• 디지털정책학회지
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• 1권1호
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• pp.21-26
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• 2022

본 연구에서는 요양병원이 입원비 지출 발생에 기여도가 큰점을 주목하여, 요양병원의 입원정책을 살펴보고, 불필요한 입원비발생을 유발한 점이 있다면, 해외사례를 참조하여 개선방안을 제안하고자 한다. 본 연구는 건강보험공단과 건강보험심사평가원에서 발행한 건강보험통계연보, 건강보험 주요통계를 주로 활용하여 연구를 진행하였다. 이를 바탕으로 요양병원이 입원비 발생에 가장 큰 기여를 한다는 것을 추론하였다. 본 연구 결과 요양병원의 입원규정이 명문화 되지 않았다는 문제점을 발견하였고, 명문화 되지않은 입원 기준이 불필요한 입원비 발생해 기여 할수 있다는 점을 발견하였고, 이를 극복하기 위한 개선방안을 우리보다 먼저 고령화를 경험한 미국의 사례에서 제안해보았다. 본연구를 시작으로 요양병원에서의 불필요한 입원비 지출을 줄인 보다 많은 외국의 사례들을 찾아야 할 것이다.

• 한국건축시공학회지
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• 제23권6호
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• pp.739-750
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• 2023

「순환골재 품질인증 및 관리에 관한 규칙」제정 이후 최근 개정까지 총16차례의 개정에 대하여 국토교통부에서 공고한 개정취지와 변경 내용을 살펴보았는데, 업무개선이 5차례, 품질제고가 2차례였고 나머지 9차례는 용어변경 등 단순변경에 해당하였다. 이중 품질제고 취지의 2차례 개정은 실질적인 효과를 도출하지 못하였기에 현재까지의 전반적인 규칙 개정 방향은 업무개선 또는 업무효율화였다고 볼 수 있다. 업무개선 개정 중 인증 유효기간을 폐지한 6차 개정과 실태조사 면제대상을 확대하고 재심사 절차를 간소화한 16차 개정이 인증업무 전반에 큰 변화를 가져온 중요한 개정이었다. 유효기간 폐지, 실태조사 면제 및 재심사 간소화 등 순환골재 인증규칙 개정의 흐름은 지속적으로 규제를 줄여 기업의 경쟁력을 강화하는 방향으로 진행되어왔다. 최근의 16차 개정을 통하여 조사면제 및 담당자 겸직허용 등 규제가 크게 완화된 만큼 인증업체에서는 규제 완화 취지에 부응하여 충실한 순환골재 품질관리를 통하여 건설폐기물법의 목적인 국가 자원의 효율적 이용에 이바지하여야 할 것으로 사료된다.

• 융합경영연구
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• 제12권2호
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• pp.11-18
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• 2024

Purpose: The purpose of this study is to suggest the activation plan of the post-construction sales through the results of a survey on the perception of Seoul citizens and experts. Research design, data and methodology: The purpose of this study is to suggest the activation plan of the post-construction sales through the results of a survey on the perception of Seoul citizens and experts. Results: According to a survey of Seoul citizens' perceptions, 76.7% of Seoul citizens were well aware of post-construction sales and recognized that post-construction sales would reduce pre-sale speculation and confusion in the real estate market. Second, 73.6% of Seoul citizens were willing to buy houses through post-construction sales, and third, 79.6% of Seoul citizens recognized that a post-sale system was necessary. Experts' opinions generally responded to the expansion of the introduction of post-construction sales, saying, 'It is necessary for both the public and the private sectors'. Second, while experts say that there are also positive effects, negative effects such as polarization centered on large corporations, an increase in sales prices, and a decrease in housing supply are also concerned. Third, experts responded that 'diversification of financing methods' is the most important task in revitalizing the post-sale system. Conclusions: The policy implications are that it is necessary to mandate the post-construction sales in the long term, and that the quality assurance system needs to be supplemented even if the sale is promoted post-construction sales. In addition, private participation is essential to revitalize the post-construction sales, and government support such as initial financing, low-interest rates, and various financing measures should be sought to expand private participation.

