• 대한안전경영과학회지
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• 제17권2호
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• pp.97-106
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• 2015

System is the organization of hardware, software, personnel and facilities needed to perform a designated function within a stated environment with specified results. The trend of modern systems is getting more complex and larger. The system is necessary for modern society but the minor malfunction of the system can result the enormous human and material losses. Recently it is being heightened the concern for system safety and required to be built and applied Safety Engineering standard Guideline for safety of complex and large-sized system. This paper describes the System Engineering Process model integrated with Safety Engineering and the establishment of standard safety guidelines for safety of product development using DMADOV Methodology of the Lean 6 Sigma.

• 한국건설관리학회논문집
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• 제10권4호
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• pp.58-66
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• 2009

최근 BIM 패러다임은 건설산업의 작업의 생산성, 효율성 및 협업을 높일 수 있는 모멘텀으로 인식되고 있으며, 주요 선진 국가들은 IFC기반 BIM으로 불리는 개방형 BIM(Open BIM)을 도입 및 적용하기 위한 선결요건으로 지침을 개발하고 이를 적용하고 있다. 반면, 국내 건설업계에서 BIM의 도입 및 적용은 초기단계에 머물러 있으며, 주로 민간사 위주로 추진되고 있다. 최근 들어 공공발주 BIM의 도입 및 적용은 대한주택공사, 행정복합도시건설청, 정부 등을 중심으로 추진되고 있으나, BIM에 관련된 제반적 요건을 마련하지 못한 관계로 적극적인 활용은 이루어지지 못하는 상황이다. 이는 BIM의 도입 및 적용을 위한 지침의 부재가 중요한 원인이 되고 있다. 이러한 관점에서 본 연구는 국외 지침의 경향을 분석하고, 국내 지침의 개발을 위해 필요한 전략적 방향을 도출하고자 한다.

• 한국신재생에너지학회:학술대회논문집
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• 한국신재생에너지학회 2011년도 춘계학술대회 초록집
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• pp.189.1-189.1
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• 2011

Global warming effect was intensified due to rapid growth of fossil fuel consumption caused by urbanization and industrialization. Various efforts was being done to solve the problems leading to anomaly climate such as flood, downpour, heavy snow. As a results of international efforts for management of global warming, Kyoto Protocol, which was passed in Kyoto, Japan in 1997, designated $CO_2$, $CH_4$, $N_2O$, HFCs, PFCs, $SF_6$ as a global warming gases. And IPCC(Intergovernmental Panel on Climate Change) suggested IPCC guideline for systematic establishment of national greenhouse gas inventory. Among five categories in IPCC guideline, the representative emission source of waste category is SWDS(solid waste disposal site). The concentrative research should progress for effective management of greenhouse gas related with waste. In this study, Tier1 and Tier2 methods which was suggested by 2006 IPCC(Intergovernmental Panel on Climate Change) guideline, was used to predict methane generation from C sanitary landfill located in Chungju area. To predict methane generation from C sanitary landfill, all factors were defaults values that were provided by 2006 IPCC guideline and Korea emission factors for Tier1 and Tier2 method. And economics of generated methane was estimated. From the predicted result using IPCC guideline, the methane generation was persistingly increased over a 9-year period(2000 ~ 2008). Aggregated amount of methane generation was about 3,017ton and 3,170ton predicted by Tier1 and Tier2, respectively. From the results of estimated economic value gained by generated methane from the C sanitary landfill for ten years from now(2010 ~ 2020), the profit was about 2.39 ~ 2.76 hundred million won.

