• 제목/요약/키워드: management%26maintenance

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양성 성대 병변의 비수술적 치료 (Non-Surgical Management for Benign Vocal Fold Lesions)

  • 이상혁
    • 대한후두음성언어의학회지
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    • 제26권2호
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    • pp.97-100
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    • 2015
  • Benign vocal fold lesions, such as vocal nodules, polyps and Reinke's edema, usually result from chronic voice overuse. Conservative management such as voice therapy and pharmacotherapy are used as the primary treatment techniques. The main purpose of voice therapy is to identify and reduce voice misuse to achieve the optimal voice. But complete resolution may not be possible in all patients after voice therapy. Furthermore, some patients with voice-related occupations, voice rest and voice therapy are sometimes difficult, which makes it hard to carry out the treatment. When conservative therapy is ineffective, laryngeal microsurgery can be performed under general anesthesia. However, potential complications following laryngeal suspension and violation of the layered structure of the vocal fold during surgery should be considered before surgery. In recent decades, emerging literatures have demonstrated the potential usefulness of vocal fold steroid injection as an alternative treatment option for benign vocal fold lesions. The most advantageous feature of vocal fold steroid injection is the maintenance of regional anti-inflammatory effects while preventing the potential systemic adverse effects of the steroid. Many non-surgical treatment methods can be conducted using different approaches in the office setting. It can be applied as an alternative treatment modality for the management of various benign vocal fold lesions.

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Hi Herzberg ? : The Role of Compensation Factors and Suggestions for Performance Compensation System

  • Kim, Yoo-Gue;Yang, Woo-Ryeong;Kim, Ha-Ryong;Yang, Hoe-Chang
    • 융합경영연구
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    • 제5권1호
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    • pp.21-26
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    • 2017
  • Purpose - This study extracts performance-reward factors based on the previous studies related to Herzberg's two-factor theory and performance-reward and proposes a research method to identify how these factors have an influence on task performance directly related to production performance and contextual performance that has an indirect influence. Research Design, Data, and Methodology - This study draws performance-reward factors through Focus Group Interview(FGI), classifies them into economic/uneconomic and direct/indirect factors, draws maintenance/improvement factors and unnecessary ones through IPA, and maximizes the effectiveness of performance-reward factors. Results - It also identifies how performance-reward factors have an influence on internal and external motives based on previous studies, classifies performance-reward factors into task performance and contextual performance and identifies the influence relationship between these, and proposes a research model to identify the roles of equity sensitivity based on equity theory. Conclusion - The findings from this study are expected to lay the groundwork for drawing various methods to reduce the turnover rate of employees and be important resources for reinforcing the competitiveness of businesses by classifying the performance -reward factors that may cause internal and external motives from the small and medium-sized manufacturing perspective and presenting methods to identify if these have an influence on task performance and contextual performance.

기록의 속성과 메타데이터 표준을 통해 본 한국의 기록·기록기술 (Evaluating Records and Their Descriptive Elements in the Records Management of Korea on the Basis of the Characteristics of a Record and Recordkeeping Metadata Standards)

  • 김익한
    • 기록학연구
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    • 제10호
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    • pp.3-26
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    • 2004
  • ISO 15489:2001 addresses the principles and requirements with which organizations, both public and private, should comply on the management of their records to ensure that adequate records are created, captured and managed. The standard defines the characteristics that a record should have through records management system as follows: authenticity, reliability, integrity, and usability. Authenticity means that records can be proven to be what it purports to be, to have been created or sent by the person purported to have created or sent it, and to have been created or sent at the time purported. Reliability means that the contents of the records can be trusted as a full and accurate representation of the transactions, activities or facts to which they attest and can be depended upon in the course of subsequent transactions or activities. Integrity refers to ensuring that a record is complete and unaltered. Usability means that records can be located, retrieved, presented and interpreted. In order to have these characteristics, a record should be persistently linked to the metadata necessary to document a transaction. Metadata is "data describing context, content and structure of records and their management through time." Metadata ensure the creation and maintenance of authentic, reliable and usable records and the protection of the integrity of those records. It could be implemented by creating and capturing records management metadata in systems that create and manage records. There have been some projects and standard initiatives to identify a core set of records management metadata. Included are the Australian Recordkeeping Metadata Standard and the British Metadata Standard which is part of the Requirements for Electronic Records Management System. Recently ISO/TS 23081-1 is published to implement metadata requirements within the framework of ISO 15489. Public records management system in Korea is ruled by the Act on the Management of Archives by Public Agencies and Administrative Records Management Regulation. This article evaluates records and their descriptive elements captured and maintained by the records management system in Korea on the basis of the international metadata standards.

