• 정보교육학회논문지
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• 제14권2호
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• pp.175-187
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• 2010

본 연구는 사이버대학에서 교수실재감, 인지적 실재감, 사회적 실재감과 학습성과와의 구조적 인과관계를 분석하여 사이버교육의 개발 및 운영전략 모색에 기초자료를 제공하려고 한다. 2009년 1학기, W사이버대학생을 802명을 대상으로 교수실재감, 인지적 실재감, 사회적 실재감 및 학습성과를 조사하고 이들간의 관계를 분석하였다. 연구 결과 첫째, 교수실재감과 인지적 실재감은 만족도에 유의한 영향을 미치는 것으로 나타났다. 둘째, 인지적 실재감은 학업성취도에 유의한 영향을 미치는 것으로 나타났다. 이러한 결과를 바탕으로 사이버대학에서의 사이버교육의 질 제고를 위해 요구되는 교수설계 및 운영전략을 제언하였다.

• 정보관리학회지
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• 제35권3호
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• pp.311-325
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• 2018

본 연구는 공공도서관에서 어린이를 대상으로 진행하는 독서프로그램의 성과를 측정하기 위한 프레임워크 개발을 목적으로 한다. 프레임워크 개발을 위한 이론적 토대로 성과 평가에 기반 한 로직모델을 적용하였다. 로직모델의 요소로 제안된 6개 요소 중에서 가정과 외부적 요인을 제외한 투입, 활동, 산출, 성과 요인을 중심으로 프로그램 평가 프레임워크를 개발하였다. 연구결과로, 서울 시내 한 공공도서관에서 연구기간 동안 진행된 4개의 프로그램에 대한 평가 프레임워크와 성과측정을 위한 지표를 제안하였다. 프로그램별로 다양한 성과지표의 개발이 가능하지만 본 연구에서는 도서관 데이터를 기반으로 측정 가능한 지표를 중심으로 제안하였다. 본 연구 결과가 사례 연구로 진행되었지만 대상 프로그램이 공공도서관에서 일반적으로 진행하는 프로그램이라는 점에서 타 도서관의 어린이 대상 프로그램의 평가 프레임워크로 활용될 수 있을 것으로 기대된다.

• 정보관리학회지
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• 제35권3호
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• pp.271-286
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• 2018

본 연구는 공공도서관에서 운영하는 프로그램의 성과를 로직모델을 기반으로 개발된 평가 프레임워크를 적용하여 측정하고자 하였다. 성과 측정을 위해 서울 소재 한 공공도서관에서 운영하는 여러 프로그램 중 어린이 독서 프로그램을 선정하였다. 성과 측정 과정은 어린이 독서 프로그램의 계획, 진행, 평가 등의 업무과정 일체를 분석하여 로직 모델을 구현하였으며 이에 의거하여 예상되는 성과를 측정하였다. 데이터는 KOLAS를 통해 회원정보, 서지정보, 대출정보 등을 수집하였고, 프로그램 운영 현황에 대한 데이터는 프로그램 진행 후 작성된 보고서에서 추출하였다. 측정 결과 어린이 독서 프로그램에 참여한 회원들의 대출빈도가 상승하였고, 프로그램의 주제에 따라 대출 장서의 주제가 변화하는 것을 볼 수 있었다. 본 연구를 통해 독서 프로그램이 갖는 효과와 의미를 확인할 수 있었으며, 성과평가가 도서관에서 운영하는 타 프로그램 및 도서관 업무 등의 효과성을 측정하는데 유용한 도구가 될 수 있음을 보여주었다.

• Journal of Korean Neurosurgical Society
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• 제41권4호
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• pp.236-240
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• 2007

Objective : The aim of this study is to analyze on the external ventricular drainage [EVD] related ventriculitis, especially on their risk factors, management, and prevention. Methods : From January 2003 to December 2005, a total of 174 EVD catheters were placed in 112 patients at our institution. Of these patients, EVD-related ventriculitis were developed in 15 cases. Clinical variables such as age, sex, prior clinical diagnosis, placement of EVD insertion, duration of EVD, total numbers of EVD per person, and outcome were analyzed in theses cases to verify the risk factors, causative agents and outcomes. Results : Fifteen cases of EVD related ventriculitis were noted presenting infection incidence of 13.39 % per patient and 8.62% per procedure. Of these, five patients died from sepsis, seven patients were recovered from infection but neurological complications remained and three patients were recovered without any complications. Microbes were obtained from cerebrospinal fluid only in six patients. Acinetobactoer baumanii was the most common pathogen in our study [4 cases]. Among the various risk factors, only the prior clinical diagnosis showed the statistical significance. Patients who underwent decompressive craniectomy after severe brain trauma showed unfavorable outcome because of possible contaminative environment compared with other cases. Conclusion : EVD is considered as a safe procedure with good control of intracranial pressure if meticulous care is provided for EVD procedure and maintenance. With regards to risk factors and prevention, the higher incidence and unfavorable outcome was seen especially in patients with severe head trauma. Thus, special attention is required in these clinical settings.

