional links due to asymmetric property of mobile terminals or current wireless environment. Thus, we implement a mobile Ad Hoc routing protocol supporting unidirectional links, which is fit for more general wireless environment. Especially, the proposed protocol uses an improved multipath maintenance method in order to perform rapid route reconfiguration when route error due to mobility is detected. For performance evaluation, we consider the following factors: average route discovery time and average data reception rate. In order to obtain the factors of the performance evaluation, we did simulation for 900 seconds in the step of 100 seconds with the following scenarios: usage of route cache in intermediate nodes on route path, and different mobility/connection patterns.

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A study on Insurance Indemnity of Salvage award. (해난구조비의 보험보상에 관한 연구)

  • 이학헌
    • Journal of the Korean Institute of Navigation
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    • v.18 no.2
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    • pp.129-149
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    • 1994
  • Sea casualties may happen in ship, cargo and the others concerned with sea transportation. : the shipo-wer, marine insurer and salvage company have been endeavored to compensate salvage award with some rule and regulation such as Marine Insurance Act, York Antwerp Rules and Average adjustment rules. Once sea casualties happened, the salvage contract is established between the owners, marine insurance and salvage company, the contract are divided into so many kinds of them. In this paper, we have an analysis on the character of the salvage contract whether the characteristic contents of them are in benefit to any party or not. In this connection with these positive or negative character of the contract, it is worthwhile to compare the actual salvage expenses contract with no cure no pay contract. LOF 1990 has been revised recently, which is based on no cure no pay, expecially, the special compensation, safety net clause of LOF 1990 could be understood in the view of the prevention of sea pollution and the preservation of sea circumstances in the world. Salvage has the complicated and quality, because the adjustment of almost salvage charges have been treated through the other sea casualties which is accompanied by and mixed with. Besides of the importance of salvage contracts, we are in need to understand that what the diversified character of salvage charges are. Furthermore the owners should carefully select the insured conditions on Hull Insurance according to the type of his company, operating ocean route, loading cargo and etc. In this paper, we would try to analyze the character of the salvage award such as General Average, Sue and Labour Charges and Particular charges. We would like to propose that the uniformed system of the salvage award. Compensation should be built up for the effective and efficient salvage operation and for reducing the claims and conflicts from the concerned parties. To this end, we could expect that the uniformed system for salvage award compensation will come to be the benefit of all owners, insurers, salvage company.

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Dynamical Predictions of the Structural Connection by the Reduced Approach (축약법에 의한 구조물 결합부의 동적 거동 예측)

  • Yun, Seong-Ho
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.27 no.6
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    • pp.589-596
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    • 2014
  • Joints, fasteners or connected parts frequently have a significant effect on the dynamical behavior of assembled mechanical structures. Therefore, the analytical prediction of structural responses depends on the accuracy of joint modeling. This paper deals with the formulation and analysis of dynamic mechanism for joint flexibilities whose relevant magnitudes of stiffnesses are investigated by using linear and torsional springs. The equation of motion is derived by using a generic joint in the middle of clamped-clamped beam. A reanalysis due to changes in magnitudes of joint stiffnesses is based on the reduced analysis where the binomial series terms are used as basis vectors. The solution procedures are straightforward and the method can be readily used with a general finite element method. The computational effort needed by this approach is usually much smaller than the effort needed for complete vibration analysis. Two numerical examples show that accurate results are obtained efficiently by reducing the number of degree in the reduced model.

Modem Leadership Wisdoms from Tasan's Ideology-Centered Upon the Connection between Leadership of Generals and MokMinShimSuh (다산 사상에서 찾는 현대 리더십의 지혜-고급제대 리더십과 목민심서의 연계를 중심으로)

  • Kim, Jong-Du
    • Journal of National Security and Military Science
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    • s.4
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    • pp.45-82
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    • 2006
  • This paper seeks to search for wisdoms that may be applied to modern leadership through Tasan Jeong Yakyong's ideology, ShilHak, from the Chosun Dynasty. The present period is referred as the period of transformation and innovation or the period of knowledge information The leadership appropriate for the current period is thus called revolutionary leadership. This leadership accomplishes its goals by influencing the constituent's values, ethics, behavioral norms, and visions based on the leader's moral values, knowledge, and information. Thus, the essence of this paper is in acquiring wisdoms of leadership by company revolutionary leadership with Tasan's life. Tasan pursued change and innovation in a time where Chosun was in a state of decay by following the flow of world powers towards the concept of studying truth based upon facts such as changing the system of thought, reforming legislation, and developing technology. Moreover, he gave courage and hope to the people by demonstrating such leadership in practice. In addition, despite false accusations and spending 18 years in exile, he showed revolutionary life as an active intellectual by leaving 542 volumes of writing through his 'value innovation' that he "pursue things only for the people and the state." Consequently, the paper first deals with what kind of leadership is required for a leader in the position of a general and examines the kind of leadership capacity demanded. Subsequently, Tasan 's revolutionary life and hints of leadership messages in MokMinSimSuh are examined. Thus, this paper is centered upon the leadership of generals regarding how MokMinShimSuh may be applicable to modern leadership.

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Biological Improvement of Reclaimed Tidal Land (I) Desalination Effects of Saline Soil by the Growth of certain Halophytes (해안간척지 토양의 생물학적 토성개량에 관한 연구 (제1보) 수종 염생식물에 의한 간 탁지토양의 제염효과에 대하여)

  • 홍순우
    • Journal of Plant Biology
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    • v.12 no.1
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    • pp.7-14
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    • 1969
  • Korea has a lots of margin for security of farm land from her coastal region. The area of saline soil may be reached about 10% of present farm land if the reclamation works are finished. This paper was conducted as a part of studying the possibilities of desalination of saline soil through the experiment of some halophytes. The halophytes in this works were Salicornia herbacea L., Suaeda glauca Bunge, chenopodium acuminatum Willd, and Scirpus triquerter L. Of the above halophytes, Salicornia was proved the most effective plant for desalination of saline soil referring to the following results; 1) The seasonal uptake of chloride by Salicornia was the highest of all. However, the general tendencies of all plants showed a decrease on August. 2) Salinity of soil showed the lowest value on the site where Salicornia was grwon densely. Comparing the other sites grouped by age of saline soil with the above site, the salinity of rice-paddy (10 years after reclamation) is similar to those of the site wehre Salicornia were as well as the 50 cm below the surface soil. 3) The maximum water holding capacity of surface soil appeared in the site of Salicornia, but in 50 cm below the surface, the maximum water holding capacity are almost on equat terms having no connection with the age of saline soil. Soil pH, other chemical compositions such as organic matter, magnesium, potassium, phosphorous, and nitrate were determined to elucidate the relationship between the changes of soil properties and chemical uptakes by certain halophytes. It is assumed that the above chemical compositions are frequently affected by the factors such as coastal circulation of salts, exchangeable base, microbial growth, climatic conditions, and irrigation of water.

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