• 한국임상약학회지
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• 제34권2호
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• pp.126-133
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• 2024

Background: Medication's benefits and harms require careful management. Laws mandate pharmacists to provide essential medication details since inadequate counseling may pose risks. This study explores public expectations for pharmacist-provided side effect information to enhance safety. Methods: A self-developed questionnaire was created for participant to self-report, refined through pilot surveys with experts and laypersons. Nineteen items were categorized into four sections, using closed-ended questions. Adults over 20, having obtained prescription medications within the past year, were surveyed via convenience sampling. Data analysis employed descriptive statistics and T-tests using IBM SPSS Statistics 21 and Microsoft Excel. Results: The study involved 189 participants, with a slightly higher proportion of females (59.3%) than males (40.7%), predominantly in their 20s (45.0%) and college graduates (57.1%). Health professionals represented 76.2% of respondents. Over half visited pharmacies at least 5 times yearly for prescriptions. Indirect experience with side effects was more common (30.2%) than direct experience (17.5%). Most (82.0%) showed interest in media-reported side effect events. Satisfaction with pharmacist-provided side effect explanations was low (59.7%), but importance was high (98.9%). Preferences favored combined verbal and written explanations (65.1%), with a majority desiring explanations for common but less serious side effects (82.5%). Healthcare professionals found explanations significantly more sufficient than non-professionals did. Older individuals, those living with elderly, and frequent pharmacy visitors attributed greater importance to pharmacist-provided explanations. Conclusion: Koreans view pharmacist-provided medication side effect explanations as vital but find current services lacking. Enhancements in content and delivery methods are needed in pharmacy counseling to meet public expectations.

• 대순사상논총
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• 제28집
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• pp.267-302
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• 2017

이 연구는 목적은 대순사상의 신 개념을 『주역』의 신·신명·신도를 통해 살펴보고 그 특질을 밝히는 것이다. 『역경』과 「역전」은 신 중심에서 천명이나 인간의 자발적인 도덕의지를 부각시키려는 패러다임 전환의 시기에 성립되었기 때문에 『주역』에서 신의 의미는 다양하게 해석되고 있다. 다양한 신 개념 중에서 본 논문은 『주역』의 신 개념을 인격적이고 의지를 가지는 변화의 주체, 형이상의 원리적 측면에서 신묘함, 인간에 내재한 신성과 도덕성으로 나누어 보았다. 그리고 대순사상에서 각각 이를 비교하여 최고신의 신의와 법칙으로서 신도, 형이상의 구현으로서 묘용의 신, 인간에 내재한 덕성으로서 신명에 대한 개념에 접근해보았다. 이에 따라 알아볼 수 있는 대순사상에서 신 개념은 다음과 같다. 첫째, 인격성을 가지는 존재이며 일정한 의지와 뜻을 가지고 만물에 주재하고 있다. 둘째, 형이상자이면서도 형이하에 신묘하게 작용하며 상제의 명을 받아 그 뜻을 태극에 굴신하여 인세에 구현하는 존재이다. 셋째, 인간의 마음을 통해 소통하며 인간과 의도(依導)의 관계에 있다. 신 관한 어휘 가운데 특히 신도는 신 개념을 잘 드러내고 있는 용어로서, 이를 중심으로 신 개념의 특질을 살펴보았다. 신도는 상제의 의지와 뜻 그리고 상제의 명을 부여받은 신들을 통해 세상에 펼쳐진 질서이다. 이렇게 신의 의지가 펼쳐지는 질서의 측면으로 고려해 볼 때, 신도의 주된 뜻은 상생대도이며, 무위이화로 운영되며, 신인의도로 실현된다. 대순사상에서 신인은 서로 신명인사일반의 관계이자, 신은 인간의 사후의 존재로 의지와 감정을 가지며 상호영향을 미치는 유기적관계이다. 생전의 의지와 감정을 가진 존재로서 신은 원과 한을 가지고 있으며, 이러한 신의 원과 한은 해원시대를 맞이하여 상생으로써 그 원이 풀리게 된다. 또한, 신의 행사와 활동은 태극의 이법적 틀에 맞춰 굴신하며 상제의 뜻인 신도에 맞게 움직인다. 이는 신들이 따라야하는 규율이며, 신정체계가 운용되는 법리이다. 상제의 신도와 천명은 태극지기에 굴신하여 이법적으로 그 모습이 펼쳐져 드러나고 신과 인간은 그 이법성에 맞춰 나아갈 때 일은 무위이화로 성사된다. 신도의 실현에 있어서는 인간과 신은 인의예지라는 같은 도의 범주 안에서 있으며, 서로 이끌고 의지하여 신도인 상생의도를 구현하는 것이 신인의 일을 이루는 것이며, 나아가 천지의 도를 완성시키는 것이라 할 수 있다.

