• 대한치과의료관리학회지
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• 제7권1호
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• pp.10-20
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• 2019

Korean dental hygienists perform more tasks in dental clinics than are described in the law. The purpose of this study was to investigate the actual work of Korean dental hygienists in dental clinics using an observational study design. Two dental hygienists observed and recorded the work performed in 1 day from the time of commencement to the time of leaving work by 18 dental hygienists working in the dental clinic in a single area. Data management, prevention of infection, counseling, calculus removal, radiography, assistance of fixed orthodontic treatment, assistance of fixed prosthetic treatment, and preparation for implant surgery were recorded. Among the tasks that take more than 1 min, the most time-consuming tasks were document management, infection control, consultation, calculus removal, preparation for implant surgery, assistance of orthodontic treatment, and assistance of fixed prosthetic treatment. Korean dental hygienists are performing various tasks, such as infection control, dental hospital/clinic management, oral disease prevention, and dental treatment assistants.

• 대한간호학회지
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• 제25권4호
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• pp.709-728
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• 1995

The job related activities of sixty nine nurses, working in the emergency rooms of three university hospitals, were analyzed for six days according to preestablished checklist of nursing activities ; the frequency of these activities and the amount of time spent in each specific nursing activity. The established checklist was monitored every five minutes for the duration of the duty autu, thus producing 414 items of data. The data were not gathered on consecutive days but over the period of one month from May 6, 1994 to June 5, 1994. The following conclusions are derived from analysis of the data : 1. Twelve categories of nursing activities were obtained : The primary activity was communication related to the patient and all information pertaining to the patient. Other activities included maintaining the patient's record, observation and assessment of the patient, cooperation with other medical personnel, management of equipment and drugs, procedure and treatment, specimen collection, consultation and education for the patient, including drug management and personal hygiene and any other relevant education to the patient's condition. 2. The average frequency of categorized nursing activity can be classified as follows : communication related to patient was the highest at 17.6 times. The next was maintaining the patient's record at 17.3 times. The observation and assessment occurred 16.9 times. Consultation and education for patients and family, 8 times, medication, 5.7 times, and procedures and treatments, 6 times. 3. The average time required for each activity was as follows : 230.1 minutes (or maintaining the patient's record, 204.9 minutes for communication related to the patient, 199.2 minutes for observation and assessment, 71.2 minutes for medication, 66 minutes for consultation and education of the patient and family, and 51.8 minutes for procedures and treatment. 4. The most demanding nursing activity in the emergency room for the nurse was answering questions from the patient's family, maintaining communication between the medical staff, maintaining and reviewing the patient's charts, writing prescriptions and monitoring 1. V. infusion rates. 5. The most time consuming nursing activities for the emergency room nurse include maintaining and following the patient's charts, communication between the medical staff, answering questions from the patient's family, observation of the patient and relaying all of the appropriate patient information to the incoming nurses during a shift change. 6. The F-test was administered to measure the required time for the categorized nursing activities according to day, evening, and night-shift nurses. There were significant differences (p<.05) in specimen collection, observation and assessment, cooperation between medical staffs, personal hygiene, communication related to patient, education and re-search. Posterior multiple comparison test showed that specimen collection, cooperation between medical staffs and personal hygiene were mostly done by the evening-shift nurses. Also most observations and assessments were done by the night-shift nurses. Education and communication to patients were done by day-shift nurses. Thus there were significant difference between shifts for the main nursing activities. So there should considev a reallocation of the duty of nurses on each shift. 7. The F-test also indicated that there wes a similarity in time duration for procedures and treatments and for cooperation between medical staff and nurses in all three hospitals. However, the remaining categories of nursing activities also showed a significant difference between the three hospitals. This indicated that there were differences in each emergency room that influence time for each categorized nursing activities and this should be given more consideration. Recommendations : 1. A seasonal difference should be considered in the activities of nurses in the emergency room and a comparative analysis should be carried out to deter-mine seasonal differentiation. 2. A study on more objectively measurable nursing activities should be administered as well as one determining the subjective responds towards nursing activities in the emergency room.

