• 지역사회간호학회지
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• 제9권1호
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• pp.163-180
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• 1998

The purpose of this study is to evaluate the community based home care service, and make reorientation for better service. The data was collected from the public health center, which was operated for one year, 1997. This case is evaluated and reoriented according to five elements of public health care system; system of resources for public health, organization and administration, health care delivery system of financing, management. In resources for public health, available health personnels are 15 physicians, 17 nurses, 11 nurse aides and 2 other persons. One professional health personnel take care of 609 clients, The equipments used for elderly and the disabled are 6 wheelchairs, 4 walkers, 1 hairwashers and 30 viberations. But these equipments are not enough to deal all clients. In organization and administration, planning and setting goals for community home care are made by the director, supervisor of family department and public health nurse. So there is no regular commitee for home care services in this community. The form of delivery of health care is focused on preventive health care. The important works of public health nurse are health education, preventive care for hypertension, D.M. and vaccination of communicable desease. In finaning system, funds come from central government(8.3%), local goverment(16.7%) and health center itself(3.8%), The services consist of health education, vaccination, clinical test and equipment. There are several local volunteers, which are local hospitals, a college, a christian association, a catholic association, a drivers association and a disabled association. The volunteer groups give physical and mental support to the clients. In management, this health center has three evaluation methods. One is done by local government, one is done by health center itself, and the other is done by clients with questionair. But the evaluation tools are deferent between agency. Home care services must be planned and evaluated. This public health center has to have more personnel, equipments, education for professional kowledge and meetings with community volunteer agencies.

• 한국인터넷방송통신학회논문지
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• 제13권6호
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• pp.173-186
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• 2013

새로운 정보기술의 발전으로 인해 정보 접근과 획득 방식이 훨씬 다양하고 용이해지고 있는 반면 다양하고 성능 좋은 도구를 이용한 불법적인 접근이 가능하도록 하는 부작용이 초래되고 있다. 이러한 새로운 컴퓨팅 환경에서의 위협에 대응하고자 전통적인 접근제어를 확장한 다양한 연구들이 수행되고 있다. 본 연구에서는 정책집행의 제약조건 중 주요 요소인 상황과 목적에 대한 의미적 정보를 기반으로 명시적으로 기술되는 정책 제약조건과 보안집행과정에서의 질의 제약조건이 서로 구문적으로 일치하지 않는 경우에도 그 의미를 파악하여 적절한 정책집행이 가능하도록 하는 접근제어 방식을 제안한다. 의미적 보안 정책집행을 위해 온톨로지를 기반으로 트리 계층 구조를 구성하고 이를 이용하여 의미적 함의 관계를 유도하고 함의관계에 의해 유도되는 추가적 함의 때문에 발생할 수 있는 과도한 권한부여를 의미 차 인수를 이용하여 방지할 수 있는 방법을 제시한다. 그리고 제안방식을 구현하는 프로토타입 시스템의 구조를 제시하고 성능평가를 통해 이전 접근제어 방식들과 비교한다.

• 산업진흥연구
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• 제5권1호
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• pp.107-115
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• 2020

본 연구는 결혼이주여성들이 문화 간 차이에서 오는 스트레스를 해소하고 원만한 가정생활을 누리기 위해서 그들에게 제공할 수 있는 사회복지실천방안을 모색하고자 한다. 연구 결과에서는 첫째, 문화 간 차이 극복하기 위한 실천방안이 필요하다. 효과적인 문화 간 차이를 극복하기 위해서는 문화적으로 다양한 내담자를 위해 그들의 인종, 문화, 민족, 성별, 성적 지향의 배경에 부합하는 개입양식을 사용하고 목표를 설정하는 것이다. 둘째, 전문교육인력의 양성이 필요하다. 전문인력 양성을 위해 기존의 사회복지 과목에 문화적 다양성에 관한 내용이 다루어져야 한다. 셋째, 관련법의 재정비가 필요하다. 다문화가족지원법은 결혼이주여성을 대상으로 한국가족문화의 이해라든가, 결혼이주여성 상담이라는 항목이 결여되어 있는 등 보완의 필요성이 계속해서 대두되고 있다. 결론적으로, 결혼여성이민자들은 일상생활의 여러 측면에서 한국생활이 자국의 생활과 다르다는 점을 인식하게 되어 적응하는 과정에서 많은 인내심과 높은 수준의 노력을 하게 된다. 따라서, 이를 뒷받침할 수 있는 사회복지실천방안이 요구된다.

