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간호조직에서의 MBO(Management By Objectives: 목표관리) 적용
하나선,임미영 瑞逸專門大學 2000 論文集 Vol.18 No.-
MBO defines a system for making organizational structure work, to bring about vitality and personal involvement in the hierachy by means of statements of what is expected from everyone involved and measurement of what is actually achieved. It stresses ability and achievement rather than personalty. MBO allows the individual nurse to contribute to the common goal of the enterprise while nurse managers focus on the business goals. It promotes high standards, focusing on the job and not on the manager or the worker. The MBO concept implies that evert person or group in a work setting has specific, attainable, and measurable objectives that are in harmony with those of the organization. MBO requires managers and workers to meet to establish specific objectives, develop alternative means of reaching them, and periodically review progress toward those objectives. MBO spells out the results expected of the clinical nursing unit and of the unit in relation to other units. It emphasizes teamwork and team results. MBO is needed for organizational development and vice versa. It allows the organization to be managed against goals and for results. MBO is not panacea for all management problems, but the system works well in managing nurse activities. Nurse managers need to take the lead in using and guiding MBO, because it is the managers themselves who most influence the organizational climate, employee morale, and motivation.
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Im, Ha-Na,Yu, Myeong-Hee Korean Society for Biochemistry and Molecular Biol 2000 Journal of biochemistry and molecular biology Vol.33 No.5
The native conformation of serpins (serine protease inhibitors) is strained. Upon cleavage of the reactive center loop of serpins by a protease, the amino terminal portion of the cleaved loop is inserted into the central ${\beta}-sheet$, A sheet, as the fourth strand, with the concomitant release of the native strain. We questioned the role of protease in this conformational switch from the strained native form into a stable relaxed state. Chemical cleavage of the reactive center loop of ${\alpha}_1-antitrypsin$, a prototype serpin, using hydroxylamine dramatically increased the stability of the serpin. A circular dichroism spectrum and peptide binding study suggests that the amino terminal portion of the reactive center loop is inserted into the A sheet in the chemically-cleaved ${\alpha}_1-antitrypsin$, as in the enzymatically-cleaved molecule. These results indicate that the structural transformation of a serpin molecule does not require interaction with a protease. The results suggest that the serpin conformational switch that occurred during the complex formation with a target protease is induced by the cleavage of the reactive center loop per se.
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임하나(Im, Ha Na),성은영(Seong, Eun Yeong),최창규(Choi, Chang Gyu) 한국도시설계학회 2017 도시설계 : 한국도시설계학회지 Vol.18 No.6
동일한 상업시설이라 하더라도 지역특성에 따라, 시설규모에 따라, 시설종류에 따라 가로의 활력에 미치는 영향은 상이하다. 본 연구의 목적은 상업용도의 다양성과 가로활력의 관계를 분석하고, 지역의 특성에 따른 차이를 확인하는 것이다. 연구의 공간적 범위는 2015년 서울시 유동인구조사지점이며, 지점반경 100m 이내 상업시설의 다양성을 측정하였다. 상업시설의 다양성은 상업업종 유형별 상점 수와 상업업종의 혼합도로 측정하였다. 지역유형은 용도지역으로 구분하였다. 상업지역과 주거지역에서 유동인구 증가에 영향을 미치는 상업업종의 유형은 다르며, 상업지역에 비해 주거지역에서 다양한 상업업종별 상점과 가로환경, 접근성 등이 유동인구에 더 많은 영향을 미치는 것을 확인하였다. 상업지역 내 가로에서는 소매업, 음식업, 의료업의 상점 수가 많을수록 유동인구가 많은 것으로 나타났으며, 소매업의 영향력이 가장 크다. 주거지역 내 가로에서는 부동산업, 음식업, 의료업의 상점 수가 많을수록 유동인구가 많은 반면, 생활서비스와 학문교육 관련 상점 수가 많은 곳에서는 유동인구가 감소하는 것으로 나타났다. 반면, 상업업종의 혼합도(엔트로피)는 두 지역 모두 통계적으로 유의미하지 않았다. 이는 토지이용혼합지수의 한계, 상업업종의 유형분류 등에 의한 결과라 추정되지만 단정 지어 설명할 수는 없으며 차후 상업업종분류, 업종별 보행유발원단위 등에 대한 연구가 필요할 것으로 판단된다. 본 연구는 지구단위계획에서 가로활성화를 위한 권장용도 등을 제안하는 기초자료로서 사용될 수 있다. The purpose of this study is to analyze the relationship between the diversity of commercial store and street vitality by district types in Seoul. Diversity of commercial store measured number of store by commercial type and commercial use mix index (entropy). The sectors with positive influences on street vitality on commercial and residential districts were different in each district. The commercial store with positive influence on street vitality in each commercial district are retail, food and medical services, with retail having the highest influence. In residential districts, the pedestrian volume on the streets was the highest in locations with real estate, food and medical service businesses. pedestrian volume was low in locations with businesses with high numbers of life services and education businesses. Commercial use mix index was found to be statistically insignificant with regards to floating population in both types of districts. This appears to be due to two factors, which are the classification of commercial use to measure the effects of mixes, as well as the limitations of the mixed land use index(entropy) that cannot reflect the use characteristics.