• Archives of Plastic Surgery
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• 제40권6호
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• pp.773-778
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• 2013

Background In the management of mallet deformities, oblique retinacular ligament (ORL) reconstruction provides a mechanism for automatic distal interphalangeal (DIP) joint extension upon active proximal interphalangeal joint extension. The two variants of ORL reconstruction utilize either the lateral band or a free tendon graft. This study aims to compare these two surgical techniques and to assess any differences in functional outcome. As a secondary measure, the Mitek bone anchor and pull-in suture methods are compared. Methods A single-institutional retrospective review of ORL reconstruction was performed. The standard patient demographics, injury mechanism, type of ORL reconstruction, and pre/postoperative degree of extension lag were collected for the 27 cases identified. The cases were divided into lateral band (group A, n=15) and free tendon graft groups (group B, n=12). Group B was subdivided into the pull-in suture technique (B-I) and the Mitek bone anchor method (B-II). Results Overall, ORL reconstructions had improved the mean DIP extension lag by $10^{\circ}$ (P=0.027). Neither the reconstructive technique choice nor bone fixation method identified any statistically meaningful difference in functional outcome (P=0.51 and P=0.83, respectively). Soft-tissue injury was associated with $30.8^{\circ}$ of improvement in the extension lag. The most common complications were tendon adhesion and rupture. Conclusions The choice of the ORL reconstructive technique or the bone anchor method did not influence the primary functional outcome of extension lag in this study. Both lateral band and free tendon graft ORL reconstructions are valid treatment methods in the management of chronic mallet deformity.

• 보건행정학회지
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• 제12권4호
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• pp.34-55
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• 2002

In this study, the impact of organizational culture on the quality of social work services in hospitals were empirically analysed. A mailed questionnaire survey was conducted between February 19 and April 10, 2001. A sample of total 70 hospitals, including general hospitals with one social worker at least and single-department hospital with two social workers or more, were identified nationwide through the registry of Korean Association of Medical Social Workers and Korean Association of Hospitals. According to coping strategy and reacting pattern with the environmental changes, four types of organizational culture in each hospital, classified as group culture, developmental culture, hierarchial culture, and rational culture, were adopted for the independent variables. Three dimensional aspects of quality of social work service - structure, process, and outcome were selected as dependent variables in this study. Also the quality of social work service was distributed into provider-perceiving quality and consumer-perceiving quality The major findings were as following in summary; First, most social workers reported that the characteristic of culture in their hospitals are group culture the first, hierarchial culture the second, developmental culture the third, and rational culture finally in order of comparing the level of quality perceived between social worker's recognition. Second, service provider and consumer, The provider-perceiving quality showed less score than that of consumer, especially the lowest was the score of quality of outcome perceived by provider. Third, according to the types of organizational culture, there were significantly different levels of quality in total social work services, structure dimension and process dimension. The quality of outcome dimension did not show significant differences among the type of organizational culture. Finally, the most influential variables to the quality of social work service ice proved departmental form of social work unit, leader of social work unit, and developmental culture of hospital To assure quality services, accordingly, social work unit in hospital is required to be organized as a single unit, that means to be an independent department of which qualified social worker is supposed to control the unit. It is strongly recommended to develop leadership for the leaders of social work unit.

• 한국컴퓨터정보학회논문지
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• 제18권2호
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• pp.127-140
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• 2013

본 논문에서는 조직의 변화인식 수준과 소프트웨어 프로세스 개선사이의 관계를 대립되는 가치 틀을 이용하여 분석하였다. 조직의 변화인식 수준 측정을 위해, 변화관리의 성과를 예측하는데 사용되는 DICE 모델을 적용하였다. 조직 변화의 핵심요소인 4가지 요소인 Duration(기간), Integrity(성실성), Commitment(조직몰입), Effort(노력)에 대한 점수화가 이루어지고, 이를 바탕으로 조직의 변화의지를 win, worry 혹은 woe 구역(zone)으로 구분한다. 본 논문에서는 DICE 점수를 소프트웨어 프로세스 개선의 성과를 예측하기 위해 독립변수로 활용하였다. 분석 결과에 따르면, DICE 점수가 높은 조직일수록 소프트웨어 프로세스 개선의 성과가 좋은 것으로 나타나고 있다.

