• Title/Summary/Keyword: 자문 반영

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The Rate of Diagnostic Agreement and Concordance Ratings on Psychiatric Recommendation in Consulted Delirious Cases (자문의뢰된 섬망환자에 대한 진단 일치율과 정신과 의견의 반영도)

  • Oh, Eung-Seok;Nam, Jung-Hyun;Kim, Seok-Hyeon;Park, Yong-Chon;Kim, Sung-Mok
    • Korean Journal of Psychosomatic Medicine
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    • v.9 no.2
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    • pp.174-181
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    • 2001
  • Objectives : The author investigated the rate of diagnostic agreement between consultants and consultees and concordance ratings on the consultees' recommendation to examine the interactive collaborativeness and find the factors that influence the reflectiveness on treatment. Methods : The subjects were 54 patients with delirium selected from 583 cases referred from other departments who were admitted to Hanyang University Kuri Hospital from July 1, 1995 to Dec. 31, 1997. The information on demographic data, diagnostic impression, symptoms, management before consultation, psychiatric recommendation, management after consultation, diagnoses at the referring departments and the psychiatric department on delirium was obtained by medical records and consultation papers retrospectively. The reflectiveness of the psychiatric recommendation was divided into complete concordance, partial concordance, and nonconcordance and among them the complete and partial concordance were considered for concordance. The reflectiveness was compared among all the departments and between medical unit and surgery unit. Results: The rate of diagnostic agreement on the cause of delirium was highest(85.7%) in organic brain syndrome and lowest in general medical condition(0%). There was no statistically significant differences between medical unit and surgery unit. Neither differences were there among all the departments. In comparing symptoms affecting the reflectiveness, it was 73.5% in impulsive and aggressive behavioral changes, whereas 40.0% in behavioral changes. Reflectiveness of psychiatric recommendation showed higher scores in the case of behavioral changes. The cases of sleep problem showed higher scores of reflectiveness. When these two symptoms of behavioral change and sleep problem were compared as one factor, the results suggested that there were significant differences. The cases with both two symptoms showed 80% in reflectiveness, and the cases with only one symptom or no symptoms showed 44.8% in reflectiveness. There were no statistical significances between concordance ratings and symptoms such as disturbance of consciousness, disorientation, and hallucination that cannot be easily evaluated at the referring departments. Conclusions : The rate of diagnostic agreement on the cause of delirium was highest in the case of organic brain syndrome in which lesions can be easily recognized. The factors that influence the reflectiveness of psychiatric recommendation were behavior changes and sleep disorders in the symptoms of evaluated cases.

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PSYCHIATRIC CONSULTATION IN A CHILDREN'S HOSPITAL (소아병원에서의 정신과 자문)

  • Lee, Young-Sik;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.1 no.1
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    • pp.108-116
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    • 1990
  • Child Psychiatric consultations on 92 patients hospitalized at the Seoul National Childrens Hospistal were analyzed retrospectively. The main referral sources were Pedictrics(77.2%), Neurosurgery(8.91%) and Orthopedics(3.96%) Consultation rate was 0.81% for the Hospital, 1.41% for Department of Pediatrics, 3.54% for Neurosurgery and 0.3% for the other department were made for the differential diagnosis raher than for the treatment or intervention. The diagnosis of referred patients were somatoform disorder(25%), organic mental disorder(18.5%), developmental disorder(14.1), conduct disorder(6.5%), anxiety disorder(6.5%).

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Significant Variables Affecting Follow-up after Psychiatric Consultation in General Medical Units (정신과 자문이 의뢰된 내과 환자들의 추적치료 결정요인)

  • Lee, Sang-Kyu;Kim, Do-Hoon;Son, Bong-Ki
    • Korean Journal of Psychosomatic Medicine
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    • v.6 no.2
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    • pp.176-187
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    • 1998
  • This study was performed to identify the significant variables affecting Follow-up after psychiatric consultation in General medical units and the trends of psychiatric consultation at the Hallym University hospital in Chunchon. Subjects of this study were 107 patients from April 1, 1998 to August 31, 1998, who were referred for psychiatric consultation during hospitalization. The results were as follows ; 1) Referral rate of General medical units was 7.5% and ordered Gastroenterology, Cardiology, nephrology, Other part. 2) The rate of total follow-up was 58% and the rate of No-follow-up was 42%. 3) In the cases of referral timing over admission 8th days, the days hospitalized after consultation performed were lengthened, significantly. 4) Common reasons for no follow-up of consultation were 'early- discharge' and 'patient's unwillingness to psychiatric reconsult. 5) Significant variables affecting follow-up were 'treatment recommendation', 'concordance with psychiatric drug recommendation', 'concordance with laboratory recommendation', 'total days hospitalized', 'Days hospitalization after consult was performed' and 'referral reason'.

