• Title/Summary/Keyword: health care system

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노후연금보험주택의 운영과 관리 시뮬레이션 사례연구 : 무주군의 전원마을 모델을 중심으로 (A Case Study on the Operation and Management Simulation of Pension Insurance House in Later Life : In the Case of Muju Rural Village)

  • 홍형옥;김정인
    • 가정과삶의질연구
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    • 제27권1호
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    • pp.61-71
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    • 2009
  • The purpose of this study was to resolve the issues of inferior housing environment and the population decrease in rural community by improving the environment and attracting urban inhabitants. A simulation on the costs and the local programs was operated from a point of view that Pension Insurance House with Long-term Lease and a plan for the program in connection with local resources should be accompanied to attract urban inhabitants. The study was carried out through mainly documents analysis and specialists' opinions. The simulation results are as follows. Firstly, the pre-existing rural housing development projects have only emphasized the hardware, while underestimated the post-management with operating programs. The software should be underlined when Pension Insurance House is developed. Secondly, as a result of the simulation on construction expenditure and the operating and maintenance cost for 30 years, about 82.3 million Wons are necessary residential expenses for 15 years per unit. Thirdly, in case of MUJU County, it has made the most of its pre-existing institutions. It's medical institutions provide medical care system with health education, facilities related leisure and culture offer recreational programs and the local community center and its program of each town helps new habitants adopt to the rural life. Additionally, the employment project of a local welfare center allow people living in a rural community to continue their careers with their talents and interests through local class programs for a life worth living. Lastly, guide for getting information of rural life, local community gathering and preliminary education should be carried out to reduce expectant tenants' incompatibility and assist them settle down early. The community program expansion is also required at the local government level.

치과용 Lidocaine 28 앰플로 국소마취 하에 1차 봉합한 악안면 심부 관통성 열창 -증례 보고- (Primary Closure of Deep Penetrating Wounds under Local Anesthesia with Dental Lidocaine HCL 28 Ampules in Maxillofacial Regions -Report of two cases -)

  • 김종배;유재하
    • 대한치과마취과학회지
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    • 제1권1호
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    • pp.26-31
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    • 2001
  • The wide deep penetrating wound of maxillofacial region should be early closed under emergency general anesthesia for the prevention of complications of bleeding, infection, shock & residual scars. But, if the emergency general anesthesia wound be impossible because of pneumoconiosis, obstructive pulmonary disease & hypovolemic shock, early primary closure should be done under local anesthesia by use of much amount of the anesthetic solution. The maximum dose of dental lidocaine (2% lidocaine with 1 : 100,000 epinephrine) is reported to 7 mg/kg under 500 mg (13.8 ampules) in normal adult. But the maximum permissible dose of dental lidocaine can be changed owing to the general health, rapidity of injection, resorption, distribution & excretion of the drug. The blood level of overdose toxicity is above $4.0{\mu}g/ml$ in central nervous & cardiovascular system. The injection of dental lidocaine 1-4 ampules is attained to the blood level of $1{\mu}g/ml$ in normal healthy adult. The duration of anesthetic action in the dental 2% lidocaine hydrochloride with 1 : 100.000 epinephrine is 45 to 75 minutes and the period to elimination is about 2 to 4 hours. Therefore, authors selected the following anesthetic methods that the first injection of 6 ampules is applied into the deeper periosteal layer for anesthetic action during 1 hour, the second injection into the deeper muscle & fascial layer, the third injection into the superficial muscle and fascial layer, the fourth injection into the proximal skin & subcutaneous tissue and the fifth final injection into the distal skin & subcutaneous tissue. The total 26-28 ampules of dental lidocaine were injected into the wound as the regular time interval during 5-6 hours, but there were no systemic complications, such as, agitation, talkativeness, convulsion and specific change of vital signs and consciousness.

