• 제목/요약/키워드: deterioration management program

검색결과 36건 처리시간 0.029초

방문건강관리사업 대상 허약노인의 건강증진행위, 주관적 건강상태, 사회참여 및 역량강화 (Health Promotion Behavior, Perceived Health Status, Social Participation and Empowerment in Frail Elderly Receiving Home Visiting Services)

  • 박정숙;오윤정
    • 한국보건간호학회지
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    • 제31권2호
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    • pp.244-256
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    • 2017
  • Purpose: This research was conducted to identify methods of inducing health promotion behavior, perceived health status, social participation and empowerment in the frail elderly receiving home visiting services. Methods: The subjects were 255 frail elders aged over 65 registered in the home visiting services of five public health centers in Daegu. Data were collected from June 9 to August 10, 2015. Data were analyzed by descriptive statistics, t-test, ANOVA, Scheffe's test and Pearson's correlation coefficient using SPSS Win 18.0. Results: The mean health promotion behavior, perceived health status, social participation and empowerment scores were 2.56 (${\pm}0.33$), 7.11 (${\pm}1.98$), 2.60 (${\pm}0.69$) and 2.90 (${\pm}0.29$), respectively. There was significant difference in health promotion behavior by client classification and life satisfaction. There were significant differences in perceived health status by life satisfaction, social participation by religion and client classification and empowerment by past jobs. Health promotion behavior, perceived health status, social participation and empowerment were positively correlated. Conclusion: An integrative health care program that includes these significant variables of subjects is essential to management and prevention of deterioration of frailty in elderly.

현수교케이블의 응력부식에 관한 신뢰성해석 (Reliability Analysis for Stress Corrosion Cracking of Suspension Bridge Wires)

  • Taejun;Andrzej S. Nowak
    • 한국전산구조공학회:학술대회논문집
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    • 한국전산구조공학회 2003년도 봄 학술발표회 논문집
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    • pp.537-544
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    • 2003
  • This paper deals with stress corrosion cracking behavior of high strength steel exposed to marine environments. The objective is to determine the time to failure as a function of hydrogen concentration and tensile stress in the wires. A crack growth curve is modeled using finite element method (FEM) program. The coupled hydrogen diffusion-stress analyses of SCC were programmed separately. The first part is calculating stress and stress intensity /sup 1)/factor of a cylindrical shell, prestressing tendon or suspension bridge wires, from the initiation of cracks to rupture. Virtual crack extension method, contour integral method, and crack tip elements are used for the calculation of stresses in front of the crack tip. Comparisons of the result show a good agreement with the analytical equations and wire tests. The second part of the study deals with the programming of hydrogen diffusion, affected by hydrostatic stress, calculated at the location of boundary of plastic area around the crack tip. The results of paper can be used in the design and management of prestressed structures, cable stayed and suspension bridges. Time dependent correlated parallel reliabilities of a cable, composed of 36 wires, were evaluated by the consideration of the deterioration of stress corrosion cracking.

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재가방문요양 서비스 제공과정에서 겪는 불신경험에 관한 연구: 시설운영자 관점을 중심으로 (Study on the Experience of Unbelief in the Process of Providing Home Visiting Care Service: Focusing on the perspective of the Facility Director)

