• Title/Summary/Keyword: 설명 후 동의

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Effect of Balance Ability and Walking in the Elderly by Taekwon-do Program (태권도 프로그램이 노인의 체중심 동요와 보행에 미치는 영향)

  • Kim, Jun-Hyun;Park, Sung-Jin
    • Journal of the Korean Society of Physical Medicine
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    • v.7 no.3
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    • pp.379-385
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    • 2012
  • 연구목적 : 본 연구의 목적은 태권도 프로그램이 노인의 균형능력에 어떠한 영향을 미치는지에 대해 알아보는 것이다. 연구방법 : 대상자는 본 연구에 대해 설명을 들은 후 자원한자로서 65세 이상의 노인이었다. 실험군은 태권도 프로그램 그룹으로서 17명이었다. 태권도 프로그램을 주3회씩 6주간 시행하였고 모든 대상자의 균형능력을 평가하기 위하여 BPM, GAITrite, Berg 균형척도를 실험전후로 평가하여 자료를 수집하였다. 수집된 자료는 SPSS 14.0으로 대응표본 t-test를 사용하여 유의수준 ${\alpha}$=.05에서 통계 처리 하였다. 연구결과 : 태권도 프로그램을 시행한 결과 프로그램 실행 전에 비해 오른쪽 활보폭, 왼쪽 보폭, 왼쪽 활보폭, 버그 균형척도에서 통계적으로 유의한 증가를 나타내었다. 그리고 최대 동요속도, 동요거리, 오른쪽 기저 지지면, 오른쪽 양하지 지지기, 왼쪽 기저지지면, 왼쪽 양하지 지지기에서 통계적으로 유의한 감소가 있었다. 결론 : 태권도 프로그램을 시행한 결과 오른쪽 활보폭, 왼쪽 보폭, 왼쪽 활보폭, 버그 균형척도에서 유의한 증가와 최대 동요속도, 동요거리, 오른쪽 기저 지지면, 오른쪽 양하지 지지기, 왼쪽 기저지지면, 왼쪽 양하지 지지기에서 유의한 감소는 균형 제어에 긍정적인 영향을 미칠 것으로 판단된다. 따라서 이러한 균형 제어 능력의 향상은 노인의 보행에 있어서의 낙상 예방에 효과적일 것으로 사료된다.

Criminal Investigators' Recognition of Judicial Autopsy and It's Implications - With the Case of P Police Station - (사법부검에 대한 수사경찰의 인식분석 및 함의 - P 경찰서의 사례를 중심으로 -)

  • Park, Dong-Kyun;Choi, Mu-Chan
    • The Journal of the Korea Contents Association
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    • v.8 no.12
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    • pp.256-263
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    • 2008
  • Based on the analysis of criminal investigators' recognition of judicial autopsy, this study presented policy alternatives as follows. First, a procedure is needed that optometrists and investigators jointly make previous explanations to bereaved families the status of investigation and the results of examination to their satisfaction and collect their opinions, for the purpose of obtaining an agreement to autopsy from them. Second, the dignity of the dead should be kept. To this end, particular consideration should be given to women bodies. Also, we need to minimize the number of autopsy witnesses and obtain agreement from bereaved families when there is an on-the-spot study. Third, we need to establish a guideline that investigators could request a warrant later in certain cases of dead bodies. Also, if a bereaved family positively asks for autopsy, it should be allowed through tentatively named ‘Request for Autopsy.’ Finally, To make a careful decision on whether an autopsy should be made or not, we can form a joint investigation team of public prosecutors and criminal investigators; however, an autopsy should be done only if it is deemed inevitable, considering the bereaved family's opinion.

The Effect of Other Behaviors and Lecture Satisfaction on Lecture Flow in Online Classes of Nursing Students' (간호대학생의 온라인 수업에서 딴짓과 강의만족도가 수업몰입에 미치는 영향)

