• 제목/요약/키워드: Private practice

검색결과 493건 처리시간 0.031초

민간기업 조경공사에서 나타나는 식재설계 변경 타당성에 대한 전문가 인식 분석 (An Analysis of the Cognition of Professionals Regarding the Validity of Planting Design Change that Occurred in the Landscape Construction of a Major Private Company)

  • 박재영;조세환
    • 한국조경학회지
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    • 제42권6호
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    • pp.101-110
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    • 2014
  • 본 연구는 민간기업에서 시행한 아파트 단지의 조경공사 중 식재설계변경의 유형과 변경의 타당성을 분석하여 공기업과 비교 고찰함으로써 조경공사 시에 발생하는 식재설계 변경을 객관적이고 효율적으로 관리하기 위한 기초 자료 제시를 목적으로 수행하였다. 본 연구의 결과 다음과 같은 다섯 가지를 얻을 수 있었다. 첫째, 민간기업에서 시행한 아파트 단지 조경공사에서 발생한 설계 변경 중 식재공사에서 발생한 비율이 61.8%를 차지하고 있음으로써 식재 부분이 설계변경의 주된 대상이 되는 것으로 나타났다. 둘째, 이러한 설계변경원인으로는 주로 공기부족 등 현장 여건과 관련되는 것이었고, 특히 체계적 설계변경보다는 현장에서 구두 설계변경승인으로 이루어지는 것으로 나타났다. 셋째, 식재설계의 설계변경은 한 건의 설계변경 승인에 7~48회의 동시다발적으로 발생하는 특징을 보이고 있었다. 넷째, 민간기업에서 발생하는 조경식재공사 설계변경 유형은 '이용자를 고려한 설계변경', '이미지 개선을 위한 설계변경', '유지관리의 용이성을 위한 설계변경', '설계내역 불일치로 인한 설계변경', '타 공종과의 관계로 인한 설계변경', '현장조사 미비로 인한 설계변경', '시공성을 고려한 설계변경' 등 총 7가지의 조경식재공사 설계변경 유형으로 구분할 수 있었는데 이것은 공기업에서 추진하는 설계변경 유형과 크게 다르지 않은 것으로 나타났다. 넷째, 이들 7가지 중 민간기업의 경우, '이용자를 고려한 설계변경'과 '이미지 개선을 위한 설계변경'이 전체 설계변경의 빈도에서 과반수를 넘는 것으로 나타나 공기업의 '이용자를 고려한 설계변경'과 '설계내역 불일치로 인한 설계변경'으로 나타난 것과 상이한 점을 보이고 있었다. 다섯째, 식재공사 설계변경 과정의 경우 민간기업은 공기단축을 통한 공사비용 절감 차원에서 선(先)시공 후(後)승인의 관행을 보이고 있는 것으로 나타났지만, 공기업의 경우 현장에서 설계변경 사유가 발생하였을 시 현장 상황 및 변경내용을 검토하고 반영하여 설계변경 절차를 보이는 등 상이한 절차를 거치는 것으로 나타났다. 이상의 결과는 조경공사 중 식재설계 변경의 유형은 공기업, 사기업에 관계없이 7개의 범주로 설계변경의 유형은 동일하나, 설계변경의 주된 사유와 절차는 상이한 점이 있는 것으로 나타남으로써 식재설계 변경은 조경공사의 성격에 따라 합리성과 효율성 차원에서 유동성 있게 적용하는 것이 바람직한 것으로 사료되었다.

보건소(保健所) 행정(行政)의 기선을 위(爲)한 연구(硏究) (A Study on the Administrative Enhancement for Health Center Activities)

