• 한국임상약학회지
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• 제19권2호
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• pp.120-130
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• 2009

The objective of this study was to analyze and to improve therapeutic drug monitoring(TDM) service of vancomycin in a local hospital. Patients with TDM service between September 2005 and December 2008 were included and the data were collected for vancomycin use and components of TDM. During that period, 421 cases of TDM service of vancomycin in 236 patients were retrospectively reviewed. The first dosages of vancomycin were appropriate in 135(57.2%) patients and administration of vancomycin was discontinued in 126(53.4%) patients due to therapeutic failure or adverse drug reaction. MRSA was identified in 191(80.9%) patients and 135(70.7%) samples for the identification were sputum. According to the TDM reports, 232(55.1%) serum samples were obtained at the steady-state conditions and 55.5% of the samples that were drawn before the steady-state was due to the physician's inappropriate knowledge about the steady-state. Based on the time of vancomycin administration, 35.8% of the samples were not obtained at the recommended sampling time. For the patients in general wards, the most common reason for the incorrect samples was routine serum sampling by the laboratory medicine phlebotomists between 6 and 8 a.m. except sunday. In contrast, samples drawn by nurses or physicians at inappropriate time were the most common reason for the incorrect samples with patients in the intensive care units. Physicians accepted 68.5% of the recommendations for vancomycin dosage and administration. In conclusion, TDM service of vancomycin needs to be improved in inappropriate sampling time and vancomycin dosage. For solving these problems, current team made of TDM pharmacists and physicians of laboratory medicine can be expanded to include a physician of infectious diseases, nurses and laboratory medicine phlebotomists as new members. Through the TDM service of vancomycin by the new team, we can settle the problems and make the guideline for the scientific controversies associated with therapeutic monitoring of vancomycin.

• 한국철도학회논문집
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• 제11권3호
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• pp.342-348
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• 2008

본 논문에서는 철도안전법에 근거한 철도안전관리체계를 정의하고 영국의 철도안전관리체계, 국제항공안전관리체계, 보건안전경영체계 등을 조사하였다. 국내 철도운영자들의 안전관리규정과 철도종합안전심사결과 분석을 통하여 국내 철도운영기관들의 안전관리체계 현황과 문제점을 조사하고 국내 철도안전관리체계의 개선방안을 도출하였다. 먼저 안전관리체계의 지속 개선체계 수립을 위하여 최고경영자의 경영검토 등 안전관리체계 각 단계별 구체적 지속개선방안을 명시한 지침을 수립하여야 한다. 두 번째는 위험도관리 기반 SMS를 정착시키기 위하여 철도운영자들의 인식 전환, 위험도 분석 및 안전성 평가에 필요한 안전위험운영모델과 기본정보 공급체계 구축, 그리고 위험도관리에 필요한 구체적인 요구사항의 관련지침화가 시행되어야 한다.

• 산업경영시스템학회지
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• 제39권1호
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• pp.140-152
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• 2016

It is very important for the competitiveness and sustainable management of enterprises that the rapid changes in the managerial environments quickly and accurately are responded. For example, the large-scale investment accompanied by bad alternatives in accordance with misunderstanding of the managerial environments yields the huge cost and effort to modify and improve. In firm management, the quality of products and the productivity are influenced by changes of the endogenous factors yielded in manufacturing process and the exogenous factors as market, etc. These changes include not only changes in 4M (man, machine, material, method) but also those in the market, competitors, and technologies in the process of commodification, i.e., first, such disturbances make dispersion of the process big and odd. By Shewhart chart it can be checked that the process monitored is control-in or out. Business administration executes activities for input stabilization by monitoring changes in 4Ms, comparing with the standards, and taking measures for any abnormality. Second, TRM (technology road map) is to prospect product deployment and technological trend by predicting technologies in the competitive environment as the market, and to suggest the future directions of business. So, TRM must be modified and improved according to DR (design review) stages and changes in mass-production like input material change. Therefore, a role of TRM in input stabilization for reducing cost and man-hour is important. This study purposed to suggest that the environment changes are classified into endogenous factors and exogenous factors in production process, and then, quality and productivity should be stabilized efficiently through connection between TRM and input stabilization, and to prove that it is more effective for the display industry to connect TRM with input stabilization rather than to use TRM separately.

