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호스피스 전달체계 모형

  • Choe, Hwa-Suk
    • Korean Journal of Hospice Care
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    • v.1 no.1
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    • pp.46-69
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    • 2001
  • Hospice Care is the best way to care for terminally ill patients and their family members. However most of them can not receive the appropriate hospice service because the Korean health delivery system is mainly be focussed on acutly ill patients. This study was carried out to clarify the situation of hospice in Korea and to develop a hospice care delivery system model which is appropriate in the Korean context. The theoretical framework of this study that hospice care delivery system is composed of hospice resources with personnel, facilities, etc., government and non-government hospice organization, hospice finances, hospice management and hospice delivery, was taken from the Health Delivery System of WHO(1984). Data was obtained through data analysis of litreature, interview, questionairs, visiting and Delphi Technique, from October 1998 to April 1999 involving 56 hospices, 1 hospice research center, 3 non-government hospice organizations, 20 experts who have had hospice experience for more than 3 years(mean is 9 years and 5 months) and officials or members of 3 non-government hospice organizations. There are 61 hospices in Korea. Even though hospice personnel have tried to study and to provide qualified hospice serices, there is nor any formal hospice linkage or network in Korea. This is the result of this survey made to clarify the situation of Korean hospice. Results of the study by Delphi Technique were as follows: 1.Hospice Resources: Key hospice personnel were found to be hospice coordinator, doctor, nurse, clergy, social worker, volunteers. Necessary qualifications for all personnel was that they conditions were resulted as have good health, receive hospice education and have communication skills. Education for hospice personnel is divided into (i)basic training and (ii)special education, e.g. palliative medicine course for hospice specialist or palliative care course in master degree for hospice nurse specialist. Hospice facilities could be developed by adding a living room, a space for family members, a prayer room, a church, an interview room, a kitchen, a dining room, a bath facility, a hall for music, art or work therapy, volunteers' room, garden, etc. to hospital facilities. 2.Hospice Organization: Whilst there are three non-government hospice organizations active at present, in the near future an hospice officer in the Health&Welfare Ministry plus a government Hospice body are necessary. However a non-government council to further integrate hospice development is also strongly recommended. 3.Hospice Finances: A New insurance standards, I.e. the charge for hospice care services, public information and tax reduction for donations were found suggested as methods to rise the hospice budget. 4.Hospice Management: Two divisions of hospice management/care were considered to be necessary in future. The role of the hospice officer in the Health & Welfare Ministry would be quality control of hospice teams and facilities involved/associated with hospice insurance standards. New non-government integrating councils role supporting the development of hospice care, not insurance covered. 5.Hospice delivery: Linkage&networking between hospice facilities and first, second, third level medical institutions are needed in order to provide varied and continous hospice care. Hospice Acts need to be established within the limits of medical law with regards to standards for professional staff members, educational programs, etc. The results of this study could be utilizes towards the development to two hospice care delivery system models, A and B. Model A is based on the hospital, especially the hospice unit, because in this setting is more easily available the new medical insurance for hospice care. Therefore a hospice team is organized in the hospital and may operate in the hospice unit and in the home hospice care service. After Model A is set up and operating, Model B will be the next stage, in which medical insurance cover will be extended to home hospice care service. This model(B) is also based on the hospital, but the focus of the hospital hospice unit will be moved to home hospice care which is connected by local physicians, national public health centers, community parties as like churches or volunteer groups. Model B will contribute to the care of terminally ill patients and their family members and also assist hospital administrators in cost-effectiveness.

