• 한국임상수의학회지
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• 제30권1호
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• pp.32-35
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• 2013

동일한 개 훈련소에서 6마리의 잉글리쉬 불독이 흡기성 호흡곤란(stridor), 구역질 및 기침의 증상으로 내원하였다. 진단검사상 기관지폐렴을 동반하거나 하지 않은 기관 저형성증으로 진단되었다. 본 환자들의 평균 연령은 $4.83{\pm}2.63$개월 이였고, 체중은 $9.03{\pm}5.30$ kg이였다. 평균 기관직경/흉강입구비(TD/TI)는 $0.085 {\pm}0.022$(정상 0.16이상)이였고 기관직경/제3늑간폭(TD/W3R)은 $1.36{\pm}0.36$ (정상 2 이상)이였다. 모든 환자는 심한 흡기성 호흡곤란과 다양한 정도의 기침소견을 보였다. 여섯 마리중 네 마리 개에서 기관지염이나 기관지폐렴이 관찰되었다. 항생제와 기관지 확장제로 치료한 결과, 환자의 임상증상은 크게 개선되었다. 비록 일부 환자에서 경미한 흡기성 호흡곤란 증상이 남아있지만(흥분이나 운동직후), 모든 환자는 현재 정상적인 삶을 살고있다.

• 지역사회간호학회지
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• 제11권1호
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• pp.231-244
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• 2000

Parish nursing is a community health nursing role developed in 1983 by Lutheran Chaplain Granger Westberg. An increasing emphasis on holistic care, personal responsibility for a healthy lifestyle, and changes in healthcare delivery systems have undoubtedly facilitated the establishment of an innovative nursing role in the community. Parish nurses are functioning in a variety of church congregations of various denominations. The parish nurse is a educator, a personal health counselor, a coordinator of volunteers. The parish nurses helps people relate to the complexed medical care system and assists people to integrate faith and health. The purpose of this study is to investigate what the korean parishioners want in parish nursing and what type of role expectation from parish nurse. The subjects were 1138 parishioners of 23 churches of various denominations in nationwide Korea. Data were collected by self-reported question naires from Feb 4 to June 25. 1999. The data were analyzed by using percentage. frequency. $x^2-test$. multiple Response set with SPSS program. The results are as follows: 1. Desired parish nursing contents by parish nurses are: psychological counselling(23.4%) out of private counselling. stress management(21.1 %) out of private health education. Emergency care(14.1%) out of group health education. Blood Pressure check-ups (19.0%) out of Health check ups. home visiting(44.9%) out of patient visiting method. B T. pulse, respiration and blood pressure check(15.0%) in Care to serve in home visiting. spiritual preparation to accept the death(41.7%) in hospice care, advices to choice of medical treatment using guide(50.1%) in introducing and guiding of health care facilities, pray(21.7%) in spiritual care' faith support. 2. Desired Health Teaching Content According to Period of Clients by Parish Nurse are: Vaccination(22.5%) in infant and toddler health management. sexual education(25.3%) in adolescent health management. prenatal care (29.5%) in pregnant health management. osteoporosis prevention and management (22.4%) in Middle aged health management. dementia prevention and management(25.5%) in elderly health management. 3. The expectant role from parish nurse is spiritual care faith support(14.1%). patient visiting care(13.2%), hospice care(12.9%), private counseling(12.8%), health check ups (11.1 %), volunteer organization and training out of believer(11.0%), private health education (9.3%), group health education (8.3%). 4. In Necessity of Performing Parish Nursing according to Region, Most(over 95%) responded that nursing program is needed. so there is no significance between regions. In Performing Parish Nursing in their church, Most(92.2%) responded they want to perform program. 5. In case of performing parish nursing, 52% out of the subjects responded they want to participated in parish nursing volunteer's activity, for example. to be in active to be a companion to chat(42.1%), necessity support (25.3%), donation support(25.0%), exercise support(18.2%), vehicles support (9.9%). As a result. in holistic care and spiritual care, the need of parish nursing and the role expectation from parish nurse are very high among korean believers. Therefore, I suggest parish nursing centering around Taegu and Kyungbuk province should be extended to nationwide. For extending parish nursing program. more active advertisement and research is needed. After performing parish nursing program through out the country, further comparative research between regions should be practiced and Korean parish nursing program will be developed and activated.