• 한국학교수학회논문집
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• 제17권1호
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• pp.73-92
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• 2014

본 연구는 초 중등 학생의 수학에 대한 정서, 가치, 흥미 및 자기효능감 등의 정의적 영역의 개선을 위한 방안을 모색하는데 일환을 두고 수행되었다. 이에 따라 먼저, 수학학습에 어려움을 겪고 있는 학생들의 수학학습 클리닉을 위한 상담 과정에서 상담교사에게 필요한 발문이 무엇인지를 파악하고자 하였다. 이를 위하여 지난 2년간 정례적으로 실시해오고 있는 수학클리닉의 상담 내용을 수집하여 상담을 위해 오가던 질문들을 모두 분석함으로써 상담과정에서 학생들을 진단하기 위해 필요한 발문들을 추출하였다. 자료 분석은 Strauss & Corbin(1998)의 근거이론 분석방법을 사용하여 개방코딩, 축 코딩, 선택코딩의 분석단계를 실시하였다. 도출한 패러다임(paradigm) 모형은 인과적 조건으로는 '수학학습 정서', 맥락적 조건으로 '수학학습능력 자신감', 중심현상은 '수학학습 태도', 중재적 조건은 '수학학습 개인적 성향', 작용/상호작용으로 '수학학습 자기관리', 그리고 마지막 결과로는 '수학학습 방법'으로 상담과정에서 나타나는 발문들을 범주와 하위범주들 간의 관계로 연결하였다. 이 과정에서 총 81개의 개념이 도출되었으며, 진술된 개념들은 다시 31개의 관련영역으로 범주화하였다. 본 연구는 클리닉 상담을 위한 진단지 제작 표준화 작업을 위한 근거 이론으로 활용될 수 있으리라 기대된다.

• Korean Journal of Acupuncture
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• 제22권2호
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• pp.1-8
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• 2005

Objective: To inform of the 4th WHO informal consultation meeting on the development of international standard acupuncture points locations, held in Daejeon, Korea, on April $23{\sim}26$, 2005. Results and Conclusions: 12 experts from Korea, China and Japan discussed the locations of 18 controversial points that were not agreed at the previous meeting, and 16 non-controversial points that all 3 nations agreed on the locations but still needed more discussion for their expressions, as well as other non-controversial points that were agreed on both the locations and the expressions but were suggested by Chinese party to be discussed again. Also, the guidelines for English translation of the standard acupuncture points locations and the development of the standard acupuncture points charts, diagrams, and dolls were discussed in this meeting. Through this meeting the locations of ST30, SP11, SP12, TE18, GB9, GB10, LR4, LR5, LR6, BL6, BL7, BL9, GB19 were agreed, but it was suggested that more research would be needed for the locations of LI20, GV26, PC8, PC9, LR7, GB30, LR12, and the expressions of ST36, ST38, ST39, BL1. Due to the time limitation, 16 acupuncture points out of those Chinese party suggested to have more discussion about were not discussed at this meeting and remained to be discussed at the next meeting.

• 대한치과의사협회지
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• 제48권7호
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• pp.538-546
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• 2010

