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국내 의료기관의 소독과 멸균 관리 실태 (Actual Disinfection and Sterilization Control in Korean Healthcare Facilities)

  • 정선영;최정화;김은경;김수미;손희정;조난형;최지연;박은숙;박진희;이지영;최순임;우진하;김옥선
    • 기본간호학회지
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    • 제21권4호
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    • pp.392-402
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    • 2014
  • Purpose: This study was done to investigate the status of disinfection and sterilization in healthcare facilities. Method: A survey of 193 Korean healthcare facilities was conducted from February 8 to March 7, 2013. Data were analyzed using descriptive statistics, ${\chi}^2$ test, Fisher's exact test, one-way ANOVA, Scheffe with SPSS WIN 18.0. Results: Of the healthcare facilities 93.2% had specific guidelines for disinfection/sterilization, but only 47.9% had a committee on disinfection/sterilization for decision-making, less than half (42.7%) conducted regular monitoring of actual practices, while 83.9% had established procedures for recovery in case of problems with the disinfection process and 89.0% kept records and archives of disinfection practices. Cleaning process, selection of chemical disinfectants and process of disinfection and sterilization were found to be inadequate in some healthcare facilities. Perception score for adequacy of medical instruments was 8.10, environmental disinfection was 7.20, and sterilizer management was 8.45 out of a possible 10. Conclusion: Compared to larger institutions, smaller healthcare facilities had less effective disinfection and sterilization management systems, while some facilities showed inadequate practices for medical equipment and general sterilization. Better academic and state-level support is recommended for smaller facilities in order to establish a better system-wide management system.

성범죄예방정책의 형성과정에서 행위자의 상호작용 패턴분석: 유형분류 및 사례분석을 중심으로 (Analysis of Actors' Interaction Patterns in the Formation Process of Sexual Crime Prevention Policy: Focusing on classification and case analysis)

  • 유근환;김덕환;서경도
    • 한국융합학회논문지
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    • 제9권9호
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    • pp.209-215
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    • 2018
  • 본 연구는 성범죄예방정책의 전반적인 정책결정시스템을 파악하고, 정책형성과정에서의 행위자의 상호작용과 패턴을 분석하는 것이 목적이다. 이는 성범죄예방정책의 실패 경우에 원인규명 및 정책개선을 제시할 수 있는 유용한 방법이다. 연구의 방법으로는 사례분석과 언어네트워크 분석을 통한 옹호연합모형을 활용하였다. 분석결과 외적환경에서는 성범죄의 낮은 신고, 예방관리를 위한 기술적개선 및 보완, 성범죄 피해자의 의식, 법률안의 개정과 대통령의지지 등이 나타났다. 옹호연합 간의 갈등은 찬성에서는 강력한 규제와 재범방지, 착용대상의 범위확대를 반대에서는 제도의 일시적 효과와 법률안의 소급을 반대하였다. 문제해결전략으로 제도의 확장을 통한 찬성의 입장과 인력부족 및 관리 소홀의 문제를 삼는 반대적 입장이 첨예하게 대립되었음을 확인하였다. 그리고, 언론보도내용 측면에서도 이러한 현상을 성범죄예방 목적의 중앙정부 차원에서 예방 및 관리의 관심도로 이해하는 경향이 강함을 시사한다. 따라서, 이제까지의 성범죄예방과 관련 연구들은 검증방법들이 매우 미흡하였지만, 이 연구를 통해 부정적 정책악순환의 연결고리를 끊는데 조금이나마 도움이 되기를 기대한다.

일부 치기공과 대학생들의 해외취업에 관한 의식 조사 연구 (A Study on the Recognition Level of Employment and Overseas Employment among Students Majoring in Dental Technology)

