• Journal of Chest Surgery
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• 제7권2호
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• pp.201-208
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• 1974

The purpose of this paper is to present author's experience with 6 cases of ruptured aneurysm of sinus of Valsalva which were treated surgically during last 10 years. Among the 6 cases, 5 were male and one was female. All of them originated from the right coronary sinus and 5 cases were ruptured into the RV while remained one into RA. The diagnosis was obtained in 4 cases by cineangiocardiogram. Clinically, we had difficulties in differential diagnosis with combined cases of VSD with A.I. and had special experience in its differentiation during cardiac catheterization. By simultaneous trans-venous and trans-arterial catheterization, identified two catheter tips in the RV, and pull back tracing obtained aortic pressure directly from RV, and RA from RV pressure which were benefit in confirm ruptured aneurysm of the aortic sinus. Surgical correction was performed by means of direct suture closure or combined Teflon pledget Of patch enforcement graft after aneurysm resection by trans-RA or trans-RV approach. All patients had no history of bacterial endocarditis, syphilis, or tuberculosis and operative findings revealed intact coronary sinus except involved one moreover 3 cases combined with high VSD which uggested congenital in origin although pathologic reports revealed only fibrosis. Post-operative course were uneventful in all cases but one who had bleeding and 2 months to 9 years follow up results were good and spend their usual life in all cases.

• 한국경영과학회:학술대회논문집
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• 대한산업공학회/한국경영과학회 2002년도 춘계공동학술대회
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• pp.1079-1084
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• 2002

Systems engineering technology development program for Korea next-generation high-speed railway(KNHR) system in progress is a national large-scale system development program that is not only a large-size and complex but also multi-disciplinary in nature. Using the RDD-IOO, a systems engineering tool, the KNHR program can establish requirements traceability and development process management in the course of development. This paper presents the results from a computer-aided systems engineering application to KNHR system technology development project over the three years of activities. The traceability among the system design database in the vertical direction of SE process, as the results of the first year and the second year research was accomplished. The database in both the requirement management domain and the project management domain was developed and set up the traceability between them in the horizontal direction of the SE process in the V model as the results of the third year research. Therefore, KNHR design database was built to support the life-cycle management of the system as well as to reuse the knowledge in future programs. In the following development phase, this database will be utilized to accomplish the test and integration activities providing a baseline database. The outcome of the study contributes to the establishment of the model-based systems engineering approach as a best practice in the accumulation and advancement of systems engineering technology for railway system development.

• Journal of Preventive Medicine and Public Health
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• 제46권4호
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• pp.173-182
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• 2013

Obesity during childhood is a dominant risk factor for noncommunicable diseases (NCDs), and is itself considered a disease that needs to be treated. Recently, the growth in childhood obesity in Korea has become stagnant; however, two in every ten children are still overweight. In addition, 60% or more of overweight children have at least one metabolic syndrome risk factor. Thus, childhood obesity should be controlled through lifestyle modification. This paper reviews studies of the modifiable risk factors of obesity in Korean children. According to the life-course approach, preschool-aged children (<5 years) are influenced by their parents rather than individual habits because they are under mostly parental care. Elementary school-aged children (6 to 11 years) are affected by overlapping individual and parental effects. This may mean that the establishment of individual behavior patterns begins during this period. The conditions of poor eating habits such as skipping meals, eating out, and high fat intake, along with low physical activity, facilitate increased obesity among adolescents (12 to 18 years). Notably, adolescent girls show high rates of both underweight and obesity, which may lead to the development of NCDs in their offspring. Therefore, the problem of NCDs is no longer limited to adults, but is also prevalent among children. In addition, early intervention offers cost-effective opportunities for preventing NCDs. Thus, children need primary consideration, adequate monitoring, diagnosis, and treatment to reduce the burden of NCDs later in adulthood.

• 국제학술발표논문집
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• The 9th International Conference on Construction Engineering and Project Management
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• pp.476-483
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• 2022

The novel coronavirus pandemic has had a significant impact on society and everyday life. The pandemic imposed a global shutdown leading to many challenges such as the suspension of academic programs at universities. The result of this suspension contributed to the rapid overnight migration of educational activities from traditional face-to-face learning to a virtual environment which until then was unfamiliar to both instructors and students. This study identified the experiences faced by built environment higher education instructors in KwaZulu-Natal, South Africa during this sudden switch to online teaching and learning. This pilot study employed a quantitative research approach to survey instructor experiences on online teaching and learning during a global pandemic. The data was computed and analyzed using IBM Statistical Package for Social Sciences (SPSS) version 27. Descriptive statistics were used to analyze the data collected. The study sample comprised of 20 higher education instructors in the region of the KwaZulu Natal province in South Africa. Findings from the study revealed that instructors faced adaptive challenges with rapidly having to redesign and remodel the mode of academic course delivery and assessments to suit an online platform. Additionally, instructors observed that students faced technological challenges such as connectivity and navigating the online learning management system platforms. The challenges identified by instructors and students can be effectively transformed to opportunities for future learning under the 'new normal'.

