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가정간호 서비스 질 평가를 위한 도구개발연구 (A basic research for evaluation of a Home Care Nursing Delivery System)

  • 김모임;조원정;김의숙;김성규;장순복;유호신
    • 가정∙방문간호학회지
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    • 제6권
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    • pp.33-45
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    • 1999
  • The purpose of this study was to develop a basic framework and criteria for evaluation of quality care provided to patients with the attributes of disease in the home care nursing field, and to provide measurement tools for home health care in the future. The study design was a developmental study for evaluation of hospital-based HCN(home care nursing) in Korea. The study process was as follows: a home care nursing study team of College of Nursing. Yonsei University reviewed the nursing records of 47 patients who were enrolled at Yonsei University Medical Center Home Care Center in March, 1995. Twenty-five patients were insured at that time, were selected from 47 patients receiving home care service for study feasibility with six disease groups; Caesarean Section (C/S), simple nephrectomy, Liver cirrhosis(LC), chronic obstructive pulmonary disease(COPD), Lung cancer or cerebrovascular accident(CVA). In this study, the following items were selected : First step : Preliminary study 1. Criteria and items were selected on the basis of related literature on each disease area. 2. Items were identified by home care nurses. 3. A physician in charge reviewed the criteria and content of selected items. 4. Items were revised through preliminary study offered to both HCN patients and discharged patients from the home care center. Second step : Pretest 1. To verify the content of the items, a pretest was conducted with 18 patients of which there were three patients in each of the six selected disease groups. Third step : Test of reliability and validity of tools 1. Using the collected data from 25 patients with either cis, Simple nephrectomy, LC, COPD, Lung cancer, or CVA. the final items were revised through a panel discussion among experts in medical care who were researchers, doctors, or nurses. 2. Reliability and validity of the completed tool were verified with both inpatients and HCN patients in each of field for researches. The study results are as follows: 1. Standard for discharge with HCN referral The referral standard for home care, which included criteria for discharge with HCN referral and criteria leaving the hospital were established. These were developed through content analysis from the results of an open-ended questionnaire to related doctors concerning characteristic for discharge with HCN referral for each of the disease groups. The final criteria was decided by discussion among the researchers. 2. Instrument for measurement of health statusPatient health status was measured pre and post home care by direct observation and interview with an open-ended questionnaire which consisted of 61 items based on Gorden's nursing diagnosis classification. These included seven items on health knowledge and health management, eight items on nutrition and metabolism, three items on elimination, five items on activity and exercise, seven items on perception and cognition, three items on sleep and rest, three items on self-perception, three items on role and interpersonal relations, five items on sexuality and reproduction, five items on coping and stress, four items on value and religion, three items on family. and three items on facilities and environment. 3. Instrument for measurement of self-care The instrument for self-care measurement was classified with scales according to the attributes of the disease. Each scale measured understanding level and practice level by a Yes or No scale. Understanding level was measured by interview but practice level was measured by both observation and interview. Items for self-care measurement included 14 for patients with a CVA, five for women who had a cis, ten for patients with lung cancer, 12 for patients with COPD, five for patients with a simple nephrectomy, and 11 for patients with LC. 4. Record for follow-up management This included (1) OPD visit sheet, (2) ER visit form, (3) complications problem form, (4) readmission sheet. and (5) visit note for others medical centers which included visit date, reason for visit, patient name, caregivers, sex, age, time and cost required for visit, and traffic expenses, that is, there were open-end items that investigated OPD visits, emergency room visits, the problem and solution of complications, readmissions and visits to other medical institution to measure health problems and expenditures during the follow up period. 5. Instrument to measure patients satisfaction The satisfaction measurement instrument by Reisseer(1975) was referred to for the development of a tool to measure patient home care satisfaction. The instrument was an open-ended questionnaire which consisted of 11 domains; treatment, nursing care, information, time consumption, accessibility, rapidity, treatment skill, service relevance, attitude, satisfaction factors, dissatisfaction factors, overall satisfaction about nursing care, and others. In conclusion, Five evaluation instruments were developed for home care nursing. These were (1)standard for discharge with HCN referral. (2)instrument for measurement of health status, (3)instrument for measurement of self-care. (4)record for follow-up management, and (5)instrument to measure patient satisfaction. Also, the five instruments can be used to evaluate the effectiveness of the service to assure quality. Further research is needed to increase the reliability and validity of instrument through a community-based HCN evaluation.