  • 김준숙;김지혜;김정미;박미영;임병우
    • 산업융합연구
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    • 제21권10호
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    • pp.65-80
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    • 2023
  • 본 연구는 귀납적 내용분석을 통하여 재가방문요양기관의 시설장이 겪고 있는 수급자와 보호자의 재가방문요양 서비스에 대한 불신경험을 토대로 심층적 접근을 하여 재가방문요양기관이 겪고 있는 위기와 서비스 질의 저하 및 노인장기요양보험제도와 기관에 대한 불신 현상을 살펴보고자 하였다. 재가방문요양 서비스를 제공하고 있는 기관의 시설장 5명을 대상으로 FGI를 실시하여 인터뷰 내용을 전사한 후 귀납적 내용분석을 하였다. 그 결과 서비스의 질 저하, 제도 및 기관에 대한 불신, 장기요양기관 운영의 애로사항이라는 중심현상을 발견하였다. 본 연구를 토대로 재가방문요양 서비스의 질을 향상시키고 요양보호사와 기관에 대한 신뢰를 구축하기 위해 첫째, 재가협회나 재가방문요양기관 운영법인은 요양보호사와 사회복지사의 역량강화를 위한 신규 교육프로그램 계획과 매뉴얼을 개발해야 한다. 둘째, 국민건강보험공단의 실효적인 모니터링 시스템과 요양보호사의 전문성 관리 체계를 구축하여야 한다. 셋째, 요양보호사의 역할, 전문성, 권리 등의 인식개선 운동이 필요하며 넷째, 장기요양서비스의 질 저하 원인인 요양보호사의 이직률을 낮추기 위해 요양보호사의 근무처우에 대한 개선방안이 요구된다.

도서관 및 기록관 자료보존프로그램에 관한 고찰 (A Study on the Preservation Programs in Libraries and Archives)

  • 조영주
    • 한국기록관리학회지
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    • 제4권1호
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    • pp.101-116
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    • 2004
  • 도서관과 기록관에 소장되어 있는 자료들은 시간이 지남에 따라 그 보존 환경과 자료 자체가 가지는 특성에 따라 훼손과 열화가 확대되고 가속화되는 현상을 보인다. 이는 당장은 사소한 정보 손실에 불과할 수 있겠지만 장기적으로는 인류 문명의 쇠퇴로까지 이어질 수 있는 심각한 문제의 시작이 될 수 있다. 귀중한 자료의 수명을 연장시키고 그것을 안정적으로 보존하기 위해서는 기관의 사명, 규모, 소장자료의 성격, 이용자, 예산 등을 종합적으로 고려한 통합적인 자체 자료보존프로그램의 개발과 실행이 이루어져야 한다. 그러나 현실적으로 대부분의 기관들은 예산, 인력, 전문성의 부족으로 완벽한 자료보존프로그램을 실행할 수 없는 상황에 처해 있다. 이러한 문제를 해결하기 위해서 일부 기관들은 비슷한 상황에 처해 있는 기관들끼리 혹은 좀더 광범위하고 체계적인 조직 차원에서 협력체제를 구축하고 보존프로그램을 시행하는 방안들을 모색하고 있다. 이러한 협력체제는 공동의 이익은 물론 자관의 현실적 이익을 추구하는 데도 상당한 도움을 줄 수 있다. 그러므로 각 기관은 자체적인 자료보존프로그램 개발과 더불어 지역, 국가, 국제적인 수준의 다양한 자료보존프로그램을 개발하고 실행할 수 있도록 서로 협력해야 할 것이다.

마르코프 연쇄 모델을 이용한 하수관로의 구조적 노후도 추정 (Estimation of Structural Deterioration of Sewer using Markov Chain Model)