• 한국사회복지학
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• 제61권2호
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• pp.189-213
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• 2009

본 연구의 목적은 북한이탈주민들이 남한이주 과정에서 경험한 외상 사건의 의미와 본질이 무엇인지를 이해하는 것이었다. 이를 위하여 현상학적 연구방법으로 접근하였으며, 연구 참여자는 탈북과정에서 고문, 공포, 폭행, 기아, 질병 등의 외상을 경험한 7명의 북한이탈주민들이었다. 연구결과, 6개의 주제묶음(Theme clusters)을 '삶과 죽음의 경계에서의 몸부림', '살아남음과 살아가는 것의 차이'로 범주화 하는 과정에서 연구 참여자들의 남한이주 과정에서의 외상은 수년이 지난 현재와 연결되어 있음을 발견하였다. 연구 참여자들이 외상 사건을 경험하며 살아남은 과정에서 각인된 이미지와 기억은 수 년 동안 지속되어 남한에서의 일상생활과 관련을 맺고 있었다. 본 연구를 통하여 북한이탈주민들의 부정적 특성이라고 간주되었던 일부 요인들이 외상을 경험한 개인들에게는 피할 수 없는 개별적 특수성임을 알 수 있었다.

• 기록학연구
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• 제41호
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• pp.113-173
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• 2014

최근 몇 년 동안 공공기관 외부에서 다양한 기록실천이 활발하게 모색되고 있다. 예를 들어, 현장을 가지고 진행되는 구술아카이브, 커뮤니티아카이브, 일상아카이브, 문화자원아카이브, 디지털아카이브 등이나 담론 실천적 성격의 포스트모더니즘 아카이브 등이 있다. 이 글에서는 이런 흐름을 '일상패러다임'으로 정리한 후, 여기에 적합한 새로운 기록방법론을 살펴보았다. 이런 문제의식을 바탕으로 기호론적 접근을 취하면서 기록방법론의 필요성과 방향, 대안을 제시했다. 특히, 기록에 적용할 수 있는 기호학적 방법론을 알아보았다. 이와 더불어 기록현장에서 기호실천이 어떻게 전개될 수 있을지도 구체적인 사례를 들어 설명했다. 물론 이것은 하나의 사례라는 점, 그리고 공공기관에도 적용될 수 있는 기록방법론이라는 점을 밝혀둔다. 기록을 보다 포괄적으로 이해할 수 있는 논의가 되기를 바란다.

• 농촌의학ㆍ지역보건
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• 제17권1호
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• pp.34-45
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• 1992

In this county, the gap between the urban 'haves' and the rural 'have-nots' continues to be an increasing problem. WHO and UNICEF see primary health care(PHC) as the key to achieving an acceptable level of health throughout the world as a community development. PHC is essential health care made accessible to individuals and families in the community by means acceptable to them. It is the first level of contact of individual, the family, and community with the national health system. It includes at least education on health system. It includes at least education on health problems, promotion of food supply, MCH including family planning, immunization against infectious diseases, control of endemic diseases, treatment of common diseases and injuries, promotion of mental health, and provision of essential drugs. However, of the aboves, education concerning of mental health problems and the methods to identify, prevent, and control them is the principal step of establishment. In Korea, the category of PHC worker includes the physician as public doctor and nurse as primary health care practitioner and community health leader as village health worker. PHC workers of the aboves will thus function best if they are appropriately trained to respond to the health needs of the community. However in this country, since the national PHC service project launched in 1980, the government has not developed and performed appropriate and enough education and training activities. In light of above reasons, several categories of health education activities had been planned and performed being aimed at above specific target groups and the main focus was on the village health workers for about one year from July 1991 to July 1992 in Yeoju Kun of Kyonki Province. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. At the end of the period, evaluation of education input was carried out to measure the improvement of healthful life of people in terms of awareness, attitude, and practice. The totals of 80 village health workers, 13 public health practitioners and 9 public docters took in the course of health education for a few hours at every month and the evaluation works of educational effect were taken. The results the study were as follows. 1) Number of persons who realized the maxim "health care of the people is a duty of the government" increased after the education course, On the other hand, the rate of satisfaction on the effort of government for health promotion of the people decreased. 2) Public doctors and primary health care practitioners(nurses) liked and enjoyed the education schedule as a meeting of peer group. It provided chances of communication with staffs of Korea University Hospital. It was said that lectures covered great deal of knowledge and technic they urgently needed in the field. 3) After finishing the education course, more of village health workers(VHW) thought they adapted themselves to their roles and functions showing increased number of home visit and contact with primary health care practitioners by month. 4) In case of patient refer, VHW preferred primary health care practitioners to public doctors. 5) Capability of VHWs in most of their functions increased dramatically after when the education course finished except tuberculosis control.

