• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제22권4호
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• pp.105-115
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• 2016

Purpose: This study is a case study of a small-mid sized hospital to promote a full-scale remodeling to ensure the quality and competitiveness of the medical services and trying to arrange the remodeling characteristics of small-mid sized hospital which is suffering from aging facilities as well as chronic congestion and lack of spaces. Methods: Research was conducted by consultation with hospital executives and each department operators, and on-site investigation, Results: The result of this study can be summarized into two points. The first one is that existing statistical value like area per bed, in the remodeling of the small-mid hospitals may not mean much. planners have to verify the necessary room space areas in close consultation with the department operators. And after confirming layout possibilities, they have to create the program. The second one is that remodeling planning can be a realistic plan with structural and installation diagnosis at the same time. If so, it is advisable to proceed architectural design from the beginning for cost and time savings. Implications: This results can be applied to small-mid hospitals to apply to the medical law revision and others.

• 한국해양환경ㆍ에너지학회지
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• 제11권1호
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• pp.55-62
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• 2008

본 논문에서는 현재 시행되고 있는 우리나라의 해양관련 환경영향평가와 협의제도의 현황과 문제점을 파악하여 관련 제도의 개선방향을 연구하였다. 또한 해양환경관리법상 해역이용영향 검토기관(이하 검토기관이라 함)의 기능과 역할 및 수행실적을 조사하여 SWOT 분석을 실시하였고, 나아가서 운영상 개선사항과 발전방향을 제안하였다. 2007년 검토기관에서 수행한 실적은 총 358건으로, 해역이용협의서가 165건(46.1%)으로 가장 많았고, 환경영향평가서 104건(29.0%), 그리고 사전환경성검토서가 89건(24.9%)이었다. 해역이용협의의 내용별로는 공유수면점 사용, 공유 수면매립과 바다골재채취 관련이 각각 41%, 32%와 21%를 차지하였다. 그러나 이러한 제도시행으로 해역이용개발 행위가 해양환경에 미치는 악영향을 최소화하고 있지만, 사전예기능으로서의 한계와 여러 가지 내용적 그리고 제도상운영상 측면에서 보완하고 개선해야 할 문제점이 지적되었다. 검토기관의 전문성, 공정성과 효율성을 확보하는 것이 매우 중요하고, 이를 위해서는 고유 기능과 역할을 극대화시킬 수 있는 제도적 개선과 운영상 지원이 필요하며, 동시에 자체적으로 적극적인 발전전략을 수립함으로써 전문적인 검토기관으로서의 정체성 확보와 위상을 정립시켜야 할 것이다. 연안관리의 실효성을 확보하기 위해서는 효율적인 해역이용협의제도를 지향하고, 주무부처의 해양환경관리에 대한 구동력과 능동성을 강화 확립해 나가야 할 것이다.

• 한국보건간호학회지
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• 제12권2호
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• pp.236-251
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• 1998

This study aimed at comprehending the meaning of sexual life for aged people, their strength of sexual desire and causes of change in their sexual life. It was another purpose to understand the extent of aged people's acknowledging the necessity of sexual consultation. This study adopted descriptive method using open-ended questionaires. The data for study was collected from 26 people over 65 years who reside in communities. It was gathered from April to June of 1998 through interview. The interviewee includes 16 males, 9 females and their average age was 73.3. 19 people among them have spouses. The conclusion of this study can be summarized as follows. 1) Attitude to sexual life: The meaning of sexual life for aged people is categorized as 'sense of duty', 'feeling of intimacy', 'basic desire', 'decrease of meaning' and 'meaningless'. 2) Sexual desire: Sexual desire of aged people is categorized as 'extinction', 'decrease', 'continuation' and 'restraint'. Restraint of sexual desire is due to social convention or the difficulty in fulfilling desire. 3) Causes of troubles in sexual life Causes which lead to troubles in sexual life of aged people can be categorized as 'physical', 'psychological' and 'social'. 'Physical' elements include 'incompetence of erection', 'decrease in duration of erection', 'increase in time needed to re-erection', 'declining of physical strength', 'decrease in vagina secretion' and 'worsening of health'. Among 'psychological' elements 'decrease of self-confidence', 'diminished concern of female aged people' are. 'Social elements' are 'absence of sexual parter', 'circumstances of living' and 'recognition of neighbor'. 4) Response to change of sexual life The reaction of aged people to change of sexual activities is classified as 'positive' and 'negative'. 5) Attitude to the consultation of sexual life of aged people The attitude to the consultation of sexual life in old age is classified as 'negative', 'doubtful' and 'positive'. This study explored the meaning which aged people in community attach to sexual life, the extent of their sexual desire, the causes of troubles in their sexual life, their emotional response to changes in sexual life, their recognition of necessity in sexual consultation. Considering the frequency of the statement, most of aged people who were interviewed thought much of sexual life and put emphasis on it. Those who said that sexual life has decreased meaning or is not important to them are few, Though aged people still maintain sexual desire, most of them have some trouble in sexual life. These trouble changes the sexual life, and results in negative feeling such as depression, renunciation and difficulty in relations. So they acknowledged that sexual consultation is necessary to them.