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대학도서관의 목록이용연구 (Catalog use study : with reference to universities in Daegu)

  • 최달현
    • 한국도서관정보학회지
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    • 제9권
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    • pp.241-266
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    • 1982
  • This paper gives a summary and overview of a survey conducted at the catalogues of five universities in Daegu during November 1982. The major objective of this study was to secure information about user needs in order to improve the catalogue in Korean university libraries. Data was collected by a combined method of questionnaire and interview. A total of 379 respondents were taken on a randomly selected sample of catalogue users. Results of the survey can be summarized as follows: 1. Eighty-eight percent of the students answered that they had used the library more than twice a month. Nevertheless the number of students consulting the catalogue with the same frequency was only 220, or a n.0, pproximately 58 percent. Those who used the library most tended to use the catalogue more than those who rarely came to the library. 2. Those who had been shown how to use their own catalogue were only 32.5percent of which the students found the instruction sufficient for them to be able to use the catalogue were only 37.5 percent. In particular, they stated that instructions by printed materials and/or library orientation were so poor that they didn't give much help in using the catalogue. This problem makes many libraries to review their own method of instruction in order to encourage patrons to use the catalogue more effectively. 3. Most of the students consulted the catalogue in order to locate library materials. Known-item searches and subject searches were 84 and 16 percent respectively. While 70.5 percent of the students used the author-title catalogue without any difficulties, only 35.5 percent of those stated that using the classed catalogue was easy. 4. It was surprising that the number of students using title access in the search was far greater than that of students using author access. In contrast with this, other studies conducted by many earlier overseas investigators revealed that the great majority of patrons tended to use the latter first. Therefore, we should put more emphasis on the title entries in the catalogue itself as well as cataloging rules. 5. Most useful bibliographic elements in the entry were author, title, call number, date and publisher whereas edition, series statement and the location of publisher were rarely used compared with the other elements. Content note was the most desirable element in the entry to be involved, for many catalogers were used not to describe it on the note area. 6. The chief reason given for not using the catalogue was "I can manage without it" with "It's difficult to understand contents of the card entry." The other one was "It's useless to search materials by the catalogue because I've failed so many times to obtain them out of the stock." In response to this, circulation and acquisition system should be improved not to make such complaints any more.

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국내 미디어 선도기업 경영전략 분석: CJ E&M을 중심으로 (A Study of Management Strategies on CJ E&M, the Leading Firm in the Korean Media industry)

  • 이지현;정회경
    • 디지털융복합연구
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    • 제11권12호
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    • pp.41-47
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    • 2013
  • 국내 미디어기업에 대한 경영전략 사례 연구가 극히 드문 상황에서, 본 연구는 대표적인 뉴미디어 콘텐츠 기업인 CJ E&M에 대한 사례분석을 실시했다. 분석틀로는 CJ E&M의 출범과 다각화 과정에 대해서는 진화론적 관점을 적용하고, 출범 이후는 외부환경분석과 자원준거관점에 기반한 내부역량분석을 실시했다. CJ E&M은 그동안 수평 수직 다각화를 통해 규모의 시너지를 높이고, 타 미디어기업과는 달리 콘텐츠 강화 전략을 꾸준하게 전개한 점이 돋보인다. 또 엔터테인먼트 미디어 산업에 대한 열정과 의지의 리더십, 전문성 높은 인적 구성, 유연하고 창의적인 기업 문화, 효과적인 콘텐츠 포트폴리오 구성 등이 CJ E&M을 국내 미디어 선도기업으로 이끈 원동력이라고 평가할 수 있다. 그러나 경쟁과 성과를 지나치게 강조하는 조직 분위기와 오너의 의지에 따라 주요 사업이 결정되는 기업구조는 오히려 조직문화를 경색시키고 글로벌 경쟁력을 약화시킬 수 있다는 점을 주지할 필요가 있다.

