• 한국환경과학회지
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• 제11권4호
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• pp.309-317
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• 2002

In this study, water protection reservoir is selected as the target which is located at the estuary of Taehwa river to analyze and examine the effects of hydraulic structure on river environment. This study examined the water quality variation characteristics among many effects of hydraulic structure on river environment before and after removal of the sediment protection reservoir when low flow is yielded. This study aims at the definition of factors which cause the change of ecological environment of river due to the effects of the sediment protection reservoir, and the proposal of the direction of environmental friendly river space development through the comparison of stream variation conditions(depth, velocity, and etc.) and riverbed variation characteristics with ecological depth condition of Taehwa-river's channel for each representative species of fish and examination those. Firstly, from the examination result of water quality when low flow is yielded before and after removal of the sediment protection reservoir for problems about water quality of river due to flow amount decrease in river, it is found that DO decreases about 0.78~0.86ppm at the lower stream of Myeongchon-gyo, and BOD decreases about 0.06~0.24ppm from right upper stream to the direction of estuary when the sediment protection reservoir is removed. It is known from the above that there is some improvement of water quality from the lower stream of Taehwa-gyo to the estuary in case of removal the sediment protection reservoir. Nextly, it is thought that the effects on ecosystem due to water depth and draw down in channel is not serious on the basis of the examination of water quality analysis result according to removal of sediment protection reservoir and hydraulic depths for reservation of ecosystem, these are 10~40cm for breeding season, 10~50cm for fry period, and 10~100cm for adult period of the representative species of fish in Korea.

• 간호행정학회지
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• 제13권1호
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• pp.109-117
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• 2007

Purpose: This study focused on analysing the performance and the perception of importance about workload of ambulatory nurses and nurse-aides for quality of nursing. Method: The subjects of this study were 126 ambulatory nurses and 117 nurse-aides in 6 secondary and 4 tertiary hospitals. The method of data collection was used the questionnaire. Result: As a result, First, nurses' activities that the performance score is above 3.0 are reception, guidance, reservation, confirm, checking medical record, operating report, explanation of disease, explanation of examination discuss with medical part, discuss with supporting part, solving patient problem environment management, and paper work. And the other side, those of nurse-aides are reception, guidance, reservation, preparation for clinic, assistant for clinic, preparation for examination, material transfer & receipt, confirm, checking medical record, and arrangement. Second, nurses-aids perceive above 3.0 performance score activities to be important for themselves. Finally, nurses perceive three categories of patient education/counselling, patient advocacy and quality improvement to be more important and higher performance when compared with nurse-aides. Conclusions: Ambulatory nurse's important nursing activities are therapeutic care, patient education/counselling, patient advocacy, communication, personal management, quality improvement.

• 동굴
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• 제61호
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• pp.5-16
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• 2000

Recently many environmental researcher are concerned about the ecological environment and the issue of environmental pollution in cave. In this paper we discuss about air pollution, water pollution, state of water quality, ecological environment and situation of environmental public damage in cave The concerning of air pollution in cave is mainly to the type of secondary contamination, which much is developed in various fields recently. The natural water in the most of cave is no problems but ground water has slitting with natural water during much raining period. The state of water quality is gradually contaminated with artificial environmental pollution, that is, the contents of kinds of Aluminum, Nickel, Copper, Zinc and Calcium are higher than before. On the other hand it is very important things to keep the control of constant temperature, darkness and humidity in cave. The contamination by lamp flora and even black colored contamination are appeared nowadays. The ecological environment in cave destructed by growing of mi coorganism. In fact the internal of cave is shielded with the state of climate of cave external but the environment of internal cave is contaminated, because blowing from external climate state. In addition to environmental pollution caused by carbon dioxide and body temperature of tourists. By the way eco-examination of cave is black color public damage, green color one and white color one has been discovered, so we need to have the situation of demand of environmental reservation alternatives.

• 헤리티지:역사와 과학
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• 제52권2호
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• pp.240-253
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• 2019

