• 제목/요약/키워드: Post-management end

검색결과 108건 처리시간 0.024초

제왕절개술에서 경막외 Fentanyl의 술전투여와 수술종료전 투여의 술후진통효과 비교 (Comparison of Epidural Fentanyl Administration between Preoperation and the End of Operation for the Postoperative Pain Control of Cesarean Section)

  • 채준석;이병호;정미영;이지욱
    • The Korean Journal of Pain
    • /
    • 제8권2호
    • /
    • pp.244-250
    • /
    • 1995
  • Many clinical and laboratory experiments have been developed to prevent or decrease post-operative pain. One of these methods is pre-operative administration of opioid. Recently there have been differing and debatable results reported of pre-operative treatment for post-operative pain management. It was our study to determine whether pre-operative epidural fentanyl prevented central facilitation or wind up of spinal cord from nociceptive afferent input through c-fibers. We evaluated the effect of epidural fentanyl 50 mcg 10 minutes before operation and 10 minutes before the end of surgery. 28 parturient women for Cesarean Section were randomly allocated to receive the epidural fentanyl either at 10 minutes before operation (Group 1, n=14) or 10 minutes before the end of surgery (Group 2, n=14). All of the 28 parturient women were anesthetized with epidural block using (22 ml of) 2% lidocaine supplemented with light general anesthesia ($N_2O$ 2 L/min-$O_2$, 2 L/min), we controlled post-operative pain with epidural PCA(patient controlled analgesia) infusion of meperidine and 0.07% bupivacaine. The action duration of epidural fentanyl from the end of surgery to the first requirement of analgesics with epidural PCA were not significantly different between the two groups. No significant differences between two groups were observed in VAS pain score at 1, 2, 3, 6, 12, 24, and 48 hours after the operation. The number of self administration of narcotics with PCA during 48 hours after surgery were the same between the two groups. The hourly infusion rates of demerol were the same. Pre-operative administration of fentanyl was not clinically effective compared to administration just before the end of surgery for postoperative pain control.

  • PDF

전자 우편 시스템의 우체국 설계 및 구현 (Design and Implementation of Post-Office for Internet Mail System)

  • 황욱철;최원호;김도우;조증보;유홍식;정민수
    • 한국멀티미디어학회:학술대회논문집
    • /
    • 한국멀티미디어학회 2001년도 춘계학술발표논문집
    • /
    • pp.342-346
    • /
    • 2001
  • 인터넷 우편 시스템은 기존의 우편시스템을 인터넷이라는 공용 망을 이용해서 재구성함으로서 우체국 업무의 효율성은 물론, 사용자의 편이에도 상당한 도움이 될 것이다. 인터넷 우편 시스템은 크게 3가지로 Front Agent(웹 기반의 사용자 인터페이스), End Agent(우체국), Management Agent(관리부) 나뉘어 지는데 본 논문에서는 EndAgent를 중심으로 서술하였다.

  • PDF

A Design of Secure Communication Architecture Applying Quantum Cryptography

  • Shim, Kyu-Seok;Kim, Yong-Hwan;Lee, Wonhyuk
    • Journal of Information Science Theory and Practice
    • /
    • 제10권spc호
    • /
    • pp.123-134
    • /
    • 2022
  • Existing network cryptography systems are threatened by recent developments in quantum computing. For example, the Shor algorithm, which can be run on a quantum computer, is capable of overriding public key-based network cryptography systems in a short time. Therefore, research on new cryptography systems is actively being conducted. The most powerful cryptography systems are quantum key distribution (QKD) and post quantum cryptograph (PQC) systems; in this study, a network based on both QKD and PQC is proposed, along with a quantum key management system (QKMS) and a Q-controller to efficiently operate the network. The proposed quantum cryptography communication network uses QKD as its backbone, and replaces QKD with PQC at the user end to overcome the shortcomings of QKD. This paper presents the functional requirements of QKMS and Q-Controller, which can be utilized to perform efficient network resource management.

