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장지홍(Jihong Jang) 제어로봇시스템학회 2012 제어로봇시스템학회 합동학술대회 논문집 Vol.2012 No.7
현재 우리 군은 지속적인 군수지원을 위하여 군수물자에 대해 국고채무부담행위(국고채)를 활용하고 있다. 국고채는 급식, 피복 등의 지속수요품목의 연초소요 확보와 조달에 장기간이 소요되는 사업의 장기계약 수행을 위해 사용된다. 국고채는 예산편성의 경직성을 초래하기 때문에 국회에서는 국고채의 최소화를 요구하고 있는 실정이며, 군에서는 지속적인 군수지원을 위한 국고채 활용의 불가피성을 주장하고 있다. 장기계속계약은 국고채 활용의 대안으로 검토되고 있는 제도로 다년도 사업을 계약하는데 있어 총사업비를 부기하되, 차년도 예산을 확보해두지 않는 특성을 가지고 있다. 장기계속계약의 제도적 특성을 분석해본 결과, 국방분야의 군수품 조달에 적용함으로써 국고채의 성격을 대체하면서 조달업무를 개선할 수 있는 분야가 있는 것으로 판단된다. 본고에서는 품목별 세부적인 검토를 전제로 장기계속계약의 국방분야 적용가능방안을 제시한다.
맹순주 ( Maeng Soonju ),장지홍 ( Jang Jihong ),남주령 ( Nam Juryeong ),박은경 ( Park Eunkyung ),황선영 ( Hwang Sunyoung ),정혜민 ( Jeong Hyemin ) 국군간호사관학교 군건강정책연구소 2021 군진간호연구 Vol.39 No.3
Purpose: This study aimed to analyze tasks and duties of nurse assistants of inpatient and outpatient department in the ROK military hospitals. Methods: Prototype of job analysis was developed based on literature review, and 27 nurse assistants working at military hospitals participated in evaluation of the importance and performance on the prototype. Final product of job analysis was developed through evaluation of the importance and content validity of prototype by experts of 8 military hospital nurse managers. Results: Job of nurse assistants in ROK military hospitals was composed of 7 duties (supporting medical professionals in/outpatient, supporting oriental medicine doctors, supporting RNs, performing household duties, continuing education, and performing military specific tasks), 24 tasks, and 95 task elements. Conclusion: The study conducted the job analysis of nurse assistants in ROK military hospitals. It could be utilized to the standardization of the job description of nurse assistants in military hospitals.
관상동맥 내 빛간섭단층촬영술을 활용한 관상동맥 내 석회화 병변의 중재시술 후 경과 예측: 전향적 관찰 연구
장지홍,강시혁,조영석,신은석,서정원 순천향대학교 순천향의학연구소 2021 Journal of Soonchunhyang Medical Science Vol.27 No.1
Objective Imaging modalities such as intravascular ultrasonography or computed tomography or angiography have shown limitations in assessing coronary calcification. In this study, we investigated whether quantitative indices of optical coherence tomography (OCT) in calcified lesions are correlated with the late outcome of a coronary stent. Methods We consecutively enrolled patients who had more than grade 2 coronary calcification on fluoroscopy. OCT was performed at baseline, immediately after stenting, and at 9 months after stenting. We analyzed qualitative and quantitative characteristics of plaque, calcification, and stent-related indices. Results All images of 3-time points were available in a total of 10 patients. Calcified lesions were frequently associated with thin cap fibroatheroma (100%), plaque erosion (20%), or rupture (20%) before the procedure. Thrombus was found in 100% of cases in the OCT immediately after stenting. Maximal calcium area before stenting was strongly correlated with late luminal loss assessed by 9-month follow-up OCT (r= 0.766, P= 0.01). Conclusion Preprocedural OCT assessment on calcified coronary lesion may predict high-risk procedure and late stent outcome. Further studies are warranted to confirm these findings.