• Journal of Korean Neurosurgical Society
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• 제67권4호
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• pp.451-457
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• 2024

Objective : Exploring protein requirements for critically ill patients has become prominent. On the other hand, considering the significant impact of coma therapy and targeted temperature management (TTM) on the brain as well as systemic metabolisms, protein requirements may plausibly be changed by treatment application. However, there is currently no research on protein requirements following the application of these treatments. Therefore, the aim of this study is to elucidate changes in patients' protein requirements during the application of TTM and coma therapy. Methods : This study is a retrospective analysis of prospectively collected data from March 2019 to May 2022. Among the patients admitted to the intensive care unit, those receiving coma therapy and TTM were included. The patient's treatment period was divided into two phases (phase 1, application and maintenance of coma therapy and TTM; phase 2, tapering and cessation of treatment). In assessing protein requirements, the urine urea nitrogen (UUN) method was employed to estimate the nitrogen balance, offering insight into protein utilization within the body. The patient's protein requirement for each phase was defined as the amount of protein required to achieve a nitrogen balance within ±5, based on the 24-hour collection of UUN. Changes in protein requirements between phases were analyzed. Results : Out of 195 patients, 107 patients with a total of 214 UUN values were included. The mean protein requirement for the entire treatment period was 1.84±0.62 g/kg/day, which is higher than the generally recommended protein supply of 1.2 g/kg/day. As the treatment was tapered, there was a statistically significant increase in the protein requirement from 1.49±0.42 to 2.18±0.60 in phase 2 (p<0.001). Conclusion : Our study revealed a total average protein requirement of 1.84±0.62 g during the treatment period, which falls within the upper range of the preexisting guidelines. Nevertheless, a notable deviation emerged when analyzing the treatment application period separately. Hence, it is recommended to incorporate considerations for the type and timing of treatment, extending beyond the current guideline, which solely accounts for the severity by disease.

• 경영정보학연구
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• 제19권3호
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• pp.1-21
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• 2017

IoT 기술 도입특성들 중 어떠한 요인들이 기업의 기대성과에 영향을 미치는지를 파악하고자 하는 것이며, 아울러 IoT 신기술 도입을 검토하고자 하는 기업들이 고려해야 할 사전 요인들을 제시해 보고자 한다. 데이타 분석을 위해 국내․외 IoT(사물인터넷) 관련 데이타, 출판물 및 웹사이트 그리고 각종 연구기관 분석데이타와 보고자료를 기반으로 이론적 배경을 정리하였으며, 추가로 선행연구를 참조하여 UTAUT 관련 이론적 배경을 요약하였다. 데이터 분석을 위해 SPSS 22.0과 구조방정식모델 분석을 위해서 smart PLS 2.0 통계프로그램을 사용하였다. 기술통계분석은 신뢰성분석, 타당성분석 및 구조방정식 모델 분석과 연구가설을 검증하였다. 측정모형에 대한 분석을 통해서 내적신뢰성과 집중타당성 및 판별타당성이 충족됨을 확인하였으며, IoT 기술특성과 기대성과 간 관계, 기대성과와 도입의도 간 관계에 대한 가설 검증결과 모두 채택되었다. 따라서 IoT 기술특성은 기대성과에 긍정적 영향을 미치며 기대성과는 IoT 도입의도에 긍정적 효과를 미치는 것을 확인하였다. 본 연구는 IoT 기술특성과 기대성과요인이 도입의도에 미치는 영향에 관한 인과관계를 규명함으로써 IoT를 성공적으로 도입할 수 있는 지침을 제시함고 동시에 IoT를 도입하고자 기업들에게 사전 고려해야 할 요인들(공급사슬 유연성, 운영비용 절감, 자산활용 최적화 및 신규수익 창출)을 제시할 수 있는 연구기반을 조성하였다.

• 한국수자원학회논문집
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• 제57권5호
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• pp.311-320
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• 2024