• 정신신체의학
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• 제13권2호
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• pp.75-84
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• 2005

연구목적 : 종합병원 정신과 자문 실태와 변화양상(1997년과 2002년)을 조사하여 정신과 자문의 추이와 문제점에 대해 파악하고 대책과 발전 방향을 수립하고자 본 연구를 실시하였다. 방법: 1997년과 2002년에 입원하여 정신과로 자문 의뢰된 환자 347명, 317명에 대해서 자문결과지와 병록기록지를 참고하여 정신과 자문 현황을 조사, 비교, 분석하였다. 결과: 1) 자문 환자의 평균 연령이 45.9세(1997)에서 53.2세(2002)로 증가하였다. 40세 이하 집단이 감소한 반면 60세 이상의 환자군이 증가하였고, 특히 60세 이상 여성이 전체 여성환자 중 22.6%에서 48.5%로 두드러지게 증가하였다. 2) 전체 자문 의뢰율은 1997년 2.2%, 2002년 2.29%였다. 자문의뢰 건수는 내과가 각각 57.1%, 44.2%로 가장 많았고, 각 과별 자문율은 재활의학과가 두 해 모두 가장 높았다. 3) 정신과적 진단은 1997년에는 물질관련 장애가 17.3%로 가장 많았으나, 2002년에는 기분장애가 21.1%로 가장 많았다. 4) 자문의의 권고 사항은 약물사용 및 용량 조정에 관한 권유가 1997년 및 2002년 각 59.7%와 68.0%로 가장 높은 빈도를 보였다. 자문의가 제안한 약물의 종류는 1997년과 2002년 모두 항불안제가 가장 많았다. 2002년에는 Serotonin-specific reuptake inhibitors와 비전형적 항정신병 약물의 처방은 유의하게 증가되었고, 전형적 항정신병 약물의 사용은 유의하게 감소하였다. 결론: 1997년에 비해 2002년도의 자문현황은 자문환자의 연령이 증가하였고, 진단별로는 기분장애와 인지장애의 비율이 상대적으로 증가하였다. 약물권유는 잘 받아들여졌으나, 진단적 검사에 대한 관심은 떨어지는 편이었다.

• Asian Pacific Journal of Cancer Prevention
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• 제13권8호
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• pp.3723-3730
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• 2012

Delay in help-seeking behaviour which is potentially preventable has a major effect on the prognosis and survival of patients with breast cancer. The objective of this study was to explore reasons for delay in seeking help among patients with breast cancer from the East Coast of peninsular Malaysia. A qualitative study using face-to-face in-depth interview was carried out involving 12 breast cancer patients who had been histo-pathologically confirmed and were symptomatic on presentation. Respondents were selected purposely based on their history of delayed consultation, diagnosis or treatment. All were of Malay ethnicity and the age range was 26-67 years. Three were in stage ll, seven in stage lll and two in stage lV. At the time of interview, all except one respondent had accepted treatment. The range of consultation time was 0.2-72.2 months with a median of 1.7 months, diagnosis time was 1.4-95.8 months( median 5.4 months )and treatment time was 0-33.3 months (median 1.2 months). The themes derived from the study were poor knowledge or awareness of breast cancer, fear of cancer consequences, beliefs in complementary alternative medicine, sanction by others, other priorities, denial of disease, attitude of wait and see and health care system weakness. Help-seeking behaviour was influenced by a complex interaction of cognitive, environmental, beliefs, culture and psycho-social factors. Breast cancer awareness and psychological counselling are recommended for all patients with breast symptoms to prevent delay in seeking clinical help.

