• Title/Summary/Keyword: Management Criteria

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Case Study of the Stability of a Large Cut-Slope at a Tunnel Portal (터널 입구부 대절토 사면 안정성 사례 연구)

  • Park, Dong Soon;Bae, Jong-Soem
    • The Journal of Engineering Geology
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    • v.25 no.1
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    • pp.115-129
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    • 2015
  • The cut-slope of a large-sectional tunnel portal is recognized as a potential area of weakness due to unstable stress distribution and possible permanent displacement. This paper presents a case study of a slope failure and remediation for a large-scale cut-slope at a tunnel portal. Extensive rock-slope brittle failure occurred along discontinuities in the rock mass after 46 mm of rainfall, which caused instability of the upper part of the cut-slope. Based on a geological survey and face mapping, the reason for failure is believed to be the presence of thin clay fill in discontinuities in the weathered rock mass and consequent saturationinduced joint weakening. The granite-gneiss rock mass has a high content of alkali-feldspar, indicating a vulnerability to weathering. Immediately before the slope failure, a sharp increase in displacement rate was indicated by settlement-time histories, and this observation can contribute to the safety management criteria for slope stability. In this case study, emergency remediation was performed to prevent further hazard and to facilitate reconstruction, and counterweight fill and concrete filling of voids were successfully applied. For ultimate remediation, the grid anchor-blocks were used for slope stabilization, and additional rock bolts and grouting were applied inside the tunnel. Limit-equilibrium slope stability analysis and analyses of strereographic projections confirmed the instability of the original slope and the effectiveness of reinforcing methods. After the application of reinforcing measures, instrumental monitoring indicated that the slope and the tunnel remained stable. This case study is expected to serve as a valuable reference for similar engineering cases of large-sectional slope stability.

A Study for Developing Generic Competency Standards Focusing on Professional Engineer Qualification in National Technical Qualification Act (공통직무능력표준 개발연구: 국가기술자격법상 기술사 자격을 중심으로)

  • Cho, Jeong-Yoon;Bae, Eul-Kyoo
    • Journal of Engineering Education Research
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    • v.12 no.4
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    • pp.3-17
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    • 2009
  • The purpose of this study is to develop the national generic competency standards for professional engineer and so improve the quality of Korean professional engineer into an international level. First, this study intends to develop the national generic competency standards for professional engineer that contributes to maintain and enhance the quality of professional engineers in terms of a linkage among education and training, qualification, and labor market. Second, this study aim to obtain the national generic competency standards for professional engineer that applies to reform the criteria of certification, testing, and interview of National Technical Qualification System as well as to develop the curriculum of engineering education and continuing professional development and the system of human resource management in corporations. As a result, a final draft of the national generic competency standards for professional engineer was confirmed to include 12 clusters of competency standards and 56 elements of competency standards.

Permeation Grouting Effect for Repair and Reinforcement of Old Dam (노후댐 보수보강을 위한 침투그라우팅 효과 분석)

  • LEE, Dong-Beom;Lim, Heui-Dae;Song, Young-Su
    • The Journal of Engineering Geology
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    • v.28 no.2
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    • pp.277-295
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    • 2018
  • As it has become difficult to secure new water resources through dam construction due to the critical social public opinions on dam construction from 10 years ago, it is necessary to review the existing water resources through the review of existing dams. Accordingly, access methods, such as planning, construction and management, were carried out using technologies already accumulated in relation to the repair and reinforcement of the dam. As a result of the repair and reinforcement, permeation grouting has been performed in many dams, but the establishment of the technology is insufficient so far, and the published paper at home and abroad is extremely rare. In this thesis, low-pressure penetration and grouting reinforcement technologies for the YC dam are analyzed in detail. As a result, penetration grouting has shown that it can be effectively applied to the improvement in the constallability of the core fill-like a YC dam. In addition, the technical details of the experience-proven penetration grouting are given in relation to the injection criteria. It is deemed that the specific analysis data of the Fill Dam penetration grouting technology through this study can be used as useful data for strengthening the repair of Fill Dam and reservoir.

