• 대한약침학회지
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• 제25권1호
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• pp.15-23
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• 2022

Objectives: This study aims to develop a community care model in traditional Korean medicine (TKM) by developing a community care participation model for the health of the elderly and deriving tasks to implement it. Methods: This study implemented a group interview with experts. A fact-finding survey was conducted targeting 16 local governments that are implementing a leading project to identify the status of TKM service provision and welfare service linkage in all regions. An expert group interview (FGI) targeted public and private sector experts for each job role, the former represented by those in charge of the central government's health care policy and administrative delivery system, and the latter by professors majoring in social welfare, professors majoring in health, and local TKM societies. After forming the expert groups, three expert group interviews were conducted. Results: Through collective interviews with experts, a model for providing TKM and welfare services in community integrated care was derived by dividing it into local and central government levels. The strategies and tasks for promoting TKM-oriented health welfare services were derived from 3 strategies, 8 tasks, and 20 detailed tasks. Conclusion: The core direction of the TKM health care model is the region-centered provision of TKM and welfare services. To this end, policy support for the use and linkage of health care service resources is required at the central government level, and linkage and provision of health welfare services centered on TKM are necessary through linkage and convergence between service subjects and between government health care projects.

• 디지털융복합연구
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• 제20권3호
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• pp.105-115
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• 2022

이 연구는 국가 교육과정 정책 대한 교육전문가와 대중의 관점에 대한 경향성을 비교 분석하기 위하여 2013년 10월부터 2020년 5월까지 실시된 2015 개정 교육관련 연구논문 1152편과 692편의 신문기사를 수집하여 의미연결망과 중첩맵 분석을 실시하였다. 연구의 결과, 전문가 집단에서는 추상적 개념을 중심으로 하여 교육과정 개발에 관련된 핵심적인 개념에 대한 관심이 크게 나타난 반면, 대중들에게선 교육과정의 개발 자체가 아니라 개정으로 인한 현실적인 문제와 결과적인 영향에 더 큰 관심을 보이는 것으로 나타났다. 또한, 전문가집단에서는 '학습경험의 질 개선을 위한 역량교육과정 개발'과 '문·이과 통합형 교육과정 총론 개발' 영역에 대한 연구가 활발하게 진행되는 경향을 보였으나, 대중은 '공교육 정상화를 위한 대학입시 개편 방안' 영역에 관심이 집중되는 경향을 보였다. 이러한 결과는 전문가 집단과 대중의 관점 간의 간극을 보여줌은 물론, 이를 해소하기 위한 효과적인 의사소통의 필요성을 제기한다.

• 동의신경정신과학회지
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• 제35권1호
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• pp.15-26
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• 2024

Objectives: The objective of this study is to develop a specialized clinical research protocol for acupuncture treatment specifically designed for disaster survivors based on insights from an expert survey. Methods: An expert panel comprising specialists in neuropsychiatry, acupuncture, and clinical research methodology was assembled. Initial data to inform the clinical research protocol design was collected utilizing open-ended responses, multiple-choice questions, and a 5-point Likert scale to gauge agreement levels. Next, this data was disseminated to a panel of experts. A cohesive clinical research protocol was then formulated during a core panel meeting by integrating insights from a panel of 10 experts. Results: The protocol developed herein entails a non-randomized controlled study involving participants aged 19~64 years old who have been identified as high-risk or cautious according to the National Trauma Center screening test. The study design includes the establishment of an active control group, which allows for the assessment of an additional effect through comparison with conventional therapy. The selected acupuncture approach involves a combination of manual acupuncture and ear acupuncture. For clinical outcome assessment, the Clinician-Administered Posttraumatic Stress Disorder Scale for DSM-5 was proposed to gauge trauma symptoms. Representative scales for various domains such as depression, anxiety, anger, insomnia, pain, and quality of life were also provided for reference. Conclusions: The developed protocol is anticipated to streamline the swift design and initiation of clinical trials during disaster scenarios. It is also designed to be scalable, thereby enabling its application in both non-randomized control group studies and single-group before-and-after comparisons.

• Asian Pacific Journal of Cancer Prevention
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• 제15권12호
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• pp.5077-5081
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• 2014

