• 자원환경지질
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• 제9권1호
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• pp.1-11
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• 1976

It is believed that geological survey, drilling and geophysical survey which was carried out on Tertiary deposits in Pohang is a valuable but through the studying of many Tertiary sediments in Japan discovered many questions on analysis of final report prepared by National geological survey. The main reason is: 1. The seismic sound velocity which have regulated in the final report prepared by geological survey for Tertiary deposits in Pohang was 1,500-2,000m/sec in spite of oil bearing sediments of same age in Japan are 2,000-3,800m/sec. These may means the requirement of reconsideration of seismic velocity for Tertiary deposits in Pohang and required to have a dipper drilling. 2. Stratigraphically, geophysically, and paleontologically, the Tertiary deposits in Pahang land area is similar with that of Nishiyama-Hunakawa formations of Akita oil field in Japan. Nishiyama-Hunakawa formation is the main oil bearing formation in Japan. 3. Those valcanic rock including andestitic rock and liparitic rock which have extensively distributed over either at land area or at sea bottom, assumed by geological survey as the base of Tertiary sediments. But in case of Japan many oil bearing deposits are in over laid by these kind of volcanic rock. Therefore a possible of same condition with Japan is presumable on Tertiary sediments in Pohang. 4. It is believed that the Tertiary sediments of land area in Pohang is the extension of offshore basin but is wandering that the final report submitted by geologic survey have not remain any word on report of ECAFE discribed so much problematics as followed: A. Although it was assumed that no great thickness exceeding 1,000 meters, or major structures would be encountered in the Tertiary offshore sequence, it was hoped that shallow hydrocarbon deposits might be found, because these sediment are lithologically similar to those of the same age in the producing area of the northwest Honshu region of Japan where hydrocarbon are extracted from depths of only 500 to 600 meters. B. Four possible hydrocarbon trap conditions are represented in the survey area: anticlinal folds, faults, pinch outs, along the igneous basement and lateral facies changes. C. Most of the prime possible reservoir area are beyond the 50 meter water depth mark, except for the structures in Yonil Bay. D. Despite the shallowness of the offshore basin, sufficient trap condition exist in the area to warrant further exploration for hydrocarbon. 5. All of the problems mentioned above have gave us a strong reasons to have us hesitating to make a final conclusion on Tertiary problems in Pohang, before to have a drill to a depth to 3,000 meters or more whatever it is the Tertiary or a Mesozoics below 1,000 meters.

• 보건행정학회지
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• 제27권2호
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• pp.128-138
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• 2017

Background: The purpose of this study is to analyze the effects of differential coinsurance policy on prescription drug coverage of outpatients by types of medical institutions. Methods: In this study, we used a sample cohort database of the National Health Insurance Service and frequency analysis and marginal logistic regression model using generalized estimating equation were used for statistical analysis. Results: The summary on the major research is followed. First, about 16% of patients who used only tertiary or general hospital due to 52 ambulatory care sensitive conditions before policy implementation moved to hospitals and clinics. However, about 57% of them still use tertiary or general hospital. Second, the factors influencing the utilization of hospitals and clinics after the implementation of the policy were gender, age, and income level. As a result, the policy is effective to reduce the medical use of outpatient mental patients in tertiary or general hospital, but the effect is not significant. Conclusion: Therefore, in order to achieve the purpose of the policy for establishing the health care delivery system, it is necessary to adjust the co-payment so as to feel the burden on the co-payment when the outpatient for 52 ambulatory care sensitive conditions is used at the tertiary or general hospital.

• Journal of Preventive Medicine and Public Health
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• 제27권3호
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• pp.437-445
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• 1994

The objective of this study was to evaluate outcome for the patients of the intensive care unit, using APACHE III prognostic system. We prospectively collected the information of 429 patients in intensive care units at 2 tertiary care hospitals and 4 secondary care hospitals in PUSAN who had been admitted from December 1, 1993 to February 28, 1994. The results were as follows. 1. APACHE III scores were various from 0 to 173. But the distribution of the scores were similar between tertiary care hospitals and secondary care hospitals. 2. The mortality rate significantly increased as APACHE III score rised (p<0.001). Within the interval of same score, generally, the mortality of operative patients was higher in secondary care hospitals but in the case of nonoperative patients higher in tertiary care hospitals. 3. When the tertiary care hospitals compared with secondary for ratio of the predicted mortality rate to the actual mortality rate, there was little difference. 4. When we compared the 6 hospitals, one hospital had significantly better results and another hospital was significantly inferior (p<0.05).