  • 박남규;정효경
    • 대한치과기공학회지
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    • 제29권2호
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    • pp.17-34
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    • 2007
  • This study was conducted to research into the recognition level of employment and overseas employment on 173 students majoring in dental technology at two colleges in Daegu metropolitan city and Jeju self-governing island through questionnaires which are recorded individually. The results are as follows. 1. About 31.8% students chose dental technician department taking their aptitude into consideration when they entered college. 52% students gained information about dental technology through internet, and 57.3% students among them, which was the highest level, were under age 20. 2. 48.6% students responded that they thought the level of satisfaction with major was average and there was a difference according to their ages among the level of satisfaction or dissatisfaction with their major and the previous knowledge of major they had gained before entering college. 75.1% students said they wouldn't transfer to other major even if they were given the chance, which was much higher than the opposite case. And only 2.3% students had dissatisfaction at their major, which means students majoring dental technology evaluate their major positively. 3. Most students(58.4%) wanted to get a job for living cost and 53.2% students took advice from their seniors or elderly people in choosing their jobs. 64.7% students answered they should have professional skills to get a good job, which was different according to their ages. In addition, 51.4% students of dental technology department regarded the opportunities to exert their abilities as the most important element in choosing their jobs. That means students value self-decision and selfrealization when they choose their jobs. 4. The majority of students(32.9%) preferred to work at the dental laboratory in dental college hospital as their workplace. Moreover, seniors over age 21 wanted to work in the field of porcelain and juniors under age 20 preferred to work in the implant part concerning the field which students wants to work. 5. About 91.3% students have ever heard about overseas employment and wanted to work abroad if given the opportunities(77.5%). This points out students have much interest in overseas employment and positive attitude. And there was a difference according to age and grade in case of the preferred country when they work abroad 6. The main barrier to overseas employment was a lack of communication ability(63.0%), therefore, students thought foreign language education should be activated to improve overseas employment(26.0%). To show this more specifically, juniors thought foreign language education and internship are most important factors(both are 21.4% alike), while seniors thought foreign language education is essential(24.6%) as a way to improve overseas employment. Students also thought that participation in language study club helps to prepare for overseas employment(69.4%). When putting all these survey results together, it's very important to develop people in advance who have job ability and language ability necessary for overseas employment as well as to improve job awareness in the field of dental technology. Consequently, it's needed to seek for various ways to get a overseas job through foreign language education and overseas internship.

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Economic Evaluation and Budget Impact Analysis of the Surveillance Program for Hepatocellular Carcinoma in Thai Chronic Hepatitis B Patients

  • Sangmala, Pannapa;Chaikledkaew, Usa;Tanwandee, Tawesak;Pongchareonsuk, Petcharat
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권20호
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    • pp.8993-9004
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    • 2014
  • Background: The incidence rate and the treatment costs of hepatocellular carcinoma (HCC) are high, especially in Thailand. Previous studies indicated that early detection by a surveillance program could help by down-staging. This study aimed to compare the costs and health outcomes associated with the introduction of a HCC surveillance program with no program and to estimate the budget impact if the HCC surveillance program were implemented. Materials and Methods: A cost utility analysis using a decision tree and Markov models was used to compare costs and outcomes during the lifetime period based on a societal perspective between alternative HCC surveillance strategies with no program. Costs included direct medical, direct non-medical, and indirect costs. Health outcomes were measured as life years (LYs), and quality adjusted life years (QALYs). The results were presented in terms of the incremental cost-effectiveness ratio (ICER) in Thai THB per QALY gained. One-way and probabilistic sensitivity analyses were applied to investigate parameter uncertainties. Budget impact analysis (BIA) was performed based on the governmental perspective. Results: Semi-annual ultrasonography (US) and semi-annual ultrasonography plus alpha-fetoprotein (US plus AFP) as the first screening for HCC surveillance would be cost-effective options at the willingness to pay (WTP) threshold of 160,000 THB per QALY gained compared with no surveillance program (ICER=118,796 and ICER=123,451 THB/QALY), respectively. The semi-annual US plus AFP yielded more net monetary benefit, but caused a substantially higher budget (237 to 502 million THB) than semi-annual US (81 to 201 million THB) during the next ten fiscal years. Conclusions: Our results suggested that a semi-annual US program should be used as the first screening for HCC surveillance and included in the benefit package of Thai health insurance schemes for both chronic hepatitis B males and females aged between 40-50 years. In addition, policy makers considered the program could be feasible, but additional evidence is needed to support the whole prevention system before the implementation of a strategic plan.