To clarify whether gastric cancer patients can benefit from laparoscopy-assisted surgery completed by junior surgeons under supervision of expert surgeons, data of 232 patients with gastric cancer underwent operation performed by inexperienced junior surgeons were reviewed. Of the 232 patients, 137 underwent laparoscopy-assisted resection and in 118 cases this approach was successful. All of these 118 patients were assigned to laparoscopic group in this study, 19 patients who were switched to open resection were excluded. All laparoscopic operations were performed under the supervision of expert laparoscopic surgeons. Some 95 patients receiving open resection were assigned to the open group. All open operations were completed independently by the same surgeons. Short-term outcomes including oncologic outcomes, operative time intra-operative blood loss, time to first flatus, time to first defecation, postoperative hospital stay and perioperative complication were compared between the two groups. The numbers of lymph nodes harvested in the laparoscopic and open groups were $21.1{\pm}9.6$ and $18.2{\pm}9.7$ (p=0.029). There was no significant difference in the length of margins. The mean operative time was $215.9{\pm}32.2$ min in laparoscopic group and $220.1{\pm}34.6min$ in the open group (p=0.866), and the mean blood loss in laparoscopic group was obviously less than that in open group ($200.9{\pm}197.0ml$ vs $291.1{\pm}191.4ml$; p=0.001). Time to first flatus in laparoscopic and open groups was $4.0{\pm}1.0$ days and $4.3{\pm}1.2$ days respectively and the difference was not significant (p=0.135). Similarly no statically significant difference was noted for time to first defecation ($4.7{\pm}1.6$ vs $4.8{\pm}1.6$, p=0.586). Eleven patients in the laparoscopic group and 19 in the open group suffered from peri-operative complications and the difference between the two groups was significant (9.3% vs 20.0%, p=0.026). The conversion rate for laparoscopic surgery was 13.9%. Patients with gastric cancer can benefit from laparoscopy-assisted operations completed by inexperienced junior surgeons under supervision of expert laparoscopic surgeons.

• 한국지반신소재학회논문집
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• 제18권4호
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• pp.151-165
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• 2019

본 연구에서는 저유동성 몰탈 채움을 통한 기존 항만 구조물의 내진성능 향상을 위해 시공 위치에 따라 4가지(자중증가, 활동력 감소 등) 보강방안을 제시하였으며, 이론적 방법 및 수치해석적 방법으로 보강 시 효과(안정성, 시공성, 경제성)를 분석하여 최적 방안을 제시하였다. 본 연구 결과 인공지진파를 적용한 동적 시간이력해석을 수행한 결과 보강 후 수평변위는 보강 전 수평변위에 비해 감소하였으나 보강 방안별 지진시 변위 억제 효과는 큰 차이가 없는 것으로 평가되었다. 강도감소법과 한계평형해석법을 적용하여 원호활동 파괴특성을 검토한 결과 수동말뚝 형태의 개량 방안이 다른 보강방법에 비해 안전성이 높은 것으로 평가되었다. 이는 보강체로 인해 활동 파괴면의 전단강도가 증가하였기 때문이다. 또한, 시공성 및 경제성을 분석한 결과 토압 저감형태(Type 02)와 수동말뚝 형태(Type 03)가 우수한 것으로 나타났다. 다만, 수동말뚝 형태의 경우, 설계법 적용 사례가 미미하고, 지반 조건에 따라 시공이 불가하거나 경제성이 급격히 저감되는 등 여러 가지 제약조건을 가지고 있어 적용시 주의가 요구된다.

• 간호행정학회지
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• 제2권1호
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• pp.57-72
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• 1996

Provision of better nursing care to patients is a difficult but important task. The first problem for nursing quality improvement is development of evaluation tool for the quality of nursing care. This study tries to develop a patient care tool for patients with chronic renal failure. This study as a procedural evaluation of patient care, tries to show what, how, at what order to provide care to patients with chronic renal failure. This study is divided into process of development of tool, its reliability and validity. Among process of development of tool is focal group, small expert group and expert evaluation group. To develop approprieteness of tool, nurses working is four major hospitals is Seoul were selected. To evaluate the credibility of subjects, 19 patient who were hospitalized and discharged within 3 months were selected. The period for collecting data for reliability and valiability evaluation was between Sept. 20 to Oct. 18, 1995. The development process of this study is as follows ; 1. Make preliminary list of the tool by focal group consisting of 8 clinical nurses. 2. Modify and add preliminary list by 4 expert nursing panel. 3. Calculate content validity of the tool by 23 nursing expert panel of judge. 4. Verity relability and validity of the tool. 5. Finalize an evaluation tool for the quality of nursing care in chronic renal failure patient. The result of this study were as follows ; 1. Development of evaluation tool for the quality of nursing care in chronic renal failure. 1) The evaluation of this study was developed 5 standards, 28 criteria. and 130 indicators 2) Nursing care evaluation scores for chronic renal failure patients were average 68.8. 2. Verity reliability and validity of the tool. 1) 5 standards were divided into 4 point scale and according to 28 creteria, indicators of standard were 3.72 and of criteria were 3.77 2) Inter - rater reliability (consentaneity score) of the tool by pearson correlation coefficient betwwen rates were r= .72, r= .75 and interreliabilities by single - facet crossed design were r= .96. 3) The alpha coeffecient relating to internal consistency was .7259 over 27 items of 28 criterias of developed tool. Through this study, I'm sure that the developed tool for the quality of patient care in chronic-renal failure patient will show the way of more improvement of the quality of nursing care and effective nursing intervention.