  • Hyun-hee Ma;Hwa-Young Kim;Eun-Su Lee
    • The Journal of the Convergence on Culture Technology
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    • v.9 no.3
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    • pp.471-480
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    • 2023
  • The purpose of this study is to confirm the effect of recording online classes and real-time video classes on other behaviors, lecture satisfaction, and lecture flow in during the COVID-19 period. Data were collected and analysis using a structured questionnaire from May 20th to June 4th in 2021 for 550 nursing students in the D University. As a result of the study, it was found that there were more others behaviors in record online classes than in real-time online classes (t=-2.00, p=.046), lecture satisfaction(t=-1.54, p=.124) and lecture flow in real-time online classes it was higher in the record online classes (t=-.63, p=.529), but it was not statistically significant. However, the 2nd year students who participated in the two types of online classes showed statistically significantly higher lecture satisfaction (t=13.55, p=.000) and lecture flow(t=4.48, p=.004). And 4 th grade students of others behaviors was statistically significantly lower (t=4.68, p=.003). In the multiple regression analysis, the main factor affecting lecture flow was lecture satisfaction, and the explanatory power of the model was 55.1% in record online classes (F=128.49, p <.01), and in real-time classes 47.2%(F=77.24, p<.01). In the future, research should be conducted to confirm the difference between the two types of online classes of the same instructor and the difference in other things, lecture satisfaction, and class commitment that appear after applying learner-centered learning.

Dynamic Analysis of Steel Jackets under Wave and Earthquake Loadings I : Linear and Non-linear F. E. Formulation (파랑 및 지진하중을 받는 스틸자켓의 동적해석 I : 선형 및 비선형 유한요소 정식화)

  • 김문영;백인열;고진석
    • Journal of the Earthquake Engineering Society of Korea
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    • v.5 no.5
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    • pp.1-11
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    • 2001
  • The purpose of this study is to develop the main program and pre/post processor for the geometric and plastic non-linear analysis of steel jacket structures subjected to wave and earthquake loadings. In this paper, steel jackets are modelled using geometric non-linear space frames and wave loadings re evaluated based on Morrison equation using the linear Airy theory and the fifth Stokes theory. Random wave is generated using JONSWAP spectrum. For earthquake analysis, dynamic analysis is performed using artificial earthquake time history. Also the plastic hinge method is presented for limit analysis of steel jacket. In the companion paper, the pre/post processor is developed and the numerical examples are presented for linear and non-linear dynamic analysis of steel jackets.

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Related Quality Evaluation a Study on the Analysis of Hospital Selection Motive (일개 병원 의료서비스 품질평가와 전원동기 분석연구)

  • Park, Hyoo-Soon;Lee, Moo-Sik;Na, Bak-Ju;Hong, Jee-Young;Jang, Min-Young
    • Proceedings of the KAIS Fall Conference
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    • 2010.05b
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    • pp.743-748
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    • 2010
  • 본 연구는 환자의 의료기관 선택기준에 관한 조사를 실시하는데 있다. 외래, 중 병원에서 검사한 사항을 CD로 담아 타 병원 진료 후 현 병원에 내원한 대상자와 본 병원에서 진료 후 CD를 가지고 타 병원으로 전원 하는 환자 및 보호자를 대상으로 2009년 10월 5일부터 10월 26일까지 본 연구에 동의하는 대상자 302명을 대상으로 하였다. 내원 전원 환자의 물리적 특성에서 주차시설, 주위시설, 의료진 서비스 품질에서는 간호사 친절도, 전문성, 설명, 의료 서비스 품질 특성에서는 의료기기 최신설비, 병원 평판에서는 의료인력 의술, 주위 환경, 병원 외적 요인에서는 진료의 권유 항목이 유의하였다(p<0.05). 내원 시 병원 선택 변수 평균치 검정 결과 중 성별에서는 만족도, 연령별에서는 의료진 서비스품질, 거주지에서는 병원외적요인, 병원지역에서는 병원평판, 만족도, 진료기관에서는 병원평판, 만족도, 진료구분에서는 만족도에서 유의하였다(p<0.05). 전원 시 병원 선택 변수 평균치 검정결과 중 연령별에서는 의료진 서비스 품질, 거주지에서는 병원외적요인, 병원지역에서는 병원평판, 만족도, 진료기관에서는 병원평판, 만족도, 진료 구분에서는 만족도가 유의하였다(p<0.05). 본 연구에서는 내원 전원 환자는 물리적 환경, 의료서비스 품질, 병원 평판 등 을 병원 선택에 중요한 요인들로 지각 하고 있으며 간호사와 주위 사람들의 권유에 의하여 병원을 선택한다고 나타났다. 내원 환자는 의료진 서비스 품질, 병원 평판, 만족도에서 평균치가 높게 나타났다. 전원 환자는 물리적 환경, 의료진 서비스품질, 의료 서비스 품질, 병원 평판, 만족도에서 평균치가 높게 나타났다. 자료 분석은 SPSS 12.0 Window Program을 이용하였다.