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IC카드헝 전자화폐 도입방안의 문제점과 개선책 (IC-CARD TYPE ELECTRONIC MONEY AND IMPROVEMENT POLICY)

  • 박근수
    • 정보학연구
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    • 제3권1호
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    • pp.73-88
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    • 2000
  • 다용량과 보안성이 뛰어난 IC카드는 새로운 지급결제수단의 필요성이 증대됨과 함께 정보통신기술과 전자기술의 발달로 사회각 분야에서 널리 사용되고 있다. 1995년 영국의 스위든시에서 $\ulcorner$MONEX$\lrcorner$ 라는 IC카드형 전자화폐가 상용화 실험에 착수한 이래 여러 국가에서 상용화 실험에 착수하였으며, 우리나라에서도 지난 10월 제주도에서, 12월 16일에는 VISA-CASH가 여의도에서 상용화 실험에 착수하는 등 금융결제원, 비자코리아 몬덱스코리아 등 3사가 각기 다른 형태의 IC카드형태의 전자화폐의 실험에 착수하였다. 그러나 이러한 각기 다른 실험착수는 중복 투자 뿐 아니라 범용성이 떨어져 상용화에 실패할 가능성이 있다. 따라서 범용성을 갖추기 위한 표준화의 필요성이 절실하며 국제적인 호환성도 고려한 전자화폐의 개발이 절실하다. 한편 발행 주체에 대하여 전자화폐의 신뢰성과 통화관리의 필요성을 위하여 금융기관으로 제한하고 있으나 금융기관의 보수적인 영업 형태 및 낙후성을 고려할 때 신기술의 도입에 적극적이고 개혁적인 기업에게도 전자화폐를 발행할 수 있는 권리를 부여하되 자격을 엄격히 규제함으로서 신뢰성을 확보할 수 있도록 하여야 할 것이다.

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경기도 소방재난본부에 소속된 두 구급대의 출동수요 분석 (An Analysis of Call Demands of Two Squads In Kyonggi Provincial fire and Disaster Headquarters)

  • 엄태환
    • 한국응급구조학회지
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    • 제6권1호
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    • pp.77-86
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    • 2002
  • The purposes of this research which was conducted by surveying lost/added unit hours reports, unit hour demand analysis worksheets from prehospital care reports of two squads in Kyonggi Provincial Fire and Disaster Headquarters for 20 weeks (January 1, 2002 - May 20, 2002) are to get Unit Hour Utilizations. Call Demands such as Unit Hour Demand, Simple Average Demand, High Average Demand, Peak Average Demand, the High Actual Demand. The conclusions from this analysis were summarized as follows: (1) By revealing Unit Hour Produced 3223.9, Call Volume 964, Unit Hour Utilization 0.299 at the Squad A and Unit Hour Produced 3328.4, Call Volume 901, Unit Hour Utilization 0.271 at the Squad B induced Korean Squads to chance identification, definition, direction of Unit Hour Utilization. (2) By revealing Simple Average Demand 7.4 on Monday Tuesday, High Average Demand 9.6 on Tuesday Friday. Peak Average Demand 11.5 on Tuesday, the High Actual Demand 12 on Tuesday Wednesday at the Squad A and Simple Average Demand 6.8 on Sunday, High Average Demand 10.4 on Monday, Peak Average Demand 11.5 on Monday, the High Actual Demand 13 on Monday at the Squad B enabled Korean Squads to utilize System Status Management. (3) The Maximum Calls per Unit Hour were 115 for 23:00~23:59, the Minimum Calls per Unit Hour were 46 for 05:00~05:49 in two squads. The Maximum Calls per Unit Hour were 7.4 on Tuesday Saturday, the Minimum Calls per Unit Hour were 6.1 on Thursday at the Squad A. The Maximum Calls per Unit Hour were 7.3 on Monday Saturday, the Minimum Calls per Unit Hour were 5.6 on Thursday at the Squad B. (4) Analyzing demand for EMTs in the optimum emergency medical service of Korea, we have been able to utilize this Unit Hour Utilization in company with the established estimation methods such as international comparisons or the number of ambulances for scientific reasonable estimation. (5) These Call Demands which were limited to the demand time in this study will make us expect some following studies including demand time, demand time, demand map for Strategic Deployment.

