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의료급여 수급자가 인식한 의료급여 사례관리 이용 경험 (Medical Aid Beneficiaries' Experiences of Receiving Medical Aid Case Management)

  • 조정현;송명경;정경인;김삼숙
    • 한국보건간호학회지
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    • 제34권1호
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    • pp.112-124
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    • 2020
  • Purpose: This study aimed to explore the perception of medical aid beneficiaries on their experiences of receiving case management. Methods: Data were collected through in-depth interviews with sixteen medical aid beneficiaries who had been receiving medical aid case management from at least one year ago. The data were analyzed using the NVivo software program for its qualitative content analysis. Results: Three categories emerged from the data: "not perceived but come into my territory", "realized the necessity of changes and begin to take care of my own health", and "satisfied passively with some of my changes." With respect to these categories, eight sub-categories were ultimately identified. Conclusion: It would be effective if both medical aid beneficiaries and case managers can set the case management goals and management plans together at the beginning of case management. It is also needed to develop a comprehensive case management model tailored to the characteristics and needs of the beneficiaries.

Possible Roles of Antarctic Krill Proteases for Skin Regeneration

  • Lee, Sung-Gu;Koh, Hye-Yeon;Lee, Hong-Kum;Yim, Joung-Han
    • Ocean and Polar Research
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    • 제30권4호
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    • pp.467-472
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    • 2008
  • Antarctic krill has a strong proteolytic enzyme system, which comes from a combination of several proteases. This powerful activity can be easily detected by krill's superior post mortem autolysis. Mammalian skin consists of epidermis and dermal connective tissue, and functions as a barrier against threatening environments. A clot in a wound site of the skin should be removed for successful skin regeneration. Epithelial cells secrete proteases to dissolve the clot. In previous studies Antarctic krill proteases were purified and characterized. The proteolytic enzymes from Antarctic krill showed higher activity than mammalian enzymes. It has been suggested that these krill clean up the necrotic skin wound to induce a natural healing ability. The enzymes exhibited additional possibilities for several other biomedical applications, including dental plaque controlling agent and healing agent for corneal alkali burn. Considering that these versatile activities come from a mixture of several enzymes, discovering other proteolytic enzymes could be another feasible way to enhance the activity if they can be used together with krill enzymes. Molecular cloning of the krill proteases should be carried out to study and develop the applications. This review introduces possible roles of the unique Antarctic krill proteases, with basic information and suggestion for the development of an application to skin regeneration.

Prevention in the United States Affordable Care Act

  • Preston, Charles M.;Alexander, Miriam
    • Journal of Preventive Medicine and Public Health
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    • 제43권6호
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    • pp.455-458
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    • 2010
  • The Affordable Care Act (ACA) was signed into law on March 23, 2010 and will fundamentally alter health care in the United States for years to come. The US is currently one of the only industrialized countries without universal health insurance. The new law expands existing public insurance for the poor. It also provides financial credits to low income individuals and some small businesses to purchase health insurance. By government estimates, the law will bring insurance to 30 million people. The law also provides for a significant new investment in prevention and wellness. It appropriates an unprecedented $15 billion in a prevention and public health fund, to be disbursed over 10 years, as well as creates a national prevention council to oversee the government's prevention efforts. This paper discusses 3 major prevention provisions in the legislation: 1) the waiving of cost-sharing for clinical preventive services, 2) new funding for community preventive services, and 3) new funding for workplace wellness programs. The paper examines the scientific evidence behind these provisions as well as provides examples of some model programs. Taken together, these provisions represent a significant advancement for prevention in the US health care system, including a shift towards healthier environments. However, in this turbulent economic and political environment, there is a real threat that much of the law, including the prevention provisions, will not receive adequate funding.