창업교육이 대학생의 창업효능감과 시간관에 미치는 영향 (A Study on the Relationships between Time Perspective of College Students and Entrepreneurial Self-Efficacy)

  • 김상표;변충규;하환호
    • 벤처창업연구
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    • 제12권6호
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    • pp.79-88
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    • 2017
  • 개인의 창업효능감과 시간관은 동기부여 및 목표지향적 행동에 영향을 주는 요인이다. 창업을 결정하거나 창업을 준비하는 과정은 현재보다는 미래에 대한 준비과정이다. 이 과정에서 개인이 가지고 있는 창업효능감과 시간관은 중요한 영향요인이 될 수 있다. 이에 본 연구는 먼저 창업교육 참여여부에 따라 창업효능감과 시간관의 차이가 있는지를 살펴보았다. 그리고 개인의 창업효능감과 시간관이 서로 어떤 관계가 있는지를 분석하고, 이후 창업교육 참여여부에 따라 이 관계에서 차이가 있는지를 비교분석하였다. 조사를 위해 창업 및 경영관련 수업에 참여하고 있는 대학생 190명을 대상으로 설문조사를 실시하였다. 연구결과는 다음과 같다. 첫째, 창업교육 참여자들의 창업효능감이 미참여자들의 창업효능감 보다 높게 나타났다. 둘째, 개인의 시간관에 따라 창업효능감에 미치는 영향을 검증하였다. 과거부정수준 및 현재 숙명수준이 낮을수록 창업효능감이 높게 나타났으며, 현재쾌락수준 및 미래지향 수준이 높을수록 창업효능감이 높게 나타났다. 셋째, 개인의 시간관을 짐바르도의 시간관 유형(과거부정, 과거긍정, 현재숙명, 현재쾌락, 미래지향적 시간관)에 따라 구분하여 차이를 살펴본 결과, 창업교육을 경험할수록 현재쾌락과 미래지향 시간관과 같은 창업효능감과 정(+)의 관계에 있는 시간관이 상대적으로 높게 나타났다. 마지막으로 이상의 결과를 바탕으로 학문적 의의와 시사점, 한계점을 제시하였다.

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건설장비 협업을 위한 플릿관리 시스템 개발 (Development of a Fleet Management System for Cooperation Among Construction Equipment)

  • 안서현;김성근;이관훈
    • 대한토목학회논문집
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    • 제36권3호
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    • pp.573-586
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    • 2016
  • 건설공사에서 토공작업은 단지와 같은 대규모 현장 내에서 다수 및 다종의 건설장비 조합으로 이루어진다. 각각의 장비들은 작업에 투입될 시 필수적으로 다른 장비들과 굴착, 적재, 운반 및 다짐 등의 협업을 수행한다. 하지만 국내 건설업에서는 타업종의 협업시스템 개발에 비하여 관련 연구가 미비한 실정이다. 본 연구에서는 이 문제를 해결하기 위해 건설장비 플릿관리 시스템(Fleet Management System)을 개발하여 전체 토공현장의 효율성 향상을 모색한다. 본문에서는 시스템의 구성요소와 프로세스 등을 제시하면서 플릿관리의 개념에 관하여 정리하였다. 또한 작업패키지(Task Package)에 조합되는 굴삭기, 트럭, 다짐기들의 장비대수를 결정하여 장비 클러스터(Equipment Cluster)로써 무리지어 운용하는 방법론을 제시한다. 사례연구에서는 작업패키지를 수행하는 과정에서 기존 작업 방식과 본문에서 제시한 방법론을 대조하여 플릿관리 시스템의 효과를 검증한다. 본 연구에서의 플릿관리 시스템은 작업시간의 감소와 이동거리의 단축을 통하여 건설장비의 유류사용량을 줄일 수 있다. 더불어 이는 토공현장의 탄소배출량을 감소시키는 효과를 기대할 수 있다.

DEA와 Malmquist 생산성지수를 이용한 우리나라 온라인쇼핑업체의 다기간 경영 효율성 분석 (Evaluating the Multi-Period Management Efficiency of Domestic Online-Shopping Companies)