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Study on Types and Counterplans of Medical Accident Experienced by Dentists in Seoul(2004) (서울특별시 개원 치과의사의 의료사고 및 분쟁의 유형과 대책에 관한 연구(2004년))

  • Yoon, Jeong-Ah;Kang, Jin-Kyu;Ahn, Hyoung-Joon;Choi, Jong-Hoon;Kim, Chong-Youl
    • Journal of Oral Medicine and Pain
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    • v.30 no.2
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    • pp.163-199
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    • 2005
  • Dentistry had been considered to be a relatively safe zone from the risk of medical accidents for there are less number of emergency cases. However, in these days, the number of medical dispute is increasing that the dentists would not be able to overlook it as if it is none of their matters. Hence, researches on various medical accidents and analyses on related matters to seek proper management have been carried out recently, but the datas are not enough yet. This study analysed the actual conditions of medical accidents as well as disputes and the general awareness of dental practitioners in local clinics with the purpose of understanding the general situation and to suggest counterplan. The study was conducted by analysing 1,882 questionnaires collected from total of 3,684 dentists belonging to Seoul Dental Association and where Doctors and Hospitals Medical Malpractice Insurance for dentists is administered. The results were as follows: 1. 98.47% of the respondents doubted the risk of medical accident and dispute. 2. 27.42% of the respondents experienced medical dispute, and there was no significant difference between the rate of medical disputes and the resident training. 3. Among the cases of medical accidents, those related to the periodontal/operative treatment showed the highest rate of 20.50%, and that related to implant treatment was 6.17%. 4. 43.02% of the respondents explained about the treatment procedure before the treatment while 25.90% started the treatment without consent of the patients. 5. Medical dispute resulted from not having any explanation or consent of the patients were of 16.55%. 10.26% had difficulties in solving the problem for missing the medical records. 6. 49.73% responded to be capable of administering first aid treatment. Among them, 23.60% were equipped with accurate knowledge regarding the emergency care. 7. During medical dispute, 88.09% sought counsel from other dentists, and Local district dental association was found to be the most frequently asked group. 8. In cases of medical dispute, 5.26% of the respondents were asked to submit relevant data from customer protection organization, and among them, 75.61% acceded the demand sincerely. 9. After the settlement of the dispute, 83.63% recovered relatively stable state of mind. 10. 99.46% of the respondents felt the necessity of medical dispute management organization, and 78.58% responded that it was urgent. 11. 66.70% of the respondents joined Doctors and Hospitals Medical Malpractice Insurance, although they had not experienced medical dispute. However, 73.36% of the respondent were not aware of it, and 93.36% of the members were not aware of the procedure of the dispute settlement. 12. 79.0% of the respondents who joined the Doctors and Hospitals Medical Malpractice Insurance still felt confused when medical dispute occured, but relatively safer than before. 13. When medical dispute was settled through Doctors and Hospitals Medical Malpractice Insurance, 71.92% of the dentists were contented more than moderately, however, 35.16% of the patients were contented. 14. For complement of Doctors and Hospitals Medical Malpractice Insurance, 53.22% of the respondents felt that insurance company, dentist, and patient should all participate in bringing mutual agreement for quick settlement of the dispute. In addition, 29.08% of the respondents wanted insurance company to prevent patients from disturbing their practices. From the above results, improvement of the general awareness on increasing rate of medical disputes, and education as well as complementary measures for settlement of the disputes are required.

A Survey on Malpractice Accidents and Disputes Concerned with Dental Hygienists in the Seoul and Gyeonggi Province (서울·경기 지역 치과위생사의 의료사고 및 분쟁에 대한 태도 조사)

  • Kim, Bit-Na
    • Journal of dental hygiene science
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    • v.8 no.1
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    • pp.13-20
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    • 2008
  • The purpose of this study was to find out experiences of dental hygienists working on dental care sites, to prevent potential malpractice accidents and disputes, and to examine why it is necessary to provide corresponding education or training courses. As a result, this study came to the following conclusions: 1. It was found that 32.5% had ever experienced in malpractice suits or disputes, and 55.0% of such experienced group had ever experienced in malpractice suits or disputes concerned with dental hygienists. 2. According to inquiry on whether dental hygienists have certain liability for malpractice disputes, it was found that 66.3% respondents ascribed the medical liability to dental hygienists. And according to inquiry for those respondents on liability ratio, it was found that 57.1% of them thought 11%~30% as appropriate liability ratio. 3. According to survey on extent of doubts about potential malpractice accidents and disputes in future, it was found that 72.4% respondents sometimes had doubts about them. 4. It was found that 64.2% respondents thought it necessary and urgent to provide education related to prevention and countermeasures for malpractice disputes.

