• Title/Summary/Keyword: 의사인력양성체계

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Study on the establishment of an efficient disaster emergency communication system focused on the site (현장중심의 효율적 재난통신체계 수립 방안 연구)

  • Kim, Yongsoo;Kim, Dongyeon
    • Journal of the Society of Disaster Information
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    • v.10 no.4
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    • pp.518-527
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    • 2014
  • Our society is changed and diversified rapidly and such tendency is accelerated day after day and has made a lot of problems in the many fields. The important thing we have to recognize is such tendency has a bad effect recently on the safety system in Korea. So it is time to enhance the national safety system and moreover recently Sewol-ho(passenger ship) went down in the sea, it made people remind the importance of national safety system. With this incident, Korean government decided to establish the national safety communication network against the disaster. At this time, I will propose several ideas about the national safety communication network. 1. It must to be established an unified network to contact people who is on a disaster site anytime and anywhere. This is most important element on all disaster sites. 2. PS-LTE technology must to be adopted to the network because it has many advantages including various multimedia services compared to the TETRA in the past. 3. 700MHz is the most efficient band for the network because it has wide cell sites coverage compared to 1.8GHz. 4. Satellite communication system is needed to the network for back-up. 5. It will be effective to adopt Social Media to the communication network system like a Twitter or Facebook for sharing many kinds of information and notifying people of warning message. 6. It can make the network more useful to introduce the latest technology like a sensor network. And Korean government has to improve the system related to the disaster including law and operating organization.

Personnel's Perception toward Conducting an Autopsy in General Hospital (대학병원 직원들의 부검에 대한 인식도)

  • Lee, Ho-Beom;Kwak, Jyung-Sik
    • Journal of forensic and investigative science
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    • v.2 no.2
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    • pp.30-49
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    • 2007
  • An autopsy is a postmortem assessment or examination of a body to determine cause of death or manner of death. The author had surveyed Personnel's perception toward conducting an autopsy in general hospital with autopsy at YeungNam University Medical Center, Daegu, Korea from April, to May, 2007. The total number of 286 personnel consisted of 121 men(42.3%), 165 women(57.7%). There were 57 doctors(19.9%), 71 nurses(24.8%), 83 medical technicians (29.0%), 58 office workers(20.3%), and 17 others(5.9%). 61.4% of doctors had an experience of education for autopsy more than 2 times, but nurses(1.4%), medical technicians(15.7%), office workers(1.7%), and others(5.9%) had little experience. Response of conducting an autopsy for sudden death of respondent or respondent's family member was 59.6% of doctors, 22.5% of nurses, 39.8% of medical technicians, 41.4% of office workers, and 35.3% of others. Response of conducting an autopsy for sudden death of respondent's companion was 66.7% of doctors, 33.8% of nurses, 39.8% of medical technicians, 43.1% of office workers, and 17.6% of others. Response of conducting an autopsy for sudden death of patients in general hospital was 50.9% of doctors, 8.5% of nurses, 19.3% of medical technicians, 24.1% of office workers, and 17.6% of others. Survey about a proper institution for autopsy showed 73.7% of doctors for department of forensic medicine in medical school, and 62.0% of nurses, 59.0% of medical technicians, 46.6% of office workers, and 58.8% of others for National Institute of Scientific Investigation. Most of the respondents agreed with the forensic pathologist as the director of autopsy:98.2% of doctors, 94.4% of nurses, 96.4% of medical technicians, 89.7% of office workers, and 88.2% of others. Survey for necessity for autopsy showed responsiveness of doctors, 23.9% of nurses, 47.0% of medical technicians, 34.5% of office workers, and 23.5% of others. Survey for donation of him- or herself after death to the medical school or institution for the death investigation revealed responsiveness of 22.8% of doctors, 11.3% of nurses, 24.1% of medical technicians, 22.4% of office workers, and 23.5% of others. The result of the survey questionnaire showed more negative awareness for autopsy in nurses, medical technicians, office workers, others and than doctors. To improve the negative awareness for autopsy and settle proper postmortem inspection system, education of professional manpower for forensic medicine and inaction of law which is adequate for the actual circumstance of Korea should be considered.

