• 제목/요약/키워드: Service Unit

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균형성과표를 이용한 중환자실 간호부서의 핵심성과지표 개발 (Development of Nursing Key Performance Indicators for an Intensive Care Unit by using a Balanced Scorecard)

  • 최윤정;임지영;이영휘;김화순
    • 대한간호학회지
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    • 제38권5호
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    • pp.656-666
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    • 2008
  • Purpose: The purpose of this study was to develop visions of nursing service, nursing strategies and key performance indicators (KPIs) for an intensive care unit (ICU) based on a Balanced Scorecard (BSC). Methods: This study was undertaken by using methodological research. The development process consisted of four phases; the first phase was to develop the vision of nursing in ICUs. The second phase was to develop strategies according to 4 perspectives of a BSC. The third phase was to develop KPIs according to the 4 perspectives of BSC and the final phase was to combine the nursing visions, strategies and KPIs of ICUs. Results: Two main visions of nursing service for ICUs were established. These were 'realization of harmonized professional nursing with human respect' and 'recovery of health through specialized nursing' respectively. In order to reach the aim of developing nursing visions, thirteen practical strategies and nineteen KPIs were developed by four perspectives of the BSC. Conclusion: The results will be used as objective fundamental data to attain business outcomes for the achievement of nursing visions and strategies of ICUs.

승용차용 Wheel Bearing Hub Unit 설계를 위한 주행 하중조건의 실험적 연구 (Experimental Study of Driving Load Conditions for the Wheel Bearing Hub Unit of Passenger Car)

  • 김기훈;유영면;임종순
    • 한국자동차공학회논문집
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    • 제10권2호
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    • pp.166-173
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    • 2002
  • The wheel bearing hub unit is developed type of wheel bearing unified with the hub parts. It has advantage of reducing the weight and the number of components. And, it also improves uniformity of manufacturing quality, In order to design the wheel bearing hub units, many techniques are used such as load analysis, structure analysis and bearing characteristics analysis and so forth. These techniques need highly accurate load conditions founded on service conditions. In this study, to design the wheel bearing hub units used widespread in passenger cars, the service load was measured through driving tests on the public roads and in the special events. The public roads are classified into highway, intercity road, rural road, urban road, and unpaved road so as to know what the characteristics of the road loads are. The results of the tests showed that the wheel force was relative to the lateral acceleration, and also could be calculated from the lateral acceleration. The lateral acceleration was measured from 0.0G to 0.6G in general driving on the public roads, with different distributions in each road type. In special events, the maximum lateral acceleration was measured from 0.8G to 1.3G.

Reduced Osteogenic Differentiation Potential In Vivo in Acute Myeloid Leukaemia Patients Correlates with Decreased BMP4 Expression in Mesenchymal Stromal Cells

  • Pedro L. Azevedo;Rhayra B. Dias;Liebert P. Nogueira;Simone Maradei;Ricardo Bigni;Jordana S. R. Aragao;Eliana Abdelhay;Renata Binato
    • International Journal of Stem Cells
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    • 제15권2호
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    • pp.227-232
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    • 2022
  • The osteogenic differentiation potential of mesenchymal stromal cells (hMSCs) is an essential process for the haematopoiesis and the maintenance of haematopoietic stem cells (HSCs). Therefore, the aim of this work was to evaluate this potential in hMSCs from AML patients (hMSCs-AML) and whether it is associated with BMP4 expression. The results showed that bone formation potential in vivo was reduced in hMSCs-AML compared to hMSCs from healthy donors (hMSCs-HD). Moreover, the fact that hMSCs-AML were not able to develop supportive haematopoietic cells or to differentiate into osteocytes suggests possible changes in the bone marrow microenvironment. Furthermore, the expression of BMP4 was decreased, indicating a lack of gene expression committed to the osteogenic lineage. Overall, these alterations could be associated with changes in the maintenance of HSCs, the leukaemic transformation process and the development of AML.