• 지능정보연구
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• 제20권4호
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• pp.25-41
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• 2014

최근 스마트 기기를 통해 소셜미디어에 참여하는 사용자가 급격히 증가하고 있다. 이에 따라 빅데이터 분석에 대한 관심이 높아지고 있으며 최근 포털 사이트에서 검색어로 자주 입력되거나 다양한 소셜미디어에서 자주 언급되는 단어에 대한 분석을 통해 사회적 이슈를 파악하기 위한 시도가 이루어 지고 있다. 이처럼 다량의 텍스트를 통해 도출된 사회적 이슈의 기간별 추이를 비교하는 분석을 이슈 트래킹이라 한다. 하지만 기존의 이슈 트래킹은 두 가지 한계를 가지고 있다. 첫째, 전통적 방식의 이슈 트래킹은 전체 기간의 문서에 대해 일괄 토픽 분석을 실시하고 각 토픽의 기간별 분포를 파악하는 방식으로 이루어지므로, 새로운 기간의 문서가 추가되었을 때 추가된 문서에 대해서만 분석을 추가 실시하는 것이 아니라 전체 기간의 문서에 대한 분석을 다시 실시해야 한다는 실용성 측면의 한계를 갖고 있다. 둘째, 이슈는 끊임 없이 생성되고 소멸될 뿐 아니라, 때로는 하나의 이슈가 둘 이상의 이슈로 분화하고 둘 이상의 이슈가 하나로 통합되기도 한다. 즉, 이슈는 생성, 변화(병합, 분화), 그리고 소멸의 생명주기를 갖게 되는데, 전통적 이슈 트래킹은 이러한 이슈의 가변성을 다루지 않았다는 한계를 갖는다. 본 연구에서는 이러한 한계를 극복하기 위해 대상 기간 전체의 문서를 한꺼번에 분석하는 방식이 아닌 세부 기간별 문서에 대해 독립적인 분석을 수행하고 이를 통합할 수 있는 방안을 제시하였으며, 이를 통해 새로운 이슈가 생성되고 변화하며 소멸되는 전체 과정을 규명하였다. 또한 실제 인터넷 뉴스에 대해 제안 방법론을 적용함으로써, 제안 방법론의 실무 적용 가능성을 분석하였다.

• Journal of Hospice and Palliative Care
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• 제22권4호
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• pp.207-218
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• 2019

목적: 임상 의사가 생의 말기 '임종 돌봄(end of life care)'에 대한 진료 역량을 갖추는 것은 점차 중요해 지고 있다. 본 연구는 국내 의과대학에서 임종 돌봄에 대한 교과과정에 대해 조사하고자 하였다. 방법: 각 의과대학에서 임종 돌봄 교과과정에 책임을 지고 있는 교수들에게 교과과정에 대한 내용, 강의 시간, 강의 방법과 교과과정에 대한 태도를 설문지를 통해 분석하였다. 결과: 전체 41개 의과대학 중 27개 의과대학(66%)에서 설문에 응하였다. 모든 의과대학에서 임종 돌봄 교과과정을 단독교과목이나 다른 교과과정 중 포함시켜 교육하고 있었다. 임종 돌봄을 가르치는 시간의 중앙값은 10시간(2~32 시간 범위)였다. 가장 많이 강의 되고 있는 주제는 나쁜 소식 전하기(100%)와 증상 조절(74%)이였다. 완화의료교육과정 평가 도구(palliative care education assessment tool; PEAT)를 적용하였을 때 11개(범위: 2~26; 최대: 83)의 PEAT 목적이 만족되었다. 교육과정에 대부분 2가지 이상의 교육방법이 사용되었으나 3개 의과대학에서는 오직 강의만을 교육방법으로 사용하고 있었다. 교과과정 책임 교수의 78%가 교과과정에 대해 만족하지 않는다고 응답하였고 18%만이 임종 돌봄 강의 시간이 적당하다고 생각하였다. 단지 7%의 교수만 학생들이 임종 돌봄 관련 실제 진료를 할 수 있는 역량을 갖췄다고 답했다. 결론: 의과대학 교육과정 내에 임종 돌봄 관련 학습성과가 도출되고 이를 달성하기 위해 교육과정이 체계적으로 운영되어 졸업 후 학생들이 실제 진료 역량을 갖출 수 있도록 하는 것이 필요할 것으로 생각된다.

