• 제목/요약/키워드: Taking-Charge

검색결과 202건 처리시간 0.029초

조기퇴원 수술환자의 병원중심 가정간호 효과 및 비용분석에 관한 연구 (A Study on Effectiveness of the Hospital-based Home Nursing Care of the Early Discharged Surgical Patients and its Cost Analysis)

  • 박경숙;정연강
    • 대한간호학회지
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    • 제24권4호
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    • pp.545-556
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    • 1994
  • Medical insurance and health care delivery system enabled Korean people to get the necessary medical service, but it caused increased needs for medical service, and resulted in the occurence of some problems such as a lack of manpower and medical facilities. In order to solve these problems, many countries, which already had medical insurance system had developed home care system and it has been regarded effective both in reducing costs and in increasing the rates of turnover of bed. Recently, Korea has included home nursing care in its health care delivery system, and some models of the hospital based home nursing care had been tried and its effects had been evaluated. So, author tried to run a home nursing care for the Cesarean section mothers and evaluate Its effects both in the mother's health and costs. This study was designed as a Quasi-experimental study. Subjects were thirty mothers who got Cesarean section operation in hospital in Seoul. Experimental group consisted of 15 volunteers, and control group were selected by means of matching technique. Data were gathered from February 1st to March 26th by two assistants who were trained by author. Experimental group were discharged on the 4th day after their operation, and got nursing care and assessment about their home three times on the 5th, 6th, and 7th day. Control group stayed in the hospital until 7th day as usual and were checked on the same day as above mentioned To evaluate the state of physiological recovery, vital signs, H.O.F, presence of edema in the legs, bathing, appetite, sleep, presence of pain or discomfort in the breasts, amount of lochia, color of lochia, defecation urination. To compare incidence of complication in experimental group with that in control group, specific assessment was done such variables as smell of lochia, presence of inflammation of operation wound, dizziness, and presence of immobilization in the extremities. The activities of daily living were checked Satisfaction of nursing were checked To calculate costs, author asked subjects to specify expenditure including hospital charge, traffic enpenses, and food expenses. The results were as fellows. 1. On effectiveness of home nursing careThere were n significant differences between experimental and control group in incidence of abnormal symptoms and any complication. The number of taking a bath [POD #5 P=0.001, #6 P=0.0003, #7 P=0.001] and the degree of appetite [POD #5 P=0.03, #6 P=0.02, #7 P=0.013] were significantly higher in experimental group than in control group. Contrary to author's expectation, the degree of the activities of daily living in experimental group was not higher than that of control group. All of the experimental group said they were satisfied with the home nursing care. 2. Cost analysis 1) Hospital charge of experimental group was lower than that of control group. [P=0.009] By taking home nursing care, average period of hospitalization was shortened to 3.1 days, and family members could save 22.8 hours. Total amount of money saved by early discharge was 3,443,093 Won. It is estimated that total amount of money saved by early discharge in a year will be 40,398,956 Won. 2) Home nursing care charge of 15 mothers was 1,781,633 Won. It is estimated that total amount of money Saved by it in a year Will be 20,904,493 Won. It was lower altogether than hospital charge of the three days which is 5th, 6th, 7th day of operation. The average cost of single home visit was calculated 10,940 Won. It took 87 minutes per round and it costed 1,017.3 Won. The average hour of home care was 39.0 minutes. 3) It is expected that early discharge can bring forth the increase of hospital income. On the condition that the rate of running bed is 100%, the expected increase of hospital income will be 202,374, 026 Won in a year. Suggestions for further study and nursing practice are as follows : 1. For the welfare of patients and the increased rates of running bed, home nursing care system should be included in the hospital nursing care system. 2. Studies to test effect of home nursing care on the patients with other diseases are needed. 3. Establishment of law on the practice of home nursing care is strongly recommended.