• 한국관광식음료학회지:관광식음료경영연구
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• 제7권
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• pp.231-266
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• 1997

TQM is a whole process of systemizing, documenting and measuring of service quality scientifically to achieve zero defects in product quality and to continue to improve the body of the product quality by itself. To have this process be improved continuously, first of all it needs to prepare an ideal environment to understand and to conform to its internal and external customers', that is every guests' and employees' expectations and demands. Then it has to be followed by the next step removing some negative aspects that could be derived from the first mentioned process The third step is to cut the cost be suitable compensation rather than an attitude trying to solve the problems in an easy way. The last essential factor for setting up TQM system is to make good use of the outstanding feature or process as it is reviewed against the superior benchmark. The purpose of this study is meet the customers' expectations and to maximize the hotel's profits by searching TQM(total quality management) strategy in hotels. To attain this research's objective, it follows these three details. Firstly, it defines TQM and its contents. Secondly, it provides the standard of hotel TQM throughout some case studies. Thirdly, it suggests TQM strategic plan in tourism hotel as one of professional management strategies. Two useful methods are used together to achieve the goal of this study. To confirm its theoretical consideration, descriptive studies by the research documents its theoretical consideration, descriptive studies by the research documents published in and out of the country is used. The other is case studies of TQM execution in real hospitality industry, which present the cases of the airline, Jefferson Memorial and the hotel. This research is targeting to demonstrate the successful TQM's exercise in a hotel industry by completing the theoretical studies and case studies on service product quality with an understanding of its importance. As it is said earlier, to lead to the successful TQM's practice, it is necessary to maintain a constant training of the employees. Secondly, it also must identify where it has to focus on to deliver a professional quality management. Thirdly, effective quality management organization needs to be build up. The manager's strong will to accomplish and the employee' active participations are the last condition to be succeed. Once again this study places an emphasis on the fact that TQM is critical to maximize the customers' satisfaction and the hotel's profitability. It is also very worthwhile to have every people working on front line recognize why the TQM is important and further more how they can contribute to improve their service quality by a positive participation and a careful observation of TQM's operating in their property.

• 시큐리티연구
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• 제25호
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• pp.109-130
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• 2010

우리나라를 비롯한 각국이 경제정보전을 가속화하면서 국가역량을 총동원하고 있으며 이런 과정에서 산업기술 정보의 불법 유출이 급속하게 늘어나고 있다. 2007에서 2008년까지의 피해 예방액만 약 180조 원에 다다르며 앞으로 그 액수는 더욱 커질 것으로 본다. 이러한 핵심기술 유출수법도 개인에 의한 단순 절취에서 연구 활동 참여자 전원이 가담하는 등 조직화, 대형화되고 있기 때문에 기술을 개발하는 것 외에 기술을 지키는 것에도 관심과 역량을 집중할 시기이다. 이러한 고급두뇌들의 유출은 여러 가지 요인이 있을 수 있으나 일반적으로 자녀 교육 및 보수 등의 개인적 요인, 경력직으로서의 빠른 순환의 노동시장, 연구의 정치적 제약 등 개인 사회 정치 문화 등의 다양한 요인에 의해 발생할 수 있다. 따라서 이 연구를 통해 핵심인력 유출을 방지하기 위한 대책으로 각 기업체 및 연구소별 조직이나 업종의 목적과 이념에 핵심인력 관리시스템을 체계적으로 구축하여 핵심인재에 대해서는 차별화된 처우와 보장, 감독을 실시해야 하며, 핵심인력이 다시 돌아올 경우 인사 상 불이익을 주지 않고 외부 경험을 접목시키도록 배려하는 등 인사체제를 개방형으로 전환할 것을 제시하고있다. 또한, 국내외 대학에 업계 공동으로 연수를 보내는 등 상호간의 협력과 자사 교육 시설의 확보를 통한 핵심인력의 양성 및 교육이 필요하다. 아울러 핵심인력의 유출과 관련한 현안들은 각 기업체만의 문제가 아니며 외국에서도 국가적인 차원에서 핵심기술을 확보하기 위한 작업에 혈안이 되어 있는 만큼 기업체와 유관기관의 공조체제가 매우 필요하고 할 수 있다.