  • 문옥륜
    • Journal of Preventive Medicine and Public Health
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    • 제3권1호
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    • pp.97-110
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    • 1970
  • This survey was conducted to evaluate not only the present status of health center directors-their personal histories, their will to private practice in the future, their responses to governmental policies, -but also the distribution of doctorless myons, budget and subsidy, and director's opinions to the enhancement of health center activities. This survey questioned 116 health center directors and 16 health personnel from August to October of 1970 and obtained the following results; 1) The average ages of directors of kun, city, and total health centers were $43.2{\pm}7.8,\;42.1{\pm}7.7,\;and\;42.9{\pm}10.3$ respectively. 2) The average family sizes of directors of kun, city, and total health centers were $5.6{\pm}2.7,\;5.6{\pm}2.1,\;and\;5.6{\pm}2.6$ respectively. 3) Directors holding M. D. degrees were 79.3%, those holding qualified M. D. degrees ('approved director') were 20.7%. 4) M. P. H., M. S., and Ph. D. holders were 6.0%, 6.1%, and 4.3% respectively. 5) The average duration of present directorship in kun and city were 30.2 months and 20.4 months respectively. 6) The majority of directors had been employed in related fields before assuming current position : directorship at other health center 26.7%, army 22.4%, health subcenter 21.6%, private practice 19.0%. 7) Average length of directorship is 41.8 months. Average length of public health career, including health subcenter and present position, is 56.5 months. 8) Both rural and urban experience in health centers for regular directors is 16.3% and for approved directors, 12,5%. A total of 15.5% of all survey directors had experience in both rural and urban health center. 9) A total of 70.7% of health center directorships were staffed by local doctors. 10) Nearly 40% wanted to quit the directorships within 3 years and 60.3% had already experienced private practice. 11) Of the regular directors 17.4% felt strongly about devoting their lives to public health fields, but only 4.1% of the approved approved directors felt so. 12) There wire 432 doctorless myons among 996 respondent myons and 4.5 doctorless myons per kun. 13) The percentage of doctorless myon by Province are as follows, Cholla buk-do 57.2%, Cholla nam-de 55.0%, Kyungsang nam-do 52.0%, Kyungsang buk-do 49.7%, Chungchong but-do 42.4%, Kyonggi-do 32.9%. Cheju-do 30.8%, Kangwon-do 25.8%. 14) Two thirds of health critters have experienced the abscence of the director for a certain period since 1966 and the average span of the abscence was 18.2 months. 15) The percentage of doctorless myons increased proportionally with the span of the director's abscence. 16) The average budgets of health centers, kun, city and ku, were $W15.03\;million{\pm}W4.5\;million,\;W22.03\;million{\pm}W17.80\;million,\;W13.10\;million{\pm}W7.9\;million$ respectively. 17) Chunju city had the highest health budget per capita(W344) while Pusan Seo ku had the lowest(W19). 18) Director's medical subsidies are W30,000-50,000 in kun, and roughly W20,000 in city. 19) The older of priority in health center activities is T.B. control(31.1%), Family Planning and M. C. H.(28.0%), prevention of acute communicable disease and endemic disease (18.2%) and clinical care of patients(14.3%). 20) Nearly 32% opposed in principle the governmental policy of prohibiting medical doctors from going abroad. 21) Suggestions for immediate enhancing the position of director of health centers and subcenters: (1) Raise the base subsidy (48.2%), (2) Provide more opportunities for promotion (20.7%), (3) Exemption from army services(12.1%), (4) Full scholarship to medical students for this purpose only (7.8%). 22) A newly established medical school was opposed by 56.9% of the directors, however 33.6% of them approved. 23) Pertaining to the division of labor in Medicine and Pharmacy, the largest portion (31.9%) urged the immediate partial division of antibiotics and some addictive drugs to be given only by prescription. 24) More than half wanted a W70,000 level for the director's medical subsidies, white 36.2% stated W50,000. 25) Urgently needed skills in the kun are clinical pathologist (38.6%) and doctor (health center director) (25.5%); while in the city nurse (37.1%), doctors(clinical)(31.4%) and health educators(14.4%) are needed. 26) Essential treatment for the better health center administration; raising the base subsidy (22.7%), obtaining the power of personal management (19.3%) and the establishment of a Board of Health (14.3%). etc.

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알코올과 마약남용 청소년을 위한 외래치료의 결과에 성별, 부모의 참여정도, 치료종류가 미치는 영향에 대한 연구 (Effect of Gender, Parental Support an Treatment Type on the Adolescent's Successful Completion of Substance Abuse Outpatient Treatment Program)