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황이 포함된 중형기공성 탄소에 화학적으로 고정화된 H5PMo10V2O40 촉매 상에서 Benzyl Alcohol 산화반응 (Benzyl Alcohol Oxidation over H5PMo10V2O40 Catalyst Chemically Immobilized on Sulfur-containing Mesoporous Carbon)

  • 김민영;강태훈;최정호;송인규
    • Korean Chemical Engineering Research
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    • 제54권3호
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    • pp.419-424
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    • 2016
  • 황이 포함된 중형기공성 탄소 담체(S-MC)에 화학적으로 고정화된 $H_5PMo_{10}V_2O_{40}$ ($PMo_{10}V_2$) 촉매를 제조하고, 이를 Benzyl alcohol 산화반응에 적용해보았다. 먼저 주형물질로 SBA-15, 탄소 전구체로 p-Toluenesulfonic acid를 이용하여 S-MC 지지체를 제조하였다. 이후, $PMo_{10}V_2$ 촉매가 화학적으로 고정화될 수 있는 위치를 제공하기 위해 S-MC 지지체의 표면이 양전하를 띠도록 개질시켰다. 전체적으로 음전하를 띠는 $[PMo_{10}V_2O4_{40}]^{5-}$를 이용함으로써 $PMo_{10}V_2$를 양이온을 띠는 S-MC 표면에 화학적으로 고정화하였다. 화학적 고정화를 통해 $PMo_{10}V_2$가 분자수준으로 균일하게 분산되었음을 확인하였다. Benzyl alcohol의 기상 산화반응에서 $PMo_{10}V_2$/S-MC 촉매는 무담지 상태의 $PMo_{10}V_2$보다 높은 전화율 및 수율을 나타냈다. $PMo_{10}V_2$/S-MC 촉매의 반응 활성이 향상된 이유는 화학적 고정화를 통해 $PMo_{10}V_2$이 S-MC 지지체에 고르게 분산되었기 때문이다.

마이크로전극에 의한 니켈수소전지용 수산화니켈 입자의 전기화학적 거동 (Electrochemical Behavior of a Nickel Hydroxide Particle for Ni-MH Battery by Microelectrode)

  • 김호성;오익현;이종호
    • 전기화학회지
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    • 제10권2호
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    • pp.145-149
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    • 2007
  • 본 논문은 마이크로전극 측정시스템을 사용하여 니켈수소전지의 전극 소재로 사용되고 있는 수산화니켈의 단일 입자에 대해 전기화학적 평가를 수행 하였다. 즉 Carbon fiber 마이크로전극을 수산화니켈 입자 한개 위에 전기적인 접촉을 이루도록 조정하고 전기화학적 평가를 수행하였다. Cyclic Voltammetry 실험 결과 수산화니켈의 산화 환원 반응과 산소 발생 반응(OER)이 명확하게 분리 되고 있음을 확인하였으며, 전위주사속도를 증가 시킬 경우 환원 전하량은 주사 속도에 의존하지 않고 거의 일정한 수치를 보여 주고 있으나, 산화 전하량은 환원 전하량 보다 크고 주사속도 구간에서 부반응인 산소발생이 증가하고 있음을 확인했다. 그리고 Calvanostat에 의한 정전류 충방전 실험의 결과 수산화니켈 단일 입자의 방전용량은 이론용량 289 mAh/g에 근접한 수치(약 250 mAh/g)를 보여 주었으며 또한 Potential Step에 의해 단일 입자내의 수소이온 확산계수($D_{app}=3{\sim}4{\times}10^{-9}\;cm^2/s$)가 얻어졌다.

ELA: 가변 형상 구조로봇의 자율주행을 위한 실시간 장애물 회피 기법 (ELA: Real-time Obstacle Avoidance for Autonomous Navigation of Variable Configuration Rescue Robots)

  • 정해관;현경학;김수현;곽윤근
    • 로봇학회논문지
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    • 제3권3호
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    • pp.186-193
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    • 2008
  • We propose a novel real-time obstacle avoidance method for rescue robots. This method, named the ELA(Emergency Level Around), permits the detection of unknown obstacles and avoids collisions while simultaneously steering the mobile robot toward safe position. In the ELA, we consider two sensor modules, PSD(Position Sensitive Detector) infrared sensors taking charge of obstacle detection in short distance and LMS(Laser Measurement System) in long distance respectively. Hence if a robot recognizes an obstacle ahead by PSD infrared sensors first, and judges impossibility to overcome the obstacle based on driving mode decision process, the order of priority is transferred to LMS which collects data of radial distance centered on the robot to avoid the confronted obstacle. After gathering radial information, the ELA algorithm estimates emergency level around a robot and generates a polar histogram based on the emergency level to judge where the optimal free space is. Finally, steering angle is determined to guarantee rotation to randomly direction as well as robot width for safe avoidance. Simulation results from wandering in closed local area which includes various obstacles and different conditions demonstrate the power of the ELA.

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한국(韓國) 영화의상(映畵衣裳)의 변천(變遷)과 기능(機能)에 관(關)한 연구(硏究) (Research on Korean Movie Costume's Transition and Function)

  • 김희정;이순홍
    • 패션비즈니스
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    • 제4권3호
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    • pp.47-65
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    • 2000
  • The movie costume's function and the role can be defined by reflection of the society and the times, character portrayal, conveyance of image, and creation of fashion. Korean movie costumes have been differentiated from 1950s till 1990s in time period and the results of comparison between the times as follow : Movie and fashion hold same period in common so that sense of fashion is naturally contained in the movie costume. Therefore, excluding special movie that costumes are selected by designer, such kind of trend is notable in the times when costumes mostly selected by actors themselves. Most movie costumes are not designed after predicting up coming fashion by considering movie producing time so that notation between current fashion and fashion in the movie and mostly we see about one year behind fashion style. For FAD, fashion that quickly passes in each season can use costumes in fashion, considering movie producing time and time background, that it lack of trend of fashion in the movie. Korean movie industry lack of having perception of people who are in charge of taking care of movie so that costumes are not properly taken care of and uses only 5% of total movie producing cost. Such that kind having lack of preception and treatment of movie costumes can't expect development of movie costumes.

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WPAN에서 간섭을 피하기 위한 멀티모드 단말기 채널등급 방법 (Channel Grade Method of multi-mode mobile device for avoiding Interference at WPAN)

  • 정성원;금동현;최승원
    • 디지털산업정보학회논문지
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    • 제11권3호
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    • pp.91-98
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    • 2015
  • There is a new evolution in technological advancement taking place called the Internet of Things (IoT), The IoT enables physical world objects in our surrounding to be connected to the Internet. ISM (Industrial Scientific Medical) band that is 2.4GHz band authorized free of charge is being widely used for smart devices. Accordingly studies have been continuously conducted on the possibility of coexistence among nodes using ISM band. In particular, the interference of IEEE 802.11b based Wi-Fi devices using overlapping channel during communication among IEEE 802.15.4 based wireless sensor nodes suitable for low-power, low-speed communication using ISM band. Because serious network performance deterioration of wireless sensor networks. In this paper, we will propose an algorithm that identifies the possibility of using more accurate channels by mixing utilization of interference signal and RSSI (Received Signal Strength Indicator) Min/Max/Activity of Interference signal by wireless sensor nodes. In addition, it will verify our algorithm by using OPNET Network verification simulator.

유비쿼터스 콘텐츠를 활용한 병원 홍보에 관한 연구 -서울시 피부과를 중심으로- (A Study on Hospital Promotion Using Ubiquitous Contents -Focused on Dermatology in Seoul City-)

  • 이태호;배성권;조경원
    • 보건의료산업학회지
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    • 제7권2호
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    • pp.149-159
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    • 2013
  • There are rapidly increasing in the number of SNS users according to quick supply of smart phones and expansion of wireless internet services, but there is no much researches on hospital promotion using SNS. In this paper, we proposed methods for development of effective hospital promotion by investigating current status of homepages, mobile web contents and SNS operated in 21 dermatology hospitals located at Seoul city and by analyzing contents according to functions as hospital promotion media. In the investigation results, all of three contents such as homepage, mobile web content and SNS are opened in 76.1% of hospitals and external companies occupied the main management body of the three contents at the largest portion(56.2%). There are hospital information, clinic, reservation in all hospitals' homepages and followed by broadcasting(90.5%), medical treatment(85.7%), consultation information(80.9%), member information in 'mypage'(42.9%), staff information(14.3%). In the analysis results, there is need to enlarge departments or staffs taking full charge of in order to manage the three contents professionally and also there is need to prepare and conduct hospital promotion methods using prevalent SNS.

신기능성 LB 단분자막을 이용한 분자소자의 전기화학적 연구 (Electrochemical Study of Molecular Devices Using Functional LB Monomolecular Layer Compounds)

  • 박수길
    • 공업화학
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    • 제2권4호
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    • pp.311-329
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    • 1991
  • 산화주석전극 위에 LB 법에 의해 단분자층상으로 흡착된 양친매성 Os 착체의 전기화학적 거동을 살펴보았다. 또한 단분자막형태로 흡착된 redox 종의 전극반응의 이론식을 가역, 비가역, 준가역파에 대하여 검토하였고, 이들막이 진공증착된 $SnO_2$ 전극 위로 전이될 때, 그 전극에서 흐른 전체 전하를 cyclic voltammogram 의 그림적분법에 의해 구하였다. 그리고 이들 단분자막을 이용한 전자이동 중개반응의 응용면도 $Fe^{2+}$, TEMPOL 등을 이용해 해석하였다. 이들 측정된 cyclic voltammogram을 이론식으로부터 유도하여 분자들간의 상호작용 parameter를 고려해서 simultation 하였다. 이들로부터 구해진 parameter 들은 측정된 cyclic voltammogram 과 거의 일치함을 확인할수 있었다. 마지막으로 LB 법을 이용한 최근의 연구동향 및 응용분야를 소개하였다.

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유아음악활동에 대한 유아교사의 인식 (Early Childhood Teachers' Perception about Early Childhood Music Activity)

  • 김지영
    • 한국생활과학회지
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    • 제17권3호
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    • pp.389-397
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    • 2008
  • This study is investigating the perceptions of early childhood teachers on early childhood music activity. The subjects are early childhood teachers(N=217) working at kindergartens and day care centers in Jeonbuk Province. The data were collected from a questionnaire and analyzed with the tests of frequency, Cronbach's $\alpha$, t-test, ANOVA and Duncan. The results are as follow: first, the early childhood teachers are being aware of importance of infant music activity in the order of "aesthetic exploration", "artistic expression", and "art appreciation". Second, according to teachers' working place, the teachers have no differences of perception in early childhood music activities, while, according to children's age in the class which the teachers are taking charge of, they show differences of perception in the activities of "exploring movements " and "respect for artistic expression". Third, according to the early childhood teacher's career, they have difference of perception in "singing" activity only, while according to their education level, they have no differences of perception in all music activities. According to teachers' age, they have differences of perception in the activities of "aesthetic exploration", "exploring sound", and "singing".

디젤엔진에 있어서 흡기 중에 SO2혼입이 연소 및 배기배출물 특성에 미치는 영향 (Effects of SO2 Mixture in Inlet Air on Combustion and Exhaust Emission Characteristic in diesel engine)

  • 유동훈
    • 동력기계공학회지
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    • 제19권2호
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    • pp.64-69
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    • 2015
  • Marine diesel engines with high thermal efficiency and fuel diversity used for propulsive power have been taking charge of important position on marine transport. However, marine environment has recently focused on emissions such as nitrogen oxide and sulfur oxide which is generated from combustion of low grade fuels. EGR(Exhaust gas recirculation) system is one of effective methods to reduce the nitrogen oxide emission from marine diesel engines. In general, it is considered that recirculating gas influences fuel combustion and emissions in diesel engines. However, along with positive effects of EGR, the EGR system using fuels of including high sulfur concentration should be considered about re-combustion and activation of sulfur dioxide in recirculating gas. Therefore, in experimental study, an author investigates effects of sulfur dioxide mixture concentration in intake air on combustion and exhaust emission characteristics in a direct injection diesel engine. In results, change of sulfur dioxide concentrations in intake air had negligible impact on combustion chamber pressure, rate of heat release and emissions compared with effects of oxygen decreasing and carbon dioxide increasing of EGR.