• Title/Summary/Keyword: reform

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Delayed use of Operating Rooms in a University Hospital (한 대학병원의 수술실 이용 지연요인과 개선방안에 관한 연구)

  • Kim, Kyung-Ae;Yu, Seung-Hum;Kim, In-Sook;Sohn, Tae-Yong;Park, Eun-Cheol
    • Korea Journal of Hospital Management
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    • v.7 no.3
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    • pp.44-62
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    • 2002
  • Advanced surgical technology demands more precise, meticulous, and time-consuming procedures. In addition, the patient's preference of tertiary health providers makes over crowding of the University Hospitals. Therefore, it has been necessary to maximize utilization of the operating room of such hospitals to accommodate these requirements. This study, targeting 1,302 surgical cases performed in 22 operating rooms at a university hospital in Seoul from October 8 to November 1, 2001, analyzed reasons for delay, and factors that caused delayed use of operating rooms. This study also assessed that the rate of operating room use would increase if the sources for possible reform were improved. 1. Among total of 1,302 cases of surgery, the incidence of surgeries in which there were no time delays and no factors for delay were discovered is 71.4% or 930 cases: the incidence in which surgeries were delayed was 28.6% or 372 cases. 2. As results of logistic regression for delay, procedures involving women were delayed 1.4 times more frequently than those of men. Compared to Department A, Department B was 1.8 times more likely to be delayed, and Department H was 0.4 times less likely to be delayed. Regional anesthesia was 2.4 times more likely to be delayed than general anesthesia, and surgeries that PCA was applied were 0.6 times less likely to be delayed than those when it was not. Surgeries performed on the Thursday were 1.7 times more likely to be delayed than those performed on the Monday. Compared to surgeries performed between 07:00-07:59, those performed between 08:00-08:29 were 4.3 times higher. 3. The reasons for delay were related to surgeon, surgical department, patient, anesthesia, administrative system, sick ward, and support services. Among these, 5,755 minutes for 276 delayed cases could be resolved easily, and resolving delays of 3,320 minutes for 131 cases would be more difficult. Among the causes for delay that could be improved, delays due to patient's transfer and surgeon's factor were the most common, 21.6% and 17.4% respectively. 4. If resolvable delays are improved, pre-anesthesia room is administered, and regional anesthesia and PCA are done ahead of time, use of emergency operating rooms will increase, we can increase overall utilization by 4.09%, we will save 744 minutes a day, we can reduce the time the operation room is used after 4 PM by 35%, and we can resolve the operation cancellations due to insufficient operating rooms. For the increase in the use of operating rooms, we need to maximally decrease the delays that could be improved, by allocating block time based on used totals hours of elective cases, giving accurate information on surgery schedule, voluntary cooperation by staff participating in surgeries in reducing delay time, and the hospital management's will to improve delay.

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I3A Framework of Defense Network Centric Based C2 Facilities (국방 NC 기반 C2 시설 I3A Framework)

  • Kim, Young-Dong;Lee, Tae-Gong;Park, Bum-Shik
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.39C no.8
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    • pp.615-625
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    • 2014
  • Ministry of National Defense, MND, established a "Master Plan of Military Facility" in 2010 based on the defense reform to prepare for future war. It was a plan for consolidating small military facilities into battalion units, reflecting on and preparing for the needs of various changes in defense environment as well as balanced growth of ROK Army, Navy, and Air Force. However, to move forward with "Military Facility Master Plan," current design criteria for military facilities need to be revised to be enacted due to numerous calculation errors in facility footprints because of the absence of a sound facility criteria. Because the future war environment will be changed from Platform basis to Network Centric Warfare basis, Command & Control capability of C4I systems is getting more important. Therefore, Successful mission accomplishment can be secured by convergence of facility and military Information Technology(IT). So, MND should quickly prepare for the operational guidance, design criteria and policy that are suitable for Network Centric Warfare accomplishment, and implement infrastructure of IT and installation of C2 facility in conjunction with consolidation movement of military facilities. In this paper, we propose the defense I3A framework in order to solve this problem.

