• 제목/요약/키워드: Low-management

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농어촌 지역병원 의료이용률 제고방안 (A Methodology for The Improvement of Rural Hospital's Utilization)

  • 안인환;문영전
    • 한국병원경영학회지
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    • 제12권4호
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    • pp.119-142
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    • 2007
  • Although Korea joined OECD in 1996, there has still seen much unbalance in medical care and welfare standard between urban and rural area. The unbalance of medical demand between urban and rural area deepened low utilization of rural hospitals. So it caused many hospital's failure and conversion in rural area. Many rural hospitals are in difficulty managing business because of low medical demand along with the shortage of medical manpower, medical equipment and facilities. The objectives of this study were to reveal the cause of low utilization of hospitals in rural area, and to increase utilization of those hospitals. In this study the improvement methods of rural hospital's utilization were presented by examining were placed in difficult management condition, in respect of hospital's management conditions, manpower input, patient medical treatment record, financial record, and actual output. The causes of rural hospital's low utilization were as follows; 1) changes in number and structure of population 2) rural people's preference for large hospitals and hospitals which located in urban area 3) rural hospitals lacking in hospital management skill. Consequently rural hospital's operation condition got more and more deteriorated. To raise rural hospital's utilization, method for social policy, method for health policy, and intrinsic method of hospitals were presented in turn. For rural residents to utilize medical service conveniently, it is necessary for rural hospitals operated normally. So government must insist that rural hospitals solve the problems which come out from their internal management problems. And also these rural hospitals should be supported and nurtured by the government until their management is operated normally.

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일 보건소 방문건강관리사업 고혈압대상자의 사례관리 효과 (The Effect of Case Management for Clients with Hypertension in Home Visiting Health Services)

  • 장효순
    • 한국보건간호학회지
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    • 제28권2호
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    • pp.258-269
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    • 2014
  • Purpose: This study was conducted in order to present the effects of case management of a home visiting health service for clients with hypertension. Method: One-group pretest-posttest design was used. The subjects were 280 clients who received case management among the first and second registered group. The data were eight-week-case management results from January to December, 2010. In order to evaluate the effect of the visiting nursing service, biological indexes(blood pressure, total cholesterol, triglyceride, high density lipoprotein, low density lipoprotein, BMI) and self-care abilities(knowledge/attitude of hypertension, management of medication, nutritional care, confidence of self care) were measured. Result: Biological indexes and self-care abilities were improved, except total cholesterol, low density lipoprotein. Conclusion: The case management of home visiting health service by public health centers is considered to be an effective nursing service. Therefore, greater effort is needed for better maintenance of case management, and more research is needed in order to examine a variety of biological indexes.

하이테크 부품산업에서 작업분석/실행을 통한 생산성 향상의 프로젝트 방법론 연구 (A case for productivity improvement by time study in high tech industry)

  • 이원재;김중회;강성우;강경식
    • 대한안전경영과학회지
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    • 제17권1호
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    • pp.225-230
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    • 2015
  • Productivity is the essential comparative advantage in high tech industry company in 21 century. These company endless endeavor for low cost production. Low cost production can be led by low facility operation cost and low labor cost. But reducing facility operation cost arise much investment. Thus many high tech company drive reduction of labor cost. These article suggest model for reducing labor cost and prove a effect by example of some company.

체중조절 식이에서 탄수화물의 비중 : 그 질과 양 (A Minireview on Carbohydrate in Weight Management Diet : The Quantity and the Quality)

