• Title/Summary/Keyword: problem analysis

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Drug Use Evaluation of Antihypertensive Agents by JNC VI Guidelines (고혈압 치료 지침 Vl에 의한 항고혈압제의 사용평가)

  • Kim, Kyung Hwa;Lee, Suk Hyang
    • Korean Journal of Clinical Pharmacy
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    • v.12 no.1
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    • pp.29-38
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    • 2002
  • Hypertension is an important public health problem because it increases the risk of stroke, angina, myocardial infarction, heart failure, and end-stage renal disease. If it is not actively treated, morbidity and mortality increase with hypertension-induced complications and quality of life decreases. This study was to evaluate the use of antihypertensive drugs and blood pressure changes and to compare algorithms chosen (or the 1st and 2nd line therapy of hypertension based on the JNC VI recommendations. The medical charts of 222 patients with essential hypertension at St. Vincent's Hospital in Suwon from January 1997 to January 2000 were reviewed retrospectively. Data collection and analysis included baseline BP underlying diseases and complications, administered antihypertensives, BP changes, changes of antihypertensive regimen, and adverse effects with treatments. As results, the higher BP the patients had, the more frequent they had target organ damages and clinical cardiovascular diseases. Mean duration to reduce blood pressure less than 140/90 mmHg was 8 weeks in $85.3\%$ of the patients. The rate of control in BP was $82.4\%$ at 6 months. The major antihypertensive drugs prescribed were calcium channel blockers $(61.8\%)$ , ACE inhibitors $(19.1\%),\;\beta-blockers\;(13.7\%)$ and diuretics $(5.3\%)$ as the 1st-line monotherapy. The methods of treatment used as the 1st-line therapy were monotherapy$(59\%)$ and combination therapy $(41\%)$. Blood pressure change was significantly greater for combination therapy than monotherapy$(-26.2\pm21.4\;vs.\;-18.56\pm16.7$ mmHg for systolic blood pressure; P<0.003, $-16.9\pm13.2\;vs.\;-9.2\pm12.8$ mmHg for diastolic blood pressure; p<0.001). When blood pressure was not completely controlled with the first antihypertensive selected, the 2nd line therapy had 4 options: addition of 2nd agent from different class; $66.2\%$, substitution with another drug, $21.9\%$ increase dose $11.9\%$ continue first regimen $27.9\%$ Calcium channel blockers were the most frequently prescribed agents. This was not comparable to the JNC VI guideline which recommended diuretics and $\beta-blockers$ for the 1st-line therapy. Most of patients achieved the goal BP and maintained it until 6 months, but the remaining patients should be controlled more tightly to improve their BP with combination of life style modification, patient education, and pharmacotherapy.

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A Study on the Recognition of Client Home Visit Nursing Care Services in Public Health Centers (방문간호사업에 대한 대상자의 인식에 관한 연구)

  • Min, Young-Sun;Chung, Yeoun-Kang;Han, Seung-Eui
    • Research in Community and Public Health Nursing
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    • v.11 no.2
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    • pp.399-410
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    • 2000
  • In this, analyzing the type of subjectivity in which people would have about home visit nursing services originating from public health care centers. I tried to research more effective ways to improve home visit nursing care services. and later. for the development of home visit nursing care. to supply basic data. The method for this study was the Q-method. created by William Stephenson. and was adequate for the study of subjectivity. For this study. through the deep interview. literature inquiry, and the discussion course. 206 Q-statement sentences were abstracted. and based on them, after Q-sample-selection. I then collected the Q-categorized-result from 32 subjects from Mar. 10. 2000 to Mar. 25. 2000. Through the statistic a analysis of PC-Qunal program. the subjectivity species were categorized and analyzed. The study results show that there are 3 sorts of recognition types. and they are analyzed in the following; The first type: the positively receiving type shows that they feel thankful and a trusting feeling about home visit nursing. The second type: the negatively mistrusting type shows that they had doubtful attitudes about the specialty of home visit nursing: they wanted medicine or nutrition remedies rather than health education and concerning the their own health care, they prefered the hospitals or clinics. The third type: the conditional receiving type shows that even though they had a positive receiving attitude about home visit nursing wanting to consult with the home visit nurses about the difficult problem which could not easily be settled, hoping that the home visit nurses could visit them more often, in their actual lives. they strongly indicated their attitudes concerning money as more important than home visits. The subjects in these 3 types commonly had a good feeling about the kindness of the home visit nurses: the first and third types also had a positive recognition about home visit nursing; however. in aspects of the evaluation and receiving attitudes, they showed a big difference. When all the above results are integrated. in the case of the first type the home visit nursing service, which satisfied the demand for health care of the medically weak people. should be continuously supplied. Additionally in case of the second type (negatively mistrust). continuous education and support should be supplied with enough interest to lead their concerns about their own health care as well as lead medical spending in a productive and effective direction in order to change their impressions. Through this study. I learned that the recognition of the objectives of home visit nursing services can be categorized in to 3 types and could be analyzed. Thus I wish that this study helps to present basic data which contributes to the development of the home visit nursing field.

