• 대한골관절종양학회지
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• 제19권1호
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• pp.28-32
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• 2013

Erdheim chester disease (ECD)은 골격계 및 다발성 장기에 발생하는 매우 드문 비 랑거한스세포 조직구증(Langerhans cell histiocytosis,LCH)으로 구분되는 질환으로 진행성이며 때론 치명적인 결과를 야기한다. 하지만 이는 LCH 혹은 다발성 골 전이로 오인되기 쉬우며 진단 또한 극히 어렵다. 국내에서는 1999년에 10예가 처음으로 보고되었을 뿐이며 특히 정형외과적으로 접근 및 보고는 문헌상 영어권에서 극히 소수의 문헌만이 존재하며 국내에는 보고된 예가 없다. 저자들은 슬관절 및 하지통은 주소로 본과에 협진된 환자에 대해 골 조직검사 시행하였으며 이에 대한 진단적 경험을 문헌 고찰과 함께 보고하고자 한다.

• 한국의류학회지
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• 제37권3호
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• pp.292-305
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• 2013

This study reported present state of clothing technical designers' work duties and working conditions, so as to suggest effective ways to develop professional training methods for them. Technical designers working for vendors and agents were surveyed as they represent the majority of technical designers in Korean clothing industries. Survey participants were 62 technical designers working for 6 clothing vendors and 2 clothing agents, and the survey closely inspected their work qualifications, duties and responsibilities, working conditions and training conditions. Survey was conducted from June $27^{th}$ to July $17^{th}$, 2012. The questionnaire examined frequency analysis and multiple response analysis using SPSS 19.0 Windows after investigating documents and work fields through personal experiences and interviews from technical designers for data collection and analysis. A chi-square test analyzed the preferred type of fitting for technical designers of vendors and agents. The results showed that 32.3% of those surveyed have more than 7 years of work experience and the highest level of education is predominantly a bachelor's degree (57 people, 91.9%). Among the work responsibilities, respondents did sample measuring more than four times a day. Also, the results showed that technical designers needed to qualify: first 'Fitting Technic', second 'Pattern Correction Capability', and third 'English Skills to Communicate with Buyers'; subsequently, education on several technics (such as measuring, grading, and fitting) were required for the job. Current technical designers answered that they need more various work-related education. However, the analyzed results showed that pre work-related training was insufficient. The data shows that technical designers require re-education in 'Pattern Correction Method' (61.3%) and 'Sewing Education' (64.5%).

• 디지털융복합연구
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• 제16권1호
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• pp.343-350
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• 2018

이 연구의 목적은 디지털문화에 잠재한 폐해들 중 하나인 지각의 자동화에 대한 대응전략으로서 지각의 자동화 현상에 대한 시의 지각의 낯설게 하기 효과, 시의 치료적 기능과 시적 장치로서 은유 등을 포함한 시의 효용성을 고찰하는 것이다. 따라서 이 연구는 디지털 문화의 속성과 그 폐해, 특히 디지털문화의 부정적인 영향인 지각의 자동화현상의 원인과 결과를 분석하고 시는 이에 대한 해결책으로서 유용한 도구가 될 수 있는지를 분석하였다. 디지털시대의 급격한 기술혁신의 결과 우리는 다양한 경험과 많은 기회를 얻게 되고 장밋빛 미래를 전망한다. 그러나 우리는 인공지능과 디지털기기에 대한 무의식적이고 습관적인 의존으로 지각의 자동화의 위험에 빠질 수 있다. 시는 사물들을 낯설게 하며 형식을 까다롭게 하여 지각의 자동화를 막고 상상력, 문학능력과 창의성을 증진시킨다. 또한 시의 치료적 기능은 새로운 경험을 하며 공감능력을 키우게 하고 때로는 상처 받은 마음에 위안과 평화를 주어 정신건강을 회복하게 한다. 전통적인 시뿐만 아니라 디지털 융합기술로 탄생한 하이퍼텍스트시 등을 포함한 다양한 형태의 다지털시에 대해 앞으로 체계적이고 심도 있는 분석과 연구가 필요하다.