  • 강병준;유순유;장전리;박규홍
    • 대한토목학회논문집
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    • 제43권4호
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    • pp.421-431
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    • 2023
  • 하수관로 열화모델은 하수관망을 관리하는 의사결정자에게 자산의 미래 상태 예측에 대한 중요한 정보를 제공할 수 있다. 본 연구에서는 CCTV 조사를 통해서 확보한 구조적 상태평가 이력자료를 기반으로 마르코프 연쇄 모델을 이용하여 하수관로의 노후도를 추정하였다. A시의 3개 배수분구에서 1998-1999년과 2010-2011년에 CCTV 조사에 의해 수집된 관경 450 mm와 600 mm의 흄관 자료를 이용하여 분석하였다. EM 배수분구의 450 mm 관로와 600 mm 관로에서 주요 결함 발생이 다른 두 배수분구보다 빠르게 발생하는 것으로 나타났다. 관로 설치 이후 35년이 지난 시점에는 450 mm 관로의 약 29%, 600 mm 관로의 약 38%가 주요 결함이 발생했으며, 100년 후에는 각각 62%와 74%의 관로가 주요 결함으로 관로 기능을 상실하는 수준으로 나타났다. 관로설치 35년 후, SN 배수분구는 450 mm 관로의 약 26%, 600 mm 관로에서 약 35%, HK 배수분구에서는 450 mm 관로의 약 27%, 600 mm 관로에서 약 37%의 주요 결함이 발생한 것으로 예측되었다. 또한 600 mm 관로가 450 mm 관로보다 평균 12년 정도 빨리 기능 저하가 일어나는 것으로 나타났다. 한편, 관로의 주요 결함등급 비율을 40%로 설정하여 관로의 유효사용수명으로 적용할 경우, 450 mm 관로는 SN배수분구에서 60년, EM배수분구에서 42년, HK배수분구 59년이며, 600 mm 관로에서는 각각 43년, 34년 39년으로 나타났다.

장래교통수요예측을 고려한 도로 유지관리 방안 (Road Maintenance Planning with Traffic Demand Forecasting)

  • 김정민;최승현;도명식;한대석
    • 한국도로학회논문집
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    • 제18권3호
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    • pp.47-57
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    • 2016
  • PURPOSES : This study aims to examine the differences between the existing traffic demand forecasting method and the traffic demand forecasting method considering future regional development plans and new road construction and expansion plans using a four-step traffic demand forecast for a more objective and sophisticated national highway maintenance. This study ultimately aims to present future pavement deterioration and budget forecasting planning based on the examination. METHODS : This study used the latest data offered by the Korea Transport Data Base (KTDB) as the basic data for demand forecast. The analysis scope was set using the Daejeon Metropolitan City's O/D and network data. This study used a traffic demand program called TransCad, and performed a traffic assignment by vehicle type through the application of a user equilibrium-based multi-class assignment technique. This study forecasted future traffic demand by verifying whether or not a realistic traffic pattern was expressed similarly by undertaking a calibration process. This study performed a life cycle cost analysis based on traffic using the forecasted future demand or existing past pattern, or by assuming the constant traffic demand. The maintenance criteria were decided according to equivalent single axle loads (ESAL). The maintenance period in the concerned section was calculated in this study. This study also computed the maintenance costs using a construction method by applying the maintenance criteria considering the ESAL. The road user costs were calculated by using the user cost calculation logic applied to the Korean Pavement Management System, which is the existing study outcome. RESULTS : This study ascertained that the increase and decrease of traffic occurred in the concerned section according to the future development plans. Furthermore, there were differences from demand forecasting that did not consider the development plans. Realistic and accurate demand forecasting supported an optimized decision making that efficiently assigns maintenance costs, and can be used as very important basic information for maintenance decision making. CONCLUSIONS : Therefore, decision making for a more efficient and sophisticated road management than the method assuming future traffic can be expected to be the same as the existing pattern or steady traffic demand. The reflection of a reliable forecasting of the future traffic demand to life cycle cost analysis (LCCA) can be a very vital factor because many studies are generally performed without considering the future traffic demand or with an analysis through setting a scenario upon LCCA within a pavement management system.

중등학교 교실의 이산화탄소(CO2) 관리를 위한 지능형 창호개폐 작동 프로세스 (Intelligent and Responsive Window Opening-Closing Operation Process for Carbon Dioxide(CO2) Management of Secondary School Classroom)

