• 제목/요약/키워드: Direct teaching

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간엽유착과 담낭염을 동반한 선천성 복막심낭 횡격막 허니아의 효과적 수술처치 (Surgical Correction of Congenital Peritoneopericardial Diaphragmatic Hernia with Adhered Hepatic Lobes and Cholecystitis)

  • 남현숙;곽호현;이세호;박경미;박인철;한정희;우흥명
    • 한국임상수의학회지
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    • 제29권1호
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    • pp.87-92
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    • 2012
  • A six months old, male Shih Tzu dog was referred to the Veterinary Medical Teaching Hospital at Kangwon National University, for lethargy, respiratory embarrassment. Survey radiography revealed enlarged cardiac silhouette due to displacement of gas-filled intestine in the pericardium. Although there were no specific clinical signs, this case was diagnosed as peritoneopericardial diaphragmatic hernia (PPDH) based on the results of positive contrast radiography and thoracic ultrasonograpic findings. In addition, the thickened gall bladder wall observed in ultrasonography, increase of alkaline phosphatase and neutrophils indicated cholecystitis. Two hepatic lobes and gall bladder were severely necrotized and adhere to the diaphragm. Direct reduction of the herniated organs might cause hepatic hemorrhage and bile juice leakage which may induce very poor prognosis. To solve the problems, the adhered organs were dissected with part of diaphragm, and lobectomy with cholecystectomy was performed for prevention of some possible complications including peritonitis. This is case report describing resection of part of diaphragm adhered to herniated organ reduce the risk of possible hepatic hemorrhage during surgical correction of PPDH followed bycholecystectomy and lobectomy.

다문화 가정 학생 편견 감소를 위한 다문화교육 방향성 모색 -광주.전남지역을 사례로 - (Investigation into the Future Direction of Multicultural Education to Decrease Bias against Multicultural Students: A Case Study of Kwangju.Jeonnam Region)

  • 홍기대
    • 한국지역지리학회지
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    • 제17권4호
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    • pp.381-394
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    • 2011
  • 한국내 외국인 인구가 약 126만 명으로 현재 우리사회는 다인종 다문화사회로 급속하게 변화하고 있다. 유, 초, 중, 고에 취학하고 있는 다문화 가정 학생수도 약 3만6천명 (2010년 기준)이 넘고 있어 앞으로 다문화가정의 학생이 더욱 증가할 것으로 예상할 수 있는데 실제로 국제결혼과 이민자들의 가장 큰 고민거리중의 하나는 자녀들에 대한 편견과 차별에 대한 우려이다. 연구의 결과는 다문화 가정 학생들이 피부색, 언어의 발음, 학교생활에 부적응 등으로 집단 따돌림을 당하고 있는 실정에 있다. 다문화교육 대상학년은 사실상 초등학교 l 학년부터 지도되어야 하고 다문화 가정 학생과 일반학생이 통합 교육으로 지도해야하고, 다문화 교육 주요자료는 영상자료, 사진자료를 사용하는 것이 좋을 것으로 밝혀졌다. 안내 자료는 책자나 CD자료가 적합하다고 하였고 지도 시기는 교과와 관련하여 지도하는 것이 바람직하다고 하였다.

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초등학교 수학과 교육과정의 내용 선정과 조직에서의 쟁점 - 2006년 개정 교육과정을 중심으로 - (Debates on the New National Elementary Mathematics Curriculum Content)