  • 마진희;자윤호;안영효
    • 유통과학연구
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    • 제13권4호
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    • pp.45-53
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    • 2015
  • Purpose - Online shopping enables consumers to conveniently purchase products irrespective of the time and place. As a result, several online shopping companies have emerged to cater to this growing market and, therefore, the competition among them has become increasingly intense. This paper evaluates the comparative efficiency of online shopping companies for a multi-year period (2009-2013), in order to help online shopping managers identify major drivers for enhancing management efficiency and the subsequent competitiveness. Research design, data, and methodology - The researchers collected the data from 2009 to 2013 from the distribution yearbook. This paper analyzes the marketability (sales figures), profitability (business profits), and management conditions (net profits) of domestic online shopping enterprises by incorporating information on human resources (number of employees) and material resources (total assets and capital). Therefore, the number of employees, total assets, and capital are selected as input variables, and sales figures, business profits, and net profits as the output variables. In this study, Data Envelopment Analysis (DEA) was used to measure the comparative efficiency of domestic online shopping companies. In addition, the Malmquist Productivity Index was used to evaluate the trend of change of Decision Making Units' (DMUs') efficiency for a multi-year period. Results - First, as of 2013, Interpark (2.415) was found to be the most efficient online shopping enterprise, followed by Aladdin Communications (2.117), Hyundai Home shopping (1.867), Home&Shopping (1.176), NS Home shopping (1.170), Commerce Planet (1.126), CJ O Shopping (1.105), Ebay Korea (1.088), and GS Home Shopping (1.051). Second, this study recognizes how the management efficiency has changed for the period 2009-2013. Third, the lesser the capital and employees, the more are the net profits, and the better is the management efficiency of domestic online shopping companies. Lastly, the productivity of such companies is influenced by endogenous factors rather than exogenous factors such as shifts in business environment and technological advances. Conclusions - DHC Korea influenced various distribution channels to reach customers through the Internet. Consequently, this helped in increasing the awareness about its products, in addition to an increase in sales. These achievements can be attributed to the characteristics of online shopping companies. Although it is easy for these companies to suggest goods for one-off purchases, they however have difficulties in retaining customers. Overcoming this challenge can be one of the ways to benchmark a successful case of an efficient company. For example, an online shopping company can attract customers by developing a corresponding mobile application as a convenient way to shop online. Additionally, they can satisfy customers by quick delivery of purchased products, which is possible by building an effective logistics network. Our study indicates that the productivity of an online shopping company was influenced by endogenous factors driven by improvements in managerial practices rather than exogenous factors. Accordingly, online shopping companies should adopt strategies to improve their operational efficiency rather than sales volume-oriented management.

The Effect of Graphical Formats on Computer-Based Idea Generation Performance

  • 정종호
    • 한국정보시스템학회지:정보시스템연구
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    • 제27권1호
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    • pp.153-169
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    • 2018
  • Purpose Since human brains catch images faster than texts or numbers, infographics has been widely used in business in the form of "information dashboard" to enhance the efficiency of decision-making. Groupware, however, has neglected the adoption and use of infographics, in particular, in the idea generation process. Given that an overall performance of groupware-based idea generation is no better than that of the (paper-and-pencil-based) Nominal Group Technique, Jung et al. (2010) adopted the notion of infographics in the form of performance feedback to solve the productivity paradox. With the consistent results, which demonstrate beneficial effects of infographics on performance enhancement, an interesting observation that groups with the bar chart treatment performed better than groups with the dot chart treatment was made. The main purpose of this study was to find if there were a performance consistency between the outcomes from the previous study and the outcomes from the current study. Design/methodology/approach In experiment 1, we employed the same system used in the previous study (i.e., Jung et al., 2010). As individuals' contributions accumulated, the mechanism visually displayed individuals' performances two-dimensionally in the form of a bar chart or a dot chart. Then, we compared the performance outcomes from this study to the outcomes from previous study (i.e., Jung et al., 2010). In experiment 2, we modified the performance graph to test the effect of "playfulness" on performance by converting dots to car images. Then, we compared the performance outcome from experiment 2 to the outcomes from experiment 1. Findings Just like our interesting (and unexpected) finding in Jung et al.'s study (2010), the outcome confirmed a consistent superior performance of a bar chart. This implies that a bar chart is a better choice when stimulating performance with a visual aid in the context of groupware-based idea generation. Although a bar chart was criticized in a way that errors of length-area judgments are 40 ~ 250% greater than those of positional judgments along a common scale, such illusion turned out to be facilitating upward performance comparison better. Regarding Experiment 2, the outcome showed that the revised-dot graph is as good as the bar graph in terms of quantity and quality score of ideas. We attribute the performance enhancement of the resized-dot to the interaction between the motivational characteristic and the situational characteristic of playfulness because individuals in the revised-dot graph treatment performed better than individuals in the dot graph treatment. Given the order of performance (Bar >= Revised Dot > Dot) that the revised-dot treatment performed the same as (or lower than) the bar treatment, an additional research is warranted to reach to a consistent outcome.