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Aspect of the chief of state guard EMP (Electro Magnetic Pulse) protection system for the consideration (국가원수 경호적 측면에서의 EMP(Electro Magnetic Pulse) 방호 시스템에 대한 고찰)

  • Jung, Joo-Sub
    • Korean Security Journal
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    • no.41
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    • pp.37-66
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    • 2014
  • In recent years, with the development of computers and electronics, electronics and communication technology in a growing and each part is dependent on the cross-referencing makes all electronic equipment is obsolete due to direct or indirect damage EMP. Korea and the impending standoff North Korea has a considerable level of technologies related to the EMP, EMP weapons you already have or in a few years, the development of EMP weapons will complete. North Korea launched a long-range missile and conducted a nuclear test on several occasions immediately after, when I saw the high-altitude nuclear blackmail has been strengthening the outright offensive nuclear EMP attacks at any time and practical significance for the EMP will need offensive skills would improve. At this point you can predict the damage situation of Korea's security reality that satisfy the need, more than anything else to build a protective system of the EMP. The scale of the damage that unforeseen but significant military damage and socio-economic damage and fatalities when I looked into the situation which started out as a satellite communications systems and equipment to attack military and security systems and transportation, finance, national emergency system, such as the damage elsewhere. In General, there is no direct casualties reported, but EMP medical devices that rely on lethal damage to people who can show up. In addition, the State power system failure due to a power supply interruption would not have thought the damage would bring State highly dependent on domestic power generation of nuclear plants is a serious nuclear power plant accident in the event of a blackout phenomenon can lead to the plant's internal problems should see a forecast. First of all, a special expert Committee of the EMP, the demand for protective facilities and equipment and conduct an investigation, he takes fits into your budget is under strict criteria by configuring the contractors should be sifting through. He then created the Agency for verification of performance EMP protection after you have verified the performance of maintenance, maintenance, safety and security management, design and construction company organized and systematic process Guard facilities or secret communications equipment and perfect for the EMP, such as protective equipment maneuver system should take.

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Factors Affecting the Implementation Success of Data Warehousing Systems (데이터 웨어하우징의 구현성공과 시스템성공 결정요인)

  • Kim, Byeong-Gon;Park, Sun-Chang;Kim, Jong-Ok
    • Proceedings of the Korea Society of Information Technology Applications Conference
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    • 2007.05a
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    • pp.234-245
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    • 2007
  • The empirical studies on the implementation of data warehousing systems (DWS) are lacking while there exist a number of studies on the implementation of IS. This study intends to examine the factors affecting the implementation success of DWS. The study adopts the empirical analysis of the sample of 112 responses from DWS practitioners. The study results suggest several implications for researchers and practitioners. First, when the support from top management becomes great, the implementation success of DWS in organizational aspects is more likely. When the support from top management exists, users are more likely to be encouraged to use DWS, and organizational resistance to use DWS is well coped with increasing the possibility of implementation success of DWS. The support of resource increases the implementation success of DWS in project aspects while it is not significantly related to the implementation success of DWS in organizational aspects. The support of funds, human resources, and other efforts enhances the possibility of successful implementation of project; the project does not exceed the time and resource budgets and meet the functional requirements. The effect of resource support, however, is not significantly related to the organizational success. The user involvement in systems implementation affects the implementation success of DWS in organizational and project aspects. The success of DWS implementation is significantly related to the users' commitment to the project and the proactive involvement in the implementation tasks. users' task. The observation of the behaviors of competitors which possibly increases data quality does not affect the implementation success of DWS. This indicates that the quality of data such as data consistency and accuracy is not ensured through the understanding of the behaviors of competitors, and this does not affect the data integration and the successful implementation of DWS projects. The prototyping for the DWS implementation positively affects the implementation success of DWS. This indicates that the extent of understanding requirements and the communication among project members increases the implementation success of DWS. Developing the prototypes for DWS ensures the acquirement of accurate or integrated data, the flexible processing of data, and the adaptation into new organizational conditions. The extent of consulting activities in DWS projects increases the implementation success of DWS in project aspects. The continuous support for consulting activities and technology transfer enhances the adherence to the project schedule preventing the exceeding use of project budget and ensuring the implementation of intended system functions; this ultimately leads to the successful implementation of DWS projects. The research hypothesis that the capability of project teams affects the implementation success of DWS is rejected. The technical ability of team members and human relationship skills themselves do not affect the successful implementation of DWS projects. The quality of the system which provided data to DWS affects the implementation success of DWS in technical aspects. The standardization of data definition and the commitment to the technical standard increase the possibility of overcoming the technical problems of DWS. Further, the development technology of DWS affects the implementation success of DWS. The hardware, software, implementation methodology, and implementation tools contribute to effective integration and classification of data in various forms. In addition, the implementation success of DWS in organizational and project aspects increases the data quality and system quality of DWS while the implementation success of DWS in technical aspects does not affect the data quality and system quality of DWS. The data and systems quality increases the effective processing of individual tasks, and reduces the decision making times and efforts enhancing the perceived benefits of DWS.