Establishment and Application of the Guideline for Hypertension by Delphi Method in the Field of Primary Medical Care (Delphi방법을 이용한 일차의료 고혈압 진료지침 개발 및 적용)

  • Yang, Yun-Jun;Hong, Myung-Ho
    • Quality Improvement in Health Care
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    • v.2 no.1
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    • pp.68-84
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    • 1995
  • Background: Guideline for practice is useful because it can be the standard for assessment and way to improve quality. We need to take account of expert opinion and consensus as well as scientific evidences to develope practice guideline because it should be practical. Delphi method has been developed to gather opinions from experts fairly. This study was designed to develop practice guideline and apply it to practices as a method to improve quality in primary medical care. Methods: Hypertension(in adults over 18 years old) was selected as a target problem. Self questionnaires about management of hypertensive patients were developed by a researcher with advice of 11 experts. The questionnaires were designed to response as a 5 pont scale. The results of previous questionary were given to respondents in second and third questionnaires. If needed, the questionnaires were changed on the previous responses. The items with medium greater than or equal to 4 point in 1st and 2nd responses were accepted in guideline. The items with medium lesser than or equal to 3 point were questioned again about whether they can be excluded or not. The criteria for assessment was made with reference to guideline and applied to 85 hypertensive patients of 9 family practitioners. At 3 months after practice guideline had been given to family practitioners, performance of same practitioners was assessed with 36 new hypertensive patients. Results: 23 professors in family medicine, 22 family practitioners and 6 cardiologists, responded among 50, 50, 15 respectively. Practice guideline with 33 items was developed as a result of 3 times questionaires. The difference of responses between professors in family medicine, family practitioners and cardiologists was not significant. Performance of practice was improved in diagnosis, history taking about 6 fields, laboratory examination and decision making about time of pharmaceutical prescription. It was not improved in physical examination, life style modification, method of pharmaceutical prescription, choice of initial antihypertensives and history taking about duration of disease and diet habit. It was decreased in history taking about psychosocial factors. The assessment scores were low in history taking, physical examination and life style modification before and after use of practice guideline. Conclusion: Practice guideline for hypertension could be developed by Delphi method. Performance of practice improved partially after use of guideline.

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The Result of Management on Cervical Metastasis of Unknown Origin (경부 원발부불명 전이성 암의 치료 결과)

  • Paeng Jae-Phil;Jo Seong-Dong;Lim Ki-Jung;Kim Eun-Joong;Park Ji-Hoon;Kwon Soon-Young;Choi Jong-Ouck;Jung Kwang-Yoon
    • Korean Journal of Head & Neck Oncology
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    • v.17 no.2
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    • pp.185-189
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    • 2001
  • Background: Cervical metastasis of unknown origin is defined as histologic evidence of malignancy in the cervical lymph nodes with no apparent primary site of origin for the metastatic tumor. Patients and Methods: A retrospective review of 20 cervical metastasis of unknown origin diagnosed and managed between january 1989 and December 1999 at the Korea University was undertaken to determine outcome. Patient age ranged 46 to 78 years (mean 60). There were 17 men and 3 women. The aim of this study is to ananlyze the diagnostic approach and the result of treatment of the cervical metastasis of unknown origin. Result: Histopathologically, squamous cell carcinoma (15 case, 75%) were the most common, followed by adenocarcinoma (4 case, 20%), undifferentiated carcinoma (1 case, 5%) According to the criteria of the AJCC on staging, N1 was 2 cases, N2a 2 cases, N2b 5 cases, N2c 1 cases, N3 10 cases. Overall survival rate for all patients at 2 years was 45% and 5 years 25%, and in the combination therapy(surgery and radiotherapy group (12 cases)) it was 67% and 34% respectively, high compared with other treatment modality such as surgery or radiotherapy alone. In extracapsular spread positive group, 5 year survival rate was 12%, but was 33% in the extracapsular spread negative group. Conclusion: With no stastatical significance, extracapsular spread group was poor outcome in our study. Combination of radiotherapy and surgery was more effective treatment result than surgery alone or radiotherapy alone in our study. But, overall prognosis of cervical metastasis of unknown origin was very poor despite aggressive treatment (5 year survival rate: 25%).