• 임상간호연구
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• 제28권2호
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• pp.122-136
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• 2022

Purpose: This study attempted to recommend a revision of inpatient nursing fees based on analyzing current and appropriate staffing levels. Methods: Staffing grades and their inpatient nursing fees as of the first quarter of 2022 were analyzed. Nurse managers and staff nurses answered surveys about the current and appropriate staffing levels, working days, and monthly salary. A total of 101 nurse managers and 588 staff nurses working in general wards at tertiary hospitals and general hospitals participated in the study. Results: The results showed that grade 1 staffing was found in 73.3% of tertiary hospitals and 63.7% of general hospitals. The current staffing ratios of tertiary hospitals and general hospitals were 1:9.3 and 1:10.4, respectively. The appropriate staffing ratios according to nurse managers and staff nurses at tertiary hospitals were 1:7.6 and 1:7.0, respectively, and 1:8.7 and 1:8.8 in general hospitals, respectively. The average estimated annual working days of staff nurses were 235.2 days in tertiary hospitals and 240.0 days in general hospitals. The median monthly salary for staff nurses was 4.957 million won in tertiary hospitals and 4.140 million won in general hospitals. The new staffing grade system was suggested from 1:6 (Grade 1) to 1:12 (Grade 5). The new inpatient nursing fee schedules were recommended to be paid based on nursing hours per patient day of each grade. Conclusion: The new staffing grade and inpatient nursing fee schedules are expected to increase staffing levels, improve the quality of nursing care, and provide a better work environment for nurses.

• 대한간호학회지
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• 제48권5호
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• pp.554-564
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• 2018

Purpose: This study aimed to construct a management model for patient transfer in a multilevel healthcare system and to predict the effect of counseling with nurses on the patient transfer process. Methods: Data were collected from the electronic medical records of 20,400 patients using the referral system in a tertiary hospital in Seoul from May 2015 to April 2017. The data were analyzed using system dynamics methodology. Results: The rates of patients who were referred to a tertiary hospital, continued treatment, and were terminated treatment at a tertiary hospital were affected by the management fee and nursing staffing in a referral center that provided patient transfer counseling. Nursing staffing in a referral center had direct influence on the range of increase or decrease in the rates, whereas the management fee had direct influence on time. They were nonlinear relations that converged the value within a certain period. Conclusion: The management fee and nursing staffing in a referral center affect patient transfer counseling, and can improve the patient transfer process. Our findings suggest that nurses play an important role in ensuring smooth transitions between clinics and hospitals.

• 한국물환경학회지
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• 제22권2호
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• pp.230-237
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• 2006

The operational parameters and control strategies of a tertiary wastewater treatment process a biological filtration system were investigated. The biological filtration system consisted of a nitrification filter (Fiter 1) and a polishing filter with anoxic and aerobic parts (Filter 2). SS, T-C-BOD, and T-N in effluent were kept stable at less than 3, 5 mg/L, and 5 mgN/L, respectively, under a HRT in Filter (filter-bed) of 0.37~2.3 h. T-N at the outlet of Filter 2 were about 1~5 mgN/L under the condition of LV of 50~202 m/d. Methanol addition was controlled based on the COD/N ratio or McCarty's equation. Constant COD/N ratio control results in excess addition under large diurnal fluctuation of $NOx^--N$, and McCarty's equation can be used to add appropriate amount of methanol. Control of methanol addition by on-line nitrate measurement, control of aeration by on-line DO measurement, and control of backwashing by head loss measurement are successfully operated. These results proved that this process prove the easy-maintenance and cost-effectively treatment is attainable.

• 한국정보과학회논문지:시스템및이론
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• 제29권6호
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• pp.318-330
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• 2002

본 논문은 광주 크박스와 테잎 라이브러리 같은 Tertiary 저장 장치를 미디어 저장 장치로 사용하는 비디오 서버의 설계와 구현에 대하여 기술한다. Tertiary 저장 장치를 스트리밍 서버의 미디어 저장 장치로 사용하기 위해서는 Tertiary 저장 장치의 하드웨어적인 특성을 고려한 적절한 스트리밍 서비스 모델이 필요하다. 논문에서는 연속 미디어의 특성을 고려한 스트림 스케쥴링, 디스크 캐슁, 사용자 수용 제어 정책 등을 제안하고 이를 핵심으로 하는 스트리밍 서비스 모델을 제시한다. 제안된 시스템은 광주크박스 저장장치를 장착한 Windows 2000 플랫폼에서 구현되었고, 다양한 실험 및 성능 분석을 통해 제안된 정책들이 올바로 동작함을 검증하였다.

