• Title/Summary/Keyword: Rational Improvement

검색결과 284건 처리시간 0.028초

소아환자의 Vancomycin에 대한 약물사용 평가 (II) -제한항균제로 사용규제 강화 후의 효과 (Drug Use Evaluation of Vancomycin in Pediatric Patients (II) -The effect of Approval for Vancomycin Use)

  • 이정민;이순실;김영주;신완균;이병구;이환종
    • 한국의료질향상학회지
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    • 제1권1호
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    • pp.32-43
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    • 1994
  • The 'Pharmacy and Therapeutic Committee' decided to restrict the use of vancomycin which was categorized into restricted antimicrobials, among general, reserved and restricted antimicrobials. The committee also established prescribing guidelines of vancomycin in Seoul National University Hospital, May, 1991. Especially, the restricted antimicrobials should be used after approval by infectious disease specialist physician. A retrospective drug use evaluation (DUE) on vancomycin has been conducted to compare with the previous vancomycin DUE study in 1990. 'Criteria for DUE on vancomycin' was modified from Am J Hosp Pharm. Total 65 charts of patients were retrospectively reviewed from July 1991 to June 1992 in Seoul National University Children's Hospital. The justification of use was improved from 56% to 75% comparing with the previous study. In analyzing process indicators, several criteria including body temperature monitoring, WBC monitoring and use of concomitant antibiotics were well documented, but serum creatinine monitoring, culture and sensitivity test and level monitoring were infrequently performed, while the accepted level has been improved. Accepted level for appropriate initial dosage and duration of therapy were decreased. In outcome analysis, blood culture after discontinuing the drug was relatively well documented compared with the previous study. As the results, the approval vancomycin use was shown to be effective and rational in antibiotic therapy. And it is suggested that the above findings should be communicated to the medical staff, and a active intervention, such as feedback control, also be necessary for rational drug use.

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농촌계획지원용 지역자원평가시스템 구축(I) - 자원평가 구성요소의 목표체계 구축 - (Resources Evaluation System for Rural Planning Purposes( I ) - Formulation of Goal System for Resource Evaluation -)

  • 최수명;황한철
    • 농촌계획
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    • 제3권1호
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    • pp.54-67
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    • 1997
  • Korean societies have been experiencing the wholesale structural changes in the rapid currents of recent openness, globalization and democratization, which effect much more heavily in rural areas than in urban areas, so rural recomposition works being an important national concern. In order to systematically reconstruct the rural structure, the decision makers, with a four step hierarchy of rural resident-residents group-community-region, should be endowed with the objective judgement on basic elements of resource potentialities under their control. In this process. rational resource evaluation works would be firstly necessiated from expert groups. Based on the view mentioned above, this study principally aimed at developing a rational evaluation framework for rural resources. For that objective, the first step of the study pigeonholed the total resources items identifiable in rural areas from the existing study results, spatial planning and field surveying data. After then, using the formalized classification criteria of resources items, a tentative goal system for rural resources evaluation was proposed and the final one determined through expert-group checking. The results obtained during the study are summarized as follows ; 1. Using the existing examples of resources identification/classification and the basic data list for county-level development planning as the principal reference ones, total rural resources elements were classified into 3 constituent units : land, natural environment and human resources, which correspond to places to work, to play and to live, respectively, as 3 constituent ones of life-supporting space. 2. Three characteristic areal types were adopted to represent the total rural areas : lowland, upland and seashore areas, and also 3 practical use types to represent the objectives of resources evaluation systems : for land use planning, natural conservation policy and village improvement planning. Thus 9 different types of goal system for resources evaluation were developed(each system by 3 areal typesX3 practical use types) 3. Each goal system has 3-tier classification steps from the higher, middle and lower one. The higher and middle steps should contain equally applicable components to all the rural areas, of which allowable number being around 3 and 4 respectively. However the lower step would contain detailed sub-components changeable to areal characteristics of which allowable number being around 7.

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이동통신의 시장지배력 평가에 대한 합리적 규제방안 - 이동전화 도매착신 시장을 중심으로 - (Rational Regulatory Framework Regarding the Appraisal of Mobile Telecommunication Market Domination)

  • 곽정호
    • 인터넷정보학회논문지
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    • 제18권2호
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    • pp.113-121
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    • 2017
  • 이동통신시장의 산업구조가 스마트폰이 중심이 되는 ICT 생태계로 변화하면서, 새로운 ICT 환경에 부합하는 규제체계가 주요 선진국을 중심으로 다각적으로 논의되고 있다. 이 중에서, EU에서는 이동전화서비스를 도매와 소매로 구분하고, 세분화된 시장에서 이동통신사업자의 시장지배력 보유를 평가함으로써, 이동통신시장의 경쟁을 활성화하기 위한 규제제도 개선을 지속적으로 추진하고 있다. 이러한 가운데, 국내에서도 EU 방식을 도입하여 이동전화의 시장획정(market definition)을 현재보다 세분화하고, 객관적 평가기준에 따라 해당 사업자의 시장지배력 보유여부를 공정하게 판단하기 위한 방안이 논의되고 있다. 이에 본 연구에서는 ICT 생태계 환경 하에서 국내 이동통신 착신도매시장의 현행 시장지배력 평가를 위한 판단기준이 통신환경에 적합한지를 분석하고, 이론적으로 제기되는 새로운 평가요소의 반영 등을 포함한 시장지배력 평가에 대한 합리적 제도개선 및 시사점을 제시하고 있다.