브이월드 3D 지도 서비스 성능 향상을 위한 3D 타일 적용 방안 연구 (3D Tile Application Method for Improvement of Performance of V-world 3D Map Service)

  • 김태훈;장한솔;유성환;고준희
    • 대한공간정보학회지
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    • 제25권1호
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    • pp.55-61
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    • 2017
  • 2012년 시범 서비스를 시작한 한국형 공간정보 오픈플랫폼 브이월드는 전국의 2차원, 3차원 지도 및 행정정보를 손쉽게 활용할 수 있도록 다양한 서비스를 제공하고 있다. 그 중 3차원 지도 서비스는 건물 단위로 모델링 되어있어 모델 요청과 이를 화면에 그리는 드로우 콜(draw call)이 개별 건물 모델에 대해 필요하다. 이로 인해 발생하는 다수의 모델 요청과 드로우 콜이 central processing unit(CPU)와 graphic processing unit(GPU) 간의 전송 및 전환 과정에서 발생하는 대기 시간 증가를 야기해 3차원 지도 서비스의 성능이 감소한다. 본 논문에서는 다수의 모델 요청 및 드로우 콜로 인해 발생하는 3차원 지도 서비스의 성능 저하를 줄이기 위한 성능 개선안을 제안한다. 이를 위해, 단일 건물 모델이 아닌 여러 건물 모델을 타일로 병합한 3차원 타일 모델을 적용하여 모델 파일에 대한 요청수와 드로우 콜을 줄이고자 하였다. 추가적으로 쿼드트리(quadtree) 알고리즘을 적용하여 화면에 그릴 영역에 필요한 모델의 탐색 시간 감소를 통해 모델 파일을 불러오는 요청 시간을 줄이고자 하였다. 이는 브이월드의 3차원 지도 서비스의 성능을 향상에 기여할 것으로 예상된다.

Pediatric Inflammatory Bowel Disease: A Multicenter Study of Changing Trends in Argentina Over the Past 30 Years

  • Arcucci, Maria Soledad;Contreras, Monica Beatriz;Gallo, Julieta;Antoniska, Mariela Andrea;Busoni, Veronica;Tennina, Cecilia;D’Agostino, Daniel;Kakisu, Maria Hisae;Weyersberg, Christian;Orsi, Marina
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • 제25권3호
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    • pp.218-227
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    • 2022
  • Purpose: To analyze the characteristics of pediatric inflammatory bowel disease (IBD) over the past three decades in Argentina and determine if there are differences between the first two decades and the past decade. Methods: We conducted a retrospective multicenter analytical study in children with IBD between 0 and 18 years of age diagnosed between 1987 and 2017 in three tertiary health centers in Argentina. The evaluation included clinical characterization, endoscopy, histology, and imaging data together with therapeutic strategies. The patients were divided into two groups: Group 1, diagnosed between 1987 and 2007, and Group 2, diagnosed between 2008 and 2017. Results: Of the 756 patients included, 409 (54%) had ulcerative colitis (UC), 250 (33%) had Crohn's disease (CD), and 97 (13%) had IBD-unclassified (IBD-U). The positive family history was 3.8%, which was more frequent among children under two years of age (6.7%). There were no significant differences in clinical presentation and extraintestinal manifestations between periods, with hepatic manifestations being the most frequent. In the last decade, we found an upward trend in CD, a downward trend in UC/IBD-U, even after adjustment for socioeconomic status, and a decrease of 50% in surgical treatments coinciding with the advent of biological therapy. Conclusion: This is the first multicenter cohort study in a Latin American country to describe clinical, endoscopic, and therapeutic data across the past 30-year period. Although CD was responsible for the overall increase in incidence, UC was still prevalent in this region.