Study on Improvement in Operation and Management of Ultra-light flying device Civil Complaints Management System for Ultralight Aircraft (초경량비행장치의 민원처리시스템 운용 및 관리 효율성 개선을 위한 연구)

  • Seok, Geum-chan;Jang, Moon-su;Ryu, Yeon-seung
    • Journal of the Korea Convergence Society
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    • v.11 no.1
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    • pp.237-246
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    • 2020
  • The background of the research is the following: As a result of ultra-light flying device industry development, the utilization of drones and their efficiency have been increasing. However, problems regarding flight permission·approval procedure have not been improved, resulting in increased number of civil complaints. Thus, the purpose of this research is to minimize such civil petition according to the required standards of the two government organizations through enhancing the procedure for managing and employing the system. The research methods entail pinpointing the problems by analysing ultra-light flying device related literature review and by holding focus-interviews with field experts, thereby verifying and providing improved solutions. Under (MLIT) Ministry of Land, Infrastructure and Transport supervision and in accordance with aviation security law, the research provides various updated functions such as improved civil petition processing system's employment and management system, flight approval, integration of names, process, format regarding aviation photographing approval, tool buttons such as the 'Main' button in the system's homepage. This research has the following expected effects : Firstly in the law and regulations section, the clear distinction in the missions and roles of each organization enhances cooperations in tackling civil petition. Secondly the integration of civil petition process reduces time and improves efficiency. And lastly, the improvement of supplementary tools for the public is expected to minimize civil petitions. Future research needs to be conducted under the supervision of the Ministry of National Defense(MND). Factors such as systematic infrastructure for flight photography approval, related unit's reorganization following the defense reform 2.0, and guaranteed conditions for field security action units need to be ameliorated.

Basic Study on Damaged Area Types and Improvement Idea of the National Park (국립공원의 훼손지 유형과 개선방안에 대한 기초적 연구)

  • Yeom, Sung-Jin
    • Journal of Environmental Science International
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    • v.24 no.11
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    • pp.1405-1415
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    • 2015
  • This study is conducted to determine the damage, distinguish the types and identify the restoration by that type for 13 Korea national parks out of 21. There are 21 Korea national parks are in Korea covering 6.67% of the country or $6,656km^2$ ($3,902km^2$ on land and $2,754km^2$ in the sea) currently since the area around Jirisan ($440km^2$) was designated as the first Korea national parks in 1967. With the cancellation of entrance admission on Korea national parks since 2007, annual visitors to the Korea national parks have grown from 37 millions in 2008 to 46 millions by 2013 and continue to grow due to numerous leisure activities, alpine activities and social changes. As such, Korea national parks are natural resource with high value to be conserved and are attracting significant attention as recreational spaces for people at the same time. On the other hand, there have been issues of soil erosions or disturbed vegetation due to increased number of visitor to the national parks. Korea national parks area damage to its type and damage characteristics to analyse the 13 Korea national parks out of 21 on July 2012 March, Korea national parks over the subjects of the National Park from damaged area status Survey analysis by the Korea National Park Service. As a result, 203 million units in the 16 Korea national parks damaged land of the reform package during ecological trail (including non-regular hiking trails) 153 (77.66%), damaged valleys 20(9.14%) independent damaged area, 13 disconnected ecological axis(7.61%), closed trail(2.03%) (3.55%), and line type damage(like a non-regular hiking trails) appears to be a high ratio. Korea national parks damaged land of the results identified, by contrast ratio and the annual number of visitors Bukhansan national park(49.26%), Gyeongju national park(23.65%) damaged land rates, such as Seorasan national park(4.93%), Songnisan national park (4.43 %), Gyeryongsan national park(3.45%), and the annual number of visitors be similar result. The National Park Service has been reporting on damages and restorations but damages and their types have not been established yet. Damages have been generally studied and categorized on hiking trails due caused by heavy traffic on them but the reports were limited on hiking trails only. Since damage to the Korea national parks are not limited on the hiking trails, it is necessary to determine damages in various aspects. Thus, in this study, damage types, spatial characteristics, causes and restorations are analyzed based on the survey results of damages to national parks in order to provide a basis for the efficient management and operation of the Korea national parks.