• 보건행정학회지
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• 제9권2호
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• pp.95-117
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• 1999

The purposes of the study was to analysis the factors on the physicians' indemnity experience and indemnity on malpractice. Data was collected from mail interview for the physicians from August, to October in 1996. Questions were asked to the physician who selected with random sample(n=8.338) about the opinion of malpractice insurance. experience that he(she) have requested the indemnity from patience. context of experienced indemnity and demographic characteristics of physician and patience. Response rate is 37.5%(n=3,124). This study was analyzed in two levels' the first. influential factors on whether physician has experience of indemnity and the second. influential factors of indemnity among physicians who had experienced the indemnity. The major findings were as follows : 1. Logistic regression on whether physicians had experience of indemnity request was conducted. And it indicated that statistically meaningful variables of model 1 (about all physicians) were department of surgery, physicians who have intention of insurance fee, physician age and income, physicians who owned the hospitals and statistically meaningful variables of model 11 (about physicians who owned the hospital) were department of surgery and internal treatment. 2. Multiple regression on the influential factors on indemnity was conducted. And it showed that statistically meaningful variables in model 1 were method of malpractice quarrel(physician association), whether physician had malpractice, whether suit succeeded, physician age, average practice time and income and whether physician owned the hospital and statistically meaningful variables of model 11 were whether physician had malpractice, number of outpatient, number of beds. As the conclusion, the thesis was examined about the variables related with experience of indemnity and cost of malpractice. But in order to prevent malpractice and promote medical quality, the reasonable system to solve a malpractice have to settle and cost estimation on malpractice is essential. Therefore an advanced research is progressed with methodology to decide the indemnity bases.

• 지역사회간호학회지
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• 제8권1호
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• pp.116-132
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• 1997

The purpose of the study is to find out how laws related to the nursing profession can be improved by analyzing the rules and regulations concerning nursing. Furthermore, to help settle legal matters in the process of doing nursing work. The data used for the study are the Health and Medical Act, the Maternal and Child Health Act, the School Health Act, the Special Act for Health and Medical Service in Rural Areas, the Industrial Health & Safety Act and the Notice on Nursing Professional Courses analyzed by age and content. The results of the study are as follows : First, basic nursing practice includes 'nursing care for recuperation and assistance in medical treatment and in special areas including the pre-vention of disease, maintenance of health, control of environment, and other therapeutic activities. It is suggested that the phrase 'assistance in medical treatment' should be eliminated as it limits the basic nursing practice to the assistance of the medical treatment. Second, Article 56 of the Health & Medical Act prescribes a special nurse but it does not prescribe a specific job. Accordingly, the new provison concerning the specific jobs of a special nurse should be added or a job guide should be inseated. Third, it is prescribed that those who have completed the training course after obtaining a license are qualified to be a midwife, a special nurse and a nurse practitioner working in special areas. However, school nurses, occupational health nurses and maternal and health workers are required to obtain a nurse license, but not to take an additional training course. Nurses working in special areas should be legally recognized as nurse specialists. The regulations to control various qualification standards consistently should be established. Fourth, the qualifications and types of nurses by area prescribed by Article 54 of the Health and Medical Act are not consistent with those of special nurses as recognized by affiliated organizations of the Korean Nurse Association and some hospitals. Accordingly, the qualifications and types of special nurses should be adjusted in consideration of special nurses. Fifth, as Article 16, Paragraph 2 of the Health and Medical Act does not prescribe the type and scope of first - aid treatment that nurses can provide, the first-aid treatment of nurses might be considered as an unlicensed practice. The specific regulations regarding these matters should be established. Sixth, the contents of the nursing record, which are prescribed by Article 21 of the Health and Medical Act as a duty, include 1) matters concerning body temperature, pulse, breath and blood pressure 2) matters concerning drug prescription 3) matters concerning input and output 4) matters concerning the treatment and nursing care (Article 17 of the Enforcement Regulations, Health and Medical Act). However, these matters are limited to basic nursing care and assistance in medical treatment. The new recording methods on nursing process are suggested to be adopted legally. Seventh, the prescription right entrusted to nurses which are prescribed by the School Health Act, the Special Act on Health and Medical Service for Rural Areas, and the Industrial Health and Safety Act are not consistent with the rights of nurses as prescribed by the Health and Medical Act. New regulations prescribing the partial right for medical treatment entrusted to nurses in consideration of the restraint of time and place in emergency situations should be established.