  • 한대희
    • 한국초등수학교육학회지
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    • 제14권3호
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    • pp.633-658
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    • 2010
  • 이 연구는 2006년에 고시된 교육과정과 지난 제 7차 교육과정을 비교하여 내용 항목과 관련된 개정 사유와 개정 과정에서 있었던 쟁점을 분석하고자 한 것 이다. 이를 위하여 이번 교육과정 개정과 관련된 보고서와 연구물을 수집, 분석하였다. 2006년 개정에서 초등학교 내용과 관련하여 쟁점이 있었던 개정 사항을 학년 간 이동된 내용, 분수 개념의 지도 계열, 문제해결 영역 설정 등의 세 가지로 나누어 정리하고, 각 개정 사항이 어떤 문제의식에서 출발하였는지, 개정 과정에서 어떤 논쟁이 있었는지, 그리고 개정 사항에 대하여 어떤 사유가 제시되고 있는가를 확인하였다. 이로부터 이번 교육과정의 개정에서 다양한 이견이 있었음을 확인할 수 있었으며 이러한 이견은 초등수학의 양과 수준에 대한 근본적인 신념의 차이나, 초등 수학 내용의 도입 시기나 지도 계열에 대한 수학 교육적 견해의 차이 그리고 교육 과정의 내용을 제시하는 하는 방식에 대한 인식의 차이에서 비롯되고 있음을 논의하였다. 이와 같은 분석으로부터 수학과 교육과정의 내용의 선정 및 조직과 관련된 시사점을 얻을 수 있을 것이다.

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컴퓨터를 활용한 수학학습에서의 사회적 측면 (Social aspects of computer based mathematics learning)

  • 류희찬;권성룡
    • 대한수학교육학회지:수학교육학연구
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    • 제9권1호
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    • pp.263-278
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    • 1999
  • Computer with various powerful functions has profound potential for mathematics instruction and learning. As computer technology progress, its applicability to mathematics education become more comprehensive. Not only its functional development but various psychological positions also changed the way computer technology utilized in mathematics education. In behaviorist's perspective, computer viewed as a teaching machine and constructivist viewed computer as microworld where students could explore various mathematical contents. Both theoretical positions emphasized individual aspect of learning because behaviorist tried to individualize learning using computer and constructivist focused on the process of individual construction. But learning is not only a individual event but also a social event. Therefore we must take social aspect into account. This is especially important when it comes to computer based learning. So far, mathematics loaming with computer weighed individual aspect of loaming. Even in microworld environment, learning should be mediated by teacher and collaborative learning activities. In this aspect, the roles of teacher and peers are very important and socio-cultural perspective sheds light on the computer based learning. In socio-cultural perspective, the idea of scaffold is very important in learning and students gradually internalize the social dimension and scaffolding is gradually faded. And in the zone of proximal development, teacher and more competent peers guide students to formulate their own understanding. In sum, we must take following points into account. First of all, computer should not be viewed as a medium for individualized teaming. That is, interaction with computer should be catalyst for collaborative activities with peers. So, exploration in computer environment has to be followed by small group activities including small group discussion. Secondly, regardless of the role that computer would play, teacher should play a crucial role in computer based learning. This does not mean teacher should direct every steps in learning process. Teacher's intervention should help student construct actively. Thirdly, it is needed to conceptualize computer in learning situation as medium. This would affect learning situation and result in the change of pre-service and in-service teacher training. Computer to be used effectively in mathematics classroom, researches on assessment of computer based learning are needed.

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골든 리트리버종에서 발생한 Discoid Lupus Erythematosus(DLE)의 발생 증례 (A case of Discoid Lupus Erythematosus (DLE) in a Golden Retriever dog)

  • 원동선;홍은실;정만복;김현진;박남용;박철;정병현;박희명
    • 한국임상수의학회지
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    • 제20권1호
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    • pp.142-144
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    • 2003
  • A 3-year-old, 38 kg, male Golden Retriever dog was referred to Veterinary Teaching Hospital of Konkuk University because of chronic formation of crust on nasal bridge and planum nasale. Abnormalities of physical examination included hyperkeratosis on the footpad, symmetrical alopecia and erythma around olecranon, and crust on nasal bridge and planum nasale. Results of the hematological examination showed a mild leukopenia with neutropenia, monocytosis, and mild lymphocytosis. In addition, the result of serum chemistry and thyroid gland profile were normal. Results of fungal and bacterial culture was negative. Acanthocytes in cytological evaluation of nasal crust were observed in direct microscopic examination. Examination of skin biopsy exhibited vacuolation of basal cell layer, degeneration and necrosis of basal cell with defluxion, mild monocytes filtrations between epidermis and dermis, and mild acanthosis with hyperkeratinization. Based on results of examination described above, Discoid Lupus Erythematosus (DLE) was diagnosed.