최근 국내에서는 이상기후로 인해 가뭄의 빈도 및 심도가 증가하고 있으며 장기간의 가뭄으로 인한 저수지의 저수량 감소로 전국적인 가뭄 피해가 발생하였다. 가뭄 기간 동안의 피해를 최소화하기 위해 관측자료를 이용한 최적의 저수지 운영 방법을 제안하는 다양한 연구가 수행되었지만, 실측 자료만을 활용할 경우 과거 가뭄 사상에 대해서만 분석이 가능하기 때문에 미래에 발생할 수 있는 극심한 가뭄을 예측하고 분석하기 위한 기술이 필요한 실정이다. 본 연구에서는 최근 가뭄피해가 발생한 섬진강 유역에 위치한 섬진강댐을 대상으로 최소유입량 예측 기법을 제시하였다. 수문 분석 모형인 Stochastic Analysis Modeling and Simulation (SAMS) 2007을 이용하여 섬진강댐의 관측자료와 통계적 특성이 유사한 동일한 길이의 유입량을 다수 발생시키고, 저수지 모의운영에 따른 보장공급량 산정 결과를 활용하여 최소유입량을 예측하였다. 본 연구에서는 최소유입량을 대상 저수지의 관측자료와 동일한 기간을 갖는 다수의 발생유입량 중 보장공급량을 기준으로 95%는 이보다 작지 않은 값을 갖는 유입량으로 정의하였다. Case별 저수지 모의운영 분석 결과 섬진강댐 최소유입량의 보장공급량은 관측자료의 보장공급량인 10.51 m³/s 대비 평균 1.07 m³/s 낮게 분석되었다. 본 연구에서 산정한 최소유입량은 가뭄 시 저수지 운영 기준을 마련하는데 활용할 수 있을 것으로 판단되며 최소유입량을 활용하여 댐 연계운영, 추가 확보 가능한 용수공급량 등을 검토할 수 있다. 이는 가뭄 시 용수공급 안정성 확보 및 하류 물부족 문제 해소 등을 위한 대안 마련 시 활용될 수 있을 것으로 기대된다.

• 한국환경복원기술학회지
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• 제27권3호
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• pp.45-56
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• 2024

Heavy metals emitted from urban development do not decompose in the soil and remain for long periods, continually impacting the environment. Since the mid-1990s, there has been increasing societal concern in South Korea regarding soil contamination, prompting various legislative revisions to reduce pollution. This study utilizes the Environmental Impact Assessment Support System (EIASS) to investigate projects in the metropolitan area that have exceeded the Ministry of Environment's soil contamination concern levels from 1989 to 2022 and to examine improvements in the environmental impact assessment (EIA) process. The results reveal that the average concentrations of nine contaminants-cadmium (Cd), copper (Cu), arsenic (As), mercury (Hg), lead (Pb), hexavalent chromium (Cr6+), zinc (Zn), nickel (Ni), and fluoride (F)-have all increased over the years. Among these, Zn had the highest relative proportion, with 37.5% of the 40 sites exceeding environmental concern levels. Investigation of 19 specific projects at these exceedance sites showed that only 7 had documented analyses of contamination causes and remediation plans, and just one had contracted additional remediation services, though results from these efforts were found to be lacking. Furthermore, since 2019, a significant proportion of these sites were involved in residential developments, likely due to government initiatives in new city development and extensive housing supply plans. This research emphasizes the importance of public disclosure of the processes and outcomes of remediation efforts on historically contaminated soils prior to project development. It discusses improvements to the EIA by reviewing current legislation and international examples. The findings of this study are expected to heighten public awareness about heavy metal contamination and enhance transparency in soil remediation efforts, contributing to sustainable environmental management and development.

• International Journal of Knowledge Content Development & Technology
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• 제14권2호
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• pp.29-46
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• 2024

Academic libraries are at the forefront of supporting their parent institutions in teaching and learning, research activities, and community services for the students and faculty members, but, the researchers observed that some of the research emanating from faculty members in academic institutions particularly universities remains largely unknown, unrecognized and invisible on the global scene. This present paper is therefore a modest attempt towards addressing the issue of enhancing the faculty research visibility in the institutions of higher learning by the academic libraries. It also examines the extent academic libraries in public universities in Nigeria use research visibility channels to increase the global visibility of their faculty members. Difficulties encountered by librarians and ways of tackling the visibility of the faculty were also examined. A descriptive survey research design was adopted and the population consisted of all the 162 librarians in public universities in South-East (S.E), Nigeria. Telephone calls and Online Questionnaire were used for data collection. The number of librarians was obtained through phone calls from the Heads of each of the Libraries. The Online Questionnaire was submitted to the WhatsApp platforms of librarians in Nigeria- Academic and Research Libraries (ARL) and Chartered Librarians in Nigeria Connect (CLN-Connect). The questionnaire was structured in such a way that only the Librarians in Public universities in the S.E. Nigeria will respond to it. At the end of the day only 120 librarians responded, at a response rate of 74%. The study was analysed using tables, percentages and charts. The study recommended that librarians who are unaware of RVCs and its utilization should go for training to acquire the knowledge that will enable them enhance the global visibility of faculty staff, Management of Public universities in S.E, Nigeria should in addition to addressing copyright issues by the use of disclaimer notices and creative common licensing and provision of infrastructural facilities e.g. steady power supply, High power brand Internet connectivity, establishment of an Institutional Repository, etc, also should mandate the faculty staff to release their productive work to the library for onward submission to the RVCs platforms for enhancement of their global visibility.