Dental surgical procedures are potentially stress-inducing to not only patients but clinicians especially in case of medically compromised patients. The body response to dental stress involves the cardiovascular, respiratory and the endocrine system. To minimize the stress to the medically compromised patients, the stress reduction protocols should be established. The protocols include (1) Recognize the patient's degree of medical risk (2) Medical consultation before dental therapy (3) Schedule the patient's appointment in the morning (4) Monitor and record preoperative, perioperative and postoperative vital signs (5) Intra-venous sedation during surgical procedures (6) Adequate pain control during therapy (7) Short length of appointment time (8) Contact the patients on the same day. Two cases of Bisphosphonate-related osteonecrosis of the jaws were analyzed. There were 2 women, and the mean age was 70 years (range, 64~74 years). both are medically compromised, with steroids. Both patients were taking an oral bisphosphonate for several years. BRONJ is defined as an area of exposed bone of more than 8 weeks - duration in a patient taking a bisphosphonate for bone disease. Bisphosphonates have been widely prescribed over the last decade for a range of bone diseases, mainly intravenously for bone cancers and orally for osteoporosis. Although it is still controversial as to precisely how the bisphosphonates work, generally it is accepted that they prevent osteoclast action, with consequent cessation of osteoblast activity, so that the bone turnover is markedly reduced or ceased. The aim of this study is to informed the clinicians how to prepare and recognize in case of the BRONJ with medically compromised patients.

• 정신신체의학
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• 제20권1호
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• pp.14-17
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• 2012

1960년대부터 지금까지 정신신체의학의 교육에 대한 관심이 있었지만 의학 교육에서 정신신체의학이 차지하는 비중은 적은 편이었다. 현재에도 대학마다 배정된 시간과 비율이 다르고 일정한 틀과 일치된 목표도 없이 교육이 실시되고 있다. 임상적으로도 자문-조정 정신의학에 대한 인식과 교육은 여전히 비체계적이고 미흡하였다. 앞으로 의과대학의 교육에서, 전공의 교육, 전임의 제도, 세부 전공 제도로 이어지는 지속적이고 체계적인 교육의 틀이 확립되어야 할 것이다. 자문-조정 의학의 활성화, 종사자 훈련에 이르는 임상 교육 체계도 정립되어야 한다. 다른 나라의 정신신체의학의 교육 지향점을 참고하여 생물-정신-사회적 모델에 기초한전인적 질병 개념과 치료 주관을 가진 의사를 양성하고 이를 정신신체의학 교육의 목표로 정립하는 것이 필요하다. 또 목표를 담을 수 있는 교육 내용을 통일되게 규정하고 그 교육 과정이 지속적이고 효율적으로 이루어질 수 있게 체계화해야 한다.

• 농촌지도와개발
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• 제15권3호
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• pp.461-497
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• 2008

The objective of the study was to evaluate the impact of the Call System of agricultural extension services in Korea. The respondents were satisfied on the speedy solution (74.5%), consultation (88.4%), and accessibility (79.7%) of the call system. However, satisfaction of farmers on in-depth consultation was higher (74.3%) than the satisfaction rated by the public servants of RDA (48.9%). Both groups replied positively (70.4%) on the need for expansion of the call system. The analyses of the results leads to a conclusion that there is a need to increase marketing on the importance of RDA's Call System to customers of agricultural extension and to improve accessibility through expansion of the system in other areas. These could solve the decreasing number of extension professionals and improve the quality and efficiency of extension services. These analyses may be useful as bases for a nationwide Call System that connects the center with other districts and for planning a renovation of information-oriented agricultural extension services. The issue that needs improvement is to abandon the grounds of agricultural technology information provider and respond to the customers' needs efficiently by building an established Call System which can minimize the side effect of the trends of reforming and downsizing the organization. It is needed to develop a unified management Call System of agricultural technology information that could provide real-time information, and database the results simultaneously for use as feedback to the Rural Development Programs. Related laws and policies need to be improved to establish a nationwide information network that maximizes the current network in agricultural regions to spread information, to provide institutional support, and to encourage development of training system and research and development by concerned institutes.