클라이언트 권리옹호에 미치는 영향 요인 연구: 사회복지 과목 이수 성인학습자를 중심으로 (The Factors Affecting Clients Rights Advocacy : Focused on Adult Learners in Social Welfare Classes)

  • 박형원
    • 한국콘텐츠학회논문지
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    • 제15권5호
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    • pp.365-374
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    • 2015
  • 본 연구는 사회복지과목 이수 대학생의 클라이언트 권리옹호태도에 영향을 미치는 요인을 파악하고자 S사이버대학교에서 사회복지과목 수강중인 251명의 성인학습자를 대상으로 이루어졌다. 주요 연구변인의 현황을 파악한 결과, 응답자들의 권리옹호는 5점 척도 기준에서 4.19점으로서 높은 편이었고, 정책옹호보다는 계층 및 사례옹호에 대한 태도가 높았다. 인권감수성이 높은 집단, 인권교육을 받은 경험이 있는 집단의 권리옹호가 높았다. 회귀분석결과 대학교육과정에서 인권교육을 받은 경험이 권리옹호에서 큰 설명력을 갖는 것으로 나타났다. 이러한 연구결과를 바탕으로 인권전문직인 예비사회복지사를 교육함에 있어 각 교과목에서 인권과 권리옹호에 대한 내용 강화, 직접적인 경험과 참여를 통한 다각적인 수업방식의 필요성을 제안하였다.

병원환경의 안전관리를 위한 기초조사 -청결도를 중심으로- (A Survey on Environmental Safety Focussed on Cleanliness for Hospitalized Patients)

  • 박점희
    • 대한간호학회지
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    • 제7권1호
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    • pp.99-111
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    • 1977
  • One of the fundamental provisions that a hospital requires is the environmental safety through cleanliness s. The effective management of atmospheric conditions, i. e. air purity, cleanliness of facilities furnitures and bed- linen instruments are direct- environment of hospitalized patients. Meeting physical cleanliness needs of patients, application of aseptic teaching while carrying out nursing measures and the cleanliness of hospital personnel are another categories of concern. This study was carried out, from March through April 1976, to investigate the degree of satisfaction on cleanliness that patients perceived, and to compare with that of nurses on their nursing performances. 44 questionaries categorized into 6 major concern were used. For the survey, 269 patients and 191 nurses of 3 general hospitals in Taegu: kyung-puk University Hospital, Presbyterian Mission Hospital, and Catholic Patima Hospital and 116 senior nursing students from Kyung-Puk University and Presbyterian School of Nursing were randomly sampled. Results are as follows : 1. Mean satisfaction score on cleanliness revealed to be average on patients, on nursing performance for cleanliness revealed to be average in nursing students and relatively high in graduate nurses. 2. Mean score of patients revealed to be significantly lower in comparison with that of nursing. 3. Mean score of nurses revealed to be significantly higher in comparison with that of nursing students. 4. Mean score of patients revealed to be significantly lower in comparison with nursing students. 5. Mean satisfaction score of patient3 in all categories revealed to be the lowest in the rank order . 6. The lowest categorial mean score revealed to be the linen and instrument in all three groups. Recommendations 1. A more satisfactory mean of cleaning (medical asperses of mouth thermometers needs to be developed. 2. Further investigation to clarify the difference between patients and nurses on hospital cleanliness is recommended.

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ICNP를 이용한 간호현상, 간호활동 분석 -정형외과 간호기록 중심으로- (Analysis of Nursing Phenomena and Nursing Action using ICNP - Focused on orthopedic patients nursing records -)