  • 고윤순
    • 한국사회복지학회:학술대회논문집
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    • 한국사회복지학회 2004년도 추계공동학술대회 자료집
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    • pp.461-492
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    • 2004
  • This study examined the effects of gender, parental support and treatment type on the treatment outcome of adolescent substance abusers. Outcome variable was the successful graduation (or drop) from an Intensive Adolescent Outpatient Program. Adolescents with their parents' support were treated in one of three treatment models (2-weeks Inpatient plus 6 week Intensive Croup-Oriented Outpatient, 8-weeks Intensive Croup-Oriented Outpatient, and 8-weeks Individual-Family Therapy) within a private hospital-affiliated treatment center by managed care practice allowing their own choice (non-random natural assignments). Several hypotheses were tested for main effects by the Log-Linear Analyses for a multi-dimensional contingency table with 440 adolescents (284 boys and 156 girls treated during 1992-l997) from middle-class families with private health insurances. The following results were found. Odds of graduating versus dropping out of the treatment program among : (1) girls were 1.7 times higher than those among boys; (2) adolescents with two-parent were 2.2 times higher than those among adolescents with one-parent ; (3) adolescents with Inpatient plus Outpatient was 1.7 times higher than that of those with Outpatient; (4) adolescents with Individual-Family Therapy was 2.3 times higher than that of those with Outpatient Model. There was no statistically significant outcome difference between the Individual-Family Therapy and the Inpatient plus Outpatient. Implications from the results were discussed. Suggestions were made to improve the treatment components in the areas of gender sensitivity, securing more parental support, alternatives for separation from peer group and integrating new peer groups, and flexibility for the unique needs of individual family. Also, some research questions for future studies were suggested.

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보육시설 급식소의 공동조리 요구도 조사 (Need Assessment for Central Food Production in Child Care Center Foodservices)

  • 곽동경;장미라;홍완수;이혜상
    • 대한영양사협회학술지
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    • 제4권2호
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    • pp.225-234
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    • 1998
  • Nutrition during childhood is essential for growth and maintenance of health. Good food habits developed during the childhood will contribute both to the healthy growth and the prevention of the degenerative disease of later life. Both parents and the providers in child care centers play an important role for children's good eating behavior. Therefore all child care programs should achieve recommended standards for meeting children's nutritional and educational needs in a safe, sanitary, and supportive environment to promote the healthy growth and development of children. The purposes of this study were to evaluate the foodservice management practices and assess the needs for a Central Production Unit by contacting the child care center' providers. This approach was achieved using a variety of qualitative and quantitative information including the general foodservice management practices and the needs for a Central Production Unit. An indepth face-to-face interview with structured-questionnaires was undertaken at 32 representative child-care centers in Seoul. Statistical data analysis was done using the SAS program for descriptive analysis and ANOVA. The number of national/public and private sectors were 11 respectively, followed by 10 licensed home day-care centers. Total average number of children in child-care centers was 54.3 $\pm$48.5. The foodservice productivity index in child-care centers was 4.8 minutes per meal for public child care centers, 6.0 for private child-care centers, and 9.8 for home child care centers. Home child care centers were found to have the lowest productivity index which indicated inefficient foodservice practice. The important factors in group purchasing were menus(39.6%) or close distance(39.6%) > type of foodservice operation(32.8%) > total number of meals(19.9%) > food costs(16.2%) in order. Average score of the efficiency for central food production in child-care centers was 3.80 $\pm$0.84 out of 5.

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다중링크 가상사설망을 위한 부하균등 기법 (A Load Balancing Scheme for Multi-Link VPNs)

  • 김정우;손주영
    • 한국멀티미디어학회논문지
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    • 제7권11호
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    • pp.1580-1587
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    • 2004
  • 현재 다중링크 연결을 지원하는 가상사설망(VPN: Virtual Private Network) 장비들은 연결된 다중링크를 회선 장애 발생 시 회선간의 전이 기능을 위한 것으로만 활용한다. 전이 방식으로 장애가 발생할 경우를 대비하는 것은 하나의 회선을 이용하지 못하는 것을 의미한다. 물리적인 VPN회선은 두 개지만 실제 사용은 하나만 하게 되는 것이다. 이에 따라 데이터 전송량이 많은 경우에는 전송 속도가 결과적으로 늦어지게 되고, 나아가 응용들의 요구 조건을 모두 수용할 수 없게 된다. 본 논문에서는 다중링크를 모두 이용하는 가상사설망을 형성하고, 회선간의 부하균등을 기함으로써 회선의 활용도를 크게 높여 결과적으로 가상사설망의 대역폭을 높이는 효과를 얻을 수 있는 기법을 제안한다. 뿐만 아니라 회선 장애가 발생하였을 때는 기존의 가상사설망 장비가 시행하는 회선 전이 기술을 함께 적용하였다. 결론적으로 다중링크로 연결되어있는 가상사설망의 가용성을 유지하면서 대역폭을 크게 높이는 효과를 얻을 수 있었다.