• 한국전문물리치료학회지
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• 제8권3호
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• pp.63-76
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• 2001

Many studies have shown that the initial median frequency (MDF) and slope correlate with the muscle fiber composition. This study tested the hypothesis that the initial MDF and slope are fixed, regardless of the interval at which data are collected. MDF data using moving fast Fourier transformation of EMG signals, following local fatigue induced by isotonic exercise, were obtained. An inverse FFT was used to eliminate noise, and characteristic decreasing regression lines were obtained. The regression analysis was done in three different periods, the first one third, first half, and full period, looking at variance in the initial MDF, slope, and fatigue index. Data from surface EMG signals during fatiguing isotonic exercise of the biceps brachii and vastus lateralis in 20 normal subjects were collected. The loads tested were 30% and 60% maximum voluntary contraction (MVC) in the biceps brachii and 40% and 80% MVC in the vastus lateralis. The rate was 25 flexions per minute. There were no significant differences in the initial MDF or slope during the early or full periods of the regression, but there was a significant difference in the fatigue index. Therefore, to observe the change in the initial MDF and slope of the MDF regression line during isotonic exercise, this study suggest that only the early interval need to be observed.

• 한국방사선학회논문지
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• 제11권4호
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• pp.263-271
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• 2017

본 연구는 부산, 울산지역에 근무하는 초음파 검사자 150명을 대상으로 일반적인 특성 및 직무 스트레스와 직무만족도 간의 관계를 분석하고 이를 통해서 직무만족의 예측 요인을 규명하기 위해 실시되었다. 결과적으로 연령이 높을수록, 이직경험이 있을수록 직무만족도는 증가하였으며 직무 스트레스 하부요인과 직무만족과의 상관관계는 조직체계, 보상부적절, 직장문화, 직무 불안정, 직무자율성 결여, 직무요구 순으로 유의 한 부적 상관관계를 보였다. 또한 직무만족에 가장 영향력 있는 변수는 조직체계와 보상의 부적절로 나타났다. 따라서 초음파 검사자의 직무만족도를 높이기 위해서는 직무스트레스를 줄일 수 있는 효율적인 조직 및 인력관리, 보상과 관련된 적절한 제도적 장치를 마련하는 것이 중요하다고 사료된다.

• Childhood Kidney Diseases
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• 제24권1호
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• pp.1-13
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• 2020

Immunoglobulin (Ig)A vasculitis nephritis (IgAVN), also referred to as Henoch-Schönlein purpura nephritis, is a relatively benign disease in children. However, two 24-year European cohort studies have reported high sustained rates of hypertension, severe proteinuria, and renal dysfunction in patients with IgAVN. Notably, the incidence and exacerbation rates of proteinuria, hypertension, and renal dysfunction during pregnancy were high even in women who recovered from IgAVN before pregnancy. Patients with IgAVN need lifelong care. Trials have been performed to investigate early biomarkers and genes associated with poor prognosis to identify high-risk patients in whom IgAVN may progress to severe renal disease. Urinary IgA/cr, IgM/cr levels, and HLAB35 and angiotensinogen gene expression were shown to be predictors of progression of IgAVN to severe renal dysfunction. The 2019 Single Hub and Access point for paediatric Rheumatology in Europe (SHARE) initiative group published guidelines for pediatric IgAVN, following the Kidney Disease: Improving Global Outcomes (KDIGO) guidelines established in 2012. Compared with the KDIGO guidelines, the SHARE guidelines recommend earlier corticosteroid administration in cases of mild proteinuria (>0.5 g/d). Clinical trials of targeted budesonide delivery to the distal ileum, monoclonal antibody targeting C5, eculizumab and anti-CD20 monoclonal antibody administration, among others are currently underway in patients with IgA nephropathy. It is expected that newer therapeutic agents would become available for IgAVN in the near future. This review summarizes IgAVN with emphasis on recently published literature, including possible preventive strategies, predictive biomarkers for progression of IgAVN, and various treatments.

