• 한국의료질향상학회지
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• 제5권1호
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• pp.152-165
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• 1998

Background : In this paper patient outcomes research is going to be reviewed and described, to be compared with relevant studies, and to consider the application in Korea. Methods : We compiled and reviewed the articles and materials related to patient outcomes research especially by PORT(Patient Outcomes Research Team) and rearranged them for seeking the main point and comparing with relevant studies. Results : Patient outcomes research emphasizes patient outcomes as well as conventional clinical outcomes. It is prospective study observing effectiveness in real situation instead of efficacy in ideal condition. Patient outcomes research comprises of 6 fields ; literature review and meta-analysis, use of claims data, decision modeling, outcomes assessment, cost of care, dissemination of research findings. SAA(small-area variations analysis), appropriateness study and clinical practice guideline are connected with patient outcomes research. Conclusion : In view of the fact that current medical policy in Korea is shifting its focus from accessibility to the improvement in quality and cost containment, and is stressing patient-based research, patient outcomes research is one direction for which the medicine is accountable and assessable. Considering that the number of patient receiving medical treatment in Korea is higher than the West, patient outcomes research has competitive power as against the West.

• 한국도서관정보학회지
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• 제50권2호
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• pp.169-189
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• 2019

이 연구는 학교도서관 운영평가 지표의 우선순위를 도출하여 현장성이 반영된 평가지표의 개선방안을 제시하는데 목적이 있다. 이를 위해 학교도서관의 대표적인 전담인력인 사서교사를 대상으로 Analytic Hierarchy Progress(AHP) 분석방법을 적용하여 평가지표의 우선순위를 분석하였다. 연구결과, 상위 계층 평가영역의 우선순위는 인적자원, 도서관서비스, 정보자원, 도서관경영, 시설 환경 순으로 나타났고, 하위 계층 평가항목의 우선순위는 인력자원배치, 인력자원 전문성, 독서교육, 정보활용교육, 교육활성화 노력, 장서 구성 적설성, 장서 최신성, 예산, 시설 접근성, 장서 현황, 시설 설비 적절성, 경영계획, 이용 접근성, 홍보 및 마케팅, 학교도서관운영위원회, 협력, 자료이용현황 순으로 나타났다. 본 연구를 통해 도출한 결론은 현장성이 가미된 학교도서관 평가지표를 적용함에 있어서 기초자료로 활용할 수 있을 것이다.

• International Journal of Knowledge Content Development & Technology
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• 제11권1호
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• pp.65-84
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• 2021

Our understanding of how barriers to access systematically varies with the compositional and contextual characteristics of users is incomplete. Using a public university library in Ghana, this study assessed the heterogeneous barriers or constraints students encounter in accessing electronic resources based on their demographic and contextual attributes. A descriptive survey design was adopted and structured questionnaires were administered randomly to 558 students in the four constituent colleges of the University of Cape Coast, Ghana. Data were collected and analysed using SPSS and descriptive statistics were generated. The results revealed that students faced six key challenges in accessing electronic information resources in the library namely delays in download of information, poor internet connectivity, and limited accessibility of university portal, inadequate computers in the library, poor lighting and limited ancillary services (on the spot printing facilities), with differences based on gender, academic level, and college affiliation. Only 24% males and 26% females had no challenges or problems with delays in download of electronic information. About three-fourth of all users had poor internet connectivity and complained about inadequate computers associated with accessing electronic resources. 40% percent of undergraduate students in the Colleges of Education Studies, Agriculture and Natural Sciences, and Humanities and Legal Studies each encountered four to six simultaneous challenges. Irrespective of gender, first year undergraduate students in all the four colleges were the least likely to report multiple challenges. This suggests the need for targeted and context-specific interventions to address the identified challenges.

• 융합정보논문지
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• 제11권2호
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• pp.47-56
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• 2021

본 연구는 증강현실 기반 수술간호 실습 교육 애플리케이션을 개발하기 위한 방법론적 연구로서, 연구과정은 ADDIE 모형에 따라 분석, 설계, 개발, 구현, 평가의 5단계로 구성되었다. 요구도 분석 결과 나온 세부 항목 중 전문가 집단과 간호대학생 집단에서 공통적으로 요구도가 높은 항목은 수술 기구 항목이었다. 요구도를 기반으로 수술실에서 가장 빈번하게 사용하며 진료과에 구분 없이 보편적으로 사용되는 7가지 분류의 51개의 수술기구를 선정하여 AR Book으로 제작하였다. 증강현실기반 애플리케이션은 Unity 3D 엔진을 기반으로 제작하였으며, Android OS로 애플리케이션을 빌드하여 대상자가 이용할 수 있도록 하였다. 전문가 평가 결과 전체 평균은 73.4±4.3으로 전체적으로 높게 나타났으며, 학습자 만족도 조사 결과 높은 만족도를 보였다. 제작된 증강현실 기반 수술간호 콘텐츠는 이전의 다른 학습 방법과는 달리 현실성과 휴대성, 접근성, 간편함을 갖춘 새로운 방식의 수술 기구 학습 애플리케이션을 처음으로 개발한 부분에 그 의의가 있다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제15권1호
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• pp.240-263
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• 2021