• 한국지반신소재학회논문집
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• 제21권1호
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• pp.11-21
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• 2022

본 연구에서는 개별진공압밀공법과 침투압밀공법의 단점을 보완하여 새로운 연약지반 개량공법인 개별진공 침투압밀공법을 개발하여 수치해석을 통해 지반 공학적 거동을 예측하였다. 개별진공 침투압밀공법을 적용할 경우, 대수층이 개량 대상층 중간 또는 하단에 위치하여 피압 대수층인 경우 침하 촉진 및 발생 침하량 증대 효과가 높았다. 대수층에서의 양수량은 일정 수준 이상 되면 침하 거동에 영향을 미치지 않는 것으로 나타났다. 성토체 내측이나 외측 등 다양한 위치에서 진공 양수정을 설치하여도 침하 및 수평 변위 차이는 미미하였다. 개별진공압밀과 병행하는 경우, 진공압이 적용되는 초기 침하는 진공압의 크기에 영향을 받았지만, 최종 침하량은 진공압의 영향이 미미한 것으로 예측되었다. 또한, 두 공법을 동시에 진행하는 것이 침하속도가 가장 빠르고, 내향 변위도 큰 것으로 예측하였다. 본 연구에서 개발한 공법은 매우 빠른 시점에 목표 침하량에 도달할 수 있으므로 연직배수재 배치 간격을 늘릴 수 있어 경제성을 확보할 수 있는 것으로 확인되었다.

• 대한간호학회지
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• 제45권3호
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• pp.429-438
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• 2015

Purpose: This study was conducted to develop key performance indicators (KPIs) for home care nursing (HCN) based on a balanced scorecard, and to construct a performance prediction model of strategic objectives using the Bayesian Belief Network (BBN). Methods: This methodological study included four steps: establishment of KPIs, performance prediction modeling, development of a performance prediction model using BBN, and simulation of a suggested nursing management strategy. An HCN expert group and a staff group participated. The content validity index was analyzed using STATA 13.0, and BBN was analyzed using HUGIN 8.0. Results: We generated a list of KPIs composed of 4 perspectives, 10 strategic objectives, and 31 KPIs. In the validity test of the performance prediction model, the factor with the greatest variance for increasing profit was maximum cost reduction of HCN services. The factor with the smallest variance for increasing profit was a minimum image improvement for HCN. During sensitivity analysis, the probability of the expert group did not affect the sensitivity. Furthermore, simulation of a 10% image improvement predicted the most effective way to increase profit. Conclusion: KPIs of HCN can estimate financial and non-financial performance. The performance prediction model for HCN will be useful to improve performance.

• 한국의류산업학회지
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• 제19권3호
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• pp.302-311
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• 2017

The purpose of this study is to develop an aesthetic and functional bicycle wear for new senior women in their 50s and 60s. We developed bicycle wear that is friendly to bicycling posture and reflects the preference of new senior women. Both the expert group and the subject group evaluated the appearance, completeness of clothing and motion functionality. The results are as followed: First, in the evaluation result of the expert group regarding the appearance and completeness of clothing, high scores are given to design, materials, color scheme, the trends suitability as well as the appearance with regard to clothing fitness. Second, in the results of the evaluation of the appearance and movement functionality targeting the subject groups, movement functionality was rated higher than appearance. In the case of the appearance evaluation, adhesion of both jacket and pants was rated very highly, which is considered to come from the elasticity of the material. In the functionality evaluation, what were pointed out as inconvenient details in the prior studies were found to be all improved and the sleeves and armpit parts were rated highly. Therefore, the pattern design and the usage of the materials suggested in this study were found to be very suitable in the movement on the ride of bicycle.

• 지역사회간호학회지
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• 제15권4호
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• pp.517-527
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• 2004

Purpose: This research is to find a solution for educational work on high blood pressure control in public health centers by analyzing their current status. Method: It analyzed data from 133 public health centers that had been doing educational work on high blood pressure, through a questionnaire. Also, it developed recommendations by converging opinions from an expert group made of 25 people with nominal group technique. Result: The educational methods of public health centers did not make any approach to get to the goal of the work. The mass media education and campaign activities for the general public had just temporary and passive propensities. In education for patients, it did not use appropriate methods to present management techniques for diagnosis process of patients, medication management, self monitoring BP, and risk factors. Pocket book for monitoring high blood pressure was not focused on self-recording for self-management. The expert group recommended that educational materials for adults should be developed focusing on treatments and observance of risk factors through daily living, and those for children should be focused on basic understanding about diseases, and life style. Conclusion: Presenting direction and strategy of fundamental education work is needed for public health centers by giving them standard educational guidelines of managing high blood pressure nationally, and it is desirable that fundamental frameworks of educational materials should be developed and distributed by professional groups nationally.