• 제목/요약/키워드: Consensus development

검색결과 557건 처리시간 0.031초

Keeping A Community Sustainable: Development of Affordable Housing for the Elderly in Nonmetropolitan Areas

  • Lee, Hyun-Jeong
    • Architectural research
    • /
    • 제12권2호
    • /
    • pp.63-72
    • /
    • 2010
  • Affordable housing has been a critical issue in the face of global economy and notably formulated a crucial agenda of the housing policy. While each local government seriously considers many approaches to providing affordable housing, a unique and innovative way to address it at a community level is fully uncovered, particularly nonmetropolitan areas where resources for economic development are limited and vulnerable. The purpose of this study is to examine the mechanism of the provision of affordable housing for the elderly in nonmetropolitan areas. In doing so, this research investigates the housing development and delineates it as one viable solution that stimulates local communities. The affordable housing development, as a viable option to spur local development and vibrate community, is closely reviewed, and the factors to make it feasible are drawn. The findings indicate that it is widely recognized that keeping the elderly in the community positively contributes to maintaining a sustainable community. In fact, the idea of affordable housing development for middle-class elderly people is brought by one inspired long-time resident, and it is expedited by the consensus and cohesion of local community. The development stimulates local businesses in relation to housing, and all homes sold by the elderly moving in the new housing are available for young families. Also, the presence of affordable housing for the elderly who are able to independently live is extended to a picture of aging-in-place at a broader level.

Identification of an Enhancer Critical for the ephirn-A5 Gene Expression in the Posterior Region of the Mesencephalon

  • Park, Eunjeong;Noh, Hyuna;Park, Soochul
    • Molecules and Cells
    • /
    • 제40권6호
    • /
    • pp.426-433
    • /
    • 2017
  • Ephrin-A5 has been implicated in the regulation of brain morphogenesis and axon pathfinding. In this study, we used bacterial homologous recombination to express a LacZ reporter in various ephrin-A5 BAC clones to identify elements that regulate ephrin-A5 gene expression during mesencephalon development. We found that there is mesencephalon-specific enhancer activity localized to a specific +25.0 kb to +30.5 kb genomic region in the first intron of ephrin-A5. Further comparative genomic analysis indicated that two evolutionary conserved regions, ECR1 and ECR2, were present within this 5.5 kb region. Deletion of ECR1 from the enhancer resulted in disrupted mesencephalon-specific enhancer activity in transgenic embryos. We also found a consensus binding site for basic helix-loop-helix (bHLH) transcription factors (TFs) in a highly conserved region at the 3'-end of ECR1. We further demonstrated that specific deletion of the bHLH TF binding site abrogated the mesencephalon-specific enhancer activity in transgenic embryos. Finally, both electrophoretic mobility shift assay and luciferase-based transactivation assay revealed that the transcription factor Ascl1 bound the bHLH consensus binding site in the mesencephalon-specific ephrin-A5 enhancer in vitro. Together, these results suggest that the bHLH TF binding site in ECR1 is involved in the positive regulation of ephrin-A5 gene expression during the development of the mesencephalon.

차세대 전자간호기록 시스템 유스케이스 개발: 업무흐름 분석과 전문가 델파이 기법 적용 (Use Case Development for Next Generation Electronic Nursing Record Systems Utilizing Clinical Workflow Analysis and a Delphi Survey)

  • 조인숙;최완희;현미숙;박연옥;이유나;이수연;황옥희
    • 임상간호연구
    • /
    • 제21권3호
    • /
    • pp.377-388
    • /
    • 2015
  • Purpose: To identify user requirements for electronic nursing record (ENR) systems so as to ensure system usability. Methods: A mixed methods approach were applied in three steps : (i) task and workflow analysis with literature review of nursing documentation, (ii) literature reviews of system usability, and (iii) Use Case idenfication and consensus-based validation. We analyzed the nursing activity logs collected from a time-motion investigation of six hospitals. The Use Cases were validated by eight clinical experts from different hospitals and two experts from academia in a sequential Delphi survey. Consensus was achieved for the significance score and agreement among the panel. Results: Eight task groups and patterns of task flow were observed, which were translated into nine Use Cases. The specification of Use Cases was derived from principles, guidelines, and recommendations on nursing documentation and electronic health record systems, which was organized into three requirements of each Use Case: functionality, information, and design characteristics. Each Use Case achieved an agreement of 50~70%, and significance scores of 4 or 5 on a 5-point Likert scale. Conclusion: The nine Use Case identified were considered to be important and adequate in terms of both clinical and informatics contexts.