• 대한간호학회지
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• 제27권1호
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• pp.228-241
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• 1997

Today's healthcare environment is changing, driven by demographic, environmental, social, political and technological forces. These rapidly changing healthcare environment and increasingly professional nursing practice indicate that identifying leadership characteristic of nursing leaders and executives is a vital importance in today's time and also mandate innovative leadership for nursing service. Therefore, the purpose of this study is to examined the transformational, transactional leadership styles of the Nurse Administrators. Also described are the relationships between these leadership styles and the job satisfaction. the organizational commitment of their subordinates. The sample consisted of sixteen mid-level nurse administrators, fifty head nurses and one hundred aid fifty-three staff nurses of 4 public & private University Hospitals and 1 General Hospital. Data for this study was collected from Sep. 20 to Oct. 5 by Questionnaire(Bass' MLQ, Job Satisfaction scale developed by Paula(1978), Organizational Commitment scale by Peter et at(1979). The data was analyzed by frequency, percentage, one-way ANOVA, Pearson's Correlation Coefficient with SPSS PC/sup ＋/ program. Major findings are as follows : Appropriate one-way ANOVA tests revealed that the differences for transformational and transactional leadership styles of nurse executives. mid-level nurse administrators, head nurses as perceived by their immediate subordinates were statistically significant(P<.05), The scores of transformational and contingent reward behaviors were declined of the mid-level nurse administrators, nurse executives. The transactional scores of nurse administrators were lower than trans- formational ones, which is a desirable findings. The result of this study, the head nurses were perceived as the highest transformational leader by their subordinates, and second was the mid-level nurse administrators. The nurse executives received the lowest transformational leadership scores from their subordinates. These results were opposit to the previous studies. And significant positive correlations were founded between transformational leadership including charisma, intellectual stimulation, individual consideration and contingent reward of nurse administrators and the job satisfaction, the organizational commitment of their subordinates. From the data, it can be concluded that transformational leadership style of nurse administrators promotes the job satisfaction, the organizational commitment of thier staff nurses. Therefore leader looks for potential motives in subordinates, seeks to satisfy higher need, and engages the full person of the subordinate resulting in a relationship of mutual stimulation and elevation.

• Journal of Nutrition and Health
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• 제30권1호
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• pp.100-108
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• 1997

Our current food hygiene law mandates nutrition label (NL) for the special nutrition foods, health support foods, instant foods, and foods with certain nutrient emphasized note, only. Currently more processed foods are bearing nutrition labels though the format is quite inconsistant. This study examined the status on current nutrition labeling practices for the processed foods that are retailed in the supermarket. The obtained information was assessed in the aspects of numerical data presentation on nutrients content, descriptive terms, health claim, and the format. The results are summarized as follows. 1) Foods with NL are limited to the food category specified by current hygiene law while voluntary nutition labeling is few. 2) Descriptive terms such as free, low, and sufficient are not substantiated with quantitative data. The efficacy of microelements which has not been clalified yet are overemphasized but major nutrients are ignored. 3) The regulations for the descriptive terms are set on the base of the nutrient content per 100g or 100ml under current nutrition labeling act. It would mislead consumers thus the definition for these descriptor be better set on the unit of the amount of food customary eaten at one time. For this the standard serving size should be set officially. 4) Quantitative nutrition information given on food products is difficult to compare because of the lack in formality. The title of NL, load and kinds of nutritents, order of nutrients listed, the unit of expression, RDA comparision, and reference RDA are inconsistant among the foods similar in dietary property. Uniform format is needed to give NL the credibility and usefulness. Proividing nutrition information to the consumers with NL is a worldwide practice though its efficacy has been controversial. Under newly legistered health promotion law in Korean nutrition education is esxpected to take part in to improve national nutrition condition and NL would education is expected to take part in to improve national nutrition condition and NL would be a potent tool for public nutritions education. It appears to be the time to mandate NL to all the processed foods in the market. The result of present study would initiate further consumer experiments related to NL. Various interest groups such as food and nutrition professions, public health organizations, government regulatory agencies, food producers and marketers, and consumer groups need to particepate and communicate for the legislation of NL and the development of NL format.

