• Journal of Dental Anesthesia and Pain Medicine
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• 제17권3호
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• pp.215-217
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• 2017

Branchio-oto-renal syndrome (BOR) is a rare autosomal dominant disorder. The features include branchial cysts, hearing loss, ear malformation, preauricular pits, retrognathia, congenital heart disease, and renal abnormalities. However, anesthetic management of these patients has seldom been reported. We report a case in which general anesthesia was performed for dental treatment in a patient with BOR. Airway management, renal function, and hemodynamic changes can be of critical concern during anesthetic management. A 13-year-old girl diagnosed with BOR had severe right hearing loss, right external ear malformation, renal abnormalities, and postoperative patent ductus arteriosus (PDA). Dental extraction under general anesthesia was scheduled for a supernumerary tooth. The procedure was completed with sufficient urine volume, adequate airway management, and stable hemodynamics.

• 한국병원경영학회지
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• 제10권1호
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• pp.71-92
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• 2005

The purpose of this study is to analyze the efficiency in management of general hospitals and investigate the major factors on efficiency. Specifically, the management of each general hospital is evaluated by using Data Envelopment Analysis(DEA) technique which is a nonparametric statistical method for measurement of efficiency. Then, the influencing factors are investigated through analyses of Decision-Tree Model and Tobit Regression. The target hospitals were general hospitals in which bed sizes are between 200 and 500 among a total of 276 general hospitals. The main data of financial indicators were collected from 48 hospitals, and it was analyzed by using two statistical models. For Model I, three input and two output variables were used for efficiency evaluation. In particular, three input variables were the number of medical doctors, the number of paramedical personnel, and the bed size. And, two output variables were the numbers of inpatients and outpatients per year, adjusted by bed-size. The results of DEA analysis showed that only seven out of 48 hospitals(15%) turned out to be efficient. The decision-tree analysis also showed that there were six significant influencing factors for Model I. Six factors for Model I were Bed Occupancy Rate, Cost per Adjusted Inpatient, New Visit Ratio of Outpatients, Retired Ratio, Net Profit to Gross Revenues, Net Profit to Total Assets. In addition, the management efficiency of hospital is proved to increase as profit and patient-induced indicators increase and cost-related indicators decrease, by the Tobit regression model of independent variables derived from the decision-tree analysis. This study may be contributable to the development of analytic methodology regarding the efficiency of hospital management in that it suggests the synthetic measures by utilizing DEA model instead of suggesting simple ratio-analyzing results.

• 안보군사학연구
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• 통권3호
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• pp.243-263
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• 2005

The purpose of present study is to applied center assess method to Military General's Promotion System. This study aim to examine assessment center method based on core competency model will be applied to Military General's Promotion System and Human Resource Management. This study propose that Military General's core competency model based on job analysis to identify competency of Army, Navy, Air Force's Generals and to identify the consequences and performances of assess center method. This study propose that assess center method applied to Military General's Promotion System have many kinds. Facilitated Simulation methods were Planning and Analysis /Oral Presentation, Presentation management Coaching, customer /Peer lnteraction. Non-facilitated Simulation methods were In-Basket game, Leaderless Group Discussion, role playing. And this study propose that Military General's assessment center method based on core competency model will be effective in Military field.

• Architectural research
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• 제16권1호
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• pp.17-25
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• 2014

This research is to restructure the public assessment of housing management in a standardized fashion, and a self-administered questionnaire survey was employed for data collection and analysis. In doing so, all the assessment tools nationwide were identified and assembled to extract the items included in the survey form. The survey form was mailed out to local officers in charge of housing management and professional housing managers in the nation, and the responses were statistically analyzed in order to structure the standard assessment tool of housing management. This research classified 3 main areas (General Maintenance, Operation and Community Living) in evaluating the housing management performance, and identified 35 essential items and 52 optional items. The 35 essential items were drawn from the 16 categories of the 3 areas (11 items of 5 categories for General Maintenance, 7 items of 4 categories for Operation, and 17 items of 7 categories for Community Living), and the rest 52 optional items were from the 16 categories of the 3 areas (24 items of 7 categories for General Maintenance, 26 items of 7 categories for Operation, and 2 items of 2 categories for Community Living). While all the items in the research are quantifiable, it's suggested that qualitative measurements be complementarily utilized in the assessment not only to explore the best practices of housing management but also to refine and modify the standardized tool in response to various environmental changes. As the public assessment of housing management is context-sensitive and critically related to local housing profile, the continuous implementation of the assessment will facilitate shifting the housing paradigm from production and consumption to management and reproduction.