• 기본간호학회지
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• 제16권2호
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• pp.232-241
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• 2009

Purpose: The purpose of this study was to analyze the importance, difficulty, and frequency of work (duties and tasks) done by nurses' in Outpatient Departments (OPD). Method: Data were collected using structured questionnaires, which included 11 duties and 92 tasks making up the OPD nurse's job. Questionnaires were completed by 286 nurses. Each duty and task was analyzed for importance, difficulty, and frequency (range 1-3). Results: The mean score for importance was $2.58{\pm}0.29$, for difficulty, $2.11{\pm}0.31$, and for frequency, $2.18{\pm}0.31$. OPD nurses recognized 'patient education and consultation' as important and difficult. However, in practice OPD nurses reported the most frequent task as 'support for medical services'. There was a significant difference in importance and difficulty of duties according to OPD nurses' university degree (F=3.693, p=.026; F=4.089, p=.018) and hospital size (F=4.274, p=.006; F=3.154, p=.025). However there were no differences in importance, difficulty, or frequency according to clinical experience in OPD. Conclusion: The findings indicate that OPD nurses must be able to do important and difficult duties and tasks, especially patient education and consultation. To have time for these uniquely nursing tasks, OPD nurses need to delegate 'preparation for medical service', and 'management of facility and environment' to nonmedical health-care workers.

• 보건교육건강증진학회지
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• 제16권2호
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• pp.93-104
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• 1999

For studying on the actual condition of the oral health control of the old there were invastigations on the Questions with the college of the old in Chonbuk as the central figure from June 1 to June 30, 1998 and the analyses about the frequency and the mutual relation through χ²-test. The results are as follow: 1. According to the result of the investigation into the actual condition about the oral health of the old, two times a day in the frequency of tooth brush per day was the highest at the rate of 50.35％, the use of dentifrice was 45.4％, and the exchanging time of tooth-brush after six months was the highest at the rate of 19.7％. And 96.1％ didn't use dental floss and 73.6％ didn't do scaling. It is thought that since 50％ used tooth sticks and match sticks we have to inform the old of the necessity of dental plague and period oral examination. 2. In oral health situation, it showed that the number of people who were very week was the highest at the rate of 37％ and there was the mutual relation between the use of tooth sticks and match sticks and present situation of oral health. And 54.93％ visited the dental clinic wethin a year, and 22.3％ among them made full denture. There was the mutual relation between the visit of dental clinic within a year and the consultation content and the number of people who teld that the consultation expense was very expensive was the higest at the rate of 27.8％ and 87％ didn't experience the oral education. So it is thought that we have to make an systematic education about the oral to the old and inform them of the necessity of oral health control. 3. We think it needs the establishment and plane of the systematic basis material and the oral education which is necessary in oral public industry for the dental preventive suitable to the characteristic of the old.

• 디지털융복합연구
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• 제16권7호
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• pp.27-34
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• 2018

본 연구는 중소벤처기업부가 영위하는 비즈니스지원단의 운영효율성 제고에 관해 제언을 하고자 수행되었다. 이를 위해 비즈니스지원단 홈페이지에 게재되어 있는 7천여 개의 상담 사례와 현장클리닉 사례의 제목을 크롤링한 후 유효 키워드를 중심으로 한 워드클라우드 분석과 연관어분석을 실시하였다. 주요 결과로써, 상담사례의 분야별 빈도는 창업, 경영전략, 인사노무, 금융 순으로 많았으며 법무, 정보화, 수출입 순으로 적었다. 워드클라우드 분석 결과, 상담수요와 관련하여 높은 빈도를 보인 키워드는 소상공인, 수출, 방법, 절차, 등록, 인증 순이었다. 또한 최근의 중소기업의 상담 요구는 주로 소상공인에 대한 지원과 대출인 것으로 파악되었다. 본 연구의 성과는 빅데이터 분석을 활용하여 비즈니스지원단의 상담분야에 대한 적시 개편 필요성과 지원단 인력 모집 및 상담분야에의 배치 등과 같은 지원단 운영정책의 효율성에 대한 시사점을 제시했다는 점이다. 향후 연구의 한계점을 보완하여 인관관계 분석과 네트워크 분석까지 연구를 확대해 나가고자 한다.