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식생활관리 실태에 관한 연구 -서울시내 주부를 중심으로- (A Study on the Survey of the Meal Management)

  • 유영상
    • 대한가정학회지
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    • 제18권1호
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    • pp.53-66
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    • 1980
  • One of the most pressing problems of the day in our household economy is the scientific improvement of meal management, which has direct bearings on the efficiency of housewives, domestic economy, and health care for the whole family. The concern of this paper is to investigate the current meal management situation in which more than three hundred housewives in Seoul find themselves, and to propose a tentative plan for its improvement. The result of the investigation is summarized as follows : 1) The number of families with old-fashioned kitchens forms a percentage of 30.3 ; only 4.3 percent of them have waterworks and drainage system. 2) The number of families equipped with cooking machines and utensils constitutes 51.2 percent ; that of those without cooking machines reaches the high percentage of 92.8. 3) The expense for daily meals amounts to 37.9 percent of the whole domestic expenses. the number of those who prepare daily meals without any planning comprises 78 percent. It is from habit that 60.5 percent of them make no workable plan for their meals. 4) The frequency of housewives doing daily marketing is comparatively high. 5) The time spent in preparing and clearing the table is 280.4 minutes a day on the average. 6) In preparing daily meals the low income bracket tends to keep expense as low as possible, while the high income bracket is chiefly concerned with taste. 7) The frequency of home cooking is on the increase as the housewives grow older, especially in the large families with housemaids. 8) In most cases housewives do the cooking for themselves; the high income brackets have housemaids do the cooking. The number of husbands who help their wives do kitchen work a small percentage of 10-14. 9) The simplification of kitchen work presupposes the simplification of the daily cooking, the improvement of the structure and equipment of the kitchen, and a good help of the whole family.

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학제에 따른 방사선(학)과 학생의 교육만족도 (Education Satisfaction by Students in Department of Radiologic Science according to Educational System)

  • 길종원;최성욱
    • 한국방사선학회논문지
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    • 제10권5호
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    • pp.343-349
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    • 2016
  • 본 연구는 2015년 04월 08일-06월 18일까지 대전 경상북도지역의 3년제 방사선(학)과 300명, 4년제 방사선학과 300명 총 600명을 대상으로 교육만족도를 평가하였다. 연구결과 3년제보다 4년제 방사선학과 학생들의 교육만족도가 유의하게 높았다(p<0.001). 그리고 남학생과 저학년에서 교육만족도가 높지만 일부 항목에서만 유의하였다(p<0.05, p<0.01,p<0.001). 3년제 방사선(학)과의 교육만족도를 높이기 위해서는 개설과목의 다양성 보다는 새롭고 전문적인 산학협력프로그램을 개발하여 적용하는 것이 더욱 효율적인 방법일 것이다.

Monogastric Animal Production Systems in Small Farms in Tropical Countries - Review -

  • Saadullah, M.;Saad, T.
    • Asian-Australasian Journal of Animal Sciences
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    • 제13권3호
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    • pp.401-412
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    • 2000
  • Like other livestock, monogastric animals are essential components of the farming systems in the tropical countries. Pigs, chicken and ducks are by far the most important animals in the culture of the peoples of developing countries in the tropics. Traditionally these animals are raised in small farms and they are also the bulk producers of meat, eggs etc. in the tropics. In many countries the farmers of these small farms are unable to meet the requirement set by financial institution and other loan giving agencies for agricultural loan. Thus, the small farmers can get neither the opportunity to generate sufficient income to support the family nor to extend the livestock activities. The production systems are characterized by small number of animals with no or minimal inputs, low outputs and periodic destruction of animals by disease. Typically the litter size or flocks are small in number with each household containing 5-6 pigs and 7-10 poultry. Animals are owned by individual households and mostly maintained under a scavenging systems with little or no inputs for housing, feeding or health care. Because of the nature of this production system, productivity of these animals is rather low. The low level of inputs is due to a lack of capital and a low risk oriented outlook. The feed resource base for monogastric is scavenging and consists of household waste, roots and tuber, grain by-products and anything edible found in the immediate environment. Usually farmers select breeding gilts from their own female piglets or to a lesser extent, buy them from neighbors for natural mating. As regards poultry attempts have been made to increase egg and meat production by improving local poultry birds by upgrading and crossbreeding with exotic germ plasma in the tropics. Animal disease present a major constraint to animal production in the tropical region and the extent of the losses due to disease is very high.