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Application of Lean Theory to BIM-Based Coordination - A Case Study on Process Re-Engineering of MEP Coordination - (린 기법의 BIM 기반 설계조율 프로세스 접목 - 설비전기 설계조율 프로세스 재설계 사례연구 -)

  • Jang, Se-Jun
    • Journal of the Korea Institute of Building Construction
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    • v.18 no.1
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    • pp.67-79
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    • 2018
  • This paper provides theoretical deformation of lean concept and its application for usage of building information modeling (BIM) process. Recently, much research is focused on application of lean concept for more efficient usage of BIM. The lean theory and its basic function and feature is based on manufacturing industry. The manufacturing process can be improved by process re-engineering steps of lean concept which consist of the steps of value, value stream, flow, pull, perfection. However manufacturing process and construction process has different characteristics. Due to the differences, five steps of the traditional lean's process re-engineering can't be directly applied to the BIM based engineering process. In order to solve this problem, we conduct analysis on the characteristics of the manufacturing process and BIM based engineering. We propose modified and expanded concept of lean for process re-engineering and the modified theory was applied to the mechanical, electrical and plumbing (MEP) coordination process. Through the proposed 8 steps of methodology, 2D based process was changed to integrated and using BIM based MEP coordination process. In addition, the results showed the potentiality of cost reduction and process improvement. The results of this study can be a foundation for the theoretical combination of lean and a variety part of construction engineering process.

Problem Analysis and Improvements Plans for PF ABCP of Apartment Housing Development Projects (공동주택 PF ABCP의 문제점 분석 및 개선방안에 관한 연구)

  • Kim, Soo-Yeol;Hwang, Uk-Sun;Kim, Yong-Su
    • Korean Journal of Construction Engineering and Management
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    • v.12 no.2
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    • pp.133-142
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    • 2011
  • The purpose of this study is to analyze the problems of the parties involved in the issuance of apartment housing development projects. The adapted research method selected four apartment housing development as PF ABCP projects. This study carried out the case about participant institution of PF ABCP funding project including developer, constructor, financial institution so as to draw problems by participant institution. On the basis of the selected case, this thesis proposes methods for involved parties to negotiate and work out problems of the PF ABCP. The results of this study are as follows 1) Launching long-term project financing should be developed, including operating funds and strengthen the ABS and ABCP issuance of credit assessment procedures, combined with the simplicity of the instruments. 2) The Low-risk contract for the construction of simple managerial focus should be the construction, financial institutions essentially dependent on project financing feasibility verification purpose loans to prevent the division a true story, the development should be of interest to be preserved. The proposed included, among other, partial guarantee based on the construction plan financial institutions' share-based investment, and the supplement of legal issues.

A study of relevant model of information management system based on business process for embodying BPM on construction company (건설기업 BPM 구현을 위한 업무 프로세스 기반의 업무지원 시스템 연계모델에 관한 연구 -공정관리 업무 프로세스를 중심으로-)

  • Lee, Jung-Woo;Song, Young-Woong;Choi, Yoon-Ki
    • Korean Journal of Construction Engineering and Management
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    • v.10 no.6
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    • pp.13-27
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    • 2009
  • Construction companies are trying to apply process management to their business to improve efficiency in business circumstance of high competition and globalization. Since 1990s, construction firms adopted process management to improve internal and external business structure based on process. It however has a few improvement functions. In addition, business support systems for business process efficiency improvement were developed, but separation between business process and IT system occurred because it focused on function-based individual construction and data input/output. To solve this problem, this study proposed business process and IT integration model for supporting user to use business information and system based on visualized business process and improving use of previous business support system. Business efficiency is expected to be improved with this model which based on integration required business condition(stakeholder, business data, functions of business supporting system). This study developved process model, architecture, and BPA of whole construction management business. According to BPA, it analyzed business process stakeholder, detail activities, and input-output data. And also it examined 12 main business supporting system of Korean construction firms. Based on analyzed data, this study developed business process supporting integration model based on business process through PDCA and CRUD analysis.