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A Research in Applying Big Data and Artificial Intelligence on Defense Metadata using Multi Repository Meta-Data Management (MRMM) (국방 빅데이터/인공지능 활성화를 위한 다중메타데이터 저장소 관리시스템(MRMM) 기술 연구)

  • Shin, Philip Wootaek;Lee, Jinhee;Kim, Jeongwoo;Shin, Dongsun;Lee, Youngsang;Hwang, Seung Ho
    • Journal of Internet Computing and Services
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    • v.21 no.1
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    • pp.169-178
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    • 2020
  • The reductions of troops/human resources, and improvement in combat power have made Korean Department of Defense actively adapt 4th Industrial Revolution technology (Artificial Intelligence, Big Data). The defense information system has been developed in various ways according to the task and the uniqueness of each military. In order to take full advantage of the 4th Industrial Revolution technology, it is necessary to improve the closed defense datamanagement system.However, the establishment and usage of data standards in all information systems for the utilization of defense big data and artificial intelligence has limitations due to security issues, business characteristics of each military, anddifficulty in standardizing large-scale systems. Based on the interworking requirements of each system, data sharing is limited through direct linkage through interoperability agreement between systems. In order to implement smart defense using the 4th Industrial Revolution technology, it is urgent to prepare a system that can share defense data and make good use of it. To technically support the defense, it is critical to develop Multi Repository Meta-Data Management (MRMM) that supports systematic standard management of defense data that manages enterprise standard and standard mapping for each system and promotes data interoperability through linkage between standards which obeys the Defense Interoperability Management Development Guidelines. We introduced MRMM, and implemented by using vocabulary similarity using machine learning and statistical approach. Based on MRMM, We expect to simplify the standardization integration of all military databases using artificial intelligence and bigdata. This will lead to huge reduction of defense budget while increasing combat power for implementing smart defense.

Development of the Deterioration Models for the Port Structures by the Multiple Regression Analysis and Markov Chain (다중 회귀분석 및 Markov Chain을 통한 항만시설물의 상태열화모델 개발)

  • Cha, Kyunghwa;Kim, Sung-Wook;Kim, Jung Hoon;Park, Mi-Yun;Kong, Jung Sik
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.28 no.3
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    • pp.229-239
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    • 2015
  • In light of the significant increase in the quantities of goods transported and the development of the shipping industry, the frequency of usage of port structures has increased; yet, the government's budget for the shipping & port of SOC has been reduced. Port structures require systematically effective maintenance and management trends that address their growing frequency of usage. In order to construct a productive maintenance system, it is essential to develop deterioration models of port structures that consider various characteristics, such as location, type, use, constructed level, and state of maintenance. Processes for developing such deterioration models include examining factors that cause the structures to deteriorate, collecting data on deteriorating structures, and deciding methods of estimation. The techniques used for developing the deterioration models are multiple regression analysis and Markov chain theory. Multiple regression analysis can reflect changes over time and Markov chain theory can apply status changes based on a probabilistic method. Along with these processes, the deterioration models of open-type and gravity-type wharfs were suggested.