노인일자리사업의 사회공헌형, 시장진입형 효율화 방안에 관한 연구 (Study on the public interest type of the senior's job programme, Efficiency measures in the market-type)

  • 조우홍
    • 한국컴퓨터정보학회논문지
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    • 제19권12호
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    • pp.349-357
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    • 2014
  • 우리나라는 세계에서 유례를 찾아보기 어려운 빠른 속도로 저출산과 더불어 고령화가 진행되어 가고 있다. 인구구조도 피라미드형 구조였으나, 최근에는 역피라미드형 구조가 되어감에 따라 생산인구 문제를 열악하게 만드는 요인으로 작용하고 있다. 노인일자리사업은 이러한 산업구조 역행의 일부를 대체하는 측면도 있지만, 노인의 경제적 측면과 신체적 측면 그리고 사회통합의 측면에서도 효과적인 지원체계가 마련되어져야 한다. 또한 다양한 일자리 창출 및 보급을 위한 노력도 함께 이루어져야 한다. 문화, 복지, 의료, 관광, 체험 등 서비스 분야에서 취약한 부분을 발굴하여 은퇴 전 가지고 있었던 기술과 경험이 활용될 수 있는 양질의 일자리가 만들어 지도록 해야 한다. 따라서 이 연구는 노인일자리사업의 효율화 방안을 위한 이론적 기초를 제공하였다는데 그 의의가 있다.

치과용 임플란트 보철물적용환자의 만족요인 (A Study on Satisfaction Factors with Dental Implant Patients)

  • 이성욱;김지환
    • 대한치과기공학회지
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    • 제28권1호
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    • pp.67-81
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    • 2006
  • This research has been attempt to examine closely factors that high cost and value to overall satisfaction state for dental implant prosthesis, re-utilization intention, inducement intention of the general hospital dental service user and provide basis data necessary to establish competitive general hospital dentistry management strategy. Collected data using own recording way questionnaire from April 17, 2004 to May 15, 2004 choosing 142 people that agree on this research and question of 361 people that dental implant prosthetic treatment finished from March 1, 1999 to March 1, 2004 for this. Major analyzation consequences are as follows : First, general satisfaction, re-utilization intention, inducement intention for implant prosthesis that highly correlation variables are kindness, explanation, medical treatment level and appreciation of the aesthetic. Second, correlation is high relatively between re-utilization intention, inducement intention in the 3 variables such as general satisfaction re-utilization intention, inducement intention. Third, the result of multiple regression analysis showed that most significant effective factors are satisfaction with explanation of dental implant prosthesis between the 3 dependant variables such as general satisfaction, re-utilization intention, inducement intention. In looking into these consequence, how to improve that raise satisfaction about dental implant prosthetic treatment and to establish patient focused care service system for dental implant prosthesis, it is consider that explain enough about implant prosthesis and raise quality of medical examination and treatment level, including satisfied with fabrication of good esthetic dental implant prosthesis.

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감염 예방을 위한 인공신장실 의료 환경에 대한 고찰 - 근거 기반의 디자인 중심으로 (A Review of Renal Dialysis Unit Environment for Infection Prevention - Focused on Evidence Based Design)

  • 한수하;윤형진
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권3호
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    • pp.49-57
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    • 2018
  • Purpose: The increase in patients requiring hemodialysis has resulted in an increase dialysis-associated infections risk. but there are no Renal Dialysis unit design standard meet specified safety and quality standards. Therefore, appropriate Establish standards and legal regulation is important for the provision of initial certification and maintenance of facility, equipment, and human resource quality. Methods: Literature survey on the design guideline and standards of Renal Dialysis unit design in Korea, U.S, Germany, Singapore, Hongkong, Dubai. Results: There are no established standards for facilities in dialysis units in Korea. To prevent infections in dialysis patients, necessary establish standards. Considering the domestic and overseas Health-care facilities standards, the major factors to be considered in the medical environment for Renal Dialysis Unit are as follows. First, planning to separate Clean areas(treatment area) from contaminated areas(medical waste storage area). Second, ensure sufficient space and minimum separation distance. Although there may be differences depending on the circumstances of individual institutions, renal dialysis unit consider the space to prevent droplet transmission. Third, secure infrastructure of infection prevention such as sufficient amount of hand hygiene sinks. Hand washing facilities for staff within the Unit should be readily available. Hand hygiene sinks should be located to prevent water from splashing into the treatment area. Fourth, Heating, ventilation and air conditioning (HVAC) system for Renal Dialysis Unit is all about providing a safer environment for patients and staff. Implications: The results of this paper can be the basic data for the design of the Renal Dialysis Units and relevant regulations.