도시 특성화를 위한 가로디자인에 관한 연구 - 보행공간의 오픈스페이스 활성화를 중심으로 - (Focused on Open space activation in a pedestrian precinct)

  • 이재원
    • 디자인학연구
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    • 제16권2호
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    • pp.311-322
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    • 2003
  • 이번 연구에서는 많은 사람들이 모여서 복잡하고 보행이 힘든 번화가의 가로에 넓은 보행공간을 확보하여 보행이 쾌적한 가로로 디자인하는 방법을 연구 하였다. 가로에 그 지역의 특징이 되는 이미지나 지역문화를 부여하고 자연 친화적 인 오픈 스페이스로서의 보행공간화 하는 디자인을 중점적으로 연구하여 쾌적하고 개성적인 가로경관을 형성하려고 하였다. 환경적인 경관측면에서 나타나는 가로경관의 요소인 물리적 인자와 심리적 인자의 상관관계에서 얻어진 결과를 보행공간 디자인의 기본개념으로 설정하였다. 특히 지역의 이미지를 찾아내기 어려운 지역의 가로공간을 어떻게 하면 개성적이면서 보행자를 위한 오픈 스페이스로 디자인할 것인가를 사례지역의 가로경관 요소의 분석과 기존 사례들과의 비교를 통하여 그 방법을 찾고자 하였다.

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Team Management for Better Performance that Sells to Customers: Aligning the Stars

  • Kang, Eungoo;Hwang, Hee-Joong
    • 유통과학연구
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    • 제15권7호
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    • pp.19-24
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    • 2017
  • Purpose - There are several problems that organizations face to make a better team-based system such as free-rider issue, assigned difficult jobs unfairly and bickering between high performers and average performers. The purpose of this study is to provide solutions for practitioners through past academic studies on how organizations can resolve several issues in team management. Ultimately, it would lead to employees as better performers for organization's profitability and customers' satisfaction. Research design, data, and methodology - Solution 1 - put employees who have a similar performance ability together into a same team and apply 'growth' approach for low performance team. Solution 2 - make a new evaluation system which is balanced between individual's performance and team's performance. Solution 3 - monitor thoroughly to diffuse difficult works equally among teams and develop management practice system that may prevent or resolve difficult work-loads for a team or an individual performer. Result - Investigation suggests that organizations may resolve three conflicts which come from team base system. Moreover, the implications of results show that the most important criteria in team management depend on whether performers have a similar ability in the same team and management handles issue of justice and the performance of each employee is evaluated by total team performance evaluation simultaneously. Conclusions - All in all, our recommendation concludes that if three issues are resolved, the lack of trust in team-based system among team members will be missed.

육각형 격자를 사용한 부드러운 경로생성 (Smooth Path Generation using Hexagonal Cell Representation)

  • 정동원
    • 한국항공우주학회지
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    • 제39권12호
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    • pp.1124-1132
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    • 2011
  • 본 논문에서는 2차원 공간에서 기동하는 고정익 무인항공기의 장애물 회피를 위한 부드러운 경로궤적을 생성하는 문제를 다룬다. 2차원 장애물맵의 이산화 모델링을 위해 육각형 격자를 채택하였고, 이는 사각형 격자에 비해 연결성이 높아 부드러운 경로궤적 생성이 가능하도록 하였다. 특히 본 논문에서 제안된 경로템플릿 기법은 일정거리 단위로 조합 가능한 대표경로들(경로템플릿)을 사용하여 무인항공기의 기준경로를 생성하는 방법이고, 온라인 경로궤적 생성에서 계산량을 줄여 메모리 및 연산리소스가 제한되는 소형 오토파일럿에서도 적용이 가능하다는 장점이 있다.

실업계 고교와 전문대학간 컴퓨터 교과 관련 연계교육의 운영실태 및 개선방안에 관한 교원들의 인식 연구 (A Study on Teachers' Recognition of the Current Status between the Computer Curriculum of Vocational High Schools and Junior Colleges and Its Improvement)

  • 윤여훈;김창석
    • 컴퓨터교육학회논문지
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    • 제5권4호
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    • pp.9-17
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    • 2002
  • 컴퓨터 산업과 IT산업의 눈부신 발전으로 컴퓨터 관련 교육은 숙련된 인력을 양성하기 위하여 교육의 체제와 방법의 변화가 절실히 필요하게 되었다. 직업교육 훈련 촉진법 및 고등교육법 시행령의 법적 지원과 '신교육 체제의 수립을 위한 교육 개혁 방안(II)' 발표로 실업계 고등학교와 전문대학간 교과 과정을 상호 연계하여 운영되고 있다. 그러나 실업계 고등학교와 전문대학간 컴퓨터 교과 관련 연계교육을 성공적으로 운영되기 위한 연구는 미흡한 실정이다. 이에 본 연구는 실업계 고교와 전문대학간 컴퓨터 교과와 관련하여 조사 연구결과 연계교육의 개선방안을 제안한다.