PMS 시스템을 활용한 전력제어에 관한 연구 (A Study on Power Control using PMS)

  • 김성철;김경욱;우천희
    • 전기학회논문지P
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    • 제65권3호
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    • pp.194-198
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    • 2016
  • The electric power industry have recently been building out Smart Grids, a two-way electricity grid that connects power consumers and producers to a network that enables one to respond quickly to any eventuality. The construction of a two-way electricity grid means that the power control process becomes unified, from what used to be separate processes that originate individually from the consumption phase and the production and supply phases. The role of power control that takes place within each section of the power system may be independent. However, this does not mean the independent control sections are operated individually, but are configured to meet a single target and purpose. Each control section possesses enough degree of independency to respond to eventualities that may occur within different stages of the power system, but at the same time, possesses unified system elements for the stability of the entire power system. From this perspective, Smart Grids are widely regarded as the most rational power industry operation plan. A variety of different control and communication systems can be applied for an effective deployment of Smart Grids. Recently, we have seen systems such as PMS(Power Management System) and PAS(Process Automation System) applied in the deployment of Smart Grids, which are developed from the techniques utilized in the industry. The PMS is attracting particular attention for its power operations management ability. In this study, we propose plans for improvement in the rational development of power system controls through case studies of live PMS operations.

양축 면내 압축하중 하의 이중판보강 선박판부재의 설계시스템 구축 (Development of Ship Plate Member Design System Reinforced by Doubler Plate Subjected to Biaxial In-plane Compressive Load)

  • 함주혁
    • 한국해양공학회지
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    • 제30권4호
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    • pp.294-302
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    • 2016
  • Because of the importance of steel material saving and rational ship structural design due to the rapid increase in steel prices, a ship structural design system was developed for plate members reinforced by doubler plates subjected to biaxial in-plane compressive loads. This paper mainly emphasizes the design system improvement and upgrade according to the change in the in-plane loading condition of the doubler plate from the single load discussed in a previous paper to the biaxial in-plane compressive load discussed in this paper. A direct design process by a structural designer was added to this developed optimized system to increase the design efficiency and provide a way of directly inserting a designer's decisions into the design system process. As the second stage of preliminary steps of doubler design system development, design formulas subjected to these biaxial loads used in the doubler plate design system were suggested. Based on the introduction of influence coefficients $K_t_c$, $K_t_d$, $K_b_d$ and $K_a_d$ based on the variations in the doubler length, breadth, doubler thickness, and average corrosion thickness of the main plate reinforced by the doubler plate, respectively, the design formulas for the equivalent plate thickness of the main plate reinforced by the doubler plate were also developed, and a hybrid design system using these formulas was suggested for the doubler plate of a ship structure subjected to a biaxial in-plane compressive load. Using this developed design system for a main plate reinforced by a doubler plate was expected to result in a more rational reinforced doubler plate design considering the efficient reinforcement of ship plate members subjected to these biaxial loads. Additionally, a more detail structural analysis through local strength evaluations will be performed to verify the efficiency of the optimum structural design for a plate member reinforced by a doubler plate.

단체급식소 영양사의 종합적 품질경영(TQM) 수행과 조직문화와의 관계 규명에 관한 연구 (Relationship between TQM Performance and Organizational Culture of Dietitians in Institutional Foodservice)

  • 조기원;서의훈;윤지영
    • 한국식생활문화학회지
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    • 제22권2호
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    • pp.191-200
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    • 2007
  • This study was designed to investigate the correlation between perceived TQM performance and organizational culture of dietitians. The objective of the study is to help the management of foodservice by providing a direction which will elevate perceived TQM performance of dietitians and presenting plans which will ensure effective dietitians. Questionnaires handed out to 308 dietitians worked in institutional foodservice operation including elementary, middle and high schools, hospitals, business and industries. In terms of TQM importance and performance, the more important dietitians perceived, the higher their performance level rose. Data form the IPA, external and internal customer satisfaction, executive ability, communication system and technology, information technology and application ability, food process, strategy, and leadership were required further improvement by dietitians. Of present organizational culture model, human relations model and open systems model were more likely to be adopted by dietitians in middle and high schools. According to the type of foodservice management, the open systems model was more preferred by dietitians from self-operated operations rather than respondents from contracted operations. Canonical correlation analysis between TQM performance and organizational culture showed canonical correlation to be higher (canonical correlations coefficient: .66). In conclusion, TQM performance-organizational culture showed higher canonical correlation. In the organizational culture, foodservice operation is capable of improving the aims for the rational goal model and the open systems model. The results showed that TQM performance and organizational culture had significant relationship, especially positive organizational culture emphasizing on internal process and rational goal model would have influence on TQM performance of dietitians. Foodservice operation, however, should recognize importance of open and development culture to improve dietitians' TQM performance. To apply open system foodservice organization should encourage dietitian and foodservice employees to challenge and compete for the works, Moreover, organizational effort such as information exchange program and support system should be established.