• 성인간호학회지
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• 제13권4호
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• pp.632-640
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• 2001

Purpose: This study was to examine the effects of supportive nursing care on surgical patients in the operating room. Method: This study was nonequivalent control group none-synchronized design. The data were collected during the period of July 26 through October 8, 1999 at K hospital in Kwangju. The subjects for the study were selected from those patients who were admitted to K hospital for abdominal surgery. Forty-eight adult subjects were selected and evenly divided into two groups: 24 for the experimental group and the other 24 for the control group, respectively. The tool used for measuring state and trait anxiety was the one originally worked out by Spilberger(1976), and translated by Kim Jung- Taek and Shin Dong-Kyun(1978) for suitable application for Koreans. Data were analyzed by $\chi^2$- test, t-test, Chronbach's ${\alpha}$ coefficient using SAS/PC+. Result: Results were as follows : 1. The degree of State anxiety was found to be lower in the experimental group who received supportive nursing care in the operating room immediately before an operation than the control group who did not."(p<.001). 2. There was no significant difference on the post-test blood pressure and pulse rate immediately before operation between the two groups(p>.05). Conclusion: Results of the above study reveals that the supportive nursing care in the operating room is effective in alleviating the anxiety of patients. I suggest that it is highly desirable to apply supportive nursing care for those patients who are waiting for immediate surgery.

• 농촌지도와개발
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• 제4권1호
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• pp.339-351
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• 1997

This study intended to enhance the quality of life of rural adolescents through survey 185 young people in YeonChun County, in the course of measuring the level of life of adolescents and finding several variables related with the level and drawing some applications for enhancement. As a result of this study we had some findings 1) the most young people were belonging to the second (vital feeling value) level and third (mental value) level 2) Sex, religion, tendency oriented to other person were three related variables with the level. The more the people having other-oriented tendency the higher the level of value. Female, Christian is higher in the level. 3) Many adolescents showed little hearty satisfaction concering their own life 4) The level of act in their real life were corresponded with the level of value 5) Characteristics of high value-level adolescents against low value-level ones were that they had high level of value-recognition, less family member. The hit ratio was 83.7 percent. On the basis of this study the following suggestions for the improvement of quality of life for youth in the rural area in the future. First, we should make a great effort in value education in order to clearly get the goal of the true life. The quality improvement such as the education of mental life and religion for the young people by developing programs to continously improve the value of life. Second, the necessity of behavior guiding other oriented tendency should be emphasized. We should connect adolescents with value recognition through more interest in actions. And third, it is necessary to make a professional effort for the improvement of level of value, that is, an in depth study of the theoretical systemization.

• 융합정보논문지
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• 제10권6호
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• pp.49-58
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• 2020

본 연구는 기본간호학실습 교과목에 미디어 융합을 활용한 플립러닝을 적용한 후 학업적 자기효능감과 자기주도 학습 능력의 변화를 파악하고자 수행하였다. 비동등대조군 전후설계 연구로 실험군 22명, 대조군 26명의 학생을 대상으로 총 10주 동안 플립러닝 교수법을 적용하였다. 2019년 8월 27일부터 12월 3일까지 자료를 수집하였다. 플립러닝 수업 전과 후의 실험군과 대조군의 학업적 자기효능감 차이는 실험군 1.00점, 대조군 0.81점으로 두 군간 유의한 차이가 없었다(t=0.11, p=.917). 그러나 자기주도학습 능력 차이는 실험군 11.32점, 대조군 0.23점이었다(t=2.32, p=.027). 본 연구결과 미디어 융합 활용 플립러닝은 학생들의 자기주도학습 능력을 향상시키는 효과적인 교수법으로 나타났다. 그러므로 미디어 융합 활용 플립러닝을 다양한 간호학 교과목에 확대 적용 연구가 필요가 있다.

• 성인간호학회지
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• 제28권2호
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• pp.169-179
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• 2016

Purpose: The purpose of this study was to investigate the effects of simulation-based training (SBT) for basic life support (BLS) utilizing video-assisted debriefing (VAD) about non-technical skills (NTSs) and technical skills (TSs). The goal of the proposed study is the evaluation of a teaching method about the correct application of cardiopulmonary resuscitation (CPR). Methods: The study design was a control group pre- and post-test non-synchronized experimental design. The sample included twelve teams of 36 nursing students. Both the experimental and the control groups received the SBT for BLS. Only the experimental groups received VAD where as the control groups had a verbal debriefing. Raters who used checklists for TSs and NTSs evaluated both groups. Data were analyzed by the SPSS 20.0 using Cronbach's ${\alpha}$, Intraclass Correlation Coefficient (ICC), Mann-Whitney U test and Willcoxon signed rank test. Results: The experimental groups scored higher than the control groups in both TSs (p=.004) and the NTSs (p=.008). Conclusion: The findings of this study suggest that NTSs are an important factor that lead CPR successfully, so VAD can be used as an efficient teaching-learning strategy in the SBT for BLS for nursing students and nurses.