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A Study on Way to Revitalize the Service Delivery System in the Hinterland Villages in Non-Urbanized Area (비도시지역 배후마을 서비스전달체계 활성화방안 연구)

  • Haechun Jung;Heeseung Yang
    • Journal of Environmental Impact Assessment
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    • v.32 no.6
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    • pp.533-544
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    • 2023
  • The Ministry of Agriculture, Food and Rural Affairs has been promoting policies to strengthen the functions of rural centers (culture, welfare, economy, education, etc.) and to ensure that services from the centers are delivered to and connected to hinterland villages. For this policy purpose, the rural center revitalization project and the basic living base creation project within the rural development projects are being promoted. However, in the process of carrying out the actual project, as the focus is on strengthening the functions of rural centers, service delivery and connection with hinterland villages are not being actively promoted. therefore, in this study, we analyze the projects previously carried out in Jeoksang-myeon, Muju-gun and the regional status, analyze the reasons why hinterland village services were not connected and activated, and propose a direction for the second phase of the basic living base creation project to be carried out in the future. As a result of analyzing the reasons for the failure of hinterland village services to be activated, problems such as disadvantages in accessing services due to dispersed residence in rural areas and limitations in topographical structure, and the lack of a service delivery system to develop demand in hinterland areas were found to be problems. Improvement measures were derived as follows. First, it is a stepping stone construction plan proposed to overcome topographical limitations. Establish a stepping base that will function as a service intermediate terminal to ensure efficient service delivery. Second, for a rational decision-making structure, we proposed a plan for deploying communication channels that could closely collect local opinions by operating various small-scale communities along with the efficient composition of a resident committee that includes residents of the central and hinterland villages and various classes. Third, it is a virtuous cycle of local manpower training plans that train local residents into professional instructors. We aim to complete a sustainable, resident-led service supply system by nurturing the most important service deliverers, that is, activists, in service delivery.

Soviet Union's School Health Program (소련(蘇聯)의 학교보건사업(學校保健事業) 비교(比較))

  • Nam, Eun Woo;Kwon, Hyuck Dong
    • Journal of the Korean Society of School Health
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    • v.4 no.2
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    • pp.136-145
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    • 1991
  • In the Soviet Union School health services are provided as an integral part of the health care delivery system, which is under the Ministry of Health. This paper presents an overview of the Soviet Union's health care delivery system, the model for the delivery of school health service, the role and training of school personnel involved in school health services and implications the Soviet model may have for the countries. 1. School health services are a part overall Soviet health system under the Ministry of Health. 2. Municipal and rural health departments implement programs at the local level. Diagnosis and treatment are conducted through "polyclinics" that are outreach divisions of a district hospital. 3. Education institutions for the development of health manpower, including medical schools and nursing schools, are under the Ministry of Health, as are medical and scientific search institutes.

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정보통신연구개발사업의 우선순위 설정과 적정자원 배분 - 다기준의사결정(MCDA) 방법의 적용사례 -