매장문화재 조사는 과거 자연환경과 우리 조상들이 이룩한 찬란한 문화를 복원하고, 문헌 기록으로 알 수 없었던 역사적 사실과 그 당시의 문화상과 사회상 등을 생생하게 이해할 수 있는 공익적 행위로서 중요한 가치와 역할을 하고 있다. 이러한 매장문화재 조사의 가치와 중요성 인식, 전문성 제고, 품질 향상 등에 있어 가장 기본적이고 중요한 제도 중 하나가 매장문화재 조사용역 대가의 기준과 적격심사 세부기준이라고 할 수 있다. 하지만 현재 행정규칙으로 시행되고 있는 매장문화재 조사용역 대가기준과 적격심사 세부기준 제도의 현실 적용 실태를 보면 민간과 공공, 정부 등 모든 부문에서 준수하지 않고 있어 제도의 실효성과 안정성에 심각한 문제가 있다. 매장문화재 조사용역 대가의 기준과 적격심사 세부기준의 미준수는 향후 우리나라 매장문화재 조사 분야의 기반을 붕괴시키는 요인으로 작용할 뿐만 아니라 개발사업 시행자와 조사기관 사이의 갈등과 분쟁이 확대 재생되는 악순환 구조만 지속적으로 반복될 것이다. 따라서 확대 재생되는 악순환 구조를 선순환 구조로 바꾸고 제도 도입의 목적 달성과 현실 적용 과정에서의 실효성과 안정성이 담보될 수 있는 법제화 추진과 함께 현실과의 괴리 현상이 발생하지 않도록 지속적인 고도화 작업이 반드시 병행되어야 한다.

• 한국콘텐츠학회논문지
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• 제8권11호
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• pp.217-224
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• 2008

방사성 물질 중 동위원소를 이용한 치료는 1964년부터 현재까지 꾸준히 증가하는 추세이다. 그에 따른 안전관리도 강화 되었다. 그러나 현재 규정과 제도가 오히려 치료행위에 악영향을 주거나 이를 회피하기 위한 수단으로 임상에서 치료병동을 개설하지 아니하고 소량의 방사능으로 치료를 하고 있으며, 치료병동이 있다 하더라도 그 시설을 감당하지 못하고 많은 입원환자를 유치하지 못함으로 인하여 환자가 치료를 받기위해 상당기간 동안 대기하여야 한다. 최근 원자력의학원에서 기존 병실을 포함한 약 10개 병실을 보유하게 되어 대기 상태가 해소된 듯 보여 지지만 현재 국내에서 약 28개 병원에서만 총 57개의 방사성 동위원소 병실을 사용 하고 있어 아직 까지도 상당기간 치료를 위하여 대기하고 있는 실정이다. 따라서 환자는 호르몬 조절시간이 장기화 되고 치료병실이 없는 의료기관에서는 최대 방사능 30mCi로 수차례에 걸쳐 시행하게 된다. 이는 환자, 가족, 지인 등에게 수회에 걸쳐 피폭을 주는 결과를 발생시킬 것이다. 또한 의료인 및 보건의료인이 환자 및 보호자에게 피폭에 대한 고지의무를 다한다 하더라도 환자를 비롯한 가족에게는 상당한 심적 부담감을 줄 수 있을 것이다. 그러므로 현재 3차 진료에 해당하는 병원 및 의료기관에서는 치료병실을 설치해야하는 필수 조건으로 의무화 하는 등 방사성동위원소 치료에 따른 시설 강화와 제도 개선의 노력이 있어야 할 것이다.

• 대한방사선기술학회지:방사선기술과학
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• 제11권2호
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• pp.27-64
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• 1988

Most hospital administrators in our country have doubted whether or not the size of their hospital personnel staffs, and the personnel management styles implemented are efficient or not. Actually, increased personnel expenditures due to sophisticated specialization of medical practices has become the biggest hospital expense. Therefore, it is said that hospitals can be run move efficiently by implementing reasonable management strategies for hospital personnel management. In this paper, the departments of diagnostic radiography in 16 general hospitals in Seoul, which were classified into 4 groups by the scale of hospital beds, were used as sample cases. Then, the data for the number of X-ray examination by diagnostic item was collected from sample hospitals. The unit hour spent on X-ray examinations in each diagnostic service was quoted from "A Study on setting-up of the relative value units of medical services and on the structure of current fee schedules" written by Mr. Ik Je Seong. The data analysis results are as follows; First, the number of hours per day spent on X-ray examinations in 13 hospitals out of 16 hospitals, was shorter than the general daily working hours (8 hours). Second, in the morning there was not enough time to work for X-ray examinations required, with the available manpower. In the afternoon, however, the situation was diametrically opposed to that in the morning. Third, in light of above results, though most hospitals employ sufficient personnel for the quantity of the actural work, they were always short-handed where their works were performed Fourth, this study tells us that there is a maldistribution of the work in the schedule : too much work for the available personnel in the morning. The following recommendations are resulted from the data analysis described above. First, it is recommended that all out-patients coming again, except specific patients(G. B. or I.V.P. etc) who have to have their X-ray examinations on an empty stomach in the morning among out-patients, be required to visit the hospital in the afternoon. Second, it is recommended that all new out-patients be required to make a reservation in order to equalize the number of patients throughout the day. Third, it is recommended that all in-patients, except specified patients, be arranged to have their X-ray examinations in the afternoon. Fourth, it is recommended that part time workers be employed during peak hours. This recommendation, if applied in a wider scale, would allow hospitals to overcome the problem of the maldistribution of work and personnel, and then more efficient hospital management through the appropirate personnel management procedures could be expected.