생활서비스 공급 측면에서 본 전라북도 농촌지역의 중심지체계와 읍·면 중심지의 역할 (Central Place System of Rural Areas and the Role of Eup-Myun Central Districts in Jeollabuk-do in terms of Living Service Supply)

  • 홍환성;이경찬
    • 한국농촌건축학회논문집
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    • 제23권4호
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    • pp.88-97
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    • 2021
  • This study aims to derive the life service supply structure in rural areas of Jeollabuk-do through the analysis of the centrality of life service in Eup/Myeon central area. In addition, mutual relationship between the settlement system in rural areas and the current status of the supply of living services in Eup/Myeon areas were also analyzed. In particular, in this study, the entire administrative districts of Jeollabuk-do are intended to be established as a single wide area unit, breaking away from the current status of living service supply at the Si/Gun level. This study mainly conducted with three points. First, the spatial range of Eup/Myeon central districts with centrality in terms of living service supply was established. Second, the hierarchical structure of the living service supply system in the rural areas of Jeollabuk-do was investigated through the analysis of the living service supply level based on the centrality and geographical distribution in Eup/Myeon central districts. Based on the analysis results, the central place system of rural areas in Jeollabuk-do was established in terms of living service supply. Third, through the analysis of the living service functions distributed in the central area, and the type of living service supply by hierarchy was identified.

특공무술의 개발과 발전에 관한 경호사(警護史)적 함의 (The Development and Expansion of Teukgongmusul focused on Security Service History)

  • 김은정
    • 시큐리티연구
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    • 제15호
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    • pp.73-87
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    • 2008
  • 특공무술은 은폐된 역사로 인해서 진실이 왜곡되어 있다. 이러한 정황을 찾기 위해서 특공무술 관계자들의 증언을 토대로 한 구술사(口述史)를 연구방법으로 적용했고, 대외비(對外秘)로 발간된 대통령경호실 육군본부 제27부대 제5특전여단 등의 문헌자료들도 정보공개 과정을 거쳐서 수집했다. 첫째, 박정희 대통령의 지시로 1978년 6월 1일에 창설된 특전사 소속 제606부대는, 1978년 7월 2일 대통령경호실에 배속되어 국내 최초의 항공기 대테러를 목적으로 비밀리에 운용되었다. 그리고 제606부대에서는 기존 무술들의 장점을 합한 실전 종합무술로서 특공무술을 체계화하였다. 둘째, 특공무술은 경호무도의 특성을 가지고 개발되었다. 제606부대원들은 대통령경호실 소속 특공부대의 일원으로 특공무술을 개발했고, 이에 특공무술은 개발단계부터 경호무도로서의 특성을 포함하게 되었다. 셋째, 제606부대의 특공무술은 군과 경호실로 나뉘어 발전했다. 군에서는 제5공수특전여단에 의해 새롭게 구성한 국방무술로 보급되었고, 대통령경호실에서는 기존에 수련하던 합기도를 특공무술로 교체하여 보급되었다. 넷째, 특공무술의 개발과 발전은 정치적인 배경에 많은 영향을 받았다. 특공무술을 개발한 부대는 당시 정치적인 권력이 막강했던 경호실의 통제 하에 있었으므로, 이후 부대의 명칭이나 활동의 변화도 한국 내 정치적인 상황과 밀접하게 연관되었다. 이 같은 점은 제606부대가 제27부대로 개칭한 뒤에 차기 대통령의 경호를 담당하게 되면서부터 본격적인 경호업무로 전환했다는 점에서도 나타난다.

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민영아파트 평면계획특성에 관한 연구 -서울, 수도권 및 신도시지역을 중심으로- (A Study on Characteristics of Apartment Housing Unit Plans)

  • 배정민;정유선;윤정숙
    • 한국주거학회논문집
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    • 제12권2호
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    • pp.1-12
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    • 2001
  • The purpose of this study is to analyze characteristics of apartment housing unit plans based on analyzing overall patterns of housing unit plans and identifying the types of unit plans according to the size and to provide the fundamental data for developing diverse dwelling unit plans of apartment. This study deals with apartment housing unit plans built between 1999 and 2000 in Seoul, the capital region and new town. The major findings of this study are as follows; 1) Most apartment housing unit plans have fixed and uniform layouts. Most apartment housing units have L-DK type meaning they have isolated living room space. Certain layouts(especially $60-85\textrm{m}^2$ sized unit plans) show a "trickle-down" phenomenon with respect to the areas of units according to time series. 2) New plan types are rarely proposed since 2000, especially in large-sized(area more than $120\textrm{m}^2$) and $60-85\textrm{m}^2$ sized plans. 3) Another feature of apartment housing unit plans is increase of the service are (balcony, entrance area, additional kitchen, and storage area), and introduction of masters space (composition of master bedroom, dressing room, powder room, path, and etc.) and etc.)