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A Basic Study for Establishing Standards for Special School Facilities -Focusing on Case Studies and Advice- (특수학교 시설기준 수립을 위한 기초연구 -사례조사 및 자문을 중심으로-)

  • Meang, Joon-Ho;Kim, Sung-Joong;Song, Byung-Joon;Kim, Jae-Young
    • The Journal of Sustainable Design and Educational Environment Research
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    • v.20 no.2
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    • pp.11-21
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    • 2021
  • In order to create future-oriented special school facilities with a high-quality educational environment in response to various changes and demands of the times, it is necessary to break away from the existing uniform and formal framework to find appropriate special school space. This study was a basic research to construct an active detailed model of new and creative educational space that reflects the changes of future society and educational direction. In this study, we proposed a criteria based on case studies and expert advice, deviating away from the limitations and problems that existing special schools' educational space had. The direction of plan was presented based on the compilation of expert consultation and analysis of best practice facility survey across the nation. Based on the results of this study, it is intended to maximize the effectiveness of educational policies in the long term by preparing a specific facility model for the establishment of special school planning standards.

Study on Economic and Financial Education for the North Koreans after Unification: from the Perspective of Behavioral Economics (통일 후 북한 주민 대상 경제금융 교육에 관한 연구: 행태경제학 관점을 중심으로)

  • Son, Jeong-Kook;Kim, Young-Min
    • The Journal of the Convergence on Culture Technology
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    • v.7 no.2
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    • pp.239-246
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    • 2021
  • Unification means the change of the economic system from 'Planned Economy' of the North Korea to 'Market Economy' of the South Korea. Therefore, it may cause confusions and difficulties for North Koreans who have been under planned economy for ages. So, we need to take the perspective of behavioral economics for the effective education. First of all, it is about overall finance, which contains the record of financial transactions, effect of inflation, investors' bounded rationality, and choice difficulty of financial products. Second, it is about borrowings, which includes the credit management, interest rate of difference among financial institutions. Third, it is about investment on financial products, which includes the effect of cost on returns, difference between compound interest and simple interest, trade-off between expected return and risk, market and non-market risks, the importance of diversification, and passive & aggressive investments.

The Effect of Teacher Support Program for the Integration of Handicapped Children on Teaching Efficacy of Daycare Center Teachers (장애 유아 통합보육을 위한 교사 지원이 어린이집 교사의 교사 효능감에 미치는 영향)

  • Park, Na Ri
    • Korean Journal of Child Education & Care
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    • v.18 no.4
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    • pp.247-265
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    • 2018
  • Objective: The purpose of this study was to investigate the effect of teacher support program for integration of handicapped children on teaching efficacy of daycare center teachers. Methods: In the study, 12 day care teachers in 4 day care centers in Seoul and Gyeonggi area were selected as experimental groups and 12 teachers in 5 day care centers were selected as control group. Teacher education is carried out through group education, such as understanding of developmental area, curriculum modification, activity-based embedded intervention, cooperative learning, direct teaching, disability understanding education, behavior support, family support. Individual teacher education provided counseling on the reality of child care for children with disabilities that reflects the needs of teachers for integrated child care for handicapped children. Teacher's Efficacy in Inclusive Practices (TEIP) was used as a pre post test to measure teacher's efficacy change. In order to analyze the results of the study, two independent sample t tests were conducted on the difference between pre-post test of teacher efficacy between the two groups. Results: As a result, There was a significant difference in the pre-post change of teacher efficacy between the two groups. Conclusion/Implications: The results of this study are as follows, teacher support program provided immediate feedback in integrated child daycare center for the handicapped children, child care teachers improved their integrated handicapped children care expertise, provided responsive teacher support program to the actual needs of the site, teacher support program reflected various variables related to integration, and emphasized the cooperative relationship between researcher and child daycare center teacher. The results of this study can be used as actual data of field where lack of support for the integration of handicapped children is lacking.