• 한국수자원학회논문집
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• 제57권3호
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• pp.195-207
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• 2024

본 연구는 전남지역 지역을 대상으로 과거에 발생했던 주요 가뭄사상을 선정하여 기상학적 가뭄과 수문학적 가뭄 발생 메커니즘을 분석하였다. 강우량 및 댐저수량을 입력자료로 일단위의 가뭄지수를 산정하였으며 기상학적 가뭄에서 수문학적 가뭄으로의 가뭄전이특성을 분석하였다. 최근에 전남지역에서 발생하여 심각한 피해를 야기한 2022~23년의 가뭄 특성을 평가하였으며, 과거에 발생했던 가뭄과 비교하면, 수문학적 가뭄의 지속기간은 2017~2018년 다음으로 장기간인 334일 지속되었고, 가뭄 심도는 -1.76으로 가장 심각한 것으로 평가되었다. 또한, 기상학적 가뭄지수인 SPI (Standardized Precipitation Index)와 수문학적 가뭄지수인 SRSI(Standardized Reservoir Storage Index)를 연계분석한 결과, 수문학적 가뭄 대응을 위한 SPI(6)의 선행적 활용방안을 제시할 수 있었다. 더우기, SRSI와 SPI(12)의 가뭄감시의 유사성을 통하여 미계측 유역의 수문학적 가뭄감시에 SPI(12)의 적용가능성도 확인하였다. 본 연구결과를 통하여 여름철 우기에 발생하는 장기간의 건조현상은 심각한 수준의 수문학적 가뭄으로의 전이가 될 수 있음을 확인했다. 따라서 선제적 가뭄대응을 위해서는 다양한 가뭄지수 실시간 모니터링 결과를 활용하고, 기상-농업-수문학적 가뭄으로의 전이현상을 이해하여 충분한 대응기간을 확보할 필요가 있다.

• 간호행정학회지
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• 제1권2호
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• pp.246-267
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• 1995

Recently the request of the patients to participate in the medical courses has been expanding due to the elevated sense of right on the people's health, merchandised medical treatment by mass supply, human right declaration of the patients, generalized medical informations by the mass media and the change of human relation between the medical personnels and the patients. Under these phenomena the patients have been in the thought of solving such accidents only by regulation of the laws which they think to be all powerful, Such trends are same in the area of nursing service. Also today the accident by the nurses have been increasing by the area of the nurses having been expanded and their independent roles having been increased. Such nursing accidents are the important subject which the professional occupation of the nurse has been facing but legal protective capability of the nurses has been very weak. Therefore this study has examined the degree of the experience of the nursing accident that happens in the clinical nursing scenes in the general hospital to provide the basic materials for the protection and the counter measures of the nursing accident. The following is the conclusion based by the above examination. 1) The experience degree of the whole nursing accidents has been appeared as 1.90 in average. And the degree according to service area has been 1.77 in the area of supervising management of patients, 1.54 in the area of the same management of patients by head-nurses, 1.84 in the area of doctors' treatment performances, 14 in the enforcement and education areas of the nursing technology, 2.04 in the area of observing patients and judgement and 2.07 in the area of nursing records and maintaining confidentials. Accordingly there has been higher degree of accidental experiences in the independent service areas of the patients than in the dependent ones directed by the doctors. 2) The perception of the nurses showed that the cause of the nursing accident has been due to the heavy work of the nurses with the 60.4% of the response rate, the highest rate. They report the accident to the head nurse first by 2/3 nurses after accident. And the hour of the accident has been frequently happened regardless of service hours with 48.1% in response rate, the highest rate, and the nursing accident happens in the night more than the daytime with the rate of 37.5% at night while 14. 4% daytime. 3) The nurses are in the perception that the patients are responsible for the accident with 48.2% response rate while 43.9% rate in response showed that it has been caused by many people. They are in the perception that 41.7% when the nursing power was lacking, 46.7% lower recognition of actual state about indivitual patient in the section of technical speciality and 35.8% when the patients were not cooperative and 37.8% when the wards were dirty and in disorder. 4) the attitude of the patients after the various nursing accidents has been violent words in 72.7%, violence in 17.4% and 3.9% in attending the court by the sue of the patient's side(18 nurses). 5) The action of the hospital has been : requesting the submission of the story of the accident in 22.8%, the report of the accidents in 14.4%, thus the written statement disposal was most, 4.5% was the transfer to the other departments when the accident was larger or the patients' guardians protested strongly and 0.6% of the dismissals of the nurses. 6) In regard to the responsiblity of the nurse accidents, 78.9% was the highest rate of supplying the nursing manpowers, 48.4% of mutual cooperation of the medical personnels, 37.2% of strengthening the education for the nurses and hospital facilities reformation in 32.7%. 7) The review of relation between the general characters of the object of the study and the degree of experience of nursing accidents showed the significant differences in ages (F=4.04, p=0.000).