  • 최윤영;이현수
    • 교육시설 논문지
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    • 제25권4호
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    • pp.19-30
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    • 2018
  • The school classroom is a common living place where students spend 7 to 14 hours a day to prepare for their careers. Therefore, if the ventilation of the classroom is not properly performed, it may lead to the deterioration of learning ability due to the unclear air. The concentration of carbon dioxide in the classroom is reported to be high, and the increase in carbon dioxide concentration has a negative effect on the learner's academic performance. In this context, the purpose of this study is to propose a methodology for intelligent and responsive window opening-closing operation process that can reduce the concentration of $CO_2$ in the classroom in order to build a support space that can create an effective teaching-learning environment for adolescents. The specific objectives are as follows. First of all, we define the concept of window opening-closing operation. Secondly, twe develop the operation process of window opening-closing. Thirdly, we develop an algorithm for real-time window opening and closing (process) (Window Opening-Closing Operation Process). Finally, we verify the intelligent responsive window opening-closing operation process through developing examples of window opening-closing operation process using the parametric design program. This study is a preliminary study to develop algorithms necessary for window opening-closing operation. Based on the first-order algorithm, We simulated window opening-closing operations according to a hypothetical scenario. As a result, This study can show that the window is open and close depending on the $CO_2$ concentration, but the $CO_2$ concentration in the room is higher than outdoors. Consequentially, we suggest that it is necessary to develop an algorithm to supplement these results because window is often not working when the temperature difference between indoor and outdoor in winter is large.

위 절제술 환자의 진료계획표 개발 및 전자 의무 기록화 (Development of a Flexible Critical Pathway with Electronic Medical Record for Gastrectomy Patients in a University Hospital)

  • 배명순;송정흡
    • 한국의료질향상학회지
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    • 제18권1호
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    • pp.37-55
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    • 2012
  • Objectives : This study was conducted to evaluate the effect of fixed critical pathway with emr (electronic medical record) on the length of hospital stay, the cost and quality of care provided to gastrectomy patients in a university hospital and to develop flexible critical pathway with emr which can be used excluded or drop-out patients. Methods : Thirty-eight patients with gastrectomy were included as case group and Thirty-four patients included as control group. The comparison between control and case with using fixed critical pathway were done. To develop and to evaluate usefulness of flexible critical pathway with flexible data base, simulation was done for flexible critical pathway with drop-out patients. Result : The major results of this study were as follows: There were no significant differences in patient clinical conditions and no sign of deterioration of quality from critical pathway. The length of hospital stay was 11 days in control group, 8 days in path group(P<0.01). The total costs during the hospital stay were reduced in path group. However the cost per day was significantly increased from reduction of hospital stay(554,352 won in control, 645,669 won in path group). One hundred percentage of drop out patients(60) in the simulation of flexible critical pathway was successful. Conclusion : Computerized critical pathway reduced the length of hospital stay, total hospital costs and resource utilization without harming quality of patient care. The flexible critical pathway program can be used as one of the powerful management tools for reducing the practice variations and increasing the efficiency of care process and decreasing the workload of doctors and nurses in Korean hospital settings.

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Directions towards sustainable agricultural systems in Korea