• 화약ㆍ발파
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• 제32권1호
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• pp.23-30
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• 2014

국내 화약류에 대한 전반적인 관리와 발파작업에 대한 규정은 총포 도검 화약류등 단속법에 의하여 관리되고 있으나, 세부적인 취급과 사용법에 대한 지침은 산업안전보건법 제27조에 의거하여 발파작업 표준 안전작업지침을 마련하여 발파작업에서의 재해예방을 위한 화약류의 취급, 운반, 저장, 사용 및 관리와 작업상의 안전에 관하여 사업자에게 지도 권고하고 있다. 본 연구에서는 고용노동부에서 고시한 발파작업 표준 안전작업지침에 대하여 검토하였고, 국내화약시장에 도입된 신제품과 최신발파기술이 지침의 개정 시 반영될 수 있도록 화약류에 대한 용어의 정의와 추가로 포함해야 하는 에멀젼계 폭약과 벌크형태의 폭약, 그리고 최근 국내 발파현장에서 사용이 증가하고 있는 전자뇌관에 대하여 수록을 제안하였다. 또한, 작업지침에 대해서는 비전기식 뇌관과 전자뇌관의 대표적인 취급 방법을 예시를 들어 제안하여 지침안 개정 시 보완된 발파작업 표준 안전작업지침을 마련하도록 제안하였다.

• 한국병원경영학회지
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• 제14권1호
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• pp.62-98
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• 2009

A systematic review of the literatures was conducted to evaluate the effect of clinical practice guideline. The 77 studies were identified from a computerized search of published research on MEDLINE, Science-Direct and Blackwell synergy from January, 1997 to October, 2007. The main search terms were "clinical practice guideline" and "effectiveness", "clinical practice guideline" and "impact", "clinical practice guideline" and "evaluation". These studies were assessed the Quality twice by one Qualified expert and converted into weighted scale. The 63 studies were eligible inclusion criteria and subdivided into type of effect. Final indicator using for policy effect of clinical practice guidelines were classified as 4 categories; "improvement of outcomes" in 81 studies, "betterment in practice patterns" in 68 studies, "rationalization in resource utilization" in 84 studies and "cost containment" in 31 studies. The vote-counting method, one of meta-analysis method, was applied to summarized the effect of clinical practice guidelines and test statistically. From results of meta analysis, all indices were statistically significant. In conclusion, this meta-analysis showed that introduction of clinical practice guidelines were resulted positive outcomes in health policy.

• 임상간호연구
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• 제26권1호
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• pp.10-25
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• 2020

Purpose: The purpose of this study was to update the previously developed nursing practice guideline for enteral nutrition (EN). Methods: The guideline update was done in 22 steps using standardized methodology for nursing practice guidelines. Results: The updated EN guideline consisted of 16 domains and 228 recommendations. The domains and number of recommendations in each domain were for IDSA (Infectious Diseases Society of America): 8 on general instruction, 9 on general instruction for special nutrition, 9 on general instruction for EN, 3 on assessment of EN, 10 on access to EN, 18 on EN device insertion, 16 on selection and preparation of nutritional supplements, 46 on administration and stopping EN, 22 on maintenance and management of EN, 9 on monitoring EN, 16 on prevention and management of complications of EN, 18 on medication administration, 20 on EN in various situations, 20 on prevention of errors, 1 on nursing education, and 3 on nursing documentation. For the levels of evidence, there were 9.7% for level I, 13.1% for level II, 62.5% for level III and 1.1% for GRADE (Grading of Recommendations Assessment, Development and Evaluation): 3.3% for low, 0.8% for moderate, 9.3% for very low. A total of 133 recommendations were newly developed and 10 previous recommendations were modified. Conclusion: This updated EN nursing practice guideline can be used to enhance evidence-based practice in fundamentals of nursing practice and it should be disseminated to nurses nationwide in order to improve the efficiency of EN practice.