• 기록학연구
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• 제35호
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• pp.133-160
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• 2013

네트워크 및 정보통신기기가 발전함에 따라 웹이 우리 일상에 미치는 영향력은 점점 더 증가하고 있다. 또한 웹 공간에서 생성되는 정보도 각 시대를 반영하는 중요한 기록물로서 그 중요성이 나날이 커지고 있다. 이에 따라 웹 정보들을 아카이빙 할 수 있는 표준화된 방법이 요구되고 있으며, 그중 한 가지가 자동화된 수집도구를 사용하여 주기적으로 수집하는 스냅샷 전략이다. 하지만 스냅샷 전략은 주기적으로 웹 콘텐츠를 수집하기 때문에 동일한 웹 콘텐츠가 중복 수집되는 문제가 있다. 또한 웹 환경에서 구현되는 복잡한 기술로 인하여 의미 없는 웹 콘텐츠가 수집될 가능성도 배제할 수 없는 실정이다. 본 논문에서는 공공기관 홈페이지 웹 콘텐츠를 스냅샷 전략으로 수집한 사례 분석을 통해서 원격 수집할 때 발생할 수 있는 콘텐츠 중복 문제들을 살펴보고, 기술 측면에 해결책을 제시하고자 한다.

• 무역상무연구
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• 제20권
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• pp.129-150
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• 2003

Software license agreements, to be useful in the mass market, could not be individually negotiated, and had to be standardized and concise. The software license agreement needs to be presented to the licensee-users in a fashion that would allow for mass distribution of software, also for it to enforceable, that would draw the users' attention to the terms and conditions under which the publisher allowed the use of the software. These needs have been accomplished, with or without fail, through so called the "shrink-wrap licenses" Shrink-wrap licenses purpose to transfer computer softwares to their users by defining the terms and conditions of use of the software without implicating the "first sale doctrine" of the Copyright Act. These shrink-wrap licenses have become essential to the software industry. However, in USA, the law applicable to these licenses has been unclear and unsettled. Courts have struggled to develop a coherent framework governing their enforceability. Meanwhile, the National Conference of Commissioners on Uniform State Laws ("NCCUSL") in USA promulgated the Uniform Computer Information Transaction Act ("UCITA") governing contracts for computer information transaction on July 29, 1999. One clear objective of UCITA was to settle the law governing the enforceability of shrink-wrap licenses. In these respects, this paper first introduces the various forms that shrink-wrap licenses take(at Part II. Section 1.), and explains the main advantages of them(at Part II. Section 2.) Here it shows how shrink-wrap licenses value themselves for both software publishers and users, including that shrink-wrap licenses are a valuable contracting tool because they provide vital information and rights to software users and because they permit the contracting flexibility that is essential for today's software products. Next, this paper describes the current legal framework applicable to shrink-wrap licenses in USA(at Part III). Here it shows that in USA the development of case law governing shrink-wrap licenses occurred in two distinct stages. At first stage, judicial hostility toward shrink-wrap licenses marked such that they were not enforced pursuant to Article 2 of the Uniform Commercial Code. At second stage, courts began to recognize the pervasiveness of shrink-wrap licenses, their indispensability to the rapidly expanding information technology industry, and the urgent need to enforce such licenses in order to maintain low prices for consumers of computer hardware or software, resulting in the recognition of shrink-wrap licenses. Finally, in view of the importance of UCITA, this paper examines how it will affect the enforceability of shrink-wrap licenses(at Part IV). The drafters of UCITA, as well as the scholars and practitioners who have criticized it, agree that it validates shrink-wrap licenses, provided certain procedural protections are afforded to purchasers. These procedural protections include the licensee end-user must (i) manifest his assent to the shrink-wrap license, (ii) have an opportunity to review the shrink-wrap license, (iii) have a right to return the product without costs.