A Study on the Esrablishment of an Ecomuseum in China and its Actual States. (중국의 생태박물관(에코뮤지엄)형성과 실태에 관한 연구)

  • O, Il-Hwan
    • KOMUNHWA
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    • no.68
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    • pp.59-75
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    • 2006
  • At the beginning of the 21st century with taking a serious view of the harmony between human and nature, and of keeping an ecological balance, China has tried to reduce the gap in economy between rural districts and the urban city, and to carry out the policies for establishing a harmonious socialism through full-scale cooperation and continuous developments. And in order to preserve their traditional culture and to keep the historical legitimacy of People's Republic of China against urgent economical changes since the reform and openness, China has stressed the importance of training patriotic attitude on their cultural heritages. Thus the Chinese museums started to recognize more ad more the importance of social education as well as their functions of preserving the cultural property and of exhibiting it. And with them they have turned their attentions to an Ecomuseum, a new type of a museum. The ecomuseum in China was first established at a remote place between mountains where the ethnic minority inhabited. This was because of the feeling of some crises on culture native to the minority, followed by the process of China's Western Region Development. And it was recognized that they should participate actively in creating the cultural demand of the minority and in establishing a harmonious society with improving economic condition. Therefore in order to activate the ecomuseum it is localized and sinicized little by little through strengthening the management of cultural heritages of the minority.

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Numerical Analysis Study for Optimal Design Method on Intersection between Longitudinal and Transversal Rib in Orthotropic Steel Deck Bridge (강바닥판교의 종리브-횡리브 교차연결 상세변화에 따른 최적설계방안의 수치해석 연구)

  • 배두병;공병승
    • Journal of the Computational Structural Engineering Institute of Korea
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    • v.17 no.3
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    • pp.333-340
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    • 2004
  • The use of the othotropic steel deck is steadily increased due to the advance of the technology in the steel bridges which recently have been longer. But the othotropic steel deck bridge is the structure that is very fragile to the fatigue, especially, the fatigue crack at the cross of the longitudinal rib and transversal rib is one of the biggest problems that othotropic steel deck bridges have. The causes of these fatigue cracks come from the secondary stress on out-plane behavior of transversal rib. In this study, we conducted the experiment to find the optimal details to improve fatigue strength on intersection between longitudinal rib and transversal rib in the othotropic steel deck bridge through numerical analysis using the experiment of the fatigue in the 3-dimensional real structure and program LUSAS. As a result of study, it is showed that the details of the korean standard section attached with a curved bulkhead plate is the most profitable. And, it is indicated that the stress which is generated when the reform improved section by parametic study can be reduced by about 50% at most or more. Along with the reduced stress and the longer interval between transversal ribs(G=400), the decreased steel amount by 4% and the shortened welding length by 34% make it possible to produce the othotropic steel deck bridge which is strong against fatigue.

A Study on the Effect of Organizational Communication on Organizational Citizenship Behavior - Focusing on the Moderating Effect of Transformational Leadership - (조직커뮤니케이션과 조직시민행동 관계에 대한 연구 - 변혁적 리더십의 조절효과를 중심으로 -)

  • Park, Ji-Cheol;Chang, Sug-In
    • Management & Information Systems Review
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    • v.33 no.3
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    • pp.189-208
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    • 2014
  • This research is on the relationship among organizational communication and organizational citizenship behavior focused on the moderating effect of transformational leadership. The objective of this research is to conduct positive verification of organizational communication impacting on organizational citizenship behavior. Also, to perform positive verification on moderating effect of transformational leadership. The variables are downward communication, upward communication, unofficial communication, organizational citizenship behavior including participatory actions, altruistic behavior, mindful behaviors, and transformational leadership. It was verified on survey of 232 peoples. The verification and analysis results will be provided to impact of organizational communication on organizational citizenship behavior, the downward communication impacts all elements of citizens' behaviors, and upward communication impacts of participatory actions. On the other hand, the unofficial communication did not impact at all. Moreover the results of moderating effect of transformational leadership. The transformational leadership act as moderator in downward, upward communications. but did not act as a moderator on the unofficial communication. The research suggests to use transformational leaderships to commanders and leaderships at military organizations to put efforts on active communication in order to manage unit more effectively and efficiently and to make members of organization to voluntarily. It is assessed that this paper will serve as a reference to whoever in military reform group or organization working for military developments working for creating elite forces.