• The Korean Journal of Pain
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• 제30권4호
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• pp.287-295
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• 2017

Background: Recently, the use of ultrasound (US) techniques in regional anesthesia and pain medicine has increased significantly. However, the current extent of training in the use of US-guided pain management procedures in Korea remains unknown. The purpose of the present study was to assess the current state of US training provided during Korean Pain Society (KPS) pain fellowship programs through the comparative analysis between training hospitals. Methods: We conducted an anonymous survey of 51 pain physicians who had completed KPS fellowships in 2017. Items pertained to current US practices and education, as well as the types of techniques and amount of experience with US-guided pain management procedures. Responses were compared based on the tier of the training hospital. Results: Among the 51 respondents, 14 received training at first- and second-tier hospitals (Group A), while 37 received training at third-tier hospitals (Group B). The mean total duration of pain training during the 1-year fellowship was 7.4 months in Group A and 8.4 months in Group B. Our analysis revealed that 36% and 40% of respondents in Groups A and B received dedicated US training, respectively. Most respondents underwent US training in patient-care settings under the supervision of attending physicians. Cervical root, stellate ganglion, piriformis, and lumbar plexus blocks were more commonly performed by Group B than by Group A (P < 0.05). Conclusions: Instruction regarding US-guided pain management interventions varied among fellowship training hospitals, highlighting the need for the development of educational standards that mandate a minimum number of US-guided nerve blocks or injections during fellowships in interventional pain management.

• 한국산학기술학회논문지
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• 제19권2호
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• pp.311-317
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• 2018

본 연구의 목적은 CCTV 의무화에 대한 어린이집 원장, 교사, 학부모, 일반인의 인식. 즉 CCTV 의무화의 장점, 문제점, 개선 방안을 알아보는 것이다. 연구대상은 D광역시에 있는 가정 어린이집, 민간 어린이집, 사립유치원, 병설 유치원에 근무하는 원장, 교사, 학부모와 일반인이다. 연구도구는 선행연구를 참고하여 연구목적에 적절하게 수정 보완한 설문지를 사용하였다. 수집된 자료는 SPSS 21.0 프로그램을 이용하여 빈도분석과 F-test를 실시하였다. 본 연구의 주요한 결과는 다음과 같다. 첫째, 어린이집 CCTV 의무화에 대한 장점은 CCTV는 인권사건 발생 시 객관적인 증거자료가 되고, 아동간의 폭력을 알 수 있으며, 대책을 강구할 수 있다. 또한 학대 의도를 줄이거나 예방할 수 있다. 둘째, 어린이집 CCTV 의무화에 대한 주요한 문제점은 사생활 침해 및 기본권 침해, 교육에 무관하게 이용, CCTV는 교사에게 갑갑함, 불편함, 긴장감을 유발하는 스트레스 요인 등이다. 셋째, 어린이집 CCTV 의무화에 대한 주요한 개선방안은 억울한 교직원이 발생하지 않도록 하는 것과 CCTV에 대한 기존 가이드라인의 보완 등이다. 연구 결과를 토대로 어린이집 CCTV 의무화 정책에 대한 장점, 문제점, 개선방안을 심층적으로 논의하였다.

• 무역상무연구
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• 제31권
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• pp.81-106
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• 2006

The Terms of Reference are one of the most distictive features of ICC Arbitration. No document of this type is required to be drawn up under the rules of any of the other major international arbitration institutions. The purpose of this paper is to examine their advantages and to introduce main contents provided in Article 18 of ICC Rules of Arbitration, which results in the wide recognition of the Terms of Reference. As the volume of our international commercial transaction ranks almost ten in the world, the frequency using ICC Arbitration is expected to increase continuously. The Terms of Reference provide the parties and the arbitrators with an opportunity to identify and agree on procedural and other matters, such as the applicable law, the language of the arbitration and the timetable for the arbitration. They also afford the parties and the arbitrators to identify the substantive issues that are addressed in the arbitration and to delimit the precise scope of the Arbitract Tribunal's mandate. The contents of the Terms of Reference which are provided in Article 18(1) include the summary of parties claims, the list of issues and procedural rules. For the effects of the Terms of Reference, they are not intended to replace the parties' arbitration agreement. But they may in certain circumstances be regarded as a form of submission agreement. Article 18(2) provides that the Terms of Reference shall be signed by the parties and the Arbitral Tribunal, and requires the Arbitral Tribunal to transmit a signed copy of the Terms of Reference to the Court within two months of the date on which the file was transmitted to it by the Secretariat. The Court enjoys the power to extend the two-month time limit for the Terms of Reference on the reasoned request of the Arbitral Tribunal or on the Court's own initiative. Article 18(3) provides that if any of the parties refuses to take part in the drawing up of the Terms of Reference or to sign the same, they shall be submitted to the Court for approval. Article 18(4) allows the Arbitral Tribunal to extablish in a separate document a provisional timetable. This is a provision that encourages the acceleration of the arbitraction process. The timetable provided for therein is merely "provisional" and may be modified, as necessary, during the course of the arbitration.