• 한국컴퓨터정보학회논문지
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• 제19권2호
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• pp.209-219
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• 2014

IT 융 복합화와 소프트웨어의 역할의 급속한 확대되면서 많은 기업들이 소프트웨어 프로세스 개선에 관심과 투자를 늘려왔다. 하지만 이런 소프트웨어 프로세스 개선활동이 조직의 실제 성과나 프로젝트의 성과로 이어진다는 것을 보여주는 국내 실증연구는 여전히 부족한 편이다. 본 연구에서는 기존의 소프트웨어 프로세스 개선 모델들이 제시하고 있는 기본적인 가정사항인 소프트웨어 프로세스성숙도가 높으면 조직이나 프로젝트의 성과가 좋게 나타나는지를 살펴보고, 이들의 관계가 조직의 변화의지에 따라 달라지는지를 살펴보는 것이다. 이를 위해 총 104개 소프트웨어 프로젝트 데이터를 수집하여 분석에 활용하였다. 분석결과 소프트웨어 프로세스 수준이 높은 조직일수록 프로젝트 납기성과가 좋은 것으로 나타났으며, 조직변화의지가 높을수록 프로세스 개선의 성과도 높게 나타나고 있다.

• Journal of Korean Neurosurgical Society
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• 제30권sup1호
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• pp.73-78
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• 2001

Objective : Intraoperative rupture of an intracranial aneurysm can interrupt a microsurgical procedure and jeopardize the patient's chance to favorable outcome. The purpose of this study was to analyse and evaluate intraoperative aneurysmal rupture and render ideal prevention and management to intraoperative rupture. Patients and Methods : The authors retrospectively analysed the results of 609 patients who underwent cerebral aneurysm surgery from January 1991 to December 2000. Results : 1) Intraoperative aneurysmal rupture occurred in 73 of 609 consecutive aneurysm surgery, so the incidence was about 12.0% and it was relatively lower than other reports. 2) Aneurysms arising from anterior communicating artery appeared more prone to intraoperative rupture. 3) The size of aneurysm and timing of operation didn't influence intraoperative aneurysmal rupture and temporary clipping didn't reduce the incidence of intraoperative aneurysmal rupture. 4) Intraoperative aneurysmal rupture occured during three specific periods : (1) dissection stage in 61%, (2) clip application stage in 29 %, (3) predissection stage in 10%. 5) In the patients with intraoperative aneurysmal rupture, surgical outcome was relatively good and there was no significant difference in outcome compared with unruptured group. Conclusion : Our suggestion for prevention methods of intraoperative aneurysmal rupture are as follows : 1) minimal brain retraction, 2) sharp and careful aneurysmal neck dissection, 3) gentle clipping with proper clip selection etc. Management methods after intraoperative aneurysmal rupture are as follows : 1) strong aspiration of bleeding point, 2) rapid application of temporary and/or tentative clip, 3) following rapid dissection of neck and proper clip application, 4) use of encircling clip etc.

• 경영과정보연구
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• 제23권
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• pp.75-97
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• 2007

In the meantime hospital system of Korea has institutionally performed its errand in stable circumstance, however the system now faces with new environment of change of customer's satisfaction, of regime, deepening of competition, and opening market. Under the rapidly and complicatedly changing circumstance, the hospital system is required to promote getting a dominant position in the competition, enhancing outcome, creating value added, and customer satisfaction in both internally and externally likewise other organizations, as they continuously introduce a knowledge management and originate, accumulate, and put the knowledge to practical use. This organization capacity of knowledge management involves a process of management that requires great change of all organizations and individuals and it is brought up through four steps which are Initiation, Propagation, Integration, and Networking. The main factors of successful knowledge management are intension of the chief executive officer(CEO), organizational culture, appraisal and compensation of work, knowledge controlling system, and organizational structure, and each of these five stage has got different characteristic. To be successful by introducing knowledge management, hospital organization should be based on these premises. Not only CEO or the director of a hospital, but also the constituent members should be fully aware of knowledge, the characteristic of knowledge management, and successful factors of this operation. Should understand step-by-step characteristic of knowledge management, therefore able to analyse a situation of specific hospital and see which step corresponds to that hospital. By analysing, constituents should make up for the weak points and ready to move on to next step. CEO or the director of a hospital should be aware of knowledge management as a strategic factor which is able to get a dominant position in the rapidly changing environment, and also it should be firm in the director's intention to introduce the knowledge management into the hospital. By continuously carrying out education and training constituent members, the director of a hospital should promote their interest and participation in knowledge management, and build an organization culture that ultimately creates, accumulates, shares, and put the knowledge to practical use. The hospital organization needs to systematize an institution of objective compensation that corresponds to objective appraisal of knowledge management outcome. The hospital ought to build knowledge controlling system in stages, in order to take the initiative in rapidly changing environment. By considering the characteristic of hospital system, it is required to change the organizational structure into self-managing team which is a sort of horizontal structure that allows members to make decisions and take the responsibility by themselves. The limitation of this study is experimental study. Positive investigation about successful factors of hospital knowledge management and characteristic of each steps is expected with following study.