• 농촌지도와개발
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• 제16권4호
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• pp.713-742
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• 2009

In the near future, the multicultural families are expected to be the majority of population living in the rural area, which is an aged and small-scaled society. Moreover, they are expected to have an important role in sustaining the culture of agriculture and a rural community. Therefore, it is very important for them to adjust and settle urgently as well as to develop a policy and social services for the adjustment and settlement. The purpose of this study is to identify different aspects of the participation in agricultural, social, and job activities of married immigrant women in a Korean rural area as well as to investigate the change of life satisfaction resulting from the l activities. The following findings were established from this study. First, married immigrant women participate in local social and agricultural activities in a Korean rural area more frequently than in their own country. However, the frequency of their participation in job activity in a Korean rural area is lower than in their own country. Second, the main factor that prevents married immigrant women from participating in agricultural activity in a Korean rural area is to carry out childcare, household chores, and farming at the same time. Their low participation in social activity and job activity mostly results from their lack of fluency in Korean. Third, married immigrant women score higher in the change of life satisfaction after participating in social activity and job activity than in agricultural activity.

• 한국측량학회지
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• 제38권2호
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• pp.131-140
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• 2020

Recently the importance of BIM (Building Information Modeling) that enables 3D location-based design and construction work is being highlighted around the world. In Korea, the road map has been established to settle the design based on BIM using drone survey results by 2025. As the first step, BIM would be applied to road construction projects worth more than 50 billion Korean Won from 2020. On the other hand, drone survey regulation has been enacted and the data for drone survey cost were also included on Standard of construction estimate in 2020. However, more careful improvement is required to reflect drone survey results in BIM design and construction. Currently, Engineering instructions and Standard of construction estimate specifies that earthwork volume must be calculated by cross section method only. So it is required to add the method of DEM (Digital Elevation Model) based volume calculation on these regulations to realize BIM application. In order for that, this study verified the method of DEM based earthwork volume calculation. To get an accurate DEM for accurate volume computation, drone survey was carried out according to the drone survey regulation and then could get an accurate DEM data which have errors less than 3cm in X, Y and 6.8cm in H. As each DEM cell has 3D coordinate component, the volume of each cell can be calculated by obtaining the height of area of the cell then total volume is calculated by multiplying total number of cells by volume of each cell for the construction area. Verification for the new calculation method compare with existing method was carried out. The difference between DEM based volume by drone survey and cross section based volume by traditional survey was less than 1.33% and it can be seen that new DEM method will be able to be applied to BIM design and construction instead of cross section method.

• ALGAE
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• 제21권1호
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• pp.109-124
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• 2006

Responses to various types of mechanically induced wounding were followed in the giant-celled Caulerpalean species, Derbesia tenuissima, using time-lapse video-microscopy. Gametophyte vesicle cells. Puncture wounding: the gametophyte cell seals the puncture in 5 min. This is followed by cycles of ruptures and sealing, ending with full recovery in 24 hrs. Cut wounding: the protoplast immediately retracts away from the wall and reforms an intact, deflated protoplast that expands to fill the original cell within 21 hrs. Crush wounding (internal). When retained within the cell wall many protoplast fragments condense, round up, and coalesce; the reconstituted protoplast expands until it attains complete recovery, filling the original cell shape in 12 hrs. Crush wounding (external). Protoplast fragments extruded from the crushed cell are more numerous and smaller taking longer to recover. Most fragments become spherical, transforming into small viable cells capable of reproduction in several days. Sporophyte filaments. Crush wounding creates many small fragments that initially condense, coalesce and then expand within the wall to restore a complete filament with normal cytoplasmic streaming within 5 hrs. Reproduction: gametophyte. Our culture isolates produce more females than males (30:1). Gametangia develop one day before discharge that occurs explosively (1/6 sec) at first morning light. The vesicle cell forms successive gametangia every 14 days. Sporophyte. Each sporangium develops on a lateral branch that becomes isolated by the creation of successive basal plugs. After cytoplasmic cleavage and differentiation the stephanokont spores are discharged. The spores settle quickly and germinate forming gametophyte cells.