• 한국치위생학회지
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• 제2권1호
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• pp.63-83
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• 2002

The purpose of this study was to serve as a basis for more efficient dental hygienist human resources utilization and for determining some of the right directions for supplementary education for dental hygienists, by examining how they actually worked and what they thought of job-related things. The subjects in this study were 537 dental hygienists who participated in a seminar by the Korea Dental Hygienist Association. After a survey was conducted, the following findings were given: 1. 50.2% of the dental hygienists investigated completed legally required eight-class education. Those who worked in clinics took less supplementary education classes than the others in the other types of dental institutions. The main reason they didn't receive supplementary education was financial burden and uncooperative employers. 73.2% took supplementary education at the association or its branches. The association was most favored by those in clinical sector as a place that provides supplementary education, followed by its branch and university in the order named. And the dental hygienists in public health sector preferred university most, and the next best favored one was the association and its branch in the order named. Those in clinical sector hoped to acquire clinical information on patient management, implant or aesthetics, and the dental hygienists in public health sector wanted to learn about health administration, public oral health operations and oral health education, which were different from what those in clinical sector wanted. 2. Regarding the period of service, 492% had worked for three years or more. This fact suggested that their service term and average age continued to grow. And they thought they would decide the retirement time on their own. 3. The most common yearly income ranged from 12 million won to 16 million won(40.7%). For-those in clinics, yearly income was 14.36 million won, and that of the dental hygienists who had worked for less than 3 years was 12.90 million won. 4. The Korea Dental Hygienist Association was most required to protect the rights and interests of the members and offer new knowledge and technology. 5. The largest group of them were engaged in patient management, and this type of job also was the most favored one for them to do. The greatest number of the dental hygienists in public health sector were in charge of dental treatment. 6. Concerning their turnover rate, 492% had never changed their occupation. Specifically, 70.0% of the respondents who had worked for less than 3 years had have no experience to do that. The time constraints for self-development and conflicts with other workers were the cause of their turnover. Those in dental hospital and general hospital changed their occupation chiefly due to the lack of time for self-development, and for the dental hygienists in clinics, the conflicts with other workers were the main reason. The above-mentioned findings suggested that the way the dental hygienists looked at things was undergoing change. The service area made a difference to their preference for the type of supplementary education and institution in charge of it, as those in public health and clinical sectors had a different opinion. And the dental hygienists in clinical sector had a different opinion as well, according to service area, about salaries, reason of not taking supplementary education, preferred type of supplementary education, cause of turnover, and type of occupation to which they hoped to change employment. To utilize and supply human resources in a more stabilized manner, job description should be more segmented, standardized and classified clearly, and dental hygienists should be motivated to perform their substantial jobs, including oral disease prevention, oral prophylaxis and oral health education. To make it happen, it seems that dentists are required to have a clear understanding of dental hygienist job and to change the way they look at it.

• 대한간호학회지
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• 제19권2호
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• pp.212-222
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• 1989