정보 시스템 최종 사용자의 피드백 탐색 행위와 합목적적 정보 시스템 활용;중소기업을 대상으로 한 실증적 연구

  • 신영미;이주량;이호근
    • 한국경영정보학회:학술대회논문집
    • /
    • 한국경영정보학회 2007년도 International Conference
    • /
    • pp.527-535
    • /
    • 2007
  • The number of SMEs taking up information systems such as Enterprise Resource Planning has been growing rapidly, and many of those organizations have stepped into the stage of ongoing use at this point. Thus, research which takes into account idiosyncratic nature of SME environment is more important than before. Through an empirical study using survey method, we tried to examine the importance of end user's feedback seeking behavior in SMEs and how environmental factors affecting such behavior reinforce and interact with the feedback seeking behavior itself. The result shows that end user's active role as a voluntary feedback seeker is important in utilizing information systems in accordance with the initial design intention in ongoing use environment. Furthermore, in order to facilitate such feedback seeking behavior in SME environment, it is essential that management's involvement and communicating to its employees the importance of effectively utilizing the information systems as well as the support of peer IT champ.

  • PDF

대용량 WDM 전송을 위한 분산 제어 광 링크 구조 설계 (Design of Dispersion Managed Optical Link for Wideband WDM Transmission)

  • 이성렬
    • 한국항행학회논문지
    • /
    • 제12권3호
    • /
    • pp.201-207
    • /
    • 2008
  • 대용량 WDM 전송 시스템의 구현을 위해 중간에 광 위상 공액기 (optical phase conjugator)를 갖는 광섬유에서 축적된 분산량을 precompensation과 postcompensation으로 조절하는 분산 제어 (DM; dispersion management) 전송 링크의 설계 기준을 제시하였다. 본 논문에서 살펴본 DM 구조는 precompensation과 postcompensation가 이루어지는 위치에 따라 bi-end 형태와 concentration 형태의 두 가지이다. 전송 링크 설계 파라미터인 송신기부터 OPC까지의 구간과 OPC부터 수신기까지의 유효 잉여 분산 범위는 OPC에 대해서만 대칭되어 있으면 precompensation과 postcompensation을 수행하는 분산 보상 광섬유(DCF; dispersion compensating fiber)의 위치에 크게 의존하지 않는다는 것을 확인하였다.

  • PDF

Eulsook-do's Change in Leisure Pattern by the Pre- and Post-Construction of Estuary Dike in the Coastal Area

  • Cho Yoon-Shik;Yhang Wii-Joo
    • 한국항해항만학회지
    • /
    • 제28권9호
    • /
    • pp.821-825
    • /
    • 2004
  • The purpose of this study is the assessment of changes in the leisure patterns of users of the Eulsook-do before and after the estuary dike construction. The following survey research method was conducted to implement the study, sampling by age was carried out selectively and randomly alike. A total of 319 persons were chosen for final analysis, excluding questionnaires answered found to be inappropriate. To measure the image of the lower Nakdong River around the Eulsook-do, with advice sought from experts, researchers, through several pilot tests, developed a 24-item semantic differential scale(SDS) that has two bi-polar adjectives at each end Study of the pre- and post- construction images of the Eulsook-do located on the coast of Busan suggests the dike construction has brought about negative changes in the Eulsook-do's overall image. There can be two alternatives for improving the negative image: restoration and development.

경저부 혈관손상의 임상적 고찰 (Clinical Study of Neck Base Injury)