어린이 안전을 위한 공공임대주택단지 외부공간 환경개선에 관한 연구 (Improvement of Outdoor Spaces for the Children's Safety in Public Rental Housing)

  • 민영희;하미경;변기동
    • 한국주거학회논문집
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    • 제26권4호
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    • pp.95-104
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    • 2015
  • Public rental housing in Korea has been initially provided for residential stability of low-income household focusing on solving quantitative insufficiency since 1980s. In the process of early stage of designing and planning public rental housing, qualitative aspects of considering children were not primary concern. This study aims to analyze the priority of environmental improvement of outdoor spaces for children's safety in public rental housing. First, literature review was performed in the reference of local residential safety guidelines, Universal Design, and CPTED guidelines. In each guidelines, common safety planning factors for children were extracted within different types of outdoor spaces. Second, based on literature analysis, residents evaluated importance and satisfaction level by different safety types, outdoor space type, and environmental planning factors. In results, residents evaluated high importance and showed low satisfaction for crime and traffic safety. Through IPA, facilities and parking space was evaluated where improvement is needed for the first priority, and planning factors were mostly concerned with surveillance and safety management system. Result shows general concern of public rental housing residents, about weak facility management and security system, and about socially isolated environment which heightened the fear of crime safety. Overall, poor maintenance of the complex environment and decrepit facilities are constantly raising risk of safety accidents especially for children. Considering residents' concern, environmental improvement should be considered in perspective of not only physical repair, but also facility management and security system.

철도 역내 상업시설의 이용 활성화를 위한 개선방안 모색 - 일본의 역내 상업시설 'ecute'에 관한 고찰을 중심으로 - (A Study on the Improvement Plan for the Revitalization of Commercial Facilities in Railway Station Building - Focused on Ecute of Commercial Facilities of Railway Station Building in Japan -)

  • 문서현
    • 한국실내디자인학회논문집
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    • 제26권3호
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    • pp.101-112
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    • 2017
  • Based on an analysis of the characteristics of "Ecute" of the East Japan Railway Company (JR East) that planned the world's first large scale commercial facilities inside a ticket gate (paid-area including waiting room and platforms), the present study proposes a brand development of commercial facilities inside aged railway stations, where only basic railway business have been provided focusing on passenger transportation, by renewing the definition of railway commercial facilities and presenting a detailed planning and the direction of the operation system. A list of practical tasks that can be carried out in academia, planning and operation / management to facilitate the revitalization of the use of commercial facilities inside railway stations are as follows: 1) the setting of a wide scope for the revitalization of railway commercial facilities around the railway station focusing on private-funded stations in addition to existing stations; a setup of the direct scope of commercial development in the practical railway operation for passengers and stations in terms of external research, and a corresponding shift in thinking in terms of internal research 2) development of under used spaces such as the transfer area (Gongdeok Seoul Wangsimri Station are first target stations where more than four subway lines intersect) 3) brand establishment through improvement strategies for image and symbolism specialized for railway stations 4) rent of suitable business stores and layout of commercial facilities by analysis of passenger move pattern 5) development of commercial facilities which can attract customers by displaying various products, as well as finding a way to develop them in to a base facility that connects to local infrastructures 6) providing advertisement and management system for continual maintenance, and 7) brand specialization through unique storytelling and design plan that stimulates sensibility. The above study results can be utilized as a starting point for design brand awareness about commercial facilities in railway stations in Korea, which can be developed further to improve station image and passenger convenience, as well as to increase the revenue of railway businesses.

파라과이 농촌지역 보건지소의 시설 관리 및 이용실태에 관한 연구[1] - 파라과이 림삐오시를 중심으로 (A Study on the Management and Utilization of Sub-Health Center in Rural area, Paraguay [1] - Focused on Limpio, Paraguay)

  • 김지언;김민규;남은우
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제26권2호
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    • pp.7-17
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    • 2020
  • Purpose: The purpose of this study is to identify the operational status and current management of Sub-Health Centers in Limpio, Paraguay. Second, understanding the use of Sub-Health Centers and Perceptions of Sub-Health Centers in Limpio, Paraguay. Third, Providing policy implications for strengthening the Health Delivery System in Paraguay. Methods: The survey of the current status of sub-health centers in Limpio was conducted with observation and interview. Utilization of Sub-Health centers was analyzed in the 2018 Paraguay Community Health Survey. A face to face interview was conducted to complete a questionnaire and 831 samples were collected for the study. Results: In order to perform the normal function of the sub-health center, it will be necessary to allocate manpower that meets the standard. A common problem with sub-health centers in Limpio is that they have an environment vulnerable to rain. Currently, there are no health promotion and communicable disease management programs in sub-health center. Satisfaction of users about treatment, equipment, medicines and cleanleness of rooms. Implications: First, it is necessary to allocate human resources and organize spaces according to the standard. Second, there was a problem caused by moisture, and continuous maintenance and repair are required. Third, water and sewage related facilities must be safely improved to prevent contamination of groundwater. Forth, it is necessary to implement a program that fits the role of the sub-health center. Fifth, it is necessary to form a health delivery system considering the accessibility of residents. Finally, it is necessary to discuss the location of sub-health center considering travel time of Limpio residents.