Comparison of Methodology and Accuracy of Digital Mapping of Forest Roads (수치임도망도 제작방법 및 정확도 비교)

  • Kim Tae-Geun;Yoon Jong-Suk;Woo Choong-Shik;Lee Kyu-Sung;Hong Chang-Hee
    • Spatial Information Research
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    • v.13 no.3 s.34
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    • pp.195-209
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    • 2005
  • Forest road has been an essential infrastructure for various forestry practices as well as for recreational use, disaster management, and local economics promotion. Since 1980s, extensive network of forest roads has been constructed as an national project in Korea. However, due to the minimal-budget of the project, accurate maps of forest road are not usually available. Although forest road map is a main thematic layer for the forest Geographic Information System (FGIS), its locational accuracy has not been sufficient for the practical applications and, therefore, the update of digital forest road maps is urgent. The objectives of this study is to compare ae methodology of generating and updating digital forest road maps from the aspects of the map accuracy and the efficiency of methods. Four mapping methods (GPS surveying, satellite imagery, ortho aerial photograph, and digital photogrammetry) were applied to generate the forest road maps over the study area of Mt. Oseo in Chungchungnam-do, which has a 35km forest roads distributed in national, public and private forests. The forest road Imp produced by digital photogrammetric method is the most accurate and comparable to GPS surveying although it required the greatest amount of labor time.

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The Research and Extension System with Agro-Food industry Development: To Strengthen The Regional R&D and On-Farm Bases Extension (농식품산업의 변화와 연구·지도사업의 과제 -지역R&D와 현장지도의 강화를 위해-)

  • Choe, Young Chan
    • Journal of Agricultural Extension & Community Development
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    • v.20 no.4
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    • pp.839-869
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    • 2013
  • Since opening the domestic food markets after late 1980s, Korean agro-food sector has been changed a lot, including commercialization of livestock and horticulture sectors. The large-scale periodic transactions appeared in food retail market in 1990's demand further commercialization of farm sectors. It require comprehensive on-farm knowledges including production, food processing, marketing, and management for agricultural sector. As the result, The Farming Systems Research & Extension concept has been introduced in 1992 as a form of The Regional Specialization Experiment Station. The Science and Technology Committee for Agriculture, Forestry, Fisheries, and Foods are established in 2009. However, we still find gaps between on-farm knowledge demands and supply, requiring further refining of R&D systems. It also asks to differentiate applied research from basic disciplinary research, better linkages between research and extension on farm, and comprehensive knowledge transfer systems. This study recommends for proper role allocation and cooperative structures for regional research and extension institutions to reduce overlaps among them. It further asks government to support regional research and extension systems including human resource and infrastructure building, to strengthen commodity based on-farm research and extension, and to separate budget allocation for regional research and extension. Provincial administration of the county level extension offices should also be considered for better linkage between research and extension at regional level.

State of visiting oral health programs and the views of dental hygienists in public dental clinics (방문구강보건사업의 운영현황 및 보건(지)소 치과위생사의 견해)

  • Kang, Boo-Wol;Hwang, Yoon-Sook;Lee, Sun-Mi
    • Journal of Korean society of Dental Hygiene
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    • v.8 no.2
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    • pp.1-12
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    • 2008
  • The purpose of this study was to examine the state of visiting oral health programs and the opinions of dental hygienists on the programs in a bid to help boost the efficiency of visiting oral health programs, To meet the goals, 341 dental hygienists in public dental clinics across the nation were asked to join a questionaire survey via e-mail in September 2007, After their views were investigated, the following findings were given: 1. In regard to the management of visiting oral health programs, 44,3 percent of the respondents carried out visiting oral health programs, and 48,3 percent of that group did that in association with visiting health care programs, There were differences among the public dental clinics in beneficiaries of visiting oral health programs, beneficiary selection criteria and the details of oral health programs, which indicated the necessity of the development of standardized models. 2. As to difficulties in fulfilling visiting health care programs, a shortage of professional knowledge was viewed as the greatest hurdle, All their scores were above average, which implied that they were not able to perform the programs successfully. 3. As for the necessity and additional expected effects of visiting oral health programs, the largest number of the dental hygienists who carried them out expected that the programs would serve to change the mind-set of locals about themselves, And the others who didn't placed the most emphasis on cooperation from other departments, and the two groups had a statistically significantly different opinion. 4. Concerning the details of visiting health care programs, the dental hygienists who performed the programs found it most necessary to provide oral health education to employees and families to be visited, The others who didn't considered it most necessary to offer oral health education to people to be visited, The necessity of denture and prosthesis was least stressed by both groups, and they took a significantly different view of treatment for dental diseases, denture and prosthesis. 5. Regarding how to bolster visiting health care programs, the dental hygienist group that carried them out put more emphasis on everything suggested in the survey, Specifically, they attached greater importance to securing sufficient budget, establishing legal foundation, setting up an administration system and determining the directions for the programs in a realistic manner, which signified the desperate need for administrative and institutional backing.