• 대한간호학회지
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• 제3권2호
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• pp.121-132
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• 1973

Introduction : Nursing as a profession is gelling wide acceptance today, especially among independent -minded women with necessary physical, mental and academic qualifications. This is particularly true of "comprehensive nursing", which requires to total dedication on the part if the nurse herself-physical, mental and sociocultural. Such comprehensive approach is like-wise called for in the institutional training of professional nurses. Undergraduate nursing courses nowadays place an increasing emphasis on the microscopic approach of training a nurse as an intelligent and well-balanced human being with an optimum degree of cultural sophistication. Greater attention then ever before is now paid to close observation of the individual traits and aptitude of nursing students, so as to permit full development of individual capabilities, interests and propensities within the concept of "comprehensive human education. " Purpose of study 1. To determine the degree of understanding of the part of nursing students of the various aspects of the subject taught in undergraduate nursing course. 2. To determine the motivation of nursing students in choosing the profession and possible subsequent change or attitude and outlook in the course of under graduated studies, as a means of presenting a new practical approach in nursing training based on the concept of "comprehensive human education. " Problems of study 1. The environments of nursing training will impinge on individual nursing students with different psychological impacts from lower to upper classes of under graduated studies. 2. Educational environments will have varying psychological impacts on students: a. Difference in religious faith among students. b. Difference in campus environments. c. Difference in domestic (family) circumstances. d. Difference in innate capabilities of students, 3. The understanding and attitude of individual nursing students towards the science of nursing will Have a close correlation with their respective motivations in choosing-nursing as a profession, and will also be closely influenced by the peculiarities of the subject taught, tile campus environments, etc, Delimitations of the study 1. Two universities offering 4-year nursing courses were selected. Due to the limited number of potential subjects, the optimum conditions of sample collection could not be fulfilled. 2. Subjects were confined to two classes in each university (sophomores and seniors) but without regard to the ages or scholastic achievements of individual students. 3. The conclusions derived from this study should be limited in application to the subject groups covered by the present study: they should not in any event be extended or applied to other groups. Procedures 1. Subjects: 40 nursing students each from the sophomore and senior classes of the "Y" and "K" universities situated in Seoul, aggregating 160 students altogether. 2. Instruments: Use has been made of questionnaires on (1) family backgrounds and (2) general information concerning. 3. Statistical Method: The findings of the present survey have been subjected to critical analysis as to the means, percentages, Cgi squares (X), standard deviations and the significance of the difference in means. Findings 1. Nursing students have chosen their subject of study with a confident outlook towards their future in society. 2. Horsing students have the necessary abilities to complete the prescribed courses of study. 3. The campus life of nursing students has been judged as very constructive, not with-standing certain in adequacies in the available educational facilities and the shortages of teaching staff. 4. The achievement levels of nursing trainees varied greatly according to their respective educational environments as well as their school years. 5. Clear and definite distinctions were discernible between the two universities as regards certain aspects of this survey, while no signifiant difference was observed in other: a. Sophomores and seniors in both universities gave nearly identical answers to questions concerning (1) motivation in choosing nursing as a profession, and (2) the way of spending leisure hours. b. Both universities revealed similar respective differences between sophomores and seniors as regards the abilities of fulfilling academic requirements ill the basic subjects. c. Educational environments have been found to be somewhat superior in the "Y"university to those of the "K" university, particularly as regard general campus and dormitory conditions. d. The high degree of dissatisfaction with the faculty, found in both universities, was considered to be a consequence of the universal phenomenon of "brain drain" and the relative neglect of the "comprehensive approach"in education.