  • 우종수
    • Journal of Chest Surgery
    • /
    • 제11권4호
    • /
    • pp.378-384
    • /
    • 1978
  • Injuries to the major vessels in the thoracic inlet require early recognition and expedient operative approach. Delayed diagnosis difficulties encountered in the operative exposure of the region are the major factors limiting successful management. This report is a review of 13 patients with vascular injuries to the neck base who were managed at Busan National University Hospital from March 1975 to September 1978 about 3 years and 6 months. The important clinical problems are delineated with emphasis on the technical aspects of operative management. 1] Among 13 cases, 8 cases were male 5 cases were female. 2] Of 28 vascular injuries, subclavian axillary vascular injuries were 22 [78%]. Stab wound was the cause in 70% of these patients. 3] Without extension 7 cases[53.8%] were managed successfully with supraclavicular, and axillary incision. Posterolateral thoracotomy one of extending 4 cases, 2 cases were used right musculoskeletal flap for management of proximal part of the subclavian artery and innominate vessel, 2 cases were used left supraclavicular incision with anterolateral thoracotomy for management of left proximal subclavian artery. One Expired. 4] Repair of vascular injury was accomplished by lateral suture of debridement and end-to end anastomosis in 17[74%]. Autogenous vein was used one for interposition graft. Ligation was required 2 arterial, 6 venous injuries. Of 8 cases which were pulseless preoperatively, 5 cases were able to palpable distal pulse. 5] Post operative complications occurred 50%. Complication of vasular repair was rare. The majority was neurologic deficit (33.3%).

  • PDF

모바일 소셜 커머스에서 서비스 회복 노력의 공정성이 대고객 관계성과에 미치는 영향 (The Effects of Perceived Justice of Service Recovery Efforts on the Customer Relationship Performance in Mobile Social Commerce)

  • 윤인환;이희상
    • 디지털융복합연구
    • /
    • 제14권4호
    • /
    • pp.267-276
    • /
    • 2016
  • 본 연구는 모바일 소셜 커머스에서 서비스 회복 노력의 공정성이 대고객 관계성과에 미치는 영향을 실증적으로 분석하였다. 이를 위하여 인지적 신뢰, 감정적 신뢰와 함께 서비스 회복 후 만족을 대고객 관계성과로 규정하였으며, 모바일 소셜 커머스에서 서비스 실패를 경험한 소비자들을 대상으로 한 설문조사 결과를 토대로 구성개념들 간의 관계를 공분산구조모형 분석을 통하여 확인하였다. 가설검증 결과, 서비스 회복 노력의 공정성 3가지 모두는 인지적 신뢰에 유의한 영향을 미치는 반면, 감정적 신뢰에는 절차 공정성만이 긍정적인 영향을 미치는 것으로 나타났다. 또한 인지적 신뢰와 감정적 신뢰는 회복 후 만족에 유의한 영향을 미치는 것으로 밝혀졌다. 본 연구결과는 전자상거래 분야의 연구에서 최근 각광받고 있는 모바일 소셜 커머스를 대상으로 서비스 실패를 경험한 고객들과의 관계유지 및 개선을 위한 시사점을 제공하고, 서비스 회복 노력의 성과인 회복 후 만족을 향상시킬 수 있는 유용한 전략으로 활용될 것이다.

중소기업 환경에서의 합목적적 정보시스템 활용을 위한 최종사용자 피드백 탐색행위의 중요성 (Importance of End User's Feedback Seeking Behavior for Faithful Appropriation of Information Systems in Small and Medium Enterprises)