One of the biggest challenges that the software industry is facing today is to create highly efficient applications without affecting the quality of healthcare system software. The demand for the provision of software with high quality protection has seen a rapid increase in the software business market. Moreover, it is worthless to offer extremely user-friendly software applications with no ideal security. Therefore a need to find optimal solutions and bridge the difference between accessibility and protection by offering accessible software services for defense has become an imminent prerequisite. Several research endeavours on usable security assessments have been performed to fill the gap between functionality and security. In this context, several Multi-Criteria Decision Making (MCDM) approaches have been implemented on different usability and security attributes so as to assess the usable-security of software systems. However, only a few specific studies are based on using the integrated approach of fuzzy Analytic Network Process (FANP) and Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS) technique for assessing the significant usable-security of hospital management software. Therefore, in this research study, the authors have employed an integrated methodology of fuzzy logic, ANP and TOPSIS to estimate the usable - security of Hospital Management System Software. For the intended objective, the study has taken into account 5 usable-security factors at first tier and 16 sub-factors at second tier with 6 hospital management system softwares as alternative solutions. To measure the weights of parameters and their relation with each other, Fuzzy ANP is implemented. Thereafter, Fuzzy TOPSIS methodology was employed and the rating of alternatives was calculated on the foundation of the proximity to the positive ideal solution.

• 대한약침학회지
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• 제24권4호
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• pp.153-164
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• 2021

Objectives: Despite the low cost and high accessibility of manual acupuncture (MA) treatments for the carpal tunnel syndrome (CTS), this intervention has not been uniformly evaluated in systematic reviews (SR), and no SR has evaluated MA monotherapy for CTS. This review was conducted to summarize the findings and undertake a quality assessment of randomized controlled trials (RCTs) of acupuncture treatment methods for mild-to-moderate CTS to identify clinical evidence for the use of MA in CTS. Methods: We searched five databases for articles on relevant RCTs that were published until June 2021 without imposing specific restrictions, such as age or sex, on CTS patients. RCTs that evaluated MA were included without any restriction on comparator interventions. Measurement tools for evaluating pain reduction and functional improvement or for evaluating efficacy using electrophysiological indicators were included as outcome measures. Results: We included seven RCTs, of which three studies reported both post-treatment improvement effects and statistical significance using p-values for all outcomes. Five studies reported statistically significant intergroup differences (p-values for all outcomes) in posttreatment improvement. None of the studies reported severe adverse effects of MA. In all of the RCTs, the reporting rates of the 2c, 2a, and 6a items of STRICTA 2010 were 14%, 29%, and 29%, respectively. PC7 (Daereung) was used to treat CTS in all of the included studies. Conclusion: MA can be used for CTS treatment without serious adverse effects. PC7 was the most commonly used acupoint. In order to ensure objective and reliable reporting, accurate standardization of acupuncture treatment methods acupoint terms should be undertaken in future RCTs.

• 한국간호교육학회지
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• 제27권4호
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• pp.423-435
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• 2021

Purpose: The purpose of this study is to identify the educational needs of a severe trauma treatment simulation program based on mixed reality which combines element of both virtual reality and augmented reality. Methods: Focus group interviews were conducted with ten military hospital nurses on February 4 and 5, 2021. The collected data were analyzed using a qualitative content analysis. As a framework for data analysis, the educational needs were clustered into the following four categories: teaching contents, teaching methods, teaching evaluation, and teaching environment. Results: The educational needs for each category that emerged were as follows: three subcategories including "realistic education reflecting actual clinical practice" and "motivating education" for teaching contents; five subcategories including "team-based education," "repeated education that acts as embodied learning," and "stepwise education" for teaching methods; six subcategories including "debriefing through video conferences," "team evaluation and evaluator in charge of the team," "combination of knowledge and practice evaluation" for teaching evaluation; six subcategories including "securing safety," "similar settings to real clinical environments," "securing of convenience and accessibility for learners," and "operating as continuing education" for teaching environment. Conclusion: The findings of this study can provide a guide for the development and operation of a severe trauma treatment simulation program based on mixed reality. Moreover, it suggests that research to identify the educational needs of various learners should be conducted.