원격의료 활성화를 위한 선결과제 (Prerequisites for Activation of Telemedicine)

  • 전영주
    • 한국컴퓨터정보학회논문지
    • /
    • 제19권8호
    • /
    • pp.169-176
    • /
    • 2014
  • 어떤 정책을 원만히 정착시켜 시행하기 위해서는 충분한 검토와 대화, 사회적 합의가 필수적 요소이다. 정부에서도 국민의 건강과 직결되는 원격의료를 의료산업발전을 통한 국가의 신성장 정책을 추진하기 위한 밀어붙이기식의 보건정책은 큰 사회적 부작용을 낳을 수 있다. 또한 의료계에서도 그들만의 이기적 주장을 탈피하고 어떠한 시스템이 국민의 건강과 생명을 담보할 수 있고, 급변하는 의료기술의 발달에 발맞춰 국민에게 최상의 의료서비스가 가능하도록 변화해야 한다. 급변하는 정보통신기술의 발전과 의료산업분야의 과학화는 분명 우리에게 많은 편의성과 국민건강 향상에 기여할 것이다. 그러나 원격의료 활성화 이전에 국민의 건강과 생명을 담보할 수 있는 안전성 및 유효성의 검토가 필요하고 어떠한 제도를 시행하기 전에 충분한 검토와 사회적 합의가 반드시 선결되어야 한다. 이에 원격의료 활성화를 위한 선결과제로 외국의 원격의료 현황과 우리나라의 현황 등을 살펴보고, 원격의료 활성화를 위해서 선결 되어야할 문제들을 제시하고자 한다.

한국형 중풍변증진단 표준안의 필요성에 대한 설문조사 보고 (Report on the Survey for the Necessity of Korean Standard Differentiation of the Symptoms and signs for the Stroke)

  • 유병찬;김중길;설인찬;신선화;이인;조현경;최선미
    • 동의생리병리학회지
    • /
    • 제20권1호
    • /
    • pp.273-278
    • /
    • 2006
  • This survey was accomplished in order to find out the necessity of creation of Korean standard differentiation of the symptoms and signs for the stroke(KSDS) in clinical practice. The survey questions were developed by the consensus from the professors who major in internal traditional Korean medicine(TKM). May 11th to July 31th 2005, the questionnaire was given to 800 TKM doctors in the whole country of Korea listed on the National Korean Medical Hospital Associations address book dy postal mail. Total of 358(44.7%) questionnaires were retrieved out of the 800 subjects. The 311 (86.9%) of 358 TKM doctors given an answer to the survey responded to need development of KSDS, and 176(56.6%) of 311 TKM doctors who answered to need development of KSDS responded to have to consider consensus of clinical experts on the stroke for creation of KSDS. These results support a role for new KSDS might be usefully applied in diagnosis and treatment of the stroke.

공황장애 약물 치료에 대한 한국형 알고리듬 개발(3) - 인지행동치료 - (Development of the Medication Algorithm for Panic Disorder(3) - Cognitive Behavioral Therapy -)

  • 이상혁;양종철;윤세창;서호석;김찬형;유범희;김민숙
    • 대한불안의학회지
    • /
    • 제4권1호
    • /
    • pp.28-33
    • /
    • 2008
  • Objective : A working group of psychiatrists from the Korean Academy of Anxiety Disorders was established to determine the appropriate medication algorithm for treating patients with panic disorder. In this article, we discussed the consensus among psychiatrists regarding the use of cognitive behavior therapy (CBT) in the development of a treatment algorithm for panic disorder in Korea. Methods : Based on the guidelines or algorithms published by the American Psychiatric Association, National Institute for Clinical Excellence, and Canadian Psychiatric Association, we constructed questionnaires regarding the core components and contents of CBT for patients with panic disorder. Fifty-four experts in panic disorder completed the questionnaires. Results : There was statistically significant consensus among the experts in the belief that cognitive reconstruction and psychological education are the core components of CBT for the treatment of patients with panic disorder. However, there was some inconsistency between the opinions of some experts regarding the content and frequency of CBT and the results of studies published outside of Korea. Conclusions : CBT, especially the psychological education and cognitive reconstruction components, should be considered when treating patients with panic disorder. However, further consideration needs to be put into the design of a more detailed treatment guideline for the use of CBT in the treatment of patients with panic disorder.

  • PDF

블록체인 DPoS 합의 알고리즘을 활용한 IoT 장치 관리 시스템 개발 (Development of IoT Device Management System Using Blockchain DPoS Consensus Algorithm)

  • 김미희;김영민
    • 전기전자학회논문지
    • /
    • 제23권2호
    • /
    • pp.508-516
    • /
    • 2019
  • 다양한 IoT 기기로 구성된 스마트 홈에서는 편리하고 효율적인 서비스를 제공한다. 그러나 사적인 영상과 음성과 같은 민감한 정보까지 수집 및 처리될 뿐 아니라 인터넷을 통해 공유될 수 있어서 보안이 중요하다. 이러한 스마트 홈 IoT 장치 관리를 위하여 데이터 무결성 및 안전성을 제공하기 위해 블록체인 기술을 활용하고자 한다. 본 논문에서는 기존 검증을 위한 연산을 지속적으로 수행해야 하는 PoW(작업 증명) 블록체인에서 아닌 네트워크에 축적된 지분을 통해 블록을 검증하는 PoS(지분 증명), 그 중에서 확장성 부분을 해결하고자 하는 DPoS(위임 지분 증명) 방식으로 스마트 홈 IoT 환경에 적절한 보안용 블록체인 체계를 제안한다. DPoS 체계인 EOSIO 기반으로 제안시스템을 구현하여 실현가능성을 보이고, 성능평가를 통해 트랜잭션 처리 속도 측면의 성능 향상을 보이고자 한다.