비정형 금융 데이터에 관한 인공지능 CNN 활용 빅데이터 연구 (Big Data using Artificial Intelligence CNN on Unstructured Financial Data)

  • 고영봉;박대우
    • 한국정보통신학회:학술대회논문집
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    • 한국정보통신학회 2022년도 춘계학술대회
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    • pp.232-234
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    • 2022
  • 빅데이터는 고객 관계 관리, 관계 마케팅, 금융 업무 개선, 신용정보 및 위험 관리 분야에서 크게 활용되고 있다. 더욱이 최근에 COVID-19 바이러스로 인하여 비대면 금융거래가 보다 활발해지면서 고객과의 관계 측면에서 금융 빅데이터의 활용이 더 요구되고 있다. 고객 관계 측면에서 금융 빅데이터는 기술적인 접근보다 감성적적인 접근이 필요한 시기가 도래하였다. 관계 마케팅 측면에서도 인지적, 이성적, 합리적인 면보다는 감성적인 면을 중요시 할 필요성이 대두되었다. 하지만, 기존의 금융 데이터는 텍스트 형태의 고객 거래 데이터, 기업재무정보, 설문지등을 통하여 수집되고 활용되었다. 본 연구는 SNS를 통하여 고객의 문화 활동, 여가 활동 기반의 고객의 감성적인 이미지 데이터 즉, 비정형 데이터를 획득하여 고객의 활동 이미지를 인공지능 CNN 알고리즘으로 분석한다. 활동 분석은 다시 주석을 달은 인공지능에 적용하고, 주석에 나타난 행동 모델을 분석하는 인공지능 빅데이터 모델을 설계한다.

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입원환자 일반촬영 이용량 및 피폭선량: 2018년 입원환자데이터 (General Radiography Imaging Usage and Effective Dose of Inpatients: Based on Data from Inpatients in 2018)

  • 길종원
    • 대한방사선기술학회지:방사선기술과학
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    • 제47권2호
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    • pp.107-116
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    • 2024
  • In this study, we analyzed the use of general radiography imaging and effective dose in inpatients. Our aim is to help reduce national medical radiation exposure doses and develop rational health-care financial policies. The effective dose for each general radiography was calculated using the ALARA-GR program for 53 types (total: 260 codes) general radiography codes selected from 'National Health Insurance Care Benefit Cost'. The usage of general radiography was analyzed in the 2018 inpatient patient data of the Health Insurance Review and Assessment Service, and the effective dose for each general radiography was analyzed. 89.00% of inpatients undergo general radiography imaging at least once, with an average of 12.63 scans per person and an effective dose of 1.00 mSv. Those who received support from Medical Aid showed a higher value compared to those who were insured by National Health Insurance, with 17.39 cases and 1.43 mSv (p<.001). Chest had the highest usage rate at 23.12% for general radiography imaging, while L-spine had the highest effective dose at 24.53%. It is estimated that 420 inpatients patients undergo 121 to 820 general radiography imaging procedures per year, and 233 inpatients are estimated to have an annual effective dose of >20.00~58.25 mSv. Rational use of health-care finances and the practice of medical radiation safety management are essential for the well-being of individuals, the enhancement of quality of life, and the improvement of health-care quality.

건설산업에 있어서 제조물책임법의 시행에 따른 영향과 대응방안 기초연구 (The Influence and Construction Strategies of Constructor under the PL Law in Construction Industry)

  • 김진호
    • 한국건축시공학회지
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    • 제4권4호
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    • pp.127-134
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    • 2004
  • The purpose of this study is to suggest the rational plans of Construction Policies under Product Liability Law. The results of this study are summarized as follows: 1) Analytical survey of actual Influence under Product Liability Law in Construction Industry. 2) Review of Business Strategies of Constructor and Building Material Supplier. Although real estate including apartment is excepted from the application of product liability law, constructor are not perfectly free to the product liability law. And the expectancies of this paper are that it can be used as efficient data for improvement of system to systematize contents of Product Liability Law in korea.

국가위기관리와 생명윤리 (The Study on national crisis management and bioethics)

  • 류화신
    • 보건행정학회지
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    • 제19권2호
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    • pp.1-20
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    • 2009
  • This paper examines some relations on national crisis management and bioethics. This study stars to discuss that chance and risk of biotechnology which is the 21st century's pioneering core technology. This study reviews the traditional method that a nation(law) copes with the new scientific technique. The study also examines some difficulties of social agreement on the problems of bioethics because of nature of the rational disagreement. Then this paper attempts to incorporate the crisis of biotechnology, especially bioethics, in the system of national crisis management. this paper reviews the contents of the domestic "Act on Bioethics and Safety" on the side of the protection and restoration of crisis management. And this paper proposes some changes to manage the crisis of bioethics better, as it were, some problems of IRB and schems for improvement of it.