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Percutaneous Intranodular Injection Therapy of Radioactive Iodine-131 in Treatment of Benign Thyroid Nodules: A Preliminary Study (방사선 요오드-131의 국소주입에 의한 양성 갑상선 결절의 치료)

  • Ha Il-Joo;Lim Dong-Pyo;Yoon Jung-Han;JaeGal Young-Jong;Boom Hee-Seoung
    • Korean Journal of Head & Neck Oncology
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    • v.17 no.2
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    • pp.174-178
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    • 2001
  • Background and Objective: Percutaneous ethanol injection therapy has been used in the treatment of the benign thyroid diseases. Although the reported side-effects of the therapy was mild and transient, some side-effects including local or radiating pain are troublesome to the patients. Radioactive iodine-131($Ra-^{131}I$) also has been effectively and safely used for management of the benign thyroid diseases. So we developed the percutaneous intranodular injection therapy of $Ra-^{131}I$ as an alternative of percutaneous ethanol injection therapy. Materials and Methods: From December 1998 to October 1999, we treated 29 outpatients (25 women and 4 men, mean age: $47{\pm}12$ years). Inclusion criteria were follows; age >30 years, cytologically benign, with normal thyroid function, cold nodule on thyroid scintigram, solid or mixed natured nodules in sonographical evaluation. Nodular volume was estimated by sonography according to the ellipsoid formula. $Ra-^{131}I$(0.1mCi/ml) was administered in a single dose injection. Follow-up studies every 3 months consisted of full history, thyroid function test, and sonography. We determined the therapeutic response is effective if the volume reduction of the nodule occurred above 30%. Results: After at least 3 months follow-up, 11 patients showed effective response, 12 patients showed minimal or unchanged response and 6 patients showed progression. Although side-effects such as injection pain, febrile reaction, and hormonal changes were absent, an infectious complication in injection site was developed from 1 case. Conclusion: Although we need a more prolonged follow-up to evaluate the delayed sequelae, we can suggest that percutaneous intranodular injection therapy of $Ra-^{131}I$ may be an attractive non-surgical treatment in selected cases of benign thyroid nodules.

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Institutionalization of a Patient-Sitter Program in Acute Care Hospitals (보호자 없는 병원 제도화 방안)

  • You, Sun-Ju;Choi, Yun-Kyoung
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.370-379
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    • 2013
  • In an effort to resolve the burden of patients hiring patient sitters, this study sought to review the Ministry-of-Health-and-Welfare-initiated pilot program of running hospitals without patient-sitter to identify its background, operation method, performance results, and limitations. Based on the review, the study derived the necessity of introducing a hospital system without patient-sitter as well as its operation and systemization methods. The ministry-initiated pilot programs were conducted twice: in 2007, and in 2010. A review of the 2007 pilot program revealed that the patients and families' satisfaction score with nursing services was 9.1 points (on a 10-point scale), their intention to reuse the service was 97.8%, and their intention to recommend the service was 98.0%, all high scores. Appropriate nursing manpower, derived from the 2007 pilot project, indicated 2.3 patients per nurse and 4.0 patients per nurse aid. The 2010 pilot project results indicated that the patients and families' satisfaction was high at 8.0-9.1 points (on a 10-point scale), and that the intention to reuse and recommend the service was also high. Compared with the 2007 pilot project, however, the types of medical institutions and the nurse to patient ratios were diverse, offering limitations. In conclusion, to systemize hospitals without patient-sitter, it is necessary to develop policies designed to establish criteria for the appropriate nurse to patient ratio and skill-mix, to standardize the work, to prepare finances for securing nursing staff, to evaluate the nursing demands, and to monitor the quality management.