  • 신영미;이주량;이호근
    • Asia pacific journal of information systems
    • /
    • 제17권4호
    • /
    • pp.61-95
    • /
    • 2007
  • Small-and-medium sized enterprises(SMEs) represent quite a large proportion of the industry as a whole in terms of the number of enterprises or employees. However researches on information system so far have focused on large companies, probably because SMEs were not so active in introducing information systems as larger enterprises. SMEs are now increasingly bringing in information systems such as ERP(Enterprise Resource Planning Systems) and some of the companies already entered the stage of ongoing use. Accordingly, researches should deal with the use of information systems by SME s operating under different conditions from large companies. This study examined factors and mechanism inducing faithful appropriation of information systems, in particular integrative systems such as ERP, in view of individuals` active feedback-seeking behavior. There are three factors expected to affect end users` feedback-seeking behavior for faithful appropriation of information systems. They are management support, peer IT champ support, and IT staff support. The main focus of the study is on how these factors affect feedback-seeking behavior and whether the feedback-seeking behavior plays the role of mediator for realizing faithful appropriation of information systems by end users. To examine the research model and the hypotheses, this study employed an empirical method based on a field survey. The survey used measurements mostly employed and verified by previous researches, while some of the measurements had gone through minor modifications for the purpose of the study. The survey respondents are individual employees of SMEs that have been using ERP for one year or longer. To prevent common method bias, Task-Technology Fit items used as the control variable were made to be answered by different respondents. In total, 127 pairs of valid questionnaires were collected and used for the analysis. The PLS(Partial Least Squares) approach to structural equation modeling(PLS-Graph v.3.0) was used as our data analysis strategy because of its ability to model both formative and reflective latent constructs under small-and medium-size samples. The analysis shows Reliability, Construct Validity and Discriminant Validity are appropriate. The path analysis results are as follows; first, the more there is peer IT champ support, the more the end user is likely to show feedback-seeking behavior(path-coefficient=0.230, t=2.28, p<0.05). In other words, if colleagues proficient in information system use recognize the importance of their help, pass on what they have found to be an effective way of using the system or correct others' misuse, ordinary end users will be able to seek feedback on the faithfulness of their appropriation of information system without hesitation, because they know the convenience of getting help. Second, management support encourages ordinary end users to seek more feedback(path-coefficient=0.271, t=3.06, p<0.01) by affecting the end users' perceived value of feedback(path-coefficient=0.401, t=6.01, p<0.01). Management support is far more influential than other factors that when the management of an SME well understands the benefit of ERP, promotes its faithful appropriation and pays attention to employees' satisfaction with the system, employees will make deliberate efforts for faithful appropriation of the system. However, the third factor, IT staff support was found not to be conducive to feedback-seeking behavior from end users(path-coefficient=0.174, t=1.83). This is partly attributable to the fundamental reason that there is little support for end users from IT staff in SMEs. Even when IT staff provides support, end users may find it less important than that from coworkers more familiar with the end users' job. Meanwhile, the more end users seek feedback and attempt to find ways of faithful appropriation of information systems, the more likely the users will be able to deploy the system according to the purpose the system was originally meant for(path-coefficient=0.35, t=2.88, p<0.01). Finally, the mediation effect analysis confirmed the mediation effect of feedback-seeking behavior. By confirming the mediation effect of feedback-seeking behavior, this study draws attention to the importance of feedback-seeking behavior that has long been overlooked in research about information system use. This study also explores the factors that promote feedback-seeking behavior which in result could affect end user`s faithful appropriation of information systems. In addition, this study provides insight about which inducements or resources SMEs should offer to promote individual users' feedback-seeking behavior when formal and sufficient support from IT staff or an outside information system provider is hardly expected. As the study results show, under the business environment of SMEs, help from skilled colleagues and the management plays a critical role. Therefore, SMEs should seriously consider how to utilize skilled peer information system users, while the management should pay keen attention to end users and support them to make the most of information systems.

인터넷 우체국을 위한 Front Agent의 설계 및 구현 (Design and Implementation of Front Agent for Electronic Post-Office)

  • 권오형;정준영;정민수;조유섭;이준석;윤기송
    • 한국멀티미디어학회:학술대회논문집
    • /
    • 한국멀티미디어학회 2001년도 춘계학술발표논문집
    • /
    • pp.290-294
    • /
    • 2001
  • 인터넷 우편 시스템은 인터넷에서 고객이 작성한 우편을 메일 뿐만 아니라 이를 직접 인쇄하여 다수의 수신자에게 보통우편으로 제작하여 직접 배달하는 우편서비스로 인쇄부터 봉함가지 자동으로 처리하는 시스템이다. 따라서 직접적인 우편을 전달함으로서 기존의 디지털 문명의 의한 각박해진 현 사회에 보다 인간미가 넘치는 매개체로서의 역할과 획기적인 시간 단축과 비용절감의 효과를 누리고자 한다. 현 인터넷 우편 시스템은 크게 3가지로 Front Agent End Agent, Management Agent 나뉘어 지는데 본 논문에서는 Front Agent를 중심으로 서술하였다.

  • PDF