The Comparative Study on Contemporary Cultural Facilities in the City Environment (도시 환경과 디자인 계획으로 본 현대 문화시설 비교 연구)

  • 김선영
    • Archives of design research
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    • v.16 no.4
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    • pp.323-334
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    • 2003
  • This study examines the multi-functionality of the cultural facilities and explores the architectural characteristics of cultural facilities in city environment. For this purpose, 1 examine the major cultural facilities in USA and Singapore. Recently, the inter-cultural communication methods have been diversified and the cultural facilities need to be designed to effectively accommodate the public's interests in these activities. It is also necessary to reexamine cultural facilities' functions in terms of how the multi-functionality facilities reflect the surrounding environment. This study also sheds a new light on the meaning of the relationships between cultural activity, and the cultural facility design. For this, I primarily look at the various design categories of cultural buildings and their main functions. Finally, I demonstrate how both cultural activity and cultural facility design elements are embodied in the city environment.

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Diversification of Urban Regeneration Projects by Regional Characteristics (지역별 특성을 반영한 도시재생사업 다각화 방안)

  • Cho, Seung-Yeoun;Chun, Ji-Young
    • Land and Housing Review
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    • v.2 no.2
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    • pp.137-143
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    • 2011
  • This study focused on urban regeneration projects to diversify projects methods. Since the enactment of legal redevelopment projects, they were concentrated on improving the physical environment and supplying housings. In this article, 12 cities' urban regeneration policies and projects will be examined to point out the characteristics of each regions via documentary studies and interview investigations. They could be divided into 3 groups by population and region. Finally, this article is intended to propose diversified regeneration methods depending on the regions and to address implications on the regeneration policies.

Development of a Curriculum of Department of AI Operation based on Industrial Demands -Focusing on the Case of C University (산업체 수요를 반영한 AI 운영학과 교육과정 개발 -C 대학 사례를 중심으로)

  • Park, Jong jin
    • The Journal of the Convergence on Culture Technology
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    • v.8 no.6
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    • pp.795-799
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    • 2022
  • In recent years, with the rapid development of artificial intelligence technology and an explosion of interest in it, education on artificial intelligence is spreading to various fields. As a result, many universities are establishing artificial intelligence-related departments or expanding their quota. In line with this trend, University C has newly established the AI operation department in line with the industrial base in the region. In this paper, a curriculum was developed for the newly established AI operation department, and this curriculum was designed and developed focusing on subjects reflecting the demands of industries based on AIOps (Artificial intelligence for IT Operations). To this end, a consultative body was formed with industry experts, and opinions were collected through a survey.

제주 강정항 선박조종시뮬레이션 고찰 및 수행 방안

  • Lee, Yun-Seok;Park, Yeong-Su;Yun, Gwi-Ho;Kim, Jong-Seong
    • Proceedings of the Korean Institute of Navigation and Port Research Conference
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    • 2012.06a
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    • pp.299-301
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    • 2012
  • 제주 강정항은 우리나라 남방해역의 보호라는 안보적인 측면과 대형 크루즈선 유치를 통한 관광산업의 활성화를 위해 해군기지와 민항의 기능을 가진 민 군복항으로 건설되고 있다. 본 연구에서는 제주 강정항 계류시설의 대상선박인 15만톤급 초대형 크루즈선의 입 출항 및 통항 안전성 판별을 위해 실시하는 선박조종시뮬레이션의 일반 수행 절차와 선행 연구 등을 분석한다. 이는 선행 연구에서 제기된 주요 쟁점사항들을 명확하게 분석함으로써 객관적이고 신뢰성 높은 선박조종시뮬레이션 연구를 수행하고자 하는 것으로, 주요 검토 사항은 수역시설인 선회장과 진입항로의 교각, 크루즈선의 풍압면적과 적용 풍속 등을 면밀하게 고찰하여 시뮬레이션에 반영하고자 함이다. 또한 제주 강정한 건설은 사회적 관심이 매우 큰 국책사업임을 감안하여 선박조종시뮬레이션 분석 및 평가 등에 해상교통안전 및 선박운용 분야의 전문가그룹을 자문위원으로 구성했고, 연구 결과의 타당성 확보를 위해 해상교통안전진단제도에 명시된 선박조종시뮬레이션 표준절차와 평가 방법 등을 적용하였다.

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