비상시 용수 연계공급 성능의 시·공간적 평가를 위한 A-PDA 모형 및 공급성능지표의 적용 (An application of the A-PDA model and the water supply performance index for the temporal and spatial evaluation of the performance of emergency water supply plans via interconnections)

  • 옥수연;김수리;전환돈
    • 한국수자원학회논문집
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    • 제51권11호
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    • pp.977-987
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    • 2018
  • 상수관망시스템의 운영목적은 탄력성을 높여 각종 비정상상황에 유연하게 대처할 수 있는 방향으로 점차 변화하고 있으며 이에 따라 비정상상황에 따른 단수구역 발생에 대한 사후대책 대비를 통한 탄력성 향상이 필수적이다. 이를 위한 가장 효율적인 방법은 수계전환에 따른 비상공급 수원확보이며, 비상관로를 통하여 인접 배수블록으로부터 단수된 구역에 용수를 공급할 수 있다. 성공적인 비상연계 운영을 위해서는, 수리학적 해석을 통하여 시공간적인 측면에서의 공급성능을 평가해야 한다. 비상연계 시, 공간적인 범위를 결정하는 주요 요소는 관경, 위치 및 관저고와 같은 비상관로에 해당하는 제원이며, 시간적인 범위를 결정하는 주요 요소는 연계배수지의 용량과 정수장에 공급 가능한 추가수량이다. 본 연구에서는 A시의 상수관망에 대하여 배수지 1지에 문제가 발생하여 타 배수지들로부터 비상연계를 받는 시나리오에 대하여 모의를 진행하였다. 배수지의 저류량 및 유입량에 대한 모의를 위하여 Advanced-Pressure Driven Analysis 모형을 사용하였으며, 수리해석 결과를 바탕으로 공급범위기준지표 및 공급시간기준지표를 산정하여 연계공급성능에 대한 다각도적인 평가를 진행하였다. 이에 비상연계에 대하여 소비자들이 실제 체감하는 공급성능을 시공간적인 측면에서 파악할 수 있었으며, 설계제원의 타당성에 대한 검토가 가능하였다. 이는 비상연계 성능향상을 위한 구조적 대책 및 비구조적 대책 수립에 대한 의사결정에 용이하게 활용될 수 있을 것으로 기대한다.

광역상수도 유속계수와 영향인자에 관한 통계적 분석 (Statistical analysis of hazen-williams C and influencing factors in multi-regional water supply system)

  • 김범준;김길호;김형수
    • 한국수자원학회논문집
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    • 제49권5호
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    • pp.399-410
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    • 2016
  • 유속계수는 상수도 설계, 운영, 유지관리 등의 과정에서 항상 현장 실정이 고려된 값이 사용되어야 한다. 본 연구는 광역상수도 정밀안전진단 과정에서의 174개 실측자료를 바탕으로 유속계수와 주요 인자 간의 관계를 통계적 기법을 활용하여 분석하였다. 이들 관계를 분석하기 위해서 교차분석, 일원배치 분산분석, 상관분석 등을 수행하였으며, 그 결과 유속계수와 사용년수 및 관경이 높은 상관관계를 나타내고 여러 범주형 자료 형태 영향인자 중에 내부도장재가 상대적으로 유속계수에 많은 영향을 주는 것으로 검토되었다. 반면 다중회귀분석의 결과에서는 사용년수, 관경 및 수종이 중요한 영향인자인 것으로 검토되었다. 군집분석 결과, 유속계수는 기본적으로 사용년수 약 20년, 관경 1500mm를 기준으로 분류되는 경향이 있었으며, 유속계수는 전반적으로 사용년수에 많은 영향은 받으나 대구경 관에서는 상대적으로 사용년수보다 관경에 많은 영향을 받는 것으로 검토되었다. 마지막으로 본 연구에서는 회귀분석과 군집분석을 사용하여 유속계수 산정식들을 제안하였으며, 이러한 추정식들은 추후 광역상수도의 유속계수 결정 및 사용 시에 판단기준이 될 수 있을 것으로 판단된다.