일본의 해양유탁 방제체제와 방제활동에 관한 연구 (A Study on the Japanese Maritime Oil Spillage Management System and Activities)

  • 최영호
    • 한국항해항만학회지
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    • 제26권4호
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    • pp.407-417
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    • 2002
  • 유조선의 대형화에 따른 해양유탁사고의 대형화에 대비하기 위해 일본의 석유관련 기업들은 1973년부터 다각적인 상호지원체제를 갖추기 시작했다. 1990년부터는 석유연맹이 정부의 보조를 받아 하부기구로 유탁대책부를 설치하고 방제기자재 관리 운영과 효과적인 방제를 위한 연구조사활동을 실시해 오고 있다. 일본 해상보안청은 1995년에 OPRC협약의 규정에 맞추어 국가긴급계획을 도입하고 관련 행정기관 사이에 연락체제를 구축했으며 경비구난부의 해상방재과를 주무부서로 하여 방제기자재 정비업무와 민간관련기관의 연락 및 조정업무를 담당해 오고 있다. 일본 정부는 1997년 Nakhodka호 난파사고 이후 더욱 방제체제를 강화해 오고 있다.

한국 고령층의 일상생활 활동 불편도 분석 (The Perceived Discomfort in the Daily Activities of Korean Elderly)

  • 이동훈;나석희;안은선;정민근
    • 대한인간공학회지
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    • 제26권2호
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    • pp.67-79
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    • 2007
  • The objective of this study is to investigate a perceived discomfort and cause of Korean elderly in various activities such as work and leisure as well as in daily activities. 120 subjects (30 female and 30 male for each age: the young and elderly) participated in the interview type of questionnaire. Each participant answered to 41 items of activities of daily living. The examination of each item was progressed with 3 steps: whether to do the activity or not, degree of activity discomfort, and the reasons or causes of discomfort. Borg's CR10 scale is used to measure the degree of discomfort of daily activities. As a result, there are differences for the proportion of performers between two age groups, except for essential activities such as individual maintenance and housekeeping. The elderly complained about their daily activities more than the young did, and the degree of discomfort of women was significantly larger than that of men with aging. There are seven items, the mean degree of discomfort of which is over three points for the elderly, and they showed significant difference between two age groups. It was the important reason that physical capacities such as muscle strength and suppleness are declined. The results showed the characteristics of Korean elderly in the whole daily activities. These will be used to understand various life styles of them and to propose a field or direction of study related to the aging.

교량세굴 위험도 결정 및 유지관리 시스템 개발(I) - 시스템 개발 - (Bridge Scour Prioritization and Management System (I) - System Development -)

  • 곽기석;박재현;정문경;우효섭
    • 대한토목학회논문집
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    • 제26권2B호
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    • pp.187-195
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    • 2006
  • 본 연구에서는 세굴에 의한 교량기초의 위험도를 평가하고 효율적인 방재 대책수립을 위해 국내 세굴 특성을 고려한 교량 세굴 유지관리 시스템을 개발하였다. 본 시스템은 GIS 기반 프로그램으로서 교량세굴 자료의 저장, 검색 및 출력이 가능하며, 크게 교량세굴 위험도에 따른 우선순위의 결정 및 유지관리 시스템의 두 부분으로 나뉜다. 교량에 대한 기존의 간단한 자료를 이용하여 초기 분류과정을 거쳐 현장 상세조사 우선순위가 결정되며, 이에 따라 현장 상세조사와 세굴 해석을 실시하여 교량세굴 위험도 등급을 결정한다. 위험도 등급은 예상 세굴심과 그에 따른 기초의 지지력 변화, 기초의 종류 및 근입깊이, 현재의 세굴 진행상태 등을 고려하여 모두 6등급으로 나뉘며 그 결과는 화면상에 표시되고 모든 자료는 데이터베이스 시스템에 저장되어 관리된다.

의원급 국가암검진기관 질 관리 현황 (Current Quality Control Practices of Primary Care Clinics Participating in the National Cancer Screening Program in Korea)

  • 이혜원;박보미;한규태;허은영;전재관;최귀선;서민아
    • 한국의료질향상학회지
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    • 제26권2호
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    • pp.86-94
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    • 2020
  • Purpose: This study aimed to identify current quality control (QC) practices of primary care clinics participating in the National Cancer Screening Program (NCSP) in Korea. Methods: A nationwide survey using a structured questionnaire was conducted among the primary care clinics participating in the NCSP, which were selected by a proportionate stratified sampling. The questionnaire consisted of general information about the responding clinics and the scope of QC activities undertaken. A total of 360 clinics responded and the set of data was then analyzed with Chi-square test and multivariable logistic regression analysis. Results: Among 360 respondents, 332 (92%) reported that they were involved in the QC activities. Most frequently performed QC activities were 'maintenance of facility and instruments' (89%) and 'staff training' (85%). The analysis revealed, with statistical significance (p<.05), that there was an association between certain characteristics of the clinics and the scope of QC activities. These findings also indicated that the diversity of QC practices varies according to the size of the clinics. The clinics screening more types of cancer, those with more screenees, and those with more employees were more likely to implement various QC activities including 'maintenance of facility and instruments', 'external quality control', and 'management of screening data'. Conclusion: To our knowledge, this is the first study to investigate the current status of QC activities conducted among primary care clinics participating in the NCSP. The results of this survey can be used as a basis for further development of policies on quality management of small- and medium-sized primary care clinics in Korea. However, further studies encompassing various aspects of QC activities and management of primary care clinics are needed to assess the current situation in a concise manner.