  • 이명종;김호준
    • 한방비만학회지
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    • 제5권1호
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    • pp.121-131
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    • 2005
  • During last few decades dietary guidelines for the weight management mainly have focused on a low-fat, high carbohydrate diet. Carbohydrate was supposed to be low-dense, highly satiating as well as it affects little on the lipogenesis. Although low-fat diet has significant weight-reducing effect, the loss was modest and usually regained after cessation of the diet. Furthermore, low-fat, modest-carbohydrate diet did not impact on the ever increasing rates of overweight and obesity. Alternative approaches include low-carbohydrate diet, high-carbohydrate diet and low-glycemic index diet. Although none of above mentioned diet have sufficient evidence for standard weight management diet, short-term efficacy and safety are being approved continuously. Low-carbohydrate diet contains less than 45% of carbohydrate in daily energy consumption, it is claimed to have more satiating effect and to improve metabolism. However, low compliance due to the limitation of food choice should be considered on prescribing the diet. High-carbohydrate which contains 90% of carbohydrate in total daily energy consumption, is effective in providing satiety and lowering total calorie intake and cholesterol. On the other hand, nutritional unbalance should be took into account. Low-glycemic index diet is based on the theory that contemporary diet contains significantly less fiber and unrefined carbohydrate, therefore insulin secretion is disturbed. Because low glycemic index food slowly increase blood glucose and insulin level, it induces much satiating effect and may decrease calorie ultimate intake. However, poor standardization of glycemic index is one of the main obstacle for the diet to be applied in the clinic. Meanwhile, high fructose food and beverage should be discouraged because it has little satiating effect and may cause insulin resistance. High fiber food is another recommendation for healthy, lean diet.

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모바일 기기내의 비디오 코덱에서 DCT 계수와 움직임 벡터의 암호화를 이용한 저작권 보호 (Copyright Protection using Encryption of DCT Coefficients and Motion Vector in Video Codec of Mobile Device)

  • 권구락;김영로
    • 디지털산업정보학회논문지
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    • 제4권1호
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    • pp.41-46
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    • 2008
  • With widespread use of the Internet and improvements in streaming media and compression technology, digital music, video, and image can be distributed instantaneously across the Internet to end-users. However, most conventional Digital Right Management are often not secure and fast enough to process the vast amount of data generated by the multimedia applications to meet the real-time constraints. In this paper, we propose the copyright protection using encryption of DCT coefficients and motion vector in MPEG-4 video codec of mobile device. This paper presents a new Digital Rights Management that modifies the Motion Vector of Macroblock for mobile device. Experimental results indicate that the proposed DRM can not only achieve very low cost of the encryption but also enable separable authentication to individual mobile devices such as Portable Multimedia Player and Personal Digital Assistants. The performance of the proposed methods have low complexity and low increase of bit rate in overhead.

인구감소 시대의 도시관리 정책에 대한 동태적 분석 (Alternative Urban Management Policies in the Depopulation Era)

  • 김광주;송미경;조병설;이만형
    • 한국시스템다이내믹스연구
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    • 제11권4호
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    • pp.77-96
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    • 2010
  • Since the mid-1990s, Korea has recorded low population growth rate. Based on the figures provided by the Statistical Korea, Korea may be even confronted with decreasing trends in the total population at the end of 2010s. In addition, Korea may experience the hyper-aged society in the mid-2020s. In the depopulation era, we have to devise alternative urban management policies reflecting low and reversed trends in the urban population. It is almost certain that urban policy-makers have to deal with a new series of urban problems, even jeopardizing the continuity of urban territories. In order to minimize the negative impact derived from depopulated phenomena, they have to develop sound and sustainable urban policy alternatives. This research adopts system dynamics approaches, revealing key factors exerting significant impact on the existing urban management policies. In specific, it pays attention to major causal loops, reinforcing or balancing behavioral.

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WOLSONG LOW- AND INTERMEDIATE-LEVEL RADIOACTIVE WASTE DISPOSAL CENTER: PROGRESS AND CHALLENGES

  • Park, Jin-Beak;Jung, Hae-Ryong;Lee, Eun-Young;Kim, Chang-Lak;Kim, Geon-Young;Kim, Kyung-Su;Koh, Yong-Kwon;Park, Kyung-Woo;Cheong, Jae-Hak;Jeong, Chan-Woo;Choi, Jong-Soo;Kim, Kyung-Deok
    • Nuclear Engineering and Technology
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    • 제41권4호
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    • pp.477-492
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    • 2009
  • In this paper, we discuss the experiences during the preparation of the Wolsong Low- and Intermediate-Level Radioactive Waste Disposal Center. These experiences have importance as a first implementation for the national LILW disposal facility in the Republic of Korea. As for the progress, it relates to the area of selected disposal site, the disposal site characteristics, waste characteristics of the disposal facility, safety assessment, and licensing process. During these experiences, we also discuss the necessity for new organization and change for a radioactive waste management system. Further effort for the safe management of radioactive waste needs to be pursued.

