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한국을 포함한 각국의 아동학대 전담의료기관 유사 사례 고찰
김명훈,곽영호 대한소아응급의학회 2020 대한소아응급의학회지 Vol.7 No.1
This article reviews the designated health care institution for child abuse in Korea and the compatible systems in other countries. The Korean system is ready to be commenced by a relevant law, which came into effect in July 2019. To find lessons for the designated hospital or professional system, we examined the designated institutions for rape victims, tuberculosis patients, and aftercare for emergency department-based suicide attempters. We also looked at safeguarding system of the United Kingdom, which comprises designated and named professionals, and the National Association of Children’s Hospitals and Related Institutions guidelines and specialist system in the United States. The systems in the United States and the United Kingdom may offer insight to improving the planned designated health care institution for child abuse in Korea. This includes policy issues such as qualification control of professionals, role differentiation in accordance with the hospital classification, and assigning the title of the professional and health care institutions.
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An Introduction to the Septal Extension Graft
김명훈,최정환,김민수,김석권,이근철 대한성형외과학회 2014 Archives of Plastic Surgery Vol.41 No.1
The septal extension graft is a very useful method of controlling nasal lengthening and tipprojection, rotation, and shape by fixing a graft to the septum, which leads to a strong supporting structure. Enhancing graft stability is important for better long-term outcomes and minimizing complications or relapse, and even more efficient application of these methods is needed for East Asians who lack enough cartilage to be harvested in addition to possessing a weak cartilage framework. In this paper, the methods for overcoming the drawbacks of the septal extension graft, such as instability, a fixed tip, and insufficiency of cartilage, are presented, and the applications of each method for greater satisfaction with surgical outcomes are also discussed.
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김명훈,권용석,허정,이근철,김석권 대한성형외과학회 2008 Archives of Plastic Surgery Vol.35 No.2
Purpose: Until now, many kinds of treatment modalities for facial bone fractures have been proposed. Among them, the semi-rigid fixation using miniplates has become the most popular procedure due to its simplicity and good clinical results. However, achieving anatomic reduction of bone fragments with miniplates may be difficult because of inadequate instrumentation for fracture fragment stabilization. We examined the use of inter-maxillary fixation screws or titanium screws tied with stainless steel wire to assist in positioning of fractured segment. Methods: We used this method for reduction in 50 cases of facial bone fractures. Inter-maxillary fixation screws or titanium screws tied with stainless steel wire were used to assist in aligning bony segment. Postoperative radiologic and clinical follow-ups were performed.Results: Radiologic follow-up showed correct reduction and fixation in all cases. Nonnunion and malunion were not shown. Clinical follow-up showed an satisfactory results. Conclusion: By using Inter-maxillary fixation screws tied with stainless steel wire, it was shown that reducing the bony segment to their preinjury position is easy to perform and it enables us to make more accurate reduction, ensure wider visual field.
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효율적인 VOD 서비스를 위한 RVOD와 NVOD간의 전환 프로토콜
김명훈,박호현,Kim, Myoung-Hoon,Park, Ho-Hyun 한국정보처리학회 2008 정보처리학회논문지 A Vol.15 No.4