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Pre-service Elementary School Teachers' Understanding of the 'Fog' Generation Experiment Presented in the 2009 and 2015 Revision Elementary Science Textbooks (2009 개정 및 2015 개정 초등 과학교과서에 제시된 안개 발생 실험에 대한 초등 예비교사의 이해)

  • Chung, Jung-In
    • Journal of the Korean Society of Earth Science Education
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    • v.14 no.3
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    • pp.257-266
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    • 2021
  • This study investigated the understanding of pre-service teachers in relation to the 'fog experiment' in the 5th grade 'Weather and Our Daily Life' unit of the 2009 and 2015 revised elementary school science textbooks. Pre-service teachers who participated in this study were 100 students, who are attending the university of education and taking courses in teaching research. After pre-learning about the 2009 and 2015 revised elementary school science textbooks and guide book, pre-service teachers conducted the experiment in groups. After that, the pre-service teachers individually presented answers to three questions, and the results of analyzing the answers are as follows. First, there were 24 (24%) preservice teachers who explained the difference in fog generation in the 2009 and 2015 revised curriculum with related scientific concepts such as condensation and water vapor, and only 1 (1%) of them explained the difference using the concept of saturation. Second, there were 48 (48%) pre-service teachers who found out the reason for the change in the fog experiment method according to the change in the curriculum. Third, pre-service teachers valued the reproduction and success of experiments rather than the importance of scientific knowledge, and such pre-service teachers suggested the use of alternative experiments or website.

A Case Study of Configuration Strategy and Context in Everyday Artifacts - Concentrated on analysis by Creativity Template Theory and Artifact Context Model - (일상 디자인산물의 구성배치 전략과 맥락에 관한 연구 - 창조성템플릿이론과 산물맥락모델을 이용한 분석을 중심으로 -)

  • Jin Sun-Tai
    • Archives of design research
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    • v.19 no.4 s.66
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    • pp.41-50
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    • 2006
  • It is generally regarded a design system in post-industrial society, which products designed by in-house designers or design consultancy are manufactured in factory and distributed in market for the consumer. Although it is treated an old design system in traditional society, the traces of vernacular design has been remaining in the state of adopted to the periodical needs in these days, also proving the attribute of design culture to constitute human's material environment as well as existing design systems. There were discovered various design artifacts in daily surroundings vary from the established design in several manners, user modifications or manufactures in everyday lives formalized them. It was approached a case study that analyze the changes of artifact configuration and designer/user context and creation process of the non-professional design artifacts, Creativity Template Theory and ACM(Artifact Context Model) have been utilized for the analysis model. From the analysis result, It assume that the everyday artifacts may be ordinary but extra-ordinary including particular ideas and identity represented by everyday designers or users. Beside these characteristics induce the potentiality that reflect on creative motives for the designers or a complementary artifact generator filling up with drawbacks in established design system. The everyday design domain, various explorations and alternatives are made, is seems to be another design practice domain dissimilar to the one in the industry-based design. Moreover it provides an more easily accessability for the approaching user-friendly design, user customization because they conduct the reliable modeling of consumer and end-user. Finally, based on the exploratory study regarding interpretation of context and configuration in the everyday artifacts, new approach for the design process and design education through more detailed cognitive modeling of everyday designers will be a further study.

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Factors Influencing Objective Emergency Nursing Performance of Nursing Students on Simulation Practice (시뮬레이션 실습에서 간호학생의 객관적 응급간호 임상수행능력에 영향 미치는 요인)

  • Choi, Eun Hee
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.21 no.3
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    • pp.296-303
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    • 2020
  • This study examined the factors affecting the emergency nursing performance of nursing students during a simulation. The variables related to the simulation were the objective and subjective emergency nursing performance, critical thinking, program outcome, simulation satisfaction, simulation confidence, and simulation immersion. The participants were 92 senior students who provided informed consent with an explanation about attending the study. The general characteristics and simulation-related data were obtained from the students before and after the simulation. An assessor evaluated the objective emergency nursing performance during the simulation and program outcome through a report reviewed after the simulation. Data analysis was performed using the number, percentage, mean, standard deviation, X2-test, one-way ANOVA, Pearson correlation, and progressive regression through the SPSS/WIN 22.0 program. Emergency nursing performance by the assessor was negatively associated with the satisfaction of clinical practice (r=-.31, p=.005) and positively related to the subjective clinical performance (r=.23, p=.036). The affecting rate was just 12%, which was low for explaining the objective emergency nursing performance during the simulation. Further studies will be needed to explore other factors affecting the emergency nursing performance.