• 대한영양사협회학술지
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• 제18권4호
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• pp.326-343
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• 2012

This study has attempted to collect actual spot's opinions and analyze importance-performance of indicators for the evaluation of hospital nutrition department. The results of this research were as follows: first, the average score of self-estimated performance was 3.75 based on a 5-point scale. The degrees of importance of hospital foodservice and nutrition department management were in the range of 3.71~4.85 out of 5.0 and the mean importance degree score was 4.37. Second, the average score of self-estimated performance in each category was significantly higher in the case of general special hospital compared to general hospital. Especially average performance score of nutrition management in the general special hospital was higher than that of general hospital (P<0.001). The average performance score of the hospital with more beds was significantly higher than that with less beds. Contract managed hospital's score was significantly higher than that of self-operated hospital in two categories, "facilities management" and "nutrition management" (P<0.05, P<0.01). In foodservice and nutrition management of task-separated hospitals, the average performance scores were significantly higher than those of not-separated hospitals (P<0.01, P<0.001). Third, according to the importance-performance analysis of recognition about indicators for the hospital nutrition department's operations evaluation, 'foodservice facilities management' and 'foodservice sanitation management' were in 'doing great', 'nutritional management' and 'operational management' were in 'low priority', and 'other foodservice management' was in 'overdone'. In conclusion, there's a need for institutional specific standards of sanitation for Korean hospital foodservice.

• 동아시아식생활학회지
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• 제17권5호
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• pp.634-643
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• 2007

This study was performed to develop a tailored multi-disciplinary obesity management program, as well as an obesity assessment sheet identified the general characteristics and psychological and environmental factors related to weight loss success for obese premenopausal women participating in obesity management programs performed at weight reduction health centers. The results are as follows. The primary general characteristics related to successful weight reduction in the obesity management programs were education level, occupational status, reason for obesity onset, aids used in weight control, basis of frequency, and reason for weight reduction. The initial psychological factors related to successful weight reduction were less stress and disordered eating. The initial environmental factors included an expression of ones opinion and the eating environment. Animal protein and animal fat consumption were significantly less in the unsuccessful group than in those who were unsuccessful at weight loss. The consumption of crude fiber was significantly greater in the successful group than in the unsuccessful group. Psychological factors such as stress, depression, and disordered eating, and the environmental factor of eating environment were significantly better in the successful group than in the unsuccessful group. In conclusion, we have found evidence to suggest what is required in determining the types of programs most suitable for obese women prior to starting an obesity management program.

• 한국자동차공학회논문집
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• 제13권2호
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• pp.162-169
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• 2005

To achieve rapid new car developments and cost saving, new approaches for automotive general assembly in manufacturing preparations are needed. In this paper, CAD and DMU technologies for design and evaluation of machines and equipments are discussed. Digital Mock-up based on 3-D CAD models usually apply in the area of concept design and design review. We focus on manufacturing preparations of the machine and equipment. Detail procedures, examples and considerations of DMU are suggested in this paper. By applying DMU in the manufacturing preparations of general assembly, time, cost and quality of engineering can be enhanced through engineering collaboration.

• Management Science and Financial Engineering
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• 제18권2호
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• pp.13-17
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• 2012

Set covering has widely been accepted as a staple tool for feature selection in data mining. We present a generalized version of this classical combinatorial optimization model to make it better suited for the purpose and propose a surrogate relaxation-based procedure for its meta-heuristic solution. Mathematically and also numerically with experiments on 25 set covering instances, we demonstrate the utility of the proposed model and the proposed solution method.

• 임상간호연구
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• 제29권3호
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• pp.327-336
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• 2023

Purpose: This study aimed to identify the factors affecting the practice of medical waste management of nurses in tertiary general hospitals after the coronavirus disease 2019 (COVID-19). Methods: The participants were 154 nurses working in two tertiary general hospitals. Data were collected using structured questionnaires and analyzed using an Independent t-test, One-way ANOVA, Scheffé test, Pearson correlation coefficients, and multiple regression analysis using the SPSS/WIN 27.0 program. Results: Factors significantly influencing the subject's practice of medical waste management include medical waste education(β=.18, p=.013), recognition of infection control organizational culture (β=.26, p=.007), and attitudes toward medical waste management (β=.23, p=.011). The explanatory power of these variables for medical waste management practice was 29.0% (F=7.34, p<.001). Conclusion: To improve the practice of medical waste management, a strategy to provide positive attitudes toward medical waste management should be needed when developing medical waste management training programs, and various measures are necessary to make the organizational culture positive for the implementation of infection control guidelines at the organizational level.

• 대한치과마취과학회지
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• 제12권1호
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• pp.39-43
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• 2012

One of the most common procedures in dentistry is the inferior alveolar nerve block anesthesia but visual problem can occur during this procedure. Transient visual acuity decrease after inferior alveolar nerve block anesthesia can result from unintended intravascular injection. In this case report, we present ocular complication that has rarely been reported. The understanding of anatomy related to this case is discussed with suggestions for proper management of the patients. The dental management for ocular complications includes a correct diagnosis, management by understanding of patient's anatomic variations. This will prevent intravascular injection.