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신생아 중환자실 영양요법치료에서 약사의 역할과 영향 (Neonatal Total Nutritional Pharmacy Service at Intensive Care Unit at a University Hospital in Korea)

  • 오윤경;이광섭;이정연
    • 한국임상약학회지
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    • 제23권2호
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    • pp.167-174
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    • 2013
  • Objective: The study evaluated the impact of pharmacist inventions with the implementation of pharmacistinvolved nutritional support service at neonate intensive care unit in a tertiary teaching hospital. Method: A retrospective and observational study was carried out. The total of 58 infants in neonate intensive care unit was enrolled between January 2011 and October 2012. The pharmacist-involved total parenteral nutritional program was initiated in June of 2012. During the program, pharmacist actively participated in the multidisciplinary round with performing the interventions from reviewing the amount of combined total parenteral nutrition and enteral fluid intakes, the amount of total calories, the glucose infusion rate, and the amounts of proteins per weight in kilogram. The outcome was compared with the results from the control group which reflected the prior period of the program initiation. Result: The number of days of regaining birth weight was significantly shorter (14.5 vs. 19 days, p=0.049) and the percentage of total calorie days with >90 kcal/kg/day was increased significantly (40 vs. 13%, p=0.008) in intervention group compared to the values in control group. In addition, the total mean daily caloric intakes ($84.78{\pm}13.8$ vs. $74.86{\pm}15.36$ kcal/kg/day, p=0.018) was significantly higher in intervention group than those results in control group. There were no significant differences in safety parameters between two groups related to nutritional services of necrotizing enterocolitis, intraventricular hemorrhage, proven sepsis, and also parenteral nutrition-induced hepatotoxicity. Conclusion: Pharmacist-involved total parenteral nutrition managed program was successfully implemented. The outcome showed the improved effectiveness of total parenteral nutrition with pharmacist interventions and no differences in adverse reactions. This could prove the positive effects of pharmacist involvement on nutritional therapy for neonate population.

화력발전소 통풍설비의 Main Bearing Assembly 설계 및 해석 (Design and Analysis of Main Bearing Assembly for Thermal Power Plant's Ventilation Equipment)

  • 류형룡;조인호;김성관;전성일;편영식
    • 대한기계학회논문집 C: 기술과 교육
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    • 제1권1호
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    • pp.129-138
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    • 2013
  • 화력발전소의 보일러를 일정한 화력으로 가동하기 위해서는 일정한 통풍량을 유지시켜야 한다. Main Bearing Assembly Unit 일정한 통풍량을 유지시키기 위하여 Fan을 회전시킨다. 그러나 점차 발전량이 많아지는 반면에 발전을 위하여 투입되는 석탄의 질은 초기의 보일러 설계 기준보다 나빠지고 있다. 특히 원가절감의 일환으로 또는 자원의 고갈로 인한 고급품질의 석탄 확보가 어려움으로 인하여 점차 낮은 질의 석탄이 투입되고 있다. 이로 인하여 초기 설계시의 Main Bearing Assembly의 수명보다 약 절반의 수명인 2~3년의 주기로 Main Bearing Assembly의 정비교체가 요구되고 있다. 본 연구에서는 Main Bearing Assembly Unit의 역설계 해석을 통해서 수명단축의 원인을 분석하고 초기 목표 수명을 가질 수 있도록 새로운 시스템으로 개선하여 개발하고자 한다.