• 한국정보처리학회논문지
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• 제6권7호
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• pp.1724-1737
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• 1999

멀티미디어 데이터 서비스 응용에서는 멀티미디어 데이터를 구성하는 LOB(unstructured large object)을 다량 저장하고 다룰 수 있어야 한다. 따라서, 대용량 데이터의 효율적 저장 및 처리를 지원하는 DBMS의 저장장치로 기존의 디스크뿐만 아니라 복수 개의 플래터(광 디스크 쥬크 박스의 경우 디스크, 테이프의 경우 카트리지 테이프)로 구성된 광 디스크 쥬크 박스 또는 테이프 라이브러리와 같은 3차 저장장치가 중요하게 고려되고 있다. 3차 저장장치는 데이터 접근 시 발생하는 지연 시간이 매우 크기 때문에 3차 저장장치에 저장된 LOB에 대한 효율적인 검색 기법에 관한 연구가 필요하다. 본 논문에서는 LOB의 주 저장소로서 3차 저장장치를 활용할 경우, 3차 저장장치로부터 LOB을 효율적으로 검색하기 위한 입출력 스케줄링에 대해 연구하였다. 3차 저장장치의 성능 특성과 LOB 데이터의 특성을 고려하여 3차 저장장치로부터 LOB을 검색하는 질의 처리에 있어 발생하는 지연 시간을 줄일 수 있는 여러 가지 입출력 스케줄링 휴리스틱을 제시하고 이들의 성능을 시뮬레이션을 통하여 평가하였다.

• 임상간호연구
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• 제25권1호
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• pp.55-66
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• 2019

Purpose: This study was done to assess development and postnatal care interventions in postnatal care intervention records for maternity ward nurses in tertiary hospitals and women's hospitals in South Korea. Methods: This mixed-method research was a Time-Motion (TM) study. Data were collected through external observation of 12 nurses in 4 wards over 24 hours. Mann-Whitney U test and independent t-test were employed for the analysis of frequency and provision time of direct/indirect care activity. $x^2$ (Fisher's exact test) was utilized to determine the difference in frequency between two groups. IBM SPSS 22.0 statistical program was employed for calculation. All statistical significance levels were at ${\alpha}=.05$. Results: According to the KPCS-1 (Korean Patient Classification System-1), women's hospitals are group 3 and tertiary hospitals, group 4. With respect to time difference in direct care, tertiary hospitals showed 791 minutes and women's hospitals, 399 a difference of 392 minutes. For time difference in indirect care, women's hospitals had 2,415 minutes while tertiary hospitals, 2,080, a difference of 335 minutes for women's hospitals. No difference was found in the average total care workload between the two institutions. Individual time also showed no difference (p>.05). Conclusion: High-risk maternal care strength in tertiary hospitals and breast-feeding strength in women's hospitals need to be benchmarked with each other.

• 한국병원경영학회지
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• 제25권4호
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• pp.13-28
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• 2020

Purposes: The purpose of this study is to analyze the institutional and personal factors that affect the medical utilization of patients transferred to tertiary medical institutions. Methodology: We retrospectively analyzed the 2 weeks electronic medical records of 1,556 patients, who were referred to the tertiary hospital, from June 15 to 26, 2015. The patient's personal characteristics, referral hospital, referral path, medical experiences and expenses were analyzed for 6 months after the patient's first visit. Findings: The largest proportion (848; 54.5%) of referrals was referred from primary clinic but the referrals of the same tertiary hospital level were one in seven (228; 14.7%) of the patients. Most patients (1,401; 90%) were referred from the clinics and hospitals directly and only one in ten (155; 10%) of the patients utilized the medical referral center. Patients who had been referred from tertiary care institutions had significantly higher medical costs than those referred to primary care (7,560,000 vs 2,333,000 won). The institutional factors including the numbers of visits to outpatient clinic, previous history of hospitalization and operation, consultation to other medical departments and hospitalization fee significantly influenced on medical utility pattern. Personal factors including patient's medical diagnosis and department of disease have a highly correlation with patient's referrals. Practical implications: The medical utilization of medical expenses and experiences is influenced by institutional and individual factors, and it is important to establish a referral system considering the institutional factors of the type of referral hospital.