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Impact of Complementary Private Health Insurance on Public Health Spending in Korea (실손형 민간의료보험의 도입이 국민건강보험 재정에 미치는 영향)

  • Huh, Soon-Im;Lee, Sang-Yi
    • Health Policy and Management
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    • v.17 no.2
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    • pp.1-17
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    • 2007
  • Limited coverage for health care services of National Health Insurance(NHI) in Korea has been ongoing policy issue but additional NHI financing through raising contribution or taxes in order to improve coverage faces substantial obstacles. Private health insurance(PHI) is often considered as an alternative financing source to improve coverage. Recent reform that attempted to stretch the role of PHI allowed life insurance companies to provide complementary PHI, indemnity plan which will pay for uncovered services by NHI and out-of-pocket spending for covered services. Although complementary PHI may relieve financial burden of patients, it may significantly raise NHI spending as well as total health expenditure since little out-of-pocket spending may increase utilization of health care. So far, there has not been enough discussion about concerns of potential adverse effect resulting from extended role of PHI. This study investigated potential increase of NHI spending followed by extension of complementary PHI through sensitivity analysis. The amount of NHI spending for services that would be covered by complementary PHI was calculated using 2005 NHI statistics and expected complementary PHI enrollment rate by age and sex. Expected utilization increases were obtained based on price elasticities$(-0.2{\sim}-0.5)$ from previous studies and expected coverage rate$(50{\sim}80%)$ of complementary PHI and then converted to monetary figures. Because coverage rate of complementary PHI has not been determined yet, we employed the sensitivity analysis using coverage rate of $50{\sim}80%$. Findings demonstrate that additional spending for health care services is expected to be $426{\sim}1,702$ billion won, corresponding amount payed by NHI $298{\sim}1,192$ billion won. In conclusion, since complementary PHI may raise NHI spending significantly, there should be an agreement whether this additional cost would be accountable and acceptable in our society. Potential inefficiency resulting from extended role of complementary PHI should be considered since public and private financing do not operate in isolation and there should be more discussion on proper role of PHI in Korea.

A Study of School program in the Case of Library and Information Science in Korea (한국문헌정보학의 학부제 도입에 관한 연구)

  • Koo Bon-young
    • Journal of the Korean Society for Library and Information Science
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    • v.30 no.2
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    • pp.3-50
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    • 1996
  • At present, Korean universities and colleges are confronted with a strong challenge, within and without, demanding a drastic change or innovation of university education. Discussion on the propulsion of the School Program is now under way as one of the means to reform the university education With such a background in mind, we have considered what should be the desirable course of Library and Information Science in Korea. We have considered the characteristic features and roles of library and information professionals to cope with the now approaching information society and the changing conditons of educational environment We have collected the pros and cons among professors of tile School Program, and investigated the curricula of the three universities which are at present practicing the School Program. Of the 139 professors to whom we have sent the questionnaries, $92(66\%)$ responded, of which the pros were 42 and the cons were 45. The model plan for the School Program is 'departmental school program' $(44\%)$, which purports to adopt 'departmental school program', with the curricula and material resources being utilized in common, or to adopt joint-appointment system with the common utilization of teaching materials and the introduction of a limited dual major system. The argument against introduction the School Program was that because of the peculiar nature of the discipline itself, Library and Information Science can not be merged with any other discipline.

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How Teachers Use Mathematics Curriculum Materials in Planning and Implementing Mathematics Lessons (교사의 수업 계획 및 실제 수업에서의 수학 교과서와 교사용지도서 활용 연구)

  • Kim, Goo-Yeon
    • School Mathematics
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    • v.13 no.3
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    • pp.485-500
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    • 2011
  • The purpose of this study is to investigate how elementary mathematics teachers use and implement a reform-oriented mathematics curriculum material, Everyday Mathematics, and to examine what features the curriculum material has. Eight elementary mathematics teachers in the United States participated in the study. Data sources consist of teacher classroom observation write-ups, interviews, and the curriculum material. The results from the analysis of the curriculum material suggest that 80 percent of the tasks are at the high-level in terms of cognitive demand and 26 percent of tasks are identified as transparent. The results also show that the teachers appeared to adapt the curriculum material and partially take suggestions or activities out of the curriculum material in enacting them in their mathematics classrooms. The analysis of enacted tasks suggests that the levels of cognitive demand were shifted from high-level to low-level; 27 percent of the high-level tasks in the curriculum material were maintained at the high-level as enacted in the mathematics classrooms. The level of cognitive demand shifted in many cases; shifts from high-level to low-level occurred. This contributes to the curriculum material not being transparent to teachers.

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