• 산업과 과학
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• 제2권2호
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• pp.31-41
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• 2023

본 연구는 우간다의 루웨로 지역 여성 청소년을 대상으로 성생식보건 교육의 수요, 접근장벽, 제약을 파악하기 위해 수행되었다. 루웨로 지역의 14-26세 젊은 여성 55명을 대상으로 설문조사를 실시하고 교사, 의료인력 등 40명의 이해관계자를 대상으로 면담을 진행하였다. 연구 결과, 응답자 대부분은 성생식보건 정보를 학교를 통해 얻는 것으로 답하였으며(87%) 의료기관에서 성생식보건 서비스를 받기를 선호하였다(58%). 응답자들의 절반 이상은 자원 부족이나 문화적 장벽으로 성생식보건 정보를 얻는데 어려움을 경험하였고 학교와 의료기관이 보건 정보를 제공하는 가장 중요한 장소라는 점을 강조하였다. 따라서 여성 청소년의 성생식보건 교육 접근성을 높이기 위해 학교와 의료기관의 협력이 요구된다.

• Clinics in Shoulder and Elbow
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• 제26권3호
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• pp.238-244
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• 2023

Background: Many patients use online resources to educate themselves on surgical procedures and make well-informed healthcare decisions. The aim of our study was to evaluate the quality and readability of online resources exploring shoulder arthroplasty. Methods: An internet search pertaining to shoulder arthroplasty (partial, anatomic, and reverse) was conducted using the three most popular online search engines. The top 25 results generated from each term in each search engine were included. Webpages were excluded if they were duplicates, advertised by search engines, subpages of other pages, required payments or subscription, or were irrelevant to our scope. Webpages were classified into different source categories. Quality of information was assessed by HONcode certification, Journal of the American Medical Association (JAMA) criteria, and DISCERN benchmark criteria. Webpage readability was assessed using the Flesch reading ease score (FRES). Results: Our final dataset included 125 web pages. Academic sources were the most common with 45 web pages (36.0%) followed by physician/private practice with 39 web pages (31.2%). The mean JAMA and DISCERN scores for all web pages were 1.96±1.31 and 51.4±10.7, respectively. The total mean FRES score was 44.0±11.0. Only nine web pages (7.2%) were HONcode certified. Websites specified for healthcare professionals had the highest JAMA and DISCERN scores with means of 2.92±0.90 and 57.96±8.91, respectively (P<0.001). HONcode-certified webpages had higher quality and readability scores than other web pages. Conclusions: Web-based patient resources for shoulder arthroplasty information did not show high-quality scores and easy readability. When presenting medical information, sources should maintain a balance between readability and quality and should seek HONcode certification as it helps establish the reliability and accessibility of the presented information. Level of evidence: IV.

• 환경영향평가
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• 제28권5호
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• pp.427-439
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• 2019

현재 국내 환경영향평가의 자연환경생태분야는 정량적 평가가 부족한 실정이다. 따라서 본 연구는 개발계획에 따른 생태계서비스의 정량적 평가를 위해 부산 에코델타시티 개발사업을 대상으로 사업 전과 후에 대해 평가하였다. 기후변화 적응의 일환인 탄소고정량 변화량 측정과 생물다양성 지표인 서식처질에 대해 InVEST 모델을 활용하여 중첩평가를 하였고, 토지이용계획에 따른 3개의 대안을 비교하였다. 연구결과 2000년의 탄소고정량은 216,674.48 Mg of C, 2015년에는 203,474.25 Mg of C로 약 6.1% 감소된 것으로 도출되었으며, 2030년에는 2015년 대비 약 40%가 감소하여 120,490.84 Mg of C로 예측되었다. 3개의 대안평가에서 대안 3이 6,811.31 Mg of C로 탄소고정량이 가장 보존되는 대안으로 도출되었다. 그리고 서식처 평가결과 또한 시간흐름에 따라 감소되는 경향을 보였다. 연구지역의 2000년의 서식처 질은 0.57, 2015년에는 0.35, 그리고 2030년에는 0.21로 도출되었다. 그리고 대안 3이 0.21의 값으로 대안들 중 서식처 질이 가장 높은 방안으로 판단된다. 결과적으로 본 연구는 토지이용변화에 따른 생태계 정량화 값을 통해 개발계획자들과 지역주민의 의사결정과정에 도움을 줄 수 있는 방법론으로 사료된다. 환경영향평가 항목 중 토지이용계획, 온실가스, 자연환경자산 항목에 활용이 가능하며, 또한, 환경변화에 따른 생태계서비스의 수치화와 예측으로 정책적인 자료로 활용이 가능하다. 추후 보다 세밀한 분석과 기초자료의 접근가능성 부분이 보충된다면, 환경영향평가에서 생태계서비스 평가기법에 적용성이 높아질 것으로 사료된다.