• 임상간호연구
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• 제25권1호
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• pp.67-79
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• 2019

Purpose: This study was conducted to update the existing evidence-based nursing clinical practice guideline in management of pressure injury in South Korea. Methods: The update process underwent the 22 steps according to the update method based on the international standards. Results: The updated nursing practice guideline for pressure injury consists of 4 domains and 436 recommendations. The numbers of recommendations in each domain were 25 for hospital policies, 51 for assessment, 350 for prevention and management, and 10 for education. There were 2.5% of A, 13.3% of B, 84.2% of C in terms of grading of recommendations. Among these, the major revision was done in 32 recommendations (7.4%). A total of 299 recommendations (68.6%) were added newly. Minor revisions, such as change or addition of some words, were also made in 25 recommendations(5.7%). No change was made in 80 recommendations (18.3%) compared to the previous ones. Conclusion: The nursing practice guideline for pressure injury has been updated. This updated guideline can be used as educational materials for both healthcare workers and patients with pressure injury.

• 한국재난정보학회 논문집
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• 제16권2호
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• pp.211-222
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• 2020

연구목적: 재난안전 마스터플랜의 가이드라인을 제시하고, 이를 통한 지역안전지수 향상방안을 도출한다. 연구방법: 재난 관련 법률, 안전혁신마스터플랜, 국제안전도시지표와의 정합성 진단을 통해 지자체의 재난안전 관리체계를 수립하고 지역 특성과 분야별 재난관리 대책을 포함하는 재난안전 마스터플랜 가이드라인을 제시한다. 연구결과: 'G'기초지자체를 선정하여 재난안전 마스터플랜 가이드라인을 적용한 세부정책을 수립하고, 이를 통해 지역안전지수 개선방안을 도출한다. 결론: 지역안전지수 향상을 통해 지자체의 재난대응 역량을 강화한다.

• 한국건설관리학회:학술대회논문집
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• 한국건설관리학회 2007년도 정기학술발표대회 논문집
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• pp.593-598
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• 2007

대중 교통수단 중에서 아직도 많은 사람들이 버스를 이용한다. 그러나 버스 승객들이 사용하는 버스터미널의 대기공간은 점차 늘어나는 버스터미널 이용객들이 만족하는 서비스의 제공이 원활히 이루어지지 못 하는 현실이다. 이에 버스를 이용하기 위한 승객들의 대기 공간에서 나타나는 행태와 환경행태에 대한 조직적인 관찰을 통해서 기존장소에 대한 분석을 하였다. 그리하여 주어진 환경 안에서 얻을 수 있는 환경경험과 주어진 환경 내에서 발생되는 환경행태에 영향을 주는 요인들에 대한 정의를 내리고 이렇게 나온 자료(data)와 정보(information)를 근거로 하여 Redesign시 고려하여야 할 설계지침서(design guideline)를 제안하고자 한다.

• Clinical and Experimental Reproductive Medicine
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• 제48권3호
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• pp.194-197
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• 2021

Polycystic ovary syndrome (PCOS) is a common disorder in reproductive-age women. In 2018, an international evidence-based guideline announced recommendations spanning a wide range of issues on the assessment and management of PCOS. From the 166 recommendations, the present study reviews those that are of particular clinical relevance for daily practice and introduces other relevant studies that have been published since the global guideline. The 2018 guideline increased the antral follicle count cutoff for the diagnosis of PCOS from 12 to 20 when using a high-frequency probe. Hirsutism was defined as having a score of ≥4-6 based on a lower percentile of 85%-90% or cluster analysis, which was lower than the traditionally used 95th percentile-based cutoff. The diagnosis of PCOS in adolescents is challenging, and irregular menstruation was defined carefully according to years from menarche. The use of ultrasonography for the diagnosis of PCOS was restricted to those 8 years after menarche. As medication for non-fertility indications, combined oral contraceptives are the first-line drug. Metformin, in addition to lifestyle modifications, should be considered for adult patients with a body mass index ≥25 kg/m² for the management of weight and metabolic outcomes. An aromatase inhibitor is the recommended first-line medication for ovulation induction, a subsequent individual patient data meta-analysis also reported the same conclusion. Whether the new global guideline will be fully adopted by many specialists and change clinical practice is open to question. Further studies are needed to better understand and manage PCOS patients well.