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Financing of Healthcare Facilities in Pension System Assets of Ecologically Problematic Regions in Kazakhstan

  • YESSENTAY, Aigerim;KIREYEVA, Anel A.;KHALITOVA, Madina;ABILKAYIR, Nazerke A.
    • The Journal of Asian Finance, Economics and Business
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    • 제7권7호
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    • pp.531-541
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    • 2020
  • The purpose of the study is a theoretical and practical justification for building a mechanism for financing health facilities based on public-private partnerships from a pension fund in regions with environmental problems. The theoretical background is built on works of local and foreign authors on state and non-state pension provisions issues, pension funds' assets management. This study provides an analysis of the health status of the population of the Kyzylorda region; it analyzes also the worldwide and Kazakhstan practice of investing pension funds and implementing projects. There has been legislative and methodological framework for financing health projects based on public-private partnerships in Kazakhstan. The scientific methods considered in this study made it possible to develop a mechanism for financial support for the modernization of a healthcare facility using the budget of pension funds. The authors point out possible risks in the implementation of projects in the field of healthcare and make recommendations on the construction a mechanism for financing healthcare facilities in the regions of Kazakhstan with environmental problems. In addition, they underline the key insights of the analysis, which are requisites for identifying the profitability of project for business and social effects for the public. Factors influencing efficacy, effect and implementation risks identified.

지리과 생활중심 교수-학습의 의미와 실제 (Meaning and Practice of the Teaching and Learning based on Everyday Life in Geography Subject Matter)

  • 장의선;김일기;이민부;박승규
    • 대한지리학회지
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    • 제37권3호
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    • pp.247-261
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    • 2002
  • 본 논문은 지리과 교수-학습에서 학습자의 일상생활경험을 바탕으로 한 내용과 방법이 지리지식과 접목되었을 때, 지리과 교육의 목표성취에 보다 효과적임을 제시하고자 한다. 생활중심 교수-학습에서는 지리학과 지리교육과정에서 도출된 과학적.체계적인 비일상적 지리개념이 내용선정의 범위를 이루고, 그러한 개념들의 체계적인 위계가 내용조직의 계열성을 대신할 수 있을 것이다. 또한 내용 구성의 실제에 있어서는 이러한 개념들이 학습자들의 생활세계에서 경험되는 자연발생적이고도 일상적이며. 구체적인 지리적 요소로부터 이해될 수 있도록 선정.조직되어야 함을 논의하였다. 지리과 생활중심 교수-학습 내용의 선정준거로는 일상적으로 학습자의 생활이 이루어지는 지역공간을 토대로 한 내용, 체계적인 지리개념을 효과적으로 인식 할 수 있는 일상생활의 구체적 내용, 변화하는 생활공간에 대한 학습자들의 지리적 생활경험을 반영하는 내용을 제시하였다. 마지막으로 제시된 준거를 바탕으로 지리과 교육과정의 '환경문제와 지역문제'단원을 선정하여, 생활중심 교수-학습의 실제내용을 선정 개발하였다.

대학 기숙사의 기숙사비 결정 요인에 관한 연구 (A Study on Boarding Fee Determinants of University Dormitory)

  • 이중식;유선종
    • 교육시설 논문지
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    • 제21권3호
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    • pp.29-36
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    • 2014
  • Properties of school foundation are divided into fundamental property for education and fundamental property for profit. As school sites and teachers used for educational and study activities of students, fundamental property for education includes practice sites, farms and support research attached facilities in addition to school facilities. According to the Clause 1 of Article 4 of the University Foundation and Management Regulation and the Attached Table 2 of the Same Regulation, dormitory is classified as property for education(non-profit). In other words, there is no need to create profit for dormitory management. It is supposed that there are little regional differences in construction cost of dormitory with general specifications. In this case, boarding fees of university dormitories should make no difference. This study analyzed boarding fees, depending on regional factors(Seoul, Gyeonggi-do, metropolitan cities and provinces), and depending on foundation subjects(national public university and private university), classes(four-year university and college) and principal schools-branch schools. The result of One-Way ANOVA showed that Seoul showed the highest average boarding fee and it was followed by Gyeonggi-do, metropolitan cities and provinces. Also, the average boarding fees of private universities and four-year universities were higher than national public universities and than colleges, respectively. In addition, branch school's boarding fee was higher than principal school's. Additionally, this study extracted a model using the hedonic model to see how various characteristics such as region, foundation subject and class influence the boarding fee. This study would serve as fundamental research on the boarding fee. Thus far, there have been difficulties in obtaining accurate data and analyzing boarding fees, since there is no open data about dormitories and it isn't mandatory to open it, but it is anticipated that this would be used as fundamental research for estimating and analyzing boarding fees of many universities in the future.