최근 광대역화 되어가는 네트워크 환경에 발맞춰 VOD의 수요 역시 급증하고 있다. 기존의 VOD 서비스는 RVOD 또는 NVOD 중 한 가지 방식으로만 서비스가 가능하였다. 이렇듯 한 가지 방식으로만 서비스를 하게 되면 시시각각 변화하는 클라이언트의 수요에 대응할 수 없어서 서버에 과부하가 걸리거나, 서버의 대역폭을 낭비하는 결과를 초래하는 등 서버의 네트워크 자원을 효율적으로 사용하지 못하였다. 이에 본 논문에서는 효율적인 VOD 서비스를 위한 프로토콜에 관한 연구를 수행하였다. 기존의 VOD 서비스 알고리듬을 적용할 수 있는 새로운 프로토콜을 제안하고, 시뮬레이션을 통해 성능을 분석하였으며, 새로운 프로토콜을 적용시킨 서버/클라이언트 구조의 시스템을 개발하였다. 본 논문에서는 RVOD/NVOD 통합 모드 전환 프로토콜을 제안한다. 제안된 프로토콜은 RVOD와 NVOD 두 가지 방식 모두를 제어할 수 있고, 두 방식간의 모드 전환을 할 수 있다. 그러므로 본 프로토콜을 사용하여 클라이언트의 수요 변화에 맞춰 모드를 전환한다면 서버의 대역폭을 효율적으로 관리할 수 있다. 특히 기존의 RVOD 및 NVOD 연구 방식들을 적용할 수 있다. 그러므로 본 논문에서 제시한 프로토콜은 앞으로의 VOD 시장에서 활용도가 매우 높을 것으로 기대된다. Recently, as network environment has broadened, the demands on VOD have been increased. The VOD services can be categorized into two types, RVOD and NVOD. Practical VOD services adopt one of them exclusively. Since a method using only one of RVOD and NVOD is not able to deal with frequently variable demand of clients, it leads to a result of overload on a server and a waste of server bandwidth. The efficiency of the network resource usage becomes lower. Hence this paper presents a study on the protocol for efficient VOD services. We propose a new protocol appliable for the existing VOD service algorithm, analyze its performance through simulation, and developed server/client systems applying the new protocol. We propose a mode switching protocol combined with protocols used in RVOD and NVOD. The proposed protocol is not able only to control both RVOD and NVOD but also to change the mode between RVOD and NVOD. As a result of using the proposed protocol to meet frequently variable demand, server bandwidth can be used efficiently. Especially, it can be applied to the existing VOD service algorithms. Therefore, we expect that the proposed protocol in this paper will be widely used in emerging VOD markets.
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김명훈,Kim, Myung-Hoon 대한물리치료과학회 2001 대한물리치료과학회지 Vol.8 No.1
This study was attempted to examine the relationship between job satisfaction and turnover intention of physical therapist in order to suggest some method to enhance their job performance and the degrees of job satisfaction. High turnover intention of physical therapist is one of the serious problems at the present time which providing low quality physical therapy. The data were collected from July 1, to August 31, 2000 and analyzed by ANOVA, Pearson Correlation Coefficients. The summarized result are as follows: 1. The job satisfaction score of physical therapists showed the highest of the pride of patient treatment and total mean score was 2.96. 2. Those who were in the range of 26 to 30 years of age showed the strongest desire to leave the hospital 3. There were 68.8% in male. 47.6% in female who hoped to turnover intention. 4. There were significant difference between those who want to leave and those who want remain in relation patient number, work hospital work years. 5. There were no significant difference between those who want to turnover intention and those who want remain in relation patient number and work years. 6. The major reason for job satisfaction were work time and work areas.
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기록물 폐기평가 제도 개선방안에 관한 연구 - A시청 기록관 폐기평가 사례를 중심으로 -
김명훈 한국기록관리학회 2015 한국기록관리학회지 Vol.15 No.4
Destruction appraisal system improved with the enactment of the 1999 Public Records Management Act has the strategic concepts to prevent loss of important records with prohibiting the destruction in creation organization of records. But destruction appraisal carried out in record center realistically has the big difference with destruction appraisal system intended by Public Records Management Act. Therefore this article intends to explore the importance of destruction appraisal system through a review of the record appraisal system, and investigates operation status of destruction appraisal system in record center and operational issues. And it intends to explore scheme for practical application of destruction appraisal system based on actual cases of destruction appraisal which operates as a model. 1999년 기록관리법의 제정과 함께 정비된 폐기평가 제도는 처리과에서의 폐기를 금지하고 보존기간 책정제도를 보완해 중요기록물의 유실을 방지할 수 있는 전략적 개념을 지니고 있다. 하지만 실제 기록관에서 수행되는 폐기평가의 현실은 기록관리법에서 의도하는 이러한 취지와는 현실적으로 큰 간극을 지닌다. 이에 본고에서는 기록물 평가제도에 대한 검토를 통해 현행 우리나라 폐기평가 제도의 중요성을 살펴본 다음, 현행 폐기평가 제도의 운영현황과 실제 운영상의 문제점을 고찰하였다. 이어 폐기평가 제도를 모범적으로 운영하고 있다고 판단되는 실제 사례를 기반으로 향후 우리나라 폐기평가 제도의 현실적 적용을 위한 방안을 모색하였다.
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