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임하나(Im, Ha Na),강도원(Kang, Do Won),최창규(Choi, Chang Gyu) 한국도시설계학회 2013 도시설계 : 한국도시설계학회지 Vol.14 No.2
본 연구는 강도원?최창규(2012)가 개발한 장소성 인식 인과구조 모형의 보편성을 검증하고, 대학로를 대상으로 장소성의 특성을 분석하고자 실시되었다. 대상지 이용자 특성별로 장소성이 방문자들의 행동 의도에 미치는 영향에 대한 경로 구조를 분석하고, 강도원?최창규(2012)의 홍대지역에 대한 연구 결과와 비교?분석을 통해 장소성이 행동 의도에 미치는 인과구조 모형 및 연구가설의 보편성을 검증하였다. 연구를 통하여 다음과 같은 결과를 도출하였다. 첫째, 장소성이 행동 의도에 미치는 영향에 대한 경로 모형의 보편성을 부분적으로 확인하였다. 대학로와 홍대지역의 모든 집단에서 장소성이 장소애착(H1)과 장소애착이 행동 의도(H3)에 미치는 경로가 유의미하게 나타났다. 둘째, 장소성에 대한 인식의 정도 차이에 따라서 경로구조 모형의 변형이 확인되었다. 대학로의 단순 소비 집단은 다른 집단들과는 다르게 대학로를 공연문화 장소로 인식하지 않았으며, 이에 따른 경로구조 모형의 변형이 확인되었다. 셋째, 지역마다 장소성 소비자의 차이가 발견되었다. 홍대지역의 단순 소비 집단은 ‘장소성’을 강하게 소비하고 있으나, 대학로의 단순 소비 집단은 지역 내 다른 두 집단과는 달리 대학로의 문화예술 장소성을 인지하지 않는 것으로 나타났다. This study tried to investigate the validity of the causality model of placeness cognition and behavioral intention by Kang & Choi (2012). On Daehakro street in Seoul known for performances, theaters, and troupes in its cultural district, this article analysed the causality models of three different groups visiting the street, and compared the results with the ones of Hongik University areas by Kang & Choi(2012). By building and analyzing the path model of placeness and behaviors on the cultural street, this study could show three results as followings. First, it supports the validity of theoretical model on relationship between the cognition of placeness and visitors? behavioral intention by Kang & Choi(2012) to some extent. Second, the differences on cognition of placeness by diverse user groups could alter the structural equation model. The simple consumer group in Daehakro street does not recognize the cultural aspects of the street, although the other groups are aware of the placeness. Third, placeness consumers in Daehakro street are different from the ones in Hongik University areas. The simple consumer group in the latter place perceives and enjoys placeness, but the similar group in the former district does not.
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Successful removal of a foreign body by endoscopic balloon dilatation at the colonic stricture
Im, Chang Jo,Na, Ji Hoon,Kim, Hyun Sik,Ha, Sung Sam,Lim, Yoo Li,Lee, Ji Hyeon,Choi, Hee Kyoung,Kim, Hee Man Yeungnam University College of Medicine 2016 Yeungnam University Journal of Medicine Vol.33 No.1
Most ingested foreign bodies pass readily throughout intestinal tract if they reach the stomach. In some cases, foreign bodies may be impacted behind a luminal constriction but are rare in colon. Here, we report the case of a 59-year-old man who did laparoscopic anterior resection due to sigmoid colon cancer 2 years ago and ischemic colitis was repeated on the anastomosis site. He initially presented with symptoms of abdominal pain 3 months before and melena 1 day before admission. Abdomen computerized tomography showed a 3.2 cm segment of luminal narrowing of the proximal colon involving upstream foreign material stasis. Sigmoidoscopic approaches revealed near complete obstruction on the anal verge of 20 cm and scope passing failed. Balloon dilatations were done on the obstruction site four times all and a foreign body impacted above the obstruction site was removed by an alligator without any complications. The foreign body removed looks like plastic or a shell, about 20 mm in size.
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