• 한국도서관정보학회지
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• 제45권2호
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• pp.339-360
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• 2014

본 연구에서는 공공도서관과 의학도서관이 건강 및 의학 관련 서비스를 제공하고 있는 현황을 조사함으로써 도서관 서비스 활성화 방안을 모색해 보고자 하였다. 이를 위해 두 관종의 사서들을 대상으로 설문조사를 수행하였으며 그 결과는 다음과 같다. 첫째, 공공도서관 사서는 즉답형 질문을 80% 이상 받는 반면에 의학도서관의 경우 몇 시간이 걸리거나 며칠이 걸리는 질문이 50%를 넘는 것으로 나타났으며, 공공도서관 사서는 이러한 질문에 답변함에 있어서 의학도서관 사서에 비해 시간이나 정보자원의 한계를 매우 높게 느끼는 것으로 나타났다. 둘째, 이용자가 건강/의학 관련 정보요구 시 주로 제공하는 자료서비스는 공공도서관의 경우 관련도서 대출이었고, 의학저널이나 참고정보원, 그리고 웹사이트 정보원을 이용하는 것이 전부였다. 그러나 의학도서관 사서의 경우 설문에 제시되는 모든 정보자원의 자료 유형을 거의 비슷한 비율로 골고루 이용하고 있는 것으로 나타났다. 셋째, 공공도서관 사서와 의학도서관 사서에게 업무 수행을 할 때 도움이 될 건강/의학 관련 교육내용은 공공도서관 사서와 의학도서관 사서 모두 건강관련 이슈에 대한 정보를 높게 선호하였으나 의학도서관 사서가 전체적으로 높은 빈도로 전체 주제분야에 관심을 보인 반면, 공공도서관 사서는 식이 및 영양에 관한 정보나 운동이나 피트니스에 관한 정보, 금연에 관한 정보 등 비교적 웰빙과 관련이 있는 교육주제를 선호하는 것으로 나타났다.

• Nutrition Research and Practice
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• 제9권4호
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• pp.385-392
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• 2015

BACKGROUND/OBJECTIVES: Recent studies have reported an association of the angiotensin II type 2 receptor (AT2R) 3123Cytosine/Adenine (3123C/A) polymorphism with essential hypertension and cardiovascular diseases. The purpose of the study was to investigate whether the AT2R 3123C/A polymorphism affects blood pressure for free-living hypertensive men during a 5-month intervention period. SUBJECTS/METHODS: The subjects were free-living hypertensive Japanese men aged 40 to 75 years who agreed to intervention in the period from 2004 to 2011. Detection of the AT2R 3123C/A polymorphism was determined by polymerase chain reaction. The dietary intervention was designed to decrease salt level and to increase potassium level through cooking instructions and self-monitoring of the diet. The exercise session consisted of activities such as stretching, resistance training, and walking. Blood pressure, urinary sodium and potassium excretion, dietary and lifestyle data, and non-fasting venous blood sample were collected at baseline and after the intervention period. RESULTS: Thirty nine subjects were eligible for participation and the follow-up rate was 97.4%. The C allele proportion was 57.9%. AT2R 3123C/A polymorphism was X-chromosome-linked, therefore we analyzed the C and A genotypes. At baseline, no significant differences were observed between the genotype groups. After the intervention, there were no significant differences in lifestyle habit between the groups. Nevertheless, the estimated salt excretion (g/day) was significantly decreased only in the C genotype (13.0-10.3, P = 0.031). No significant change was observed in systolic blood pressure (SBP) (mmHg) in the A genotype, but a significant decrease was observed in the C genotype (150.0-141.5, P = 0.024). CONCLUSTIONS: In the C genotype, it might be easy to improve SBP through lifestyle intervention in free-living hypertensive Japanese men, however generalization could not be achieved by the small sample size.