• Perspectives in Nursing Science
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• 제6권1호
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• pp.21-37
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• 2009

The purpose of this GWP project was two-fold:(1) to launch an organizational culture improvement for great workplace (2) to improve the perception of nursing personnel on communication and team work in a surgical nursing department of a teaching hospital in Seoul. Using one group pretest-posttest design, nursing personnel's perception on organizational culture related to communication and team work was evaluated. A 10-item, 5-point scale (1.5) survey was administered to 209 nursing personnel in January 2009 and again to 191 nursing personnel in October 2009. From January 2009, AMANNA team has taken activities focused on trust, pride, and fun. AMANNA is an abbreviation of Korean language, which means wonderful meeting and sharing in English. Monthly activities are as follows: choral concerts by nurse managers, welcome and farewell events, praising members for their services, explaining current circumstances, etc. Special activities are as follows: a New Year's greeting party, a spring picnic, beauty classes, a lecture on drug administration, cultural lectures using videos, and presentations of academic posters and another activity. The reliability of measurement was Cronbach's ${\alpha}$: 0.917(pretest), 0.954(posttest). Most nursing personnel's perception on organizational culture was improved (pretest mean=3.50 and posttest mean=3.78, p<.001). "A sense of belonging" showed the greatest improvement among the 10 items(3.18 vs. 3.56, p<.001). "Trust each other" showed the highest score (mean=3.98) in posttest. Frequency of participation and satisfaction showed a significant relationship(r=0.179, p=.021). We believe that this project has made a contribution towards a positive organizational culture. The keys to this initiative's preliminary success have been the leadership support and flexibility in implementing the interventions tailored to the hospital.

• 중환자간호학회지
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• 제11권1호
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• pp.46-66
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• 2018

Purpose : The purpose of this study was to systematically review the instruments utilized to assess physical impairment in post-intensive care syndrome (PICS) of intensive care unit (ICU) survivors. Method : Online databases searched were MEDLINE, Cochrane, CINAHL, and Embase. Studies that met the following criteria were included: 1) the study population exclusively had experience with ICU admission; 2) the study assessed pulmonary, neuromuscular, and physical functions; and 3) the study was published in English language journals after 2007. Results : A total of 56 instruments (2 pulmonary, 25 neuromuscular, 29 physical function) from 94 studies were reviewed. They were classified into self-report, observation, and measurement according to the type of assessment. No instrument measured all 3 areas of physical impairment. Five instruments were originally developed for the ICU patients. The most frequently applied instruments were the Medical Research Council and the 36-item Short Form Survey (physical component summary), which were used in 23 studies each. Only 13.8% of reviewed studies reported the reliability or validity of the instruments. Conclusion : Our results suggest that the appropriateness of instruments assessing physical impairment in PICS cannot be guaranteed. Despite the multidimensional concept of physical disabilities, most studies measured only one area, and studies that reported psychometric properties were limited. Accordingly, we propose to develop a unique and multifaceted instrument for ICU survivors.

• 대한간호학회지
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• 제48권5호
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• pp.601-621
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• 2018

Purpose: This study aimed to synthesize the caring experiences of Korean family members of patients with dementia through a qualitative meta-synthesis method. Methods: By searching through nine Korean and English databases, we compared 37 qualitative studies on caring experiences of family members of patients with dementia. The selected studies were synthesized through meta-synthesis, proposed by Sandelowski and Barroso (2007). Results: The meta-synthesis elicited four themes: tough life due to care for patients, changes in relationships, adaptation to caregiver's roles, and new perspectives of life through personal growth. Caregivers were shocked when a sudden diagnosis of dementia was made prior to any preparation on their part. They were tied to their patients all the time and their mind and body got exhausted. Their relationship with patients began to change and they looked at them differently. They experienced conflicts with the other non-caring family members and were alienated from them. They were also socially isolated. However, by building their own care strategies and utilizing social resources, they gradually adapted to their caregiver roles. Finally, they experienced personal growth and acquired a new perspective toward life by accepting their roles and finding meaning in their lives. Shifting the caregiver's centricity from themselves to the patient was the process of becoming human beings who actively constructed their realities while giving meaning to their painful lives and interacting with the environment. Conclusion: The results of the study can be useful for nurses in understanding the experiences of caregivers of the patients with dementia and in providing them with practical interventions.

• 영재교육연구
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• 제26권3호
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• pp.473-491
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• 2016

본 연구에서는 유아교육기관에서의 유아영재 대상 차별화 교육 실태와 지원 요구를 조사하였다. 설문조사는 서울과 경기, 인천 지역의 유치원과 어린이집 및 기타(영어유치원 및 놀이학교) 유아교육기관에서 근무하는 교사 및 원장을 대상으로 실시하였으며, 최종 수집된 설문지는 총 309부였다. 연구 결과 첫째, 유치원, 어린이집, 기타기관 등의 유아교육기관에는 유아영재 대상의 차별화 교육을 위한 인프라가 충분히 구축되어 있지 않았다. 특히 유아영재를 위한 '차별화 교육 경험'이 세 기관 모두 보통보다 낮은 수준이었다. 둘째, 유아교육기관에서의 유아영재 대상 차별화 교육에 대한 교사의 요구도는 세 기관 모두 필요수준에 비해 현재 수준이 현저히 낮은 것으로 나타났다. 본 연구의 결과는 정규 유아교육기관에서 유아영재 대상으로 교육적 요구와 발달특성에 부합하는 차별화 교육 방향 모색에 필요한 기초자료를 제공한다는 측면에서 의의가 있다.