5E 과학학습과정 상의 기능을 중심으로 한 2009 개정 초등과학교과서 삽화 분석: 3~4학년 지구과학 단원을 대상으로 (An Analysis of Illustrations in the 2009 Revised Elementary School Science Textbooks: Focus on Functions of Illustrations and Roles on 5E Inquiry Learning Process)

  • 김종영;하지훈;임희준
    • 한국초등과학교육학회지:초등과학교육
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    • 제35권3호
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    • pp.305-315
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    • 2016
  • The purpose of this paper was to analyze the role of illustrations in elementary textbooks (3~4 grade) of the 2009 revised curriculum of science education in Korea from point of view of aim of science by applying the criteria of 5E inquiry process model for reflecting core aim of the science education. The subjects of the paper was the 105 illustrations in the earth-science domain of elementary science textbooks (3~4 grade) of the 2009 revised curriculum of science education in Korea. The analysis criterion was of two categories, the function of illustration and the role of illustration. the function of illustration was divided into three subcategories such as Exclusiveness type, correspondence type and supplementary type. The role of illustration was divide into five subcategories such as Engagement, Exploration, Explanation, Elaboration and Evaluation. According to results of the illustration analysis are as follows: the result of the function of illustration are exclusiveness type 39, correspondence type 36 and supplementary type 30, the important of point to note is that there are a lot of exclusiveness type considerably. compared with other subjects, this fact indicate character of illustration of the only science textbook. The result of the role of illustration are Engagement 14, exploration 64, explanation 25, elaboration 2 and evaluation 0. This data indicate main role of illustrations in earth-science domain is to help the students to be able to observe and explore. Cross-analysis of the function and role was a significant difference. Role of illustration was evenly distributed within Exclusiveness type on the other hand, the role of illustrations was mainly exploration and explanation in correspondence and supplementary type. Especially, illustration of exploration was mainly correspondence type.

영산강 수계 댐호의 육수생물학적 비교연구 ( 1 ) - 어류상을 중심으로 - (A Comparative Study on Limno-biological Aspects of the Dammed Lakes in the Youngsan River in Korea - Centering on Fish Fauna -)

  • Nah, Chang-Soo
    • The Korean Journal of Ecology
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    • 제12권1호
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    • pp.51-65
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    • 1989
  • Some aspects of limno-biology of the five dammed lakes such as Tamyang, Changsong, Kwangju, Naju, and Youngsan Lake along the Yongsan River were investigated from June 1986 to July 1988 for the comparison on the lentic ecosystems in relation to the fish fauna. Sixty four fish species representing 48 genera and 21 families of fishes were collected in these dammed areas, which included 29 species of the family Cyprinidea and 40 speaies of the primary fresh-water fishes. Among, these, 12 species such as Rhodeus Acheilognothus yamatsutae, A canathorhodeus gracilis, Sarcocheilichthys nigripinis morii, S. variegatus wakiyae, Gnathopogon strigatus, Squalidus gracilis majimae, Microphysogobio yaluensis, Cobitis longicorpus sp, Liobagrus mediadiposalis and Odontobutis platycephala are enddmic to Korea. Leiocassis nitidus and Gasterosteus aculeatus which occur in these water areas take note of the zooge rographic study of Korea. The fish species in each of the dammed lakes is in proportion of the scale of the lakes such as 32 species in Thamyang, 40 species in Changsong, 24 species in Kwangju, 35 species in Jaju, and 52 species in Yongsan Lake. The dominant fish species of the 4 upper dammed lakes of Thamyang, Changsong, Kwangju and Naju Lake are Zacco platypus and Rhodeus uyekii, while those of Youngsan Lake are Hemiculter eigenmanni and Carassius auratus. This difference of fish species of those areas suggests that the upper damed lake differ from the lower dammed lakes in the habitable condition of fishes. The migratory fish species have significantly declined and will continue to decline in both population size and number of species in the dammed lakes in near future as a result of the dam construction barriers in the river estuary. The major migratory fishes of this water area are as follows; Anguilla japonica, Plecoglossus altivelis, Hypomesus olidus, Gasterosteus aculeatus, Konosirus Punctatus, Coilia ectens, Hemirhampus sajori, Mugil cephalus. Acanthogobius flavimanus, and Takifugu ocellatus.