  • Kim, Chang-Gil
    • 한국작물학회:학술대회논문집
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    • 한국작물학회 2017년도 9th Asian Crop Science Association conference
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    • pp.3-3
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    • 2017
  • The question of how to establish sustainable agricultural systems has become as prominent as questions related to water, energy and climate change. High input/high output agriculture has brought with it many adverse effects; the massive deterioration of soil and water in both quantity and quality, increased greenhouse gas emissions and an increased prevalence of unsafe foods. Additionally, urbanization and climate change has worsened the shortage of farmland and reduced the supply of agricultural water. Given these challenges, maintaining, conserving and efficiently using agri-environmental resources, through fostering of sustainable agriculture, have emerged as key tasks in solving these problems. What is needed therefore is research, based on systematic and comprehensive empirical analyses, that can propose plans and methods for establishing an appropriate sustainable agricultural system. The empirical analysis of sustainable agricultural system is approached separately from economic, environmental and social aspects. An analysis of environment effect reveals that the available phosphate level is 1.3~2.1 times greater than the optimal amount in rice paddies, upland fields and orchards. Further examination has revealed that the excess nutrient is polluting both ground water and surface water. Analytical results for economic feasibility show that factors of production have been invested heavily in the rice crop. Under these conditions, sustainable agriculture, including low-input agriculture, appears to be a possible alternative that will facilitate simultaneous improvements in both economic feasibility and environment effects. Analysis results for sociality reveal that social factors include the value of producer, association and interior networks. Social conditions are comprised of leadership, consumers' awareness, education and conflict solutions. In addition, analysis as to the degree investments contribute to improving agricultural value added has revealed that the direct payment program is the most effective instrument. Experts confirm that economic feasibility can be improved by scientific and well-reasoned nutrient management on the basis of soil testing. Farmers pointed to 'economic factors' as being the largest obstacle to switching to the practice of sustainable agriculture. They also indicate 'uncertainty with regards to sustainable agriculture technology' as an impediment to practicing sustainable agriculture. Even so, farmers who believe environmental and regional issues to be the most pressing problems have expanded their practice of sustainable agriculture. The keys to establishing sustainable agriculture system are classified into the following four aspects. Firstly, from an economic aspect, the research indicates that agricultural policy needs to be integrated with environmental policy and that the function of market making based on the value chain needs to be revitalized. Secondly, from an environmental aspect, there is a need for an optimal resource management system to be established in the agricultural sector. In addition, sustainable agriculture practice will need to be extended with attendant environmentally-friendly and sustainable intensive technology also requiring further development. Thirdly, from a social aspect, green agriculture management needs to be fostered, technology and education extended, and social conflict mediated. Lastly, from a governance aspect, it will be necessary to strengthen good governance, assign and share suitable roles and responsibilities, build a cooperation system and utilize community supported agriculture.

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건설현장 외국인근로 실태조사 및 개선요소 도출 (Survey on the Actual Condition and the Improvement Factors of Foreign Workers at the Construction Site.)

  • 백낙규;홍준표;임형철
    • 한국산학기술학회논문지
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    • 제19권1호
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    • pp.136-145
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    • 2018
  • 심각한 인력난을 겪은 기업들은 공장을 해결이 쉬운 해외로 이전하거나, 외국인근로자의 고용을 증가시켜 인력난을 해결하고 있다. 건설현장 역시, 그들을 노동자로 고용하여 부족한 인력을 보충하고 있는 등, 외국인근로자에 대한 수요는 시간이 지날수록 점차 더 증가하고 있는 실정이다. 최근 외국인근로자의 국내 건설현장 투입과 관련된 정책은 외국인근로자 투입여부에 대한 논의에서 실질적인 투입실태 및 효율적인 관리방안을 모색하는 방향으로 전환되고 있다. 본 연구는 대상지역 건설현장에 참여하고 있는 외국인근로자의 현황과 투입실태 및 관리자 입장에서 외국인근로자의 문제점을 조사하고, 외국인근로자의 효율적 활용을 위한 개선 방법을 도출하고자 하였다. 본 연구의 진행을 위해서는 사례조사 대상 건설 현장을 찾아 외국인근로자와 내국인근로자(관리자)를 중심으로 외국인 근로자에 대한 실태 관련 설문조사를 실시하였고, 설문대상자를 중심으로 1:1 인터뷰를 추가 진행함으로써 설문의 신뢰성을 확보하고자 하였다. 실태조사를 시행하여 얻어진 자료는 SPSS 분석프로그램을 이용하여 각 항목에 응답 비율을 분석한 후, 분석 기준 항목에 따라 그래프화하여 표현하였다. 그 결과 문제점으로 제도적 차원의 문제, 의사소통의 문제, 기능미숙으로 인한 품질저하와 같은 문제점들이 많이 나타났다. 따라서 본 연구는 외국인근로자의 효율적 활용을 위한 개선방안을 언어 교육, 임금, 고용과 관련된 제도적 차원의 개선 등으로 도출하였다.