• Journal of Korean Neurosurgical Society
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• 제55권4호
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• pp.185-189
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• 2014

Objective : General anesthesia is often preferred for endovascular coiling of intracranial aneurysm at most centers. But in the authors' hospital, it is performed under monitored anesthesia care (MAC) using dexmedetomidine. To determine the feasibility and safety of this approach, the authors reviewed our initial experience. Methods : Retrospective data was analyzed from July 2012 to November 2012. We performed coil embolization in 28 cases using this method. Among them, for statistical significance, we analyzed 12 cases in which the procedure time exceeded an hour. Vital signs were analyzed every 10 minutes. Depth of sedation was measured according to the Ramsay sedation scale and frequency of the repeated roadmap image(s) caused by movement of the patient's head during the procedure. Results : All procedures were completed without occurrence of procedure related complications. Under MAC using dexmedetomidine, vital signs of the patients were stable, no statistical significance regarding hemodynamic and respiratory parameters was observed between time points (p>0.05). Adequate sedation was achieved. Mean Ramsay sedation scale was $3.67{\pm}1.61$ (2 to 6). Repeated roadmap image(s) due to patient's factor occurred in only one case. The mean dosage of drug for adequate sedation for the procedure was $0.65{\pm}0.12mcg/kg/hr$ without loading doses. Conclusion : To the best of my knowledge, this is the first report published in English using the method of monitored anesthesia with dexmedetomidine for intracranial aneurysm coiling. Monitored anesthesia care using dexmedetomidine without loading dose for embolization of intracranial aneurysms appeared to be a safe and effective alternative to general anesthesia.

• 대한간호학회지
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• 제49권4호
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• pp.411-422
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• 2019

Purpose: The purpose of this study was to adapt, modify, and validate the Nursing Anxiety and Self-Confidence with Clinical Decision-Making Scale ($NASC-CDM^{(c)}$) for Korean nursing students. Methods: Participants were 183 nursing students with clinical practice experience in two nursing colleges. The construct validity and reliability of the final Korean version of the $NASC-CDM^{(c)}$ were examined using exploratory and confirmatory factor analyses and testing of internal consistency reliability. For adaptation and modification, the instrument was translated from English to Korean. Expert review and a cross-sectional survey were used to test the instrument's validity. Results: The Korean version of the $NASC-CDM^{(c)}$ (KNASC-CDM) was composed of 23 items divided into four dimensions: (i) Listening fully and using resources to gather information; (ii) Using information to see the big picture; (iii) Knowing and acting; and (iv) Seeking information from clinical instructors. The instrument explained 60.1% of the total variance for self-confidence and 63.1% of the variance for anxiety; Cronbach's ${\alpha}$ was .93 for self-confidence and .95 for anxiety. Conclusion: The KNASC-CDM can be used to identify anxiety and self-confidence in nursing students' clinical decision-making in Korea. However, further research should be done to test this instrument, as it is classified differently from the original $NASC-CDM^{(c)}$ version.

• 한국임상약학회지
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• 제31권1호
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• pp.53-60
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• 2021

Objective: To gather the opinions of hands-on workers for successful introduction of the Development Safety Update Report (DSUR) according to a five-year comprehensive plan for clinical trial development [Ministry of Food and Drug Safety, 2019]. Methods: We conducted a survey on considerations that industry stakeholders may have related to the enforcement of the DSUR. A questionnaire was distributed among pharmacovigilance specialists from 13 pharmaceutical companies in South Korea on June 4, 2020. The questionnaire comprised two sections: 1) current status of the Drug Safety Data Management System and 2) considerations on the implementation and management of the DSUR. Results: All respondents have agreed the introduction of DSUR is inevitable for regulatory harmonization and safety of trial subject. However, most respondents (85%) felt concern about additional workload with DSUR implementation. They answered that format and operation system of DSUR should be harmonized with those of international standards and authorities need to minimize double burden due to related report. Conclusion: All respondents asserted that domestic DSUR should be harmonized with International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) E2F guidelines. Respondents from global companies also suggested regulatory authorities allow DSUR written in English to replace Korean version considering their deadline for submission. Moreover, every respondent agreed regulatory authorities need delicate effort when implementing mandatory submission of DSUR to ensure that even small pharmaceutical companies with no experience in DSUR can comply with the system.