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낚시성 인터넷 신문기사 검출을 위한 특징 추출 (Feature Extraction to Detect Hoax Articles)

  • 허성완;손경아
    • 정보과학회 논문지
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    • 제43권11호
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    • pp.1210-1215
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    • 2016
  • 스마트 기기의 발달로 많은 사람들이 인터넷 신문기사를 이용하고 있다. 하지만 인터넷 언론사간의 치열한 경쟁으로 조회수를 올리기 위한 낚시성 기사가 범람하고 있다. 낚시성 신문기사는 제목을 통해 올바른 기사의 줄거리가 제공되지 않았을 뿐만 아니라, 독자로 하여금 잘못된 내용을 떠올리게 한다. 낚시성 신문기사는 핵심에서 벗어난 유명인사 인용, 애매한 문장의 마무리, 제목과 내용의 불일치 등의 특징을 갖는다. 본 논문에서는 이러한 낚시성 기사를 분류하기 위한 특징을 추출하고 성능을 검증해 본다. 기사에 달린 댓글의 키워드를 활용하여 대용량 학습데이터를 생성하고 이를 기반으로 다섯 가지 분류 특징을 추출하였다. 추출된 특징들은 서포트 벡터 머신 분류기를 이용한 실험에서 92%의 정확도를 보여 낚시성 인터넷 신문기사를 분류하는데 적합하다고 판단된다. 뿐만 아니라 제목과 본문의 일관성을 측정하기 위한 전처리 방법으로 고안한 선택적 바이그램 모델은 낚시성 인터넷 신문기사 분류 외에도 일반적인 단문 분석을 위한 전처리 방법으로 유용할 것으로 기대된다.

Efficacy and Safety of Trastuzumab Added to Standard Treatments for HER2-positive Metastatic Breast Cancer Patients

  • Zhu, Zhen-Li;Zhang, Jun;Chen, Mei-Lan;Li, Ke
    • Asian Pacific Journal of Cancer Prevention
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    • 제14권12호
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    • pp.7111-7116
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    • 2013
  • Introduction: Trastuzumab, an HER2-targeting agents, has shown efficacy in metastatic HER2-positive breast cancer patients. Single-agent clinical trials have evaluated therapeutic regimens using trastuzumab for metastatic breast cancer patients. The aim of our study is to evaluate the efficacy and safety of trastuzumab in combination with chemotherapy or hormone therapy in HER2-positive metastatic breast cancer patients. Methods: A literature research was conducted in PubMed and to identify appropriate studies from relevant reviews. Randomized controlled trials comparing chemotherapy or hormone therapy regimens in combination with trastuzumab were eligible. Dadta on clinical outcomes, including safety, efficacy, and patient characteristics were collected. Results: Seven articles describing five trials were included in our systematic review and meta-analysis. Partners of trastuzumab included in trials were anthracycline, paclitaxel, docetaxel, anastrozole and letrozole. The addition of trastuzumab to chemotherapy improved the overall survival (HR=0.79, 95%CI 0.65-0.96), while to hormone therapy did not (HR=0.85 95%CI 0.56-1.30). All trastuzumab-containing regimens increased cardiac toxicity (RR=3.37, 95%CI 1.26-9.02) and grade III-IV adverse events. Conclusions: Our study supports the addition of trastuzumab to chemotherapy which is effective and tolerated for metastatic breast cancer with HER2+ patients. Of note, more adverse events will occur followed the use of trastuzumab, especially cardiac toxicity, with two treatment regimens.

신라 동해구에 대한 지형.경관 분석 (Landscape Analysis of Geographic Features of East Sea-gateway(東海口) in Shilla Dynasty)

  • 안계복;황국웅
    • 한국조경학회지
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    • 제33권4호
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    • pp.33-44
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    • 2005
  • In order to reveal the geographical landscape's features of the East Sea-gateway(東海口), which has existed only in the era of Shilla as unique east path, we have carried out analysis of the old maps(邑誌圖) and satellite imagery, and geographical features analysis in the application of digital maps, and the result is as follows. 1. Analysis of materials from the Chosun dynasty describes landscapes called sea gates(海口) (note that this should not be capitalized); a place where the river meets the sea and the sea comes far into the land. Sea gate landscapes may have an island, but this is not a prerequisite. 2. According to the satellite imagery, the capital city of Shilla Dynasty had five passages. four or them are broad corridors, but one of them is narrow. The east side of the capital city is blocked by mountains and there was an important path which leads into the East Sea. 3. According to the cross section of the mountains, there is the only rule East-path. There was no alternative way. There was only one way-out to the east side from the capital city. This is the unique path which reaches a length of 28km. Judging from this, it seems that this path was called the East Sea-gateway. 4. The landscape of the East Sea-gateway was shaped like the letter 'V' and reached to the landscape of the sea gate. However, the route was blocked - part by the mountains, and also the part in the crisis of loss of path-landscape which has lost its own character of closure as several valleys are merged together.