• 산경연구논집
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• 제11권2호
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• pp.33-39
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• 2020

Purpose: The purpose of this study is that victims of technology leaks and people concerned about leaks complain of stress over security concerns. However, there are no psychological treatments among the government's comprehensive plans to prevent technology leaks. Therefore, the government intends to present education methods using the NLP (Neuro Linguistic Program), a collective counseling technique, to heal the psychological injury of the victims. Psychological counseling methods include cognitive behavioral therapy, psychoanalytic behavioral therapy, humanism therapy, art therapy, and other psychological therapies. Among them, NLP (Neuro Linguistic Programming) method was used. NLP has three concepts: neuron, language, and programming, and is used as a general method for group counseling. Research design, data and methodology: In relation to composition, Chapter 1 explained the purpose and necessity of the study, Chapter 2 explained the types of psychological counseling and NLPs to help understand the study, introduced the prior study related to the development of collective counseling programs through NLP, and Chapter 3 developed a security psychological counseling education program. In addition, FGI(Focus Group Interview) was conducted for professionals. Results: Corporate counseling considered most in this study should satisfy client, counselor and manager differently from individual counseling. For this purpose, the result was composed of 11 times. In order to derive personal problems for clients, they consisted of finding, loving, expressing, and emancipating self. And, It solved the leakage anxiety to suggest a professional solution for the counselor. In addition, this course helps them become familiar with counseling techniques for becoming a good security administrator. Lastly, it was configured to leave the result for the manager to suggest the organizational development method through this training. The implication of this study is to derive psychological counseling methods for security officers. Most companies in the field of security counseling complain about technology leakage stress. There is currently no psychotherapy support project under the policy. And It was developed because it can expect sales improvement from security consultation. Conclusions: In conclusion, the results were organized to be left to the manager so that he could suggest how to develop the organization through this time.

• 임상간호연구
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• 제14권3호
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• pp.99-115
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• 2008

Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.

• 컴퓨터교육학회논문지
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• 제18권1호
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• pp.1-12
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• 2015

본 연구는 수업컨설팅을 효과적으로 지원하기 위한 수업언어 분석 프로그램을 개발하는 데 목적이 있다. 이를 위해 사용자 요구사항을 바탕으로 수업언어를 체계적으로 분석할 수 있는 컴퓨터 프로그램을 개발하였다. 개발된 수업언어 분석 프로그램은 다음과 같은 특징이 있다. 첫째, 사용자가 분석 도구의 틀을 원하는 바대로 설정할 수 있기 때문에 다양한 형태의 수업언어 분석이 가능하다. 둘째, 횟수나 시간비율과 같은 양적 분석의 결과뿐만 아니라 수업언어 전사와 같은 질적 분석의 결과를 얻을 수 있다. 셋째, 사용자가 분석 단위 시간, 동영상 플레이어 환경, 입력 및 결과 파일 형태와 같은 프로그램 환경을 자유롭게 설정할 수 있기 때문에 개인별 맞춤형 분석이 가능하다. 마지막으로 수업컨설팅 절차에 따른 활동 결과를 체계적으로 기록하고 관리할 수 있다. 이 프로그램은 수업컨설팅이 보다 전문적으로 이루어지도록 지원할 것이라 기대한다.

• 대한치과의료관리학회지
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• 제10권1호
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• pp.1-8
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• 2022

This study introduces research on the quality of medical services, optimization of medical services, dental medical services, implant medical services, and time schedules, as well as the effective process of dental implant medical services, which is expensive and requires a long treatment period. For improvement, it is suggested to evaluate using a time schedule. In this method, a time schedule is prepared in which each step, starting from the patients appointment until the completion of the treatment process, is allotted a certain time. This schedule was finalized in consultation with the employees. When performing all implant operations, the starting time of each item was checked to evaluate the degree of compliance and to understand any reasons for delay in each step. After identifying the causes for delay at each step, suitable steps to rectify the drawbacks were developed, and an optimal plan for patient management was determined. Changes in waiting time and human resource utilization were shown as concrete data, suggesting that such a schedule is meaningful as a decision-making support tool.

• 패션비즈니스
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• 제16권3호
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• pp.63-77
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• 2012

This study action drama TV drama 'Ya-ha'(夜叉) the actual work practices of the pre-consultation stage through the Writers, Producer, Art directors and in consultation with the opinion of the character set the record of the contents and character changes over time in accordance with characters makeup the design elements were analyzed. The methods of study was used local and abroad related books, studies, publications and cases and the subjects were limited to be four male make up characters in drama 'Ya-cha'. As a result, TV action drama 'Ya-cha' make up design elements and representation techniques were classified as description of skin tone, wound, the shape of eyebrows, hair type, shape of beard and materials and carried out an important role in the character representation. First, presentation techniques changed skin tones depending on character and position and described wound shape as expression technique and materials were analyzed. Second, the shape of eyebrows was based on the physiognomy of the form. And hair type changed volume, thickness, length and texture depending on character. Third, shape of beard is expressed different kinds of volume, thickness, length and texture depending on character. There fore, that systematization of the make-up design elements is useful to express stable characters and make drama for make up in various image genres.