Beyond the clinical walls: registered dietitian nutritionists providing medical nutrition therapy in the home setting

  • Hicks-Roof, Kristen;Xu, Jing;Fults, Amanda K.;Latortue, Krista Yoder
    • Nutrition Research and Practice
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    • 제15권6호
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    • pp.789-797
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    • 2021
  • BACKGROUD/OBJECTIVES: Registered dietitian nutritionists (RDN) are providers of medical nutrition therapy (MNT) to address health and chronic disease. Traditionally, RDNs have provided care in healthcare facilities including hospitals and private care facilities. The purpose of this study was to determine how RDN individualized MNT in the home impacted nutrition, physical activity, and food security. SUBJECTS/METHODS: This is a secondary data analysis. The mean age of the participants (n = 1,007) was 51.6 years old with a mean body mass index (BMI) of 34.1 kg/m2. Individualized MNT visits were delivered by an RDN in the home setting from January to December 2019. Participants were referred by healthcare professionals or self-referred. Participants had MNT benefits covered by their health insurance plan (43.3% Medicaid; 39.8% private insurance; 7.9% Medicare, 9% other). Health outcomes related to nutrition care were measured. Outcomes included self-reported consumption of nutrition factors and physical activity. Our secondary outcome focused on food security. The changes in weight, BMI, physical activity, and nutrition factors were analyzed by a linear regression model or linear mixed model, adjusting for age, sex, baseline value, and number of appointments. Food security was summarized in a 2 by 2 contingency table. RESULTS: Baseline values had significantly negative impacts for all changes and number of appointments was significant in the changes for weight and BMI. Increases in physical activity were significant for both female and male participants, 10.4 and 12.6 minutes per day, respectively, while the changes in weight and BMI were not. Regarding dietary factors, the consumption total servings per day of vegetables (0.13) and water (3.35) significantly increased, while the consumption of total servings of whole grain (-0.27), fruit (-0.32), dairy (-0.80) and fish (-0.81) significantly decreased. About 24% (of overall population) and 45% (of Medicaid population) reported improvements in food security. CONCLUSIONS: This study found that home visits were a useful setting for MNT delivered by RDNs. There is a strong need for individualized counseling to meet the participants' needs and personal goals.

동기 이론이 적용된 e-Learning system의 교육적 실천: 흥미와 SDT를 중심으로 (The Educational Implementation of e-Learning System Applying the Theory of Motivation - With Focus on "Interest" and the "Self-Determination Theory")

  • 방미향
    • 디지털융복합연구
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    • 제16권11호
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    • pp.69-79
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    • 2018
  • 본 연구는 '흥미'와 '자기결정성 이론' 이라는 동기 이론을 체계적으로 접목한 초등 영어 e-Learning 시스템(www.englishbuddy.kr)을 개발하고, 이를 3,100개 학원에서 적용해 본 후 실제로 학습자의 내적 동기가 향상되었는가를 측정한 것이다. 동기 전략이 적용된 이러닝 시스템으로 학습한 학습자 328명과 다른 영어 학습 프로그램 학습자 150명의 설문지 조사 분석 결과, 동기 전략이 적용된 이 러닝 시스템이 학습자의 '흥미'와 '심리적 욕구'를 만족시키고 있다는 것이 밝혀짐으로써 '학습자의 동기를 높이는 동기 전략'이 구체화되었다. 본 연구를 통해 e-Learning 환경에서 학습자의 동기가 높아지는 특징이 명확해짐으로써, e-Learning 학습을 발전시키고, 또한 '흥미'와 '자기결정성 이론' 이라는 동기 이론을 체계적으로 접목한 e-Learning 시스템을 실제로 구축하고, 3,100개 학원, 16,000명 학습자에게 적용시켜 본 매우 실증적인 연구라는 점에서 그 연구 의의가 있다 하겠다.