Can Definitions Contribute to Alternative Conceptions?: A Meta-Study Approach

  • Wong, Chee Leong;Yap, Kueh Chin
    • 한국과학교육학회지
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    • 제32권8호
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    • pp.1295-1317
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    • 2012
  • There has been disagreement on the importance of definitions in science education. Yager (1983) believes that one crisis in science education was due to the considerable emphasis upon the learning of definitions. Hobson (2004) disagrees with physics textbooks that do not provide general definition on energy. Some textbooks explain that "there is no completely satisfactory definition of energy" or they can only "struggle to define it." In general, imprecise definitions in textbooks (Bauman, 1992) and inaccuracies in definition provided by teachers (Galili & Lehavi, 2006) may cause alternative conceptions. Besides, there are at least four challenges in defining physical concepts: precision, circularity, context and completeness in knowledge. These definitional problems that have been discussed in The Feynman Lectures, may impede the learning of physical concepts. A meta-study approach is employed to examine about five hundreds journal papers that may discuss definitions in physics, problems in defining physical concepts and how they may result in alternative conceptions. These journal papers are mainly selected from journals such as American Journal of Physics, International Journal of Science Education, Journal of Research in Science Teaching, Physics Education, The Physics Teachers, and so on. There are also comparisons of definitions with definitions from textbooks, Dictionaries of Physics, and English Dictionaries. To understand the nature of alternative conception, Lee et al. (2010) have suggested a theoretical framework to describe the learning issues by synthesizing cognitive psychology and science education approaches. Taking it a step further, this study incorporates the challenges in semantics and epistemology, proposes that there are at least four variants of alternative conceptions. We may coin the term, 'alternative definitions', to refer to the commonly available definitions, which have these four problems in defining physics concepts. Based on this study, alternative definitions may result in at least four variants of alternative conceptions. Note that these four definitional problems or challenges in definitions cannot be easily resolved. Educators should be cognizant of the four variants of alternative conceptions which can arise from alternative definitions. The concepts of alternative definitions can be useful and possibly generalized to science education and beyond.

1980년 이후 에스닉 패션에 관한 연구 -1980년부터 2009년까지의 Vogue지 내용분석을 중심으로- (A Study on Ethnic Fashion from 1980 to 2009 -Focus on the Content Analysis of Vogue Magazine-)

  • 은숙;박재옥
    • 한국의류학회지
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    • 제34권5호
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    • pp.726-739
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    • 2010
  • This study investigates and compares the changes in ethnic fashion presented over a 30-year period to understand the diversity of ethnic trends according to historical trends. Data were collected from 59 volumes of "Vogue" magazine for January and July in each year from 1980 to 2009. The data used for content analysis consists of 407 words and these were condensed into three periods according to the decade (1980-1989, 1990-1999, and 2000-2009). The selected words were classified into five sub-themes according to previous research definitions such as Asian look, European look, American look, African look, and Oceanic look. The results are as follows. First, ethnic fashion was highly presented in the 1990s and 1980s, and decreased in the 2000s; of note is that the Asian look appeared more in the 1990s. Second, ethnic fashion showed a higher frequency of F/W seasons in the 1980s and S/S seasons in the 2000s, while both seasons had a higher frequency in the 1990s. The sub-themes of coexistence were presented 26seasons out of 59 seasons. The coexistence of the Asian-European look was evident in the 1980s and 2000s, while the sub-themes coexistence was more diverse in the 1990s. Third, the words selected from sub-themes of ethnic fashion demonstrated the differences by decade. In particular, various fabrics and patterns appeared in the 1990s.