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Design of Microstrip Array Antenna for Satellite Reception (위성수신용 마이크로스트립 어레이 안테나 설계)

  • Kim, Jang-Wook;Jeon, Joo-Seong
    • Journal of the Korea Society of Computer and Information
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    • v.19 no.10
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    • pp.71-79
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    • 2014
  • In this paper, the microstrip array antenna is studied to replace the parabolic antenna in the direct satellite reception. A microstrip array antenna has been used in extremely limited area, but if it is applied to practical life like a direct satellite reception antenna, we expect that it will be used in various way. First of all, if we use a microstrip array antenna for a direct satellite reception antenna, it should be guaranteed characteristics of broadband frequency. Therefore, the goal of this paper is designing technique an antenna which guarantees broadband frequency band for a direct satellite reception. In this paper, the proposed microstrip antenna is fed by orthogonal two feed lines to a rectangular patch and a sequentially rotated feeding technique is designed proposed for a good axial ratio in broadband frequency band. The rectangular patch is designed to satellite reception band, and the width and length are W=L=8.9 mm ($0.352{\lambda}o$) respectively. The antenna's ground plane has dimensions of $250{\times}250mm$. The experimental results verify that the proposed antenna had the axial ratio of above 1dB broader than that of the conventional feeding antenna. In order to verify the performance, a $8{\times}8$ array having two pairs was fabricated and tested. The maximum gain is 20.8 dB, the sidelobe level confirm less than -10 dB. It is verified by link budget calculation that C/N=6.7 dB can be obtained for domestic use if this proposed antenna is used in Koreasat reception system.

A Study of the Management of Groundwater Reservoir by Numerical Three Dimensional Flow Model (3차원 흐름모델을 이용한 지하저수지의 관리에 대한 연구)

  • 신방웅;김희성
    • The Journal of Engineering Geology
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    • v.5 no.3
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    • pp.289-300
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    • 1995
  • At the initial stage of the underground reservoir design one should thoroughly consider surface and subsurface hydrology, hydrogeologic characteristics of aquifer system, and the function of cut - off wall because it is linked to the effective management. In this study, three dimensional finite difference model was applied to analyse the function of Ian underground reservoir at Kyungbuk Province. The steady and unsteady state conditions after construction of the underground dam were simulated through the model, and from these results the groundwater budget and the safe yield were determined. The model simulation indicates the infiltration of irrigation water to be one of the major factors of seasonal fluctuation of groundwater level. The recharge rates of irrigation water were estimated as 4.3mm/d during May and June, and 1.7mm/d during July and Agust. Groundwater recharge from the watershed area estimated to about $0.04m^3/s$, almost consistent through the year. In 1984, groundwater discharge through the transverse section of the dam was $0.002m^3/s$ and the optimum yield for two momths(July and Aguest)was $254000m^3$, however, the discharge became $0.013m^3/s$ in1993, implying the failure of cut -off function. without appropaiate of the cut - off wall, optiumum yield during the irrigaton period would be $93, 000m^3$.

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