When the head nurse who is pivotal in the nursing service administration of the hospital performs efficiently as a first-line manager, the effectiveness of the nursing unit, which includes the quality of nursing care, the jab satisfaction of staff members, and the cohesiveness of staff members is increased. With this point of view in mind, the researcher carried out a study to determine the actual work (the content of the work, the work process, the role of the head nurse, the activity media, and the purpose of the work) of the head nurse in a university hospital in Korea. In addition, this study was also carried out for the purpose of preparing an ideal model for the work of the head nurse. The research subjects were 39 head nurses. This included all the head nurses in two university hospitals except those who were working in outpatient care, operating rooms, central supply, nursing administration, in-service education and emergency care. Data were collected from September 24th to October 21th, 1987 and April 4th to 12th, 1988. A work activity record on which the head nurse recorded directly in a chronological narrative form, was used as the research instrument. The 234 work activity records, 39 head nurse's continuous recording over 6 days(from Monday to Saturday) were collected and analysed. The results were as follows ; 1. With regard to the work content for the total daily work of the head nurse, 45.2% of the activities were managerial activities but 58.1% of the head nurse' s time was spent in direct patient care. 2. With regard to the work process of the head nurse, specifically the location, the size and membership of groups contacted, the results were as follows : 1) Of the total daily work activities 92.4% were carried out in the nursing unit and this occupied 84.5% of total daily work time. Direct patient care was generally performed on the nursing unit and managerial work was performed in other areas. 2) Of the total daily work activities, 73% was with one or more persons and 51.2% of total daily work time was spent in groups. 3) A total of 51 persons, working in different capacities were contacted. These included 21 persons giving patient care, 19 persons working in nursing unit management, and 7 persons working in human resource management. 3. With regard to the head nurse's role in work activity, 53.3% of total daily work activities involved the informational role, 26.9%, the interpersonal role and 19.9%, the decisional role. With regard to time, 57.7% was spent in the informational role, 23.9%, in the interpersonal role and 18.3%, in the decisional role. When the head nurse performed managerial work, she gave nearly equal emphasis to all three roles when she gave direct patient care the informational role was increased. 4. With regard to the activity media, the number of unscheduled activities accounted for 27.1% of the activities, scheduled activities, 24.3%, desk work activity, 22.1%, rounds, 12.5% and telephone calls, made or received, 14.0%. In daily total work time managerial work related to desk work and scheduled activities were high, ranging from 29.8% to 29.9% but for direct patient care time, scheduled activities and unscheduled activities were high, ranging from 23.6％ to 35.3%. 5. With regard to the purpose of the work performed, 54.4% of the total daily work was concerned with the team and 41.4% was concerned with the agency. The managerial work was concerned mainly with the team and the direct patient care was concerned mainly with the patient. When the frequency of an activity and time were compared no significant difference was found between the days for which the work was recorded for any of the variables : the work content, the work process, the work role, the activity media and purpose of the work. On the basis of this study the following are proposed as an ideal model for head nurse work in Korea : The managerial work should be increased to 70%. The decisional role activities should be increased to 40%. Twenty percent of the work activity should be allocated to agency, community and profession. It is believed that this model for the head nurse's work can contribute to guidelines for job description development. Finally, educational programs, organizational and structural devices, and administrative support are needed for the proper function of the head nurse in this proposed model.

• 한국건축시공학회지
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• 제9권5호
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• pp.79-86
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• 2009

철골구조에서 뿜칠내화피복재는 화재발생시 철골구조물의 내력이 저하되는 것을 방지하는 중요한 자재이다. 그러나 인력에 의한 작업 등으로 인하여 품질관리가 어렵고, 기능인력의 수급도 용이하지 않으며, 기능인력이 유해한 환경에 노출될 가능성도 높은 실정이다. 일반적으로 이와 같이 품질관리가 어렵고 인체에 유해한 건설작업들은 자동화 장비를 도입함으로써 문제를 어느 정도 완화할 수 있다. 그러나 기존의 건설현장은 환경이 비구조화되어 있기 때문에 장비의 주행이나 작업위치선정 등까지 자동화하기는 매우 어려웠다. 본 연구에서는 뿜칠내화피복 작업을 자동화하기 위한 기초연구로써, 자동화시스템과 첨단기술인 RTLS와의 연계성을 검토하고 내화피복 뿜칠 자동화작업의 시나리오, 시스템 구성요소 등을 제안하였다. 제안된 시스템은 아직 개념단계이므로 많은 제약조건들이 해결되지는 않았으나, 제안된 시스템으로 작업하면 내화피복의 균일한 피복두께를 유지할 수 있으며, 철골 구조물과의 일체성을 확보하며, 내화성능을 향상시킬 수 있을 것으로 기대된다. 또한 내화피복의 품질이 확보됨에 따라, 대형 철골 구조물에 화재가 발생하더라도 일정한 강도를 유지할 수 있어서, 화재의 전이를 방지하는 데에 효과가 있을 것으로 예상된다. 향후에는 첨단 IT인 USN등 첨단 모니터링 기술, BIM기술, 자재의 위치정보 인식기술 등과 연계하여 본 연구를 진행할 예정이다. 이와같은 기술과 본 연구가 연계되면, 국내 건설자동화 수준을 제고시키고, 건설 자원의 효율적 체계적 관리를 통한 비용절감, 공기단축, 정밀시공 등을 구현하는 데에 더욱 기여할 수 있을 것이다.