  • 황용수;장진규
    • Proceedings of the Korea Technology Innovation Society Conference
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    • 1999.05a
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    • pp.539-563
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    • 1999
  • 이 논문은 정보통신정책 목표와의 연관성 속에서 정보통신연구개발사업의 우선순위를 설정함과 아울러 비용효과성에 바탕을 둔 적정 자원배분 도출하는데 주안점을 두고 있다. 복합적인 목표를 가진 연구개발사업에 대해 사업부문별 그리고 기술분야별로 객관적이면서도 설득력있는 자원배분지침을 마련하기 위하여 본 연구는 다기준의사결정(MCDA: Multi-criteria Decision Analysis) 방법을 채택하고 있다. 이 방법론에서는 사업의 목표와 우선순위 판단기준 및 사업대안이 계층적으로 연계된 분석구조를 설계하여 사업대안의 우선순위를 먼저 설정하고, 여기에 정수계획법(Integer Programming)을 결합하여 사업의 목표와 연계된 비용-편익 관계(Cost-benefit relationship)를 최적화하는 바탕 위에서 사업대안별 자원배분 시나리오를 제시하게 된다. 이러한 절차로 사업부문별 및 기술분야별로 각각 도출된 8개의 자원배분 시나리오는 자원배분 경향치의 안정성(Stability) 분석과 자금지원의 과부족에 대한 현실적 적합성(Relevance) 분석을 거쳐 최종적으로 하나의 적정 자원배분방안으로 수렴되도록 하였다. 우선순위 설정에 기초가 되는 사업대안의 편익에 대한 자료는 전문가의 정성적 판단을 통해 수집되었는데, 이를 위해 정보통신기술 부문에서 활동 중인 중견 이상의 총 58명의 산학연 전문가를 대상으로 한 조사를 실시하였다. 먼저, 기초기반ㆍ전략기술개발사업, 연구ㆍ기술인력양성사업, 산업응용기술개발사업, 기술기반조성사업 등 4대 사업부문에 대해서는 (ⅰ) 정보통신 기술능력의 축적, (ⅱ) 정보통신산업의 경쟁력 강화, (ⅲ) 정보통신기반의 기술고도화, (ⅳ) 정보화를 위한 기술역량의 제고 등 주요 사업의 편익을 나타내는 4개 기준으로 우선 순위를 판단하였고, 정보통신망기술, 전파 및 RF 기술, 정보처리기술, 반도체 소자/설계 기술 등 13개 기술분야에 대해서는 (ⅰ) 공공정책적 임무에 대한 기여, (ⅱ) 기술자립기반의 확충, (ⅲ) 기술발전성과 기술적 파급효과, (ⅳ) 기술적 산물의 시장잠재력 등 기술분야 연구개발을 통한 편익을 나타내는 4개 기준으로 우선순위를 판단하였다. 우선순위는 사업대안에 대한 가중치로 표시되었고, 적정 자원배분방안은 추정된 총예산 규모에 따라 지원수준에 대한 일정한 제약조건 하에서 비용-편익 관계에 따른 자원의 최적 할당량으로 제시되었다. 본 연구는 총예산 규모의 가변성, 사업 및 기술분야 대안의 분류체계에 대한 공감대 부족, 사업목표의 상호연관성과 우선순위 판단기준의 부분적 중첩성 등 여러 제약요인이 있어 도출된 구체적인 수치보다는 방향성에 더 큰 의미를 부여하는 것이 바람직하다. 그러나, 이러한 연구의 한계에도 불구하고 도출된 우선순위와 적정 자원배분방안은 문제해결의 실행타당성을 감안하여 비교적 객관적이고 균형있는 결과로 판단된다.

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The Analysis of Patients in Oral Medicine and the Evaluation of Oral Medicine as a Special Field (내원경로 분석을 통한 전문과목으로서의 구강내과의 역할)

  • Chung, Tae-Yong;Ryu, Ji-Won;Kang, Jin-Kyu;Ahn, Hyung-Joon;Choi, Jong-Hoon
    • Journal of Oral Medicine and Pain
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    • v.30 no.4
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    • pp.391-400
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    • 2005
  • Special Practitioner exists based on the need for special fields that are required to manage difficult patients with specialized skills distinguished from General practitioner. The purpose of dental specialist system is to manage patients who are not treatable by general practitioner by training doctors specializing in one specific field, thereby, enhancing health of the public. Oral Medicine deals with orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. In these days, living environments of city life bring about increase in stress which ultimately lead to increase in prevalence of temporomandibular disorder, oral soft tissue disease, neuropathies such as trigeminal neuralgia, and hence, the number of patients seeking help of those symptoms tend to increase. The purpose of this study was to analyze the rate of referrals and the routes of patients seeking help by investigating 3,707 patients who visited Department of Oral Medicine, College of Dentistry, Yonsei University, from August, 2004 to April, 2005. The results were as follows: 1. The types of disease referred to the Department of Oral Medicine were orofacial pain, oral soft tissue disease, forensic dentistry, oral diagnosis. 2. The rate of referrals was 58.51% which implies that more than half of the patients visiting the Department of Oral Medicine were referred. 3. The types of institution which made referrals were analyzed, and as a result, dental clinics made most of the referrals with the rate of 83.23%, while that from medical or oriental medical institutions was 16.78%. 4. Among the patients who visited the Department of Oral Medicine on their own, 30.52% gained the information about the Department of Oral Medicine from internet and mass media, and from neighbors. From the above results, most of the patients visiting the Department of Oral Medicine were found to be referred not only from the field of dentistry but also from the field of medicine. These suggest that Oral Medicine manages patients who are not treatable by general dental practitioners, and medical specialists tend to cooperate with the Department of Oral Medicine to manage diseases associated with Oral Medicine. Therefore, the role of Oral Medicine can be considered to be important as a special field, and the results of this study should be considered when working out a policy of Dental specialist system on demand and supply of residents in the future.