An Analysis of Best Practices for Efficient Utility Relocation and an Inquiry into the Applicability of SUE (효율적인 지하지장물 이설을 위한 모범사례분석 및 SUE 적용에 관한 연구)

  • Lee, Seung-Hyun;Baek, Seung-Ho;Tae, Yong-Ho;Ahn, Bang-Ryul;Park, Hyeon-Yong
    • Proceedings of the Korean Institute Of Construction Engineering and Management
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    • 2007.11a
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    • pp.971-976
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    • 2007
  • In the U.S., utility damages or utility delay caused by conflicts during the underground utility relocation is one of the weighty problem in the construction industry. Also, in domestic case, delay and additional cost caused by underground utility(i.e, electricity, communication, gas, water supply and sewerage) relocation has been happened so that there is an increase of claims for responsibility between owners and contractors. However, there is insufficient survey for the recent circumstance of additional cost for delay and design changes caused by utility relocation and shortage of enough research for solving and analyzing of causes and their ripple effect. This research presents a result of the study about the best practices of FHWA(Federal Highway Administration), SHAs(State Highway Agencies) and the utility companies managing utility relocation. Also, it presents the basic concept of SUE(Subsurface Utility Engineering), the most reliable tool of FHWA presented, and investigates the developing status about SUE in Korea. At the end of this paper, this research proposes a practical and more applicable study about the efficient utility relocation focusing on local industry.

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An Improvement Method through Build-Transfer-Lease (BTL) Problem Analysis from the Special Purpose Company (SPC) Perspective (SPC 관점에서의 BTL사업 문제점 분석을 통한 개선방법)

  • Kim, Soo-Yong;Son, Myung-Chan;Yang, Jin-Kook
    • Korean Journal of Construction Engineering and Management
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    • v.14 no.3
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    • pp.167-175
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    • 2013
  • In 2005, the government introduced BTL(Build-Transfer-Lease) projects as one of the methods of private investment in infrastructure. In a BTL project, a private company builds a public facility and leases it to the government to withdraw its invested capital. But there appear several problems with it due to a short period of preparation and lack of experiences. Specifically, private companies that plan to participate in this project have to take a risk since serious problems are likely to take place because of unrealistic estimation of construction costs, etc., and they finally avoid participating in this project. A case study was made over advanced countries, Japan and the United Kingdom, to find out how to resolve the problems, and rational 7 improvement method were presented from a perspective of Special Purpose Company (SPC), which could be accepted by both of SPC and government agencies. The findings of the study are expected to provide workable solutions to BTL projects from a standpoint of private companies to facilitate the rational improvement of BTL projects, and this study is ultimately expected to stimulate the active participation of SPC to make a contribution to the vitalization of domestic BTL projects.

A Fast Global Mobility Supporting Scheme for IPv6 Using Global Mobility Agent (GMA) (Global Mobility Agent (GMA) 기반의 신속한 IPv6 전역 이동성 지원 방안)

  • Ahn, Jin-Su;Seo, Won-Kyeong;Choi, Jae-In;Cho, You-Ze
    • The Journal of Korean Institute of Communications and Information Sciences
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    • v.35 no.8B
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    • pp.1105-1114
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    • 2010
  • The Proxy Mobile IPv6 (PMIPv6) has been standardized by the IETF NETLMM WG for network-based mobility management. The PMIPv6 can provide IP mobility for Mobile Nodes (MNs) with low handover latency and less wireless resource usage. But, since the PMIPv6 is basically designed for local mobility management, it cannot support directly global mobility management between different PMIPv6 domains. In the PMIPv6, since all traffic is routed through a Local Mobility Anchor (LMA), it causes a long end-to-end delay and triangular routing problem. Therefore, in this paper, we propose a fast network-based global mobility management scheme and route optimization scheme with a new network entity, called Global Mobility Agent (GMA). Numerical analysis and simulation results show that the proposed scheme is able to support global mobility between different public domains with low handover latency and low end-to-end delay, compared with the PMIPv6.