장애인의 구강건강권 확립을 위한 구강의료 서비스 전달 시스템 개발 (DEVELOPING ORAL HEALTH SERVICE DELIVERY SYSTEM FOR THE DISABLED)

  • 백혜란;김소연;진보형;이재영;임영우;김영재
    • 대한장애인치과학회지
    • /
    • 제14권2호
    • /
    • pp.111-120
    • /
    • 2018
  • The need for oral health rights for people with disabilities is very high, and current oral health care system does not fully reflect these demands. Efforts to promote oral health of people with disabilities are urgently needed. In order for the disabled to have oral health rights, access to oral health services for people with disabilities should be improved and barriers to access should be resolved. In this study, we propose oral health service delivery system to guarantee oral health rights for the disabled. In addition, before applying the proposed oral medical delivery system, the external effects of the system application were predicted and the expert verification was conducted to find out the solution. There are some controversies about the development of the service delivery system proposed in this study. As a result of the expert verification, there were disagreements about the suitability of the service provider, the suitability of the service recipient, the appropriateness of the service content and scope, and the appropriateness of the cost and the revenue source. Subsequent Delphi surveys require the development of structured questionnaires for discussions that require consensus. It is expected that a reasonable consensus of expert opinions will be derived.

Essential Competencies for Digital Workforce of Provincial Office in Thailand Using Delphi Technique

  • Rujira Rikharom;Wirapong, Chansanam
    • Journal of Information Science Theory and Practice
    • /
    • 제11권4호
    • /
    • pp.51-81
    • /
    • 2023
  • This study aimed to study its required performance requirements and proposes a competency framework necessary for the digital workforce of the Provincial Offices in Thailand. The specific primary informants were determined as 17 people. The collecting process was performed using the Delphi technique and the electronic Delphi technique in two phases, totaling four rounds. In the first time, a structured interview was used to conduct online interviews for 15 people. Content validation was performed to determine issues of the competency framework essential for the digital workforce with 7-level scaled questionnaires, and then online reviews were collected between 10-15 people (2nd to 4th times). A consensus was found and confirmed four times with descriptive statistics, namely frequency, mean, standard deviation, mode, median, and the absolute value of the difference between mode and median, interquartile range, and application of the conceptual framework. The research findings revealed that the essential competency requirements for the digital workforce were covered in digital literacy (six aspects), digital skills (four aspects), and digital characteristics (four aspects). Consensus was confirmed for 84 issues. Therefore, it was concluded that 61 points for building an essential competency framework for the digital workforce made them effective in using digital technology as a labor-saving instrument, as well as for expanding the breadth of development of digital expertise to include members of the organization's digital practitioner network. This development will benefit government agencies and the private sector, both national and international, in the future.

건설대기업의 조직문화가 정서적 몰입에 미치는 영향 : 조직신뢰의 매개효과를 중심으로 (The Effect of Organizational Culture of Large Construction Companies on Emotional Commitment through Organizational Trust)

  • 김혜진 ;황찬규
    • 벤처혁신연구
    • /
    • 제6권2호
    • /
    • pp.83-99
    • /
    • 2023
  • 본 연구는 국내 소재 건설대기업 본사 및 현장 근무자를 대상으로 하여 건설대기업의 조직문화가 조직신뢰를 매개로 정서적 몰입에 미치는 영향을 규명하는데 목적이 있다. 유의 표집법을 적용하여 표집하였으며 분석에 사용된 최종 설문수는 201부이며 SPSS 20.0 프로그램을 활용하여 통계분석을 실시하였다. 분석결과, 첫째, 건설대기업 구성원이 인지한 조직문화의 하위요인 중 합리문화, 개발문화, 합의문화는 정서적 몰입에 유의한 정(+)의 영향을 미치는 것으로 나타났으나, 위계문화는 유의하지 않은 것으로 나타났다. 둘째, 개발문화, 합의문화, 위계문화는 조직 신뢰에 유의한 정(+)의 영향을 미치는 것으로 나타났으나, 합리문화는 유의하지 않은 것으로 나타났다. 셋째, 조직 신뢰는 정서적 몰입에 대해 유의한 정(+)의 영향을 미치는 것으로 나타났다. 넷째, 조직 신뢰는 조직문화와 정서적 몰입 간에 매개하는 것으로 나타났다. 이는 조직 구성원에게 안정성과 통제보다는 유연성과 변화를 향상시키는 조직문화가 정서적 몰입에 긍정적으로 영향을 미칠 수 있음을 보여준다.