The Effects of Physical Education Major Learner's Social Support on Major Satisfaction and Learning Persistence in the Academic Credit Bank System (학점은행제 체육학전공 학습자의 사회적지지가 전공만족 및 학습지속의향에 미치는 영향)

  • Oh, Kyung-A
    • Journal of the Korean Applied Science and Technology
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    • v.37 no.4
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    • pp.1008-1019
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    • 2020
  • The purpose of this study is to investigate the effects of social support of students majoring in physical education on their major satisfaction and intention to continue learning, and to prevent dropout of students majoring in physical education in the credit banking system and to find effective management methods. The research tools were verified by confirmatory factor analysis, concentration validity, discriminant validity, average variance extraction (AVE), concept reliability, and Cronbach's coefficient for validity and reliability verification of the research tools. The data processing method was conducted by using IBM SPSS Statistics 21 and IBM AMOS 21 to verify reliability analysis, correlation analysis, and structural equation model (SEM) through frequency analysis, confirmatory factor analysis, concentration validity, discriminant validity, Cronbach's coefficient calculation. The results are as follows. First, the study model was tested and the criteria were met for verifying the suitability of the relationship between social support, major satisfaction and learning persistence intention of the professors majoring in physical education in credit banking system. Second, as a result of the verification of Hypothesis 1, the social support of the professor of the physical education major in the credit banking system has a significant effect on the major satisfaction. The results of the verification of Hypothesis 2 showed that the social support of the professor of the physical education major in the credit banking system affects on the learning persistence. As a result of the verification of Hypothesis 3, it has been shown that major satisfaction has a significant effect on the learning persistence.

The Japanese View to Korea in Early Modern Era -Focusing on Discourse in Japanese Society and Korea-related Contents in Textbooks- (근대시기 일본이 바라보는 한국에 대한 시선 -일본사회의 담론과 교과서의 한국관련 콘텐츠를 중심으로-)

  • Park, So-Young;Jung, Ye-Sil
    • The Journal of the Korea Contents Association
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    • v.16 no.2
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    • pp.633-642
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    • 2016
  • This study looked into Japan's recognition of Korea in early modern era with particular focuses on discourse on Korea and contents in textbooks in those days. In doing so, the topics of nationality, historical recognition, and social aspects in Korea were established and discourse on these topics in educational journals and the contents of textbooks and teaching manuals projected with such discourse were investigated. As for nationality, a strong propensity to negative recognition was clearly observed, represented by the words lazy, enervate, and uncivilized. They defined Korea's history of passive, other-directed nature and described such incompetent national management resulted in negative nationality. Their recognition of Korean history went further away, stating Korea was incapable of maintaining its independence and was a threat to peace of Japan and Asia, hence the forced merger by Japan. The criteria for Japan to assess Korean society were Western civilization and they defined Korean society as a pre-modern society with lower levels of civilization and culture. Discourse in Japan over Korea in early modern era were strongly influenced by Japan's pride as a modern state and its dominating ideology of imperialism and such discussions were spread among students through textbooks and teaching manuals.

Awareness of disaster and post traumatic stress disorder in occupational therapy students (재난 및 외상 후 스트레스장애에 대한 작업치료 전공자의 인식조사)

  • Hong, Young-Ho;Cho, Su-Bin
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.18 no.7
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    • pp.539-547
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    • 2017
  • This study examined the perception of disasters and post-traumatic stress disorder in occupational therapy majors to provide the basic data necessary for future occupational therapy. A questionnaire survey was conducted on 545 students in occupational therapy departments of three year and four year universities. The frequency of the questionnaire was calculated by frequency analysis using the SPSS 19.0 win program. A chi-squared test was conducted to verify the analyzed questionnaire data. The reliability of the questionnaire in this study showed a Cronbach' alpha value of 0.891. According to the survey results, approximately 20% of learners who majored in occupational therapy were unaware of the symptoms, developmental mechanism, and diagnostic criteria of post-traumatic stress disorder(PTSD). Knowledge of the underlying causes of psychological symptoms, such as post-traumatic stress disorder as well as physical damage through industrial accidents, was found to be 2.92 on the Likert 5-point scale. To be effective in rehabilitation treatment, the degree of the approach to education from the viewpoint of occupational therapy is important enough to be recognized as 3.90 on the Likert 5-point scale. The Pearson correlation coefficient for the need for education on disasters was higher than the correlation with the awareness of disasters.