• 한국멀티미디어학회논문지
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• 제15권11호
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• pp.1384-1390
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• 2012

신체의 감각기관 중에서도 손가락의 운동과 감각 부분이 뇌에 가장 큰 영향을 미친다는 것은 널리 알려진 사실이다. 본 연구는 이러한 사실에 주목하여 교육, 훈련, 건강증진 등의 목적으로 다양하게 활용이 가능한 기능성 게임 장치를 개발하되, 주로 두뇌향상을 위한 다섯 손가락의 균형적 사용에 초점을 맞춘 게임 콘텐츠를 위한 장치 개발하고자 한다. 제안하고 있는 게임 장치는 본체 부분만을 독립적으로 사용하는 '오프라인' 방식과 스마트폰 등의 단말기와 연동하여 사용하는 '온라인' 방식의 2가지 방식으로 게임을 즐길 수 있다. '온라인' 방식으로 동작할 때는 블루투스를 통해서 연동되는 단말기에서 시각 정보를 표시하여 게임을 진행하는 것이 가능하고 '오프라인' 방식에서는 주로 청각과 촉각 등을 이용하여 두뇌 훈련을 하거나 정서를 함양하도록 고안되었다. 본 게임장치의 성능과 활용 가능성을 살펴보기 위해서, 연령에 관계없이 모두가 즐길 수 있는 온라인 모드의 슈팅게임과 촉각이나 청각에 의존하는 고령자 친화형 게임콘텐츠인 낚시게임을 개발하였다. 낚시 게임은 온라인 모드로 게임을 진행하는 것도 가능하지만 오프라인 모드에서는 청각과 순발력을 이용하여 다섯 손가락을 균형 있게 사용하게 함으로써 뇌활동이 저하되는 고령자가 게임을 통해 치매, 기억력 저하 등의 인지기능 장애를 예방하는데 도움을 줄 수 있다.

• 한국시뮬레이션학회논문지
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• 제25권2호
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• pp.13-20
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• 2016

현대전쟁에서는 군사적 승리가 곧 정치적 승리로 연결되지 못하므로 민군작전의 중요성이 더욱 대두된다. 따라서 우리군은 2014년부터 "민군작전모의모델" 체계개발 사업을 수행중에 있다. 민군작전은 민간인을 대상으로 실시하는 비군사적 작전으로서 민군작전 수행결과에 대한 평가를 통한 지휘관 결심 결과에 따라 민군작전 수행방향을 결정하게 된다. 따라서 민군작전 수행수준에 대한 평가를 실시하는 것이 "민군작전모의모델" 체계개발의 매우 중요한 요소로 판단되어 이에 대한 모의방안을 연구하게 되었다. 어떠한 상황의 발생은 민군작전 수행수준에 영향을 주고 상황조치를 위한 민군작전 수행의 결과는 민군작전 수행수준평가 5대 요소(행정수준, 치안수준, 기반시설수준, 인도적지원수준, 우호도)중 관련된 요소로 평가되고 평가결과는 다시 새로운 민군작전 수행 및 새로운 상황 발생에 영향을 주게 된다. 본 논문에서는 민군작전의 수행결과를 민군작전 수행수준평가 5대요소로 어떻게 평가하고 평가결과를 어떻게 활용할 것인가에 대한 모의방안을 제시하였으며 이러한 민군작전 수행수준평가 모의방안을 활용하여 "민군작전모의모델" 체계가 개발되면 우리나라 실정에 맞는 평가요소들이 반영된 모델로써 민군작전 분야의 연습훈련에 크게 기여할 것으로 기대된다.