  • 류선희;홍해숙;박상연;이은주
    • 가정간호학회지
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    • 제11권1호
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    • pp.14-22
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    • 2004
  • The purpose of this study was to establish the basic-data set for the electronic nursing records system by analysis of nursing phenomenas and nursing actions described in nursing records of orthopedic patients using the ICNP. Nursing notes for 1.421 days of 97 orthopedics patients who were discharged from a tertiary teaching hospital in Daegu were used. Narrative data from the nursing notes were collected. decomposed. and cross mapped with the concepts of the ICNP beta version. In total 11.442 statements were found in the process of decomposing the narrative data into single statement. These statements consist of 3.970(34.70%) nursing phenomena statements. 6.996(61.14%) nursing action statements, and 476(4.16%) other statements. Finally 312 unique statements were collected by integrating same or similar statements. These statements consist of 120 (38.46%) nursing phenomena statements. 154 (49.36%) nursing action statements. and 38 (12.18%) other statements. When this result was cross mapped with ICNP beta version. 77.0% of nursing statements were completely expressed. 17.0% of them were partially expressed. and 0.3% of them were not able to expressed at all. The findings of this study showed the usability of ICNP as terminology of electronic nursing records system. And the result of this study can be utilized for an ICNP-based electronic nursing records system and can help clinical nurses to spend more time on direct nursing.

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초등 수학 수업 상황에서 나타나는 언어적 은유와 제스처 분석 (An Analysis on the Lingual Metaphors and Gestures Shown in the Math Class at Elementary School)

  • 이종희;최성이
    • 한국초등수학교육학회지
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    • 제16권1호
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    • pp.145-166
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    • 2012
  • 본 연구의 목적은 초등 수학 수업에서 사용되는 언어적 은유와 제스처 사용에 대한 사례를 분석하여 수학학습 지도 방안으로서의 은유 및 제스처의 가치를 재고해 보고자 하는데 그 목적이 있다. 본 연구에서는 2007 개정 교육과정 초등학교 6학년 1학기 7단원 정비례와 반비례 중 4차시 반비례 알아보기 단원을 주제로 한 수업에서 교사에게서 나타난 언어적 은유와 제스처를 분석하였다. 분석 결과 본 연구에서 관찰된 수학적 은유에는 기계은유와 가상적 이동은유가 있으며 제스처는 형상적 제스처, 은유적 제스처, 지시적 제스처의 형태로 관찰되었다. 이러한 은유들은 수학 수업 전반에 걸쳐 고르게 분포하여 다양한 형태로 표현되었으며 분석 결과를 토대로 수학 수업에 있어서 은유 활용의 교육적 의의를 재고해 보았다.

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개의 호산구성 폐침윤증 일례 (A Case of Pulmonary Infiltration with Eosinophils (PIE) in a Dog)

  • 손성목;강지훈;한상철;나기정;장동우;모인필;양만표
    • 한국임상수의학회지
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    • 제20권4호
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    • pp.496-500
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    • 2003
  • A one-year-old male Japanese Chin with anorexia, retching, dyspnea and continuous coughing was brought to the Veterinary Teaching Hospital, Chungbuk National University. Chest radiographs showed moderate regional alveolar pattern with mild interstitial patterns in the caudo-dorsal lung fields and the ill-defined mass in the perihilar area which is consistent with perihilar lymphadenopathy. Although the dog showed severe eosinophilia in the complete blood count, the serum profile values were within normal ranges. There was no indication of any parasite infestation in the direct and floatation examination of feces, skin scraping test and heartworm examination. There was no growth of bacteria and fungi in the selected media such as Mueller Hinton broth, Sabouraud Dextrose agar and Potato Dextorse agar, which were inoculated with tracheal fluid collected using endotracheal tube and cultured for 3 days. In the tracheal fluid smear, most prominent cells were eosinophils, which are a almost 80% of total cells and other cells such as leukocytes, neutrophils and ciliated colummar cells were also observed. Any parasite was also not detected in its smear. Prednisolone (PDS; 1 mg/kg, BID SC), aminophylline (10 mg/kg, TID IV) and nebulization with gentamicin (50 mg) plus saline (3 ml) were given for 1 week. At 3rd day of treatment, blood eosinophil value was return to normal range and pulmonary condition was also improved. The allergen test with serum performed during therapy was positive in the 19 index including milk, barley, tomato pomace, catfish, bonito, house dust and wool, and borderline in 10 index including wheat, house dust mites and house fly. The patient is responding well to PDS therapy. Based on these findings, a possible diagnosis of pulmonary infiltration with eosinophils was made in this dog.