• Title/Summary/Keyword: Multi-consultation

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A systems thinking approach to explore the structure of urban walking and health promotion in Seoul (서울시민의 보행과 건강증진에 관한 시스템 사고 기반의 구조 탐색)

  • Kim, Dong Ha;Chung, Chang-Kwon;Lee, Jihyun;Kim, Kwang Kee;JeKarl, Jung;Yoo, Seunghyun
    • Korean Journal of Health Education and Promotion
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    • v.35 no.5
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    • pp.1-16
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    • 2018
  • Objectives: This study aimed to examine systems behavior of urban walking by analyzing a dynamic structure in Seoul, South Korea. Methods: As a systems thinking approach to urban walking and health promotion, we developed a Casual Loop Diagram based on literature review and expert consultation. The reviewed literature included: 1) qualitative studies that explores the experiences of urban walkers in Seoul; 2) a systematic review study on the built environmental factors related to walking; 3) policy research reports related to urban walking in Seoul. Results: The feedback structure for urban walking was related to the three urban environments (safety & walking environment, socioeconomic environment, and public transportation environment), and was characterized by a trade-off consisting of eight reinforcing loops and four balancing loops. Conclusions: The policies for a walkable city require multi-sectoral cooperation in order to change the causal loop structure related to the decline of walking. Therefore, it is necessary to establish legal and institutional conditions so that multi-sectoral and multidisciplinary approaches are possible.

사회복지사 개인간 갈등 형성요인에 관한 연구

  • Kim, Gyo-Jeong
    • 한국사회복지학회:학술대회논문집
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    • 2004.10a
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    • pp.223-250
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    • 2004
  • In this paper, the proposing a fundamental data for a systematic and effective organizational management by examining the extent of the levels of conflict perceiving among individuals of social welfare workers in the Busan community social welfare center, a social welfare organizations, and investigating the related influencing factors are the purpose of the study, The summary of this study is as follows. At first, it is dysfunctional when the level of conflict is either exceedingly high or low in the interrelational conflict aspect. However, the social welfare workers' working in the community social welfare center, the extent of individual conflict is relatively low as 2.37 out of 5 points. Secondly, the multi-regression analysis is operated for controlling the population sociological factors and measuring the effectiveness of the conflict factors to the level of conflict. The influencing factors affects the result in the order of greater extent are communication factor, leader's flexibility of leadership factor, spontaneity among personality, confidentiality. As a result, Not like the case that in the technological bureaucratic organizations such as the enterprises or industrial organizations, in the human service organizations including social welfare organizations, these technological bureaucratic paradigm does not applying directly since the material of organization is composed of humans who are given moral values. Therefore, this paradigm should be put as a presupposition of the conflict management strategy. And, the communication among colleagues, learning a reasonable problem solution method, or the chances of education or training for establishing a sound human relationship should be prepared in order to lower the level of the conflict among individuals in the community social welfare department. Furthermore, professional education programs are needed for not only supporting an effective supervision and consultation(consultation with superiors and colleagues), but also, working with confidentiality and pride as a professional.

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The Ontological Understandings of Young Children in the Picture Books for the Early Childhood (유아 그림책 속의 어린이에 대한 존재론적 이해)

  • Jeon, Gail
    • Korean Journal of Childcare and Education
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    • v.10 no.6
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    • pp.291-311
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    • 2014
  • This research is to understand young children ontologically by examining features of young children in the picture books for the early childhood. For the purpose, under the consultation with a picture book specialist and three level process of selection, 4 picture books were chosen as analytic objects. The study questions is as follows. What is ontological understandings on young children throughout picture books for the early childhood? Under this purpose the books chosen were John Burningham's , David Wiesner's , Hina Back's , Peter Sis's . The books went through dramaturgical coding and were thematised based on the theories of ontological phenomenology. Study results show that young child-being appearing in the picture-books are thematised as 'multi layered being with Ntwurf and Geworfenheit(Aldo)', 'responsible being risen above greed(Plotsam)', 'reflective being on face of others(Fairy of Jangsutang)', 'being who encourages educational response of adults.(Madlenka's Dog)' These results revealed that young child-being have features not different from (multi layered aspect of being), unique from(encouraging educational response), and beyond adult-being(responsibility and response towards others). Despite several limitations, this study helped understand the young children ontologically by revealing that they, not only as developmental beings with imperfection, dependence, and immaturity but as multi layered and requesting, responsible being, having the same features as adults and, at times, rise above adult-being.

Clinical Practice Guideline of Korean Medicine for Stroke : Preliminary Guideline and Recommendation (중풍환자에 대한 일차 한의임상진료 가이드라인)

  • Han, Chang-Ho
    • The Journal of Internal Korean Medicine
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    • v.33 no.4
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    • pp.347-366
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    • 2012
  • The aim of this new statement is to provide comprehensive and timely evidence-based recommendations on stroke management for clinical practitioners. Many countries are already well engaged in developing and releasing their own clinical practice guidelines, whereas Korean Medicine (KM) is still beginning. It will take time and effort to develop evidence-based guidelines and recommendations of KM or other traditional medicine because they are weak in the area of scientific evidence. The clinical practice guideline of Korean medicine for stroke was formulated through extensive review of published literature and consensus meeting of Korean medicine specialists. This project was supported by a grant of the Oriental Medicine R&D Project, the Ministry of Health and Welfare. Referring to guidelines developed in other countries, the experts in the subject tried to organize and develop guidelines and recommendations adequate for domestic medical circumstances. In December, 2008, a multi-disciplinary team called the Evidence Based Clinical Practice Guidelines Development Group (EBCPGsDG) for Stroke was organized. The writing committee was comprised of experts in internal medicine, acupuncture, rehabilitation, and Sasang constitution. Outside specialists and associated panels were invited for consultation. The scope of the guideline encompasses acupuncture, moxibustion and herbal medicine (including Korean medicine, traditional Chