• 제목/요약/키워드: bed form

검색결과 265건 처리시간 0.028초

3차 병원에 입원한 교통사고환자의 평균 재원기간과 조기퇴원시의 수입증대효과 분석연구 (Analyses on the Mean Length of Stay of and the Income Effects due to Early Discharge of Car Accident Patients at General Hospital)

  • 유호신
    • 지역사회간호학회지
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    • 제10권1호
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    • pp.70-79
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    • 1999
  • This study attempts to encourage the development of a rehabilitation delivery system as a substitute service for hospitalization such as a community based intermediate facility or home health care. We need substitute services for hospitalization to curtail the length of stay for inpatients due to car accidents. It focused on developing an estimation for early discharge based on a detailed statement of treatment from medical records of 109 inpatients who were hospitalized at General Hospital in 1997. This study has three specific purposes: First, to find the mean length of stay and mean medical expenditure. Second, to estimate the mean of early discharge from the mean length of stay. Third, to analyize the income effect per bed from early discharge. In order to analyze the length of stay and medical expenditure of inpatients the author conducted a micro and macro-analysis with medical expenditure records. To estimate the early discharge we examined with a group of 4 experts decreases in the amount of treatment after surgery, in treatments, in tests, in drug methods. We also looked their vital signs, the start of ROM exercise, the time removel, a patient's visitations, and possible stable conditions. In addition to identifing the income effect due to an early discharge, the data was analyzed by an SPSS-PC for windows and Excell program with a regression analysis model. The research findings are as follows: First, the mean length of stay was 47.56 days, but the mean length of stay due to early discharge was 32.26 days. The estimation of early discharge days was shown to depend on the length of stay. The longer the length of stay, the longer the length before discharge. For example, if the patient stayed under 14 days the mean length of stay was 7.09 while an early discharge was 6.39, whereas if the mean length of stay was 155.73, the early discharge time was 107.43. The mean medical expenditure per day of car accident patients was found to be 169,085 Won, whereas the mean medical expenditure per day was shown to be in a negative linear form according to the length of stay. That is the mean expenditure for under 14 days of stay was 303,015 Won and the period of the hospitalization of 15 days to 29 days was 170,338 Won and those of 30 days to 59 days was 113,333 Won. The estimation of the income effect due to being discharged 16 days was around 2,350,000 Won with a regression analysis model. However, this does not show the real benefits from an early discharge, but only the income increasing amount without considering prime medical cost at a general hospital. Therefore, we need further analysis on cost containments and benefits incending turn over rates and medical prime costs. From these research findings, the following suggestions have been drawn, we need to develop strategies on a rehabilitation delivery system focused on consumers for the 21st century. Varions intermediate facilities and home health care should be developed in the community as a substitute for shortening the length of stay in hospitals. In home health care cases, patients who want rehabilitation services as a substitute for hospitalization in cooperation with private health insurance companies might be available immediately.

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느타리버섯 유해균 Hypocrea sp.의 형태 및 URP-PCR 분석 (Morphological Characteristics and URP-PCR Analysis of Hypocrea sp., a Weed Mould of Oyster Mushroom Cultivation)

  • 서건식;김병련;박명수;김민경;유승헌
    • 한국균학회지
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    • 제30권2호
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    • pp.86-94
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    • 2002
  • 느타리버섯 균상에 발생하는 Hypocrea속 균의 분류학적 위치를 확립하기 위하여 유성세대 및 무성세대의 형태적 특징을 조사하였고, 국내 분리 균주의 RAPD, RFLP, URP-PCR 분석 등 분자생물학적 특징을 조사하였다. 1. 충남과 전남 일대의 8개 시, 군의 느타리 재배사에서 19 균주를 분리하였으며 이들 균주간의 형태적, 발생생태학적 변이는 없었고, 기존 보고된 Hypocrea 종들과는 다른 형태적 특징을 나타내었다. 2. Hypocrea 자좌의 크기는 $6.0{\sim}13.0{\times}3.0{\sim}11.0mm$이었고, 위유조직으로 구성되어 있으며 대부분 군생하고 처음엔 백색이지만 성숙되면 노란빛을 띤 갈색을 나타내었다. 자낭각은 구형으로 크기가 평균 $239.9{\times}204.1{\mu}m$이었으며, 자낭에는 16개의 자낭포자(part ascospores)를 형성하였고, 자낭과 장낭포자의 크기는 각각 $103.3{\times}4.9{\mu}m$$6.5{\times}4.7{\mu}m$이었다. 3. 무성세대의 phialide는 보통 Trichoderma virens와 유사한 형태로 모여서 형성되나 때때로 penicillate의 형태도 관찰되었다. T. virens형 phialide의 크기는 $10.8{\times}3.5{\mu}m$이었고 penicilliale형은 $14.7{\times}3.4{\mu}m$이었다. 분생포자는 계란형에서 타원형으로 표면은 매끈하고 크기는 $4.5{\times}2.9{\mu}m$이었다. 4. Hypocrea 균주들의 배양적 특징 조사한 결과, PDA 배지에서 균사생장 최적 온도는 $25^{\circ}C$이었고 자좌는 $15{\sim}25^{\circ}C$ 범위에서 발생하였으며 자좌 발생 최적 온도는 $20^{\circ}C$였다. 5. RAPD 및 RFLP 분석을 실시한 결과 Hypocrea속 균은 공시균주는 모두 단일 유전 개체군으로 느타리 재배사에서 발생하는 Trichoderma속 균 및 기존에 보고된 Hypocrea spp.와는 다른 분류군으로 나타났다.

취입모의 경제적 계획취입수심 산정방법에 대한 연구 (A Study on a Calculation Method of Economical Intake Water Depth in the Design of Head Works)

  • 김철기
    • 한국농공학회지
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    • 제20권1호
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    • pp.4592-4598
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    • 1978
  • The purpose of this research is to find out mathemetically an economical intake water depth in the design of head works through the derivation of some formulas. For the performance of the purpose the following formulas were found out for the design intake water depth in each flow type of intake sluice, such as overflow type and orifice type. (1) The conditional equations of !he economical intake water depth in .case that weir body is placed on permeable soil layer ; (a) in the overflow type of intake sluice, {{{{ { zp}_{1 } { Lh}_{1 }+ { 1} over {2 } { Cp}_{3 }L(0.67 SQRT { q} -0.61) { ( { d}_{0 }+ { h}_{1 }+ { h}_{0 } )}^{- { 1} over {2 } }- { { { 3Q}_{1 } { p}_{5 } { h}_{1 } }^{- { 5} over {2 } } } over { { 2m}_{1 }(1-s) SQRT { 2gs} }+[ LEFT { b+ { 4C TIMES { 0.61}^{2 } } over {3(r-1) }+z( { d}_{0 }+ { h}_{0 } ) RIGHT } { p}_{1 }L+(1+ SQRT { 1+ { z}^{2 } } ) { p}_{2 }L+ { dcp}_{3 }L+ { nkp}_{5 }+( { 2z}_{0 }+m )(1-s) { L}_{d } { p}_{7 } ] =0}}}} (b) in the orifice type of intake sluice, {{{{ { zp}_{1 } { Lh}_{1 }+ { 1} over {2 } C { p}_{3 }L(0.67 SQRT { q} -0.61)}}}} {{{{ { ({d }_{0 }+ { h}_{1 }+ { h}_{0 } )}^{ - { 1} over {2 } }- { { 3Q}_{1 } { p}_{ 6} { { h}_{1 } }^{- { 5} over {2 } } } over { { 2m}_{ 2}m' SQRT { 2gs} }+[ LEFT { b+ { 4C TIMES { 0.61}^{2 } } over {3(r-1) }+z( { d}_{0 }+ { h}_{0 } ) RIGHT } { p}_{1 }L }}}} {{{{+(1+ SQRT { 1+ { z}^{2 } } ) { p}_{2 } L+dC { p}_{4 }L+(2 { z}_{0 }+m )(1-s) { L}_{d } { p}_{7 }]=0 }}}} where, z=outer slope of weir body (value of cotangent), h1=intake water depth (m), L=total length of weir (m), C=Bligh's creep ratio, q=flood discharge overflowing weir crest per unit length of weir (m3/sec/m), d0=average height to intake sill elevation in weir (m), h0=freeboard of weir (m), Q1=design irrigation requirements (m3/sec), m1=coefficient of head loss (0.9∼0.95) s=(h1-h2)/h1, h2=flow water depth outside intake sluice gate (m), b=width of weir crest (m), r=specific weight of weir materials, d=depth of cutting along seepage length under the weir (m), n=number of side contraction, k=coefficient of side contraction loss (0.02∼0.04), m2=coefficient of discharge (0.7∼0.9) m'=h0/h1, h0=open height of gate (m), p1 and p4=unit price of weir body and of excavation of weir site, respectively (won/㎥), p2 and p3=unit price of construction form and of revetment for protection of downstream riverbed, respectively (won/㎡), p5 and p6=average cost per unit width of intake sluice including cost of intake canal having the same one as width of the sluice in case of overflow type and orifice type respectively (won/m), zo : inner slope of section area in intake canal from its beginning point to its changing point to ordinary flow section, m: coefficient concerning the mean width of intak canal site,a : freeboard of intake canal. (2) The conditional equations of the economical intake water depth in case that weir body is built on the foundation of rock bed ; (a) in the overflow type of intake sluice, {{{{ { zp}_{1 } { Lh}_{1 }- { { { 3Q}_{1 } { p}_{5 } { h}_{1 } }^{- {5 } over {2 } } } over { { 2m}_{1 }(1-s) SQRT { 2gs} }+[ LEFT { b+z( { d}_{0 }+ { h}_{0 } )RIGHT } { p}_{1 }L+(1+ SQRT { 1+ { z}^{2 } } ) { p}_{2 }L+ { nkp}_{5 }}}}} {{{{+( { 2z}_{0 }+m )(1-s) { L}_{d } { p}_{7 } ]=0 }}}} (b) in the orifice type of intake sluice, {{{{ { zp}_{1 } { Lh}_{1 }- { { { 3Q}_{1 } { p}_{6 } { h}_{1 } }^{- {5 } over {2 } } } over { { 2m}_{2 }m' SQRT { 2gs} }+[ LEFT { b+z( { d}_{0 }+ { h}_{0 } )RIGHT } { p}_{1 }L+(1+ SQRT { 1+ { z}^{2 } } ) { p}_{2 }L}}}} {{{{+( { 2z}_{0 }+m )(1-s) { L}_{d } { p}_{7 } ]=0}}}} The construction cost of weir cut-off and revetment on outside slope of leeve, and the damages suffered from inundation in upstream area were not included in the process of deriving the above conditional equations, but it is true that magnitude of intake water depth influences somewhat on the cost and damages. Therefore, in applying the above equations the fact that should not be over looked is that the design value of intake water depth to be adopted should not be more largely determined than the value of h1 satisfying the above formulas.

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연부조직종양에서 고선량율 조직내 방사선치료: 기술적 측면에서의 고찰 (High Dose Rate Interstitial Brachytherapy in Soft Tissue Sarcomas : Technical Aspect)

  • 전미선;강승희;김병석;오영택
    • Radiation Oncology Journal
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    • 제17권1호
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    • pp.43-51
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    • 1999
  • 목적 : 연부조직종양을 제거한 직후 조직내 방사선치료용 도관을 삽입하여 근접방사선치료를 시행했던 증례들을 토대로 고선량율 조직내 방사선치료의 시술방법, 치료시기, 선량, 및 부작용 등에 대해 논의 하고자 한다. 재료 및 방법 : 1995년 5월에서 1997년 12월까지 10명의 원발성 혹은 재발성의 연부조직종양 환자가 종양의 제한적 절제술 후에 조직내 방사선치료 및 외부방사선치료를 시행받았다. 종양을 제거한 직후 도관을 종양이 있었던 자리에 1~l.5cm 간격으로 삽입하였고 종양 가까이에 신경혈관속 혹은 뼈가 있었던 경우에는 젤폼, 근육, 혹은 tissue expander로 덮어 이들 중요 구조물들과 도관이 적어도 0.5cm 간격을 유지하도록 하였다. 조직내 방사선치료는 이리디움-192가 장착된 고선량율 근접방사선치료기를 사용하여 수술 후 6일째부터 시작하였고 동위원소의 중심축으로부터 1cm 거리에 총 12~15Gy(2~2.SGy/fraction)를 일일 2회씩 3일간 시행하였다. 수술 후 한 달 이내에 외부방사선치료를 시행하였으며 총 50~55Gy를 조사하였다. 결과 : 모든 환자가 감염이나 출혈과 같은 근접방사선치료와 직접 관련된 부작용 없이 계획되어진 조직내 방사선치료를 마쳤다. 중앙 추적관찰기간 25개월째(범위 12~41개월)까지 국소재발은 관찰되지 않았고 RTOG/EORTC 등급 3 혹은 4의 만성 부작용도 없었다. 결론 : 주위정상조직에 조사되는 방사선량을 최소화하면서 수술 후 단기간 내에 시행할 수 있는 고선량율 조직내 방사선치료는 연부조직종양의 제한적 수술 후의 치료방법으로써 안전하고 손쉽게 이용할 수 있으며 또한 치료효과 및 부작용 측면에서도 우수한 치료방법이다.

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몇 발근환경인자(發根環境因子)가 주목삽수(揷穗) 발근(發根)에 미치는 효과(効果) (Effects of Some Environmental Factors on Japanese Yew (Taxus cuspidata Sieb. et Zucc.))

  • 김창호;남정칠
    • 한국산림과학회지
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    • 제70권1호
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    • pp.1-6
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    • 1985
  • 주목(朱木)(Taxus cuspidata Sieb. et Zucc)의 휴안지삽수(休眼枝揷穗)를 1982년(年) 4월(月) 20일(日)에 온실내(温室內)와 포지조건(圃地條件)에서 삽목(揷木), 당년(當年) 10월(月) 31일(日)에 발근개체(發根個體)를 가지고 평균발근율(平均發根率)을 계산(計算)하여 통계분석(統計分析)하였다. 본(本) 실험(實驗)의 목적(目的)은 원예적(園藝的)으로 가치(價値)를 평가(評價)받고 있음에 착안하여 가장 합리적(合理的)인 삽목조건(揷木條件)을 찾아내는 데 있다. 결과(結果)를 요약(要約)하면 다음과 같다. 1) 온실내삽목(温室內揷木)은 포지삽목(圃地揷木)에 비해 평균발근율(平均發根率)이 높았다. 이것은 처리별(處理別)의 차이(差異)에 불구하고 같은 경향(傾向)을 나타내었다. 2) IBA처리구(處理區)는 무처리구(無處理區)에 비해 더 높은 평균발근율(平均發根率)을 보였다. 온실내삽목(温室內揷木)의 경우 IBA처리구(處理區)는 평균발근율(平均發根率) 86%, 무처리구(無處理區) 23%, 포지삽목(圃地揷木)인 경우 IBA처리구(處理區) 53%, 무처리구(無處理區) 11%이다. 이것은 모두 삽수장(揷穗長) 20cm, 그리고 사토배지(砂土培地)에 삽목(揷木)되었을 경우이다. 3) 삽목배지(揷木培地)로서 사토(砂土), 양토(壤土), 갈색토(褐色土) 중(中) 온실내삽목(温室內揷木)이나 포지삽목(圃地揷木) 공히 사토구(砂土區)가 가장 높은 발근율(發根率)을 보였다. 4) 삽수장(揷穗長)이 발근(發根)에 마치는 영향을 분석(分析)한 바 15~20cm가 발근(發根)에 적당하고 25cm 이상은 발근율(發根率)이 떨어지는 것으로 나타났다. 5) 고찰(顧察)에 의한 발근양식(發根樣式)은 삽수하단절단면(揷穗下端切斷面)에 켈루스세포괴(細胞塊)가 생기고 그 안에 근기(根基)가 만들어져 근계형성(根系形成)에 관여하는 경우와 삽수(揷穗)의 경부(莖部)에 측근(側根)모양으로 나타나는 불정근(不定根)의 경우이다.

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마젤란 분지의 백악기 심해저 하도 퇴적계의 퇴적상 및 진화 (Sedimentary Facies and Evolution of the Cretaceous Deep-Sea Channel System in Magallanes Basin, Southern Chile)

  • 최문영;손영관;조형래;김예동
    • Ocean and Polar Research
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    • 제26권3호
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    • pp.385-400
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    • 2004
  • The Lago Sofia Conglomerate encased in the 2km thick hemipelagic mudstones and thinbedded turbidites of the Cretaceous Cerro Toro Formation, southern Chile, is a deposit of a gigantic submarine channel developed along a foredeep trough. It is hundreds of meters thick kilometers wide, and extends for more than 120km from north to south, representing one of the largest ancient submarine channels in the world. The channel deposits consist of four major facies, including stratified conglomerates (Facies A), massive or graded conglomerates (Facies B), normally graded conglomerates with intraformational megaclasts (Facies C), and thick-bedded massive sandstones (Facies D). Conglomerates of Facies A and B show laterally inclined stratification, foreset stratification, and hollow-fill structures, reminiscent of terrestrial fluvial deposits and are suggestive of highly competent gravelly turbidity currents. Facies C conglomerates are interpreted as deposits of composite or multiphase debris flows associated with preceding hyperconcentrated flows. Facies D sandstones indicate rapidly dissipating, sand-rich turbidity currents. The Lago Sofia Conglomerate occurs as isolated channel-fill bodies in the northern part of the study area, generally less than 100m thick, composed mainly of Facies C conglomerates and intercalated between much thicker fine-grained deposits. Paleocurrent data indicate sediment transport to the east and southeast. They are interpreted to represent tributaries of a larger submarine channel system, which joined to form a trunk channel to the south. The conglomerate in the southern part is more than 300 m thick, composed of subequal proportions of Facies A, B, and C conglomerates, and overlain by hundreds of m-thick turbidite sandstones (Facies D) with scarce intervening fine-grained deposits. It is interpreted as vertically stacked and interconnected channel bodies formed by a trunk channel confined along the axis of the foredeep trough. The channel bodies in the southern part are classified into 5 architectural elements on the basis of large-scale bed geometry and sedimentary facies: (1) stacked sheets, indicative of bedload deposition by turbidity currents and typical of broad gravel bars in terrestrial gravelly braided rivers, (2) laterally-inclined strata, suggestive of lateral accretion with respect to paleocurrent direction and related to spiral flows in curved channel segments around bars, (3) foreset strata, interpreted as the deposits of targe gravel dunes that have migrated downstream under quasi-steady turbidity currents, (4) hollow fills, which are filling thalwegs, minor channels, and local scours, and (5) mass-flow deposits of Facies C. The stacked sheets, laterally inclined strata, and hollow fills are laterally transitional to one another, reflecting juxtaposed geomorphic units of deep-sea channel systems. It is noticeable that the channel bodies in the southern part are of feet stacked toward the east, indicating eastward migration of the channel thalwegs. The laterally inclined strata also dip dominantly to the east. These features suggest that the trunk channel of the Lago Sofia submarine channel system gradually migrated eastward. The eastward channel migration is Interpreted to be due to tectonic forcing imposed by the subduction of an oceanic plate beneath the Andean Cordillera just to the west of the Lago Sofia submarine channel.

울릉도 황토굴 적색층의 산출특징과 형성기작 (Occurrence and Forming Process of the Reddish Bed at Hwangto Cave, Ulleung Island, Korea)

  • 우현동;장윤득
    • 한국광물학회지
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    • 제29권4호
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    • pp.239-254
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    • 2016
  • 황토굴은 울릉도 태하리 해안에 위치하고 있는 해식동굴로서, 벽면은 적색 응회암층으로 이루어져 있고 상부는 조면암으로 덮여있다. 적색 응회암에 대한 주화학성분은 $SiO_2$ 49.81-63.63%, $Al_2O_3$ 13.05-24.91%, $Fe_2O_3$ 2.67-5.82%, $Na_2O$ 2.87-6.92%, $K_2O$ 2.37-3.85% $TiO_2$ 0.55-0.81%, MnO 0-0.53%, MgO 0.39-1.75%, CaO 0.60-1.40%이며, 토질의 pH는 4.5-8의 범위를 나타내고, 광물성분은 아노르소클레이스(anorthoclase) 23.7-39.4%, 새니딘(sanidine) 16.9-33.3% 일라이트(illite) 15.8-26.1%, 적철석(hematite) 5.1-9.0%, 침철석(goethite) 0-3.7%, 산화티탄(titanium oxide) 6.9-9.9%, 소금(halite) 0.9-9.5%의 범위를 보인다. 하지만 현무암질 응회암층 기질의 내에 존재하는 대부분의 비정질 물질은 XRD회 절선이 나타나지 않으므로 아노르소클레이스, 새니딘, 일라이트가 적색층의 주성분이라고는 할 수 없다. 조면암 용암의 열은 하부의 응회암에 영향을 주어 기질을 쉽게 변질시키는데 이로 인해 적색의 비정질 집합체 팔라고나이트(palagonite)를 형성하고 철 성분을 산화시켜 주변을 채색한 것으로 보인다. 이렇게 이차적으로 형성된 철 산화물은 팔라고나이트 내부에 부화되거나, 극미립 또는 비정질의 철산화물의 형태로 존재하고 있다. 따라서 적색층은 조면암 분출 직후와 관련된 열적 산화작용과 응회암 기질의 팔라고나이트화, 적색층 내에 존재하는 함철광물의 산화작용에 의하여 복합적으로 형성된 것으로 판단된다.

수질정화를 위한 다기능 인공식물섬의 개발과 적용 (Development and Application of Multi-Functional Floating Wetland Island for Improving Water Quality)

  • 윤영한;임현만;김원재;정진홍;박재로
    • Ecology and Resilient Infrastructure
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    • 제3권4호
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    • pp.221-230
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    • 2016
  • 유속이 낮은 정체수역에 대하여 부영양화에 의한 녹조발생을 미연에 방지하고 수질개선을 도모하기 위하여 기존 인공식물섬 운영기술에 다양한 요소기술을 도입한 다기능 인공식물섬을 개발하였고 개발기술에 대한 성능검증을 위하여 경기도에 소재하는 하천에서 여름철과 겨울철 동안에 모니터링 하였다. 본 연구의 다기능 인공식물섬은 수질정화 기능을 높이기 위해서 정수식물 기반의 식생여과 공정 위주의 일반 인공식물섬 기술에 미세기포 공정과 인공여재에 의한 인 흡착/여과 공정을 추가하여 운영하였다. 개발기술에 대한 계절에 따른 오염물질 (COD, T-P) 제거율 변화로부터 오염부하가 낮은 겨울철 (15.9%, 20.0%)보다는 부하가 높은 여름철 (40.9%, 45.7%)에 높은 처리효율을 갖는 것으로 나타났고 공정별 제거율 (SS, Chl-a)에서는 미세기포 공정은 여름철 (33.1%, 39.2%)에, 인 흡착/여과 인공여재 및 식생여과 공정은 겨울철 (76.5%, 59.5%)에 높은 제거효율을 갖는 것으로 분석되어 다기능 인공식물섬의 정화능은 계절별 변화 또는 오염부하 정도에 따라서 적용 기술별로 제거능을 나타내어 지속적인 모니터링이 필요할 것으로 사료되었다. 또한, 인공식물섬 주변의 생태변화 분석결과, 식물섬 저부에 미세기포의 공급으로 용존산소가 증가됨으로써 혐기화에 의한 물질환원 현상을 방지하고 수류순환을 유도하여 친환경적인 새로운 수생태계가 조성되는 것을 확인하였고 이러한 결과들을 통하여 다기능 인공식물섬에 의하여 정체수역의 수질이 개선되고 다양한 동식물의 성장으로 정체수역 저부의 물질순환이 개선될 수 있는 가능성을 확인하였다.

암각장기판의 형상 및 입지 특성에 관한 연구 (Study on the Present Condition and Type Analysis of Rock Korean Chessboards in Korean Landscape)

  • 정푸름;김정문;노재현
    • 한국전통조경학회지
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    • 제35권2호
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    • pp.15-25
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    • 2017
  • 본 연구는 과거부터 토착화 된 놀이문화인 장기(將棋)가 산 속 계류(溪流)의 정자(亭子) 고목(古木) 아래에서도 행해졌다는 증좌(證左)인 암각(巖刻)된 장기판에 대한 가치를 밝히는데 목적이 있다. 본 연구에서는 이에 대한 종합적인 현황의 조사 분석을 통해 암각장기판의 위치와 형태, 주변 공간의 입지 등의 물리적인 환경과, 지명유래 및 주변경물 등 역사적 의미에 대한 분석을 실시하여 국내 암각장기판의 입지유형과 경관의미 그리고 보존가치 등을 다각적으로 조명하고자 하였다. 연구 결과를 집약하면 다음과 같다. 동양문화를 대표하는 한(韓) 중(中) 일(日) 세 국가에 동일하게 전파된 장기(將棋)를 각 국가의 사상과 민족적 성향에 맞도록 변형시킨 양식을 정리하여 한국의 장기(將棋)가 이미 토착화를 마친 전통문화임을 입증하였다. 전국에 분포하고 있는 암각장기판 15개소에 대한 조사 결과 형태는 돌장기판 6개소(40%), 암각장기판 9개소(60%)로 분류되었으며, 규모는 평균 $51cm{\times}46.6cm$로서 실제 대국이 가능한 이용후생적 가치를 지니고 있다. 또한 기반암의 규모와 장기판의 크기의 산포도를 통해 볼 때 암각장기판은 대국(大局)의 합리성과 편의성을 고려하여 조성되었음을 확인하였다. 암각장기판 주변의 입지와 경물, 공공성 등의 특성을 분석한 결과, 암각장기판의 입지가 선조(先祖)들이 풍류(風流)를 즐겼던 한국경관의 일환(一環)이며 조경유적으로서 보존 관리가 필요한 대상임을 밝혔다.

한방간호 관리체계 연구 (Summary and Conclusion Title :Oriental Nursing Management System)

  • 문희자
    • 동서간호학연구지
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    • 제10권1호
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    • pp.11-26
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    • 2004
  • The purpose of this study is to investigate the present conditions of nursing investment contents, its conversion process, and output in Oriental University Medical Center, Korea to get good qualified Oriental nursing result which is the ultimate purpose of the Oriental nursing management, and to develope a matrix of Oriental nursing management system on the basis of that project. The subjects for nursing investment and output contents were eighteen nursing directors in eleven Oriental University Medical Center and two hundred thirty-nine nurses with three years and over experience in Oriental medical center. The subjects for Oriental nursing organization, human affair management, and control function were nineteen Oriental medical center in Oriental University Medical Center, Korea. Data were collected from November, 2002 to February, 2003 with questionnaire. Data analysis was done by SPSS PC+ 12 program. Frequency, percentage, and minimum/maximum values were used for investment contents, and frequency and percentage were used for conversion process and output contents. 1. The input factors of oriental nursing management system The objective's western hospital career was over five years of one hundred and seventy-five(73.2%) persons. Nursing in-service education was performed in fourteen hospitals(77.8%). Two hundreds(83.7%) were pro to oriental nurse system. Only four hospitals(22.2%) had independent budget in nursing division. Nursing staff allocation to the bed was from 2.8:1 to 9.06:1 respectively, with a big gap of the rate following the hospitals. 2. The conversion factors of oriental nursing system 1) Oriental nursing system Oriental hospital nursing system was organized independently in ten hospitals among eighteen hospitals. The recruitment of nurses which was a vital role of the nursing division of the hospital was mostly(79%) opened. The education to develope nursing personnels was through in-service one in 97.4%. Education for oriental nursing and management was performed in 42.1%(eight hospitals) and that for reserves was done in 36.8%(seven hospitals). Administration for nursing education by nursing division was 68.5%(thirteen hospitals). The post education evaluation was performed by report submission in 36.8%(seven hospitals), by written examination in 26.3%, by questionnaires in 21.1%, and by lecture presentation in 15.8% subsequently. The directorial meeting for the nursing directors was attended by 84.2%(sixteen hospitals), and the meeting type was the medical executive and support division executive meeting in 55.6%(ten hospitals) and the personnel management in 39.6%(seven hospitals). 2) The actual conditions of oriental nursing personnel management The reason of working in oriental hospital was by voluntary in 67.1%(a hundred and sixty persons), by nursing department order in 28.0%(sixty-seven persons), and by others in 5.0%(twelve persons) respectively. The shift form was a three-shifts one in 94.7%(eighteen hospitals), a two-shift one in only one hospital. Duty assignment was functional in 52.6%(ten hospitals), team and functional in 26.3%(five hospitals) and no team alone. Promotion manual was present at 68.4%(thirteen hospitals) and the competency essentials comprised of performance evaluation in 79%, interview, written examination, training result, study result subsequently. No labor union existed in 79%(fifteen hospitals) 3) Oriental nursing preceptor system There were five oriental hospitals(27.7%) administering the preceptor utilization model, which showed lower rate than the twenty-two medical university hospitals in Seoul in which fifteen hospitals (72.7%) were having the system. To the question of necessity of oriental nurse system asked to the objectives of two hundred and thirty-nine with more than three year-experience in oriental hospital, two hundred persons(83.7%) answered positively. 4) The control of oriental nursing The evaluation results from the target hospitals were mostly not opened in 89.4% of oriental hospitals. Thirteen hospitals(68.3%) had evaluation system of direct managers and the next were three hospitals(15.8%) of direct managers and selves. There was one hospital(5.3% each) where fellows and superiors, fellows, and inferiors' evaluation was performed and no hospital where superiors, fellows, inferiors and selves, and superiors, fellows and selves' evaluation was performed. The QI activity of nursing was 42.1%(eight hospitals) for nursing service evaluation, 36.8% for survey of ECSI, 26.3% for survey of ICSI, 15.8% for medical visit rate, 10% for hospital standardization inspection in sequence. 3. The output factors of oriental nursing management system The job satisfaction appeared good in general, indicating very good in thirty-seven persons (15.7%), good in one hundred and fourteen persons (48.3%) and fair in eighty-five persons(36.0%).

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