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동의보감(東醫寶鑑)에 나타난 습사(濕邪)의 특징 증상에 대한 고찰(考察) (Study for the characteristic symptoms of Dampness in Donguibogam(東醫寶鑑))

  • 정현종
    • 대한한의진단학회지
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    • 제17권2호
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    • pp.90-111
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    • 2013
  • Objectives Migratory pathogenic factor(六淫) occupies an important position in the etiology of Korean Medicine. This paper shows how Dampness, one of Migratory pathogenic factor(六淫), is explained in Donguibogam(東醫寶鑑). And, based on this, we will figure out how to make a judgement of Dampness through diagnosis. Method 1. Collect parts of Dampness mentioned in Donguibogam(東醫寶鑑). 2. From the collection, extract contents about mechanism and symptom of Dampness, which is considered necessary for diagnosis. 3. Put all the extraction together, suggest the diagnosis element which can be criteria of judgement of Dampness through diagnosis. Result & Conclusions The occurrence of Dampness come from a wet climate and environment externally, and overeating of greasy food and digestive disorder internally. There are many different kinds of symptoms throughout the body cause of poor circulation. Dampness is classed as Cold-dampness, Damp-heat, and Dampness-phlegm depending on characteristic symptoms, and mainly shows musculoskeletal disease and digestive troubles. Typical symptoms are pitting edema, distention and fullness, moderate and thready pulse, volume of perspiration increase, loose feces, urine volume decrease, pain of joint and muscle, restriction of movement, etc.

스마트 카드에 적용 가능한 비밀분산법을 이용한 키 관리 시스템 (The Key Management System using the Secret Sharing Scheme Applicable to Smart Card)

  • 손영설;이동훈
    • 정보처리학회논문지C
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    • 제11C권5호
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    • pp.585-594
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    • 2004
  • 다수의 사업자간에 공동키를 기반으로 서비스를 제공할 경우, 이에 사용되는 마스터키를 참여 사업자간에 적절하게 분배하여 관리할 필요가 있다. 본 논문에서는 하나의 비밀(secret)을 다수의 참가자에게 분배한 후, 비밀정보를 복원 필요시 참가자 전원 또는 참가자 집단 내에서의 특정 허가된 참가자만이 비밀을 복원할 수 있는 비밀분산법을 이용하여 마스터 키(master key)를 효율적이고 안전하게 관리할 수 있는 비밀분산 시스템을 제안한다. 제안한 시스템은 비밀정보의 안전한 저장과 참가자의 신원 인증을 위해 스마트카드(smart card) 매체를 이용하며, (t, t)과 (k, n)-임계치 비밀분산법을 조합하여 참가자의 소속 그룹(group) 또는 그룹 내에서의 보안권한(security level)에 따라 비밀정보를 분산 및 복원을 가능하도록 한다.

The Structural Relationship among CSV, Club Identification, Club Emotion, Club Loyalty for Professional Volleyball Club

  • Jung, Sang-Ok;Kim, Seyun;Son, WonHo
    • International journal of advanced smart convergence
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    • 제9권2호
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    • pp.195-202
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    • 2020
  • The ultimate goal of CSV activities is to increase consumer loyalty to the company, brand or organization concerned. Thus, for a professional sports club, CSV activities will ultimately aim to enhance the loyalty of spectators who are consumers of the club. Subjects of this study are the spectators of professional volleyball. We distributed 300 survey to people who were aware of the club's CSV activities among the home spectators of Hyundai Capital SkyWalkers. Data processing was performed using SPSS 23 and AMOS 18 for the analysis of confirmed factors, correlation analysis, reliability analysis, and structural equation model analysis. From these results, we were able to come up with the social problem resolution and long-term orientation among the CSV activities of professional volleyball clubs which affect the club identification. And the identification formed within the spectators of the clubs through CSV affects the club loyalty directly or through the medium of club emotion. Professional volleyball clubs need to identify the problems the community has in planning and proceeding with CSV activities and seek strategies to address them together, and approach them from a long-term oriented perspective.