Study on Aged Men's Utilization Status and Satisfaction of Removable Dentures (일부 노인들의 가철성 틀니 사용 실태 및 만족도 조사)

  • Park, Jong-Hee;Park, Ji-Won
    • Journal of Technologic Dentistry
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    • v.34 no.3
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    • pp.291-302
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    • 2012
  • Purpose: It is to survey old men's utilization status of dental clinic and temporary-binding dentures and then to provide basic data to make a program for manufacturing old men's dentures and their teeth health education. Methods: Random selection was made on old men living in Daejeon and Chungnam, and a survey was conducted from April 15 to May 20, 2011. 500 questionnaires were distributed and 420 questionnaires were collected. Using spss 18.0 program, final analysis was made on 363 questionnaires except for 57 questionnaires which had missing value or showed some doubts about the unreliability. Results: 1. With respect to number of natural teeth as per the age, the upper/lower jaws had meaningful differences (P<.001), which means that the older the person is, the smaller number of natural teeth is. In the meantime, there was no meaningful difference according to sex. 2. With respect to kind of prosthetics installed in a mouth as per the age, there was meaningful difference in the upper jaws (P<.05) but there was no meaningful difference in the lower jaws. It was found out that the older the persons are, the more they use removable dentures while the younger the persons are, the more they use fixed partial dentures. 3. With respect to mouth health condition recognized by oneself, it showed bad (44.4%) and good (10.3%),which means recognition as bad is greater, and the age when prosthetics were first used is dispersed variously from below 40 to over 70. 4. Dental care institutions which they mainly used are hospital and clinics (91.5%), and 66.4% of them visited dental clinics lately. Preferential treatment if they go to dentists is as follows in the order of prosthetics (33.9%), gum treatment (24.2%) and pain treatment (14.9%). 5. 68.4% of them revisited dentists after installation of dentures and the reason for revisit is as follows in the order of poorly fitted dentures (35.1%), painful gum 25.9%, regular check-up 25.4% and difficult chewing 9.6%. Conclusion: As our country enters into an aging society, mouth health problem of old men has come to a serious issue, and therefore, a survey was conducted on some old men with respect to their utilization status of dental clinic and removable dentures in order to provide basic data for improvement of quality of their life, maintenance and enhancement of their mouth health. The study result shows that the older they are, the higher the loss rate of teeth as well as needs for prosthetics are, and thus it is thought the study will help to develop mouth health education program which may improve quality of old men's life by recovery of mouth functions declined due to loss of teeth and by regular check-up, education for mouth health control and following-up control of dentures.

Adaptive Digital Predistorter Using the NLMS Algorithm for the Nonlinear Compensation of the OFDM Communication System (OFDM통신시스템의 비선형 왜곡 보상을 위한 NLMS 알고리즘 방식의 디지털 적응 전치 왜곡기)

  • Kim Sang-Woo;Hieu Nguyen Thanh;Kang Byoung-Moo;Ryu Heung-Gyoon
    • The Journal of Korean Institute of Electromagnetic Engineering and Science
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    • v.16 no.4 s.95
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    • pp.389-396
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    • 2005
  • In this paper, we propose a pre-distortion method using the NLMS(Normalized Least Mean Square) algorithm to cope with hish PAPR(Peak to Average Power Ratio) problem in OFDM communication system. This proposed scheme estimates the distortion characteristics of HPA, and changes the characteristic against the distortion. Therefore, it can be shown that the adaptive characteristic of the NLMS pre-distorter is good to track the various nonlinear characteristic of HPA, even though HPA characteristic is changed by temperature variation or aging. From the performance analysis, SNR efficiency of NLMS pre-distorter is about $0.5\;\cal{dB}$ less than that of common numerical non-adaptive pre-distorter, when IBO(Input Back Off) is $0\;\cal{dB}$. However, the NLMS pre-distorter is better than the common numerical pre-distorter, because these two pre-distorters have similar performance in higher than $3\;\cal{dB}$ IBO, and the NLMS pre-distorter maintains the constant performance even though characteristic of HPA is changed.