• 보건의료생명과학 논문지
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• 제9권1호
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• pp.1-9
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• 2021

본 연구에서는 한국보건의료정보원에서 실시하는 EMR 인증기준울 이해할 수 있도록 보건의료정보관리 실습 프로그램에 인증기준을 추가한 모델을 연구하여 제시하였다. 실습 프로그램은 EMR 인증제의 기능성 기준에 해당하는 환자정보관리를 실습하고 이해할 수 있도록 보건의료정보관리 교육시스템에 환자정보관리에 대한 인증기준 기능을 추가하였다. 환자정보관리를 위한 EMR 인증기준 실습프로그램은 다음과 같은 인증기준으로 구성되었다. 등록번호 및 인적사항 관리, 진료예약 일정관리, 인적사항 수정이력관리, 동명이인 구분자 표시, 다중 등록번호 통합관리, 식별정보를 이용한 환자 검색, 진료형태에 따른 환자 검색, 수술시술 동의서 기록·조회, 개인정보활용동의서 기록·조회, 연명의료결정정보 표시, 외부 의료기관문서 등록·조회, 외부 검사결과 등록·조회. 이와 같이 인증기준에 의한 보건의료정보시스템의 기능을 운영하여 실습해봄으로써 인증기준의 기능성 영역에서 환자정보관리의 인증기준과 내역을 이해하고 실습할 수 있다. EMR 인증 기준에 맞춰 환자정보관리 실습을 수행해봄으로써 전자의무기록시스템에서의 표준화된 환자정보관리를 이해할 수 있다. 또한 EMR 인증기준의 기능을 확인할 수 있기 때문에 의료기관에서 보건의료정보관리사의 전자의무기록시스템의 관리 능력을 향상시킬 수 있을 것이다.

• 한국치위생학회지
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• 제6권4호
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• pp.437-453
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• 2006

To analyze dental hygienists and other manpower at dental care service institutions where a dental coordinator was working among about 200 dental care service institutions in Seoul, Gyeonggi Province, and Incheon as of June 2005 for contents of training for dental coordinators, opinions of qualification of dental coordinators, present and future services provided by dental coordinators, and awareness of dental coordinators and to provide basic data about future services, roles, and cultivation of dental coordinators, a survey was conducted and 216 copies returned were analyzed, obtaining the following results. 1. 83.8 percent needed an educational program for dental coordinators as an educational content; 41.7% had awareness of the educational content; and 83.8 percent insisted that over the intermediate level of curricula should be taken. Dental coordinator cultivation institutions identified included the institution under the control of the Korean Dental Hygienists Association and the education center for the department of dental hygiene; 76.9% insisted that an appropriate qualifying examination should be necessary. They suggested the central government department and the local government as a certification institution; 39.4% insisted that financial support for the education should be provided by financing education alone. Only 28.7% experienced dental coordinator education and 73.1% hoped to serve as a dental coordinator. They were found to expect a rise in payment(64.4%) and in the title(46.8%) after completion of the educational program. 2. 66.2% saw a dental hygienist as the most appropriate for a dental coordinator; clinical career (39.4%) and practical capacity(29.2%) were suggested as requirements for a dental coordinator; and a period of over three years(47.2%) was suggested for appropriate dental career. 3. Dental coordinators' present services included 'reservation management' for customer management, 'staff service training' for organization management, 'understanding of customer reception attitudes and actions' for self-management, 'hospital information management' for hospital marketing, 'acceptance' for hospital affairs management, and 'hospital environment management' for hospital facilities management; their future services included 'acquisition of ability to use a foreign language' for self-management, followed by 'staff service training' for organization management, 'training and counseling' for customer management, 'acquisition of counseling capacity' for self-management, 'complaining customer reception' for customer management, and 'marketing strategy implementation' for hospital marketing. 4. After comparing dental hygienists and other manpower in terms of dental coordinators' future services, dental hygienists showed interest in 'acquisition of ability to use a foreign language,' 'staff service training,' 'complaining customer reception,' and 'acquisition of counseling capacity' while other manpower showed interest in 'acquisition of ability to use a foreign language,' 'document data management,' 'acquisition of basic service manner,' 'acquisition of counseling capacity,' 'manpower management,' 'establishment and evaluation of a marketing strategy,' and 'education and counseling.' 5. As for awareness of dental coordinators, they were thought of as helpful in improving image of a dental clinic; it was found that continuous training should be necessary to develop dental coordinators' capacity; dental coordinators' services should be important and contribute to patients' qualitative satisfaction.