정비 작업에서의 요통 발생 현황및 근력 평가

  • 김상호;정민근;임종호;이인석;민경록
    • 한국경영과학회:학술대회논문집
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    • 대한산업공학회/한국경영과학회 1996년도 춘계공동학술대회논문집; 공군사관학교, 청주; 26-27 Apr. 1996
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    • pp.647-650
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    • 1996
  • Manual materials handling and improper working postures are known to be a major cause fo low back injuries, which are one of the major problems in the economic and public health aspects. In this study, two machine repair shops of a manufacturing company in Pohang are selected to investigate the potential hazards of low back injuries. Questionnaire study and worker's strength evaluation are conducted and the results are analyzed. Field workers performing the relatively low stressful jobs were also studied as a control group for comparison with the workers performing the tasks under study.

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국내 석면조사기관의 품질관리 수준에 대한 평가 (Evaluation of Quality Management of Domestic Asbestos Survey and Monitoring Service Providers)

  • 권지운
    • 한국산업보건학회지
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    • 제29권2호
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    • pp.217-225
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    • 2019
  • Objectives: The aim of this study is to evaluate the quality management systems of domestic asbestos survey and monitoring service providers and the relationships with the number of licenses or designations and sales performances. Methods: Data on quality management systems were collected by assessors who were assigned by the Korea Occupational Safety and Health Agency(KOSHA) during a pilot evaluation program for designated asbestos survey and monitoring service providers in 2016 using evaluation criteria developed by KOSHA. Basic characteristics, evaluated scores, and sales performance were gathered and statistically analyzed. Results: The median and arithmetic mean of the total scores were 0.64 and 0.66. Evaluation fields that scored highly with the highest percentages were sales performance, installation and availability of equipment, compliance with the mandatory minimum number of airborne samples, laboratory independence, and results of proficiency analytical testing, in that order. Evaluation fields that received low marks with the highest percentages were the training of personnel, blank field samples, calibration of flow rates, preliminary check and visual inspection of the work area prior to the clearance test, and review and approval of final reports, in that order. Comparison of normalized scores between service providers registered for asbestos and other tasks and those designated for only asbestos showed significant differences in their evaluated scores. Sales performance did not show a positive correlation with evaluated scores. Conclusions: The quality management systems of domestic asbestos survey and monitoring service providers were poor. High scores were recorded mostly in evaluation fields related to regulatory requirements. Low scores were recorded mostly in evaluation fields related to documentation and recordkeeping. Considering the low influence of quality on sales performance, the government needs to evaluate the quality management of asbestos survey and monitoring service providers and provide the results to public in order to address their low levels of quality management.

품질경영활동의 효율성을 고려한 평가모형 (Total quality management Activities Evaluation (TAE) Model by the traditional scoring system and the efficiency measuring system)

  • 유한주
    • 품질경영학회지
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    • 제26권3호
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    • pp.100-107
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    • 1998
  • To evaluate the total quality activities is the most fundamental and critical process as one of the PDCA cycle. The quality award criteria such as Malcolm Baldrige National Quality Award and Deming Award can be a, pp.ied to the guideline for evaluating quality activities. We can identify several important factors for TQM by referring quality award criteria, but they don't suggest how efficiently implement TQM. In this paper, two methodologies are a, pp.ied to evaluate the TQM activities comparatively. One of them is the traditional scoring system (TSS) by analytic hierarchy process (AHP). TSS is the system which evaluates the performance of TQM by the weighted sum of critical success factors. Several quality award system are typical examples of TSS. The other is the efficiency measuring system (EMS) by data envelop analysis (DEA). DEA outperformed other alternative methods to measure the efficiency and it can be a, pp.ied to evaluate the TQM activities. The evaluation system by DEA can be named as EMS. The objective of this paper is to suggest a model called TAE (Total quality management Activities Evaluation), for evaluating TQM activities. In this model TQM organizations are classified into four types by considering TSS and EMS. Those types are high weighted sum and high efficiency type, high weighted sum and low efficiency type, low weighted sum and high efficiency type, and low weighted sum and low efficiency type. Therefore TQM organizations must not only make efforts to get the higher scores in terms of TSS, but also take necessary steps to enhance their efficiencies.

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