• 대한장애인치과학회지
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• 제2권1호
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• pp.39-44
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• 2006

Cerebral palsy(CP) is one of the most common motor disease, due to brain injury during fetal and neonatal development which results in neuromotor paralysis and associated neuromuscular symptoms. Features of CP include motor disability due to the lack of muscle control, often accompanied by sensory disorders, mental retardation, speech disorders, hearing loss, epilepsy, behavior disorders, etc. There are increasing chances of treatment of dental patients with cerebral palsy, as the occurrence of CP is increasing with the decrease in infant mortality and an increase in immature birth and premature birth and also, there is a trend to pursue of higher quality of life. Reports on the relationship between CP and maxillofacial deformity are uncommon, but it is well known that the unbalance and discontrol of the facial muscles, lip, tongue and the jaws leads to malocclusion and temporomandibular joint disorders, and statistics show that class 2 relationship of the jaws and open bite is frequently reported. However, it is difficult to perform maxillofacial deformity treatment, which consists of orthodontic treatment, maxillofacial surgery and muscle adaptation training, due to difficulties in communication and problems of muscle adaptation caused by difficulties in motor control which leads to a high recurrence rate. This case report is to trearment of maxillofacial deformity in CP patient. A 26 year old female patient came to the department with the chief complaint of prognathism of the mandible and facial asymmetry. According to the past medical history, she was diagnosed as cerebral palsy 1 week after birth, classified as GMFC, classII accompanied with left side torticollis. The patient's intelligence was moderate, and there were no serious problems in communication. For two years time, the patient underwent lingual frenectomy, pre-operation orthodontic treatment and then bimaxillary orthognathic surgery to treat mandibular prognathism and facial asymmetry followed by rehabilitatory exercise of facial muscle. After 6 months of follow up, there was a good result. This is to report to the typical signs and symptoms of DFD in CP patient and the limitation of the usual method of the treatment of DFD in CP patient with literature review.

• 지역사회간호학회지
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• 제9권1호
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• pp.181-199
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• 1998

This study was designed to examine Home Nursing Care in Hospital-based and Community-based programs. This study investigates actual conditions of nursing needs and demands of clients and their family and the state of home nursing services. We hope that this study will improve upon the current home nursing care system. In Korea Home-Nursing Care programs are still developing and only now becoming a part of the health care delivery system. The data was collected by a questionaire the clients developed and modified through literature review by this writer and through 10 nurses who are members of 4 hospital and 3 community- based agencies. In this study 173 clients were selected. The study lasted from Oct. 1997 to March of 1998. The results show that the average age was 64.3, years older than most women clients (63.0%), the average age of a caregiver was 50.9 years old and most were female(77%). Two types of agency clients with a significant difference between social conditions [25.7%] used some form of insurance; 54.3% had the spouse pay expenses; pay 58.5% son and daughters of Hospital-based agencies: patients of social workers were 24.0%, the highest in the community agency. The condition of patients was 63.2% of the foley and nelaton catheter insertion at hospital based agencies. The range of nursing services offered is one of the highest among the 34 kinds of servies including nasogastric tube management basic nursing, ROM exercise, bladder irrigation, wound and sore dressing. For an effective care service factors that disturb each program such as a non-cooperatative family as well as patients themselves need to be lessened. Further more, the following must be emphasized, supportive counsel 27.0%, steady care for patient, 13.3%maintain a sense of security(11.7%), dressing sores and nutrition(10.0%). Although there were a large number of home nursing care services in the community, policy changes have gathered momentum. Fortunately, the scope and level at legal support will be increased in the future. The program should intergrate and link the district or community together. A project to develop a community based home nursing system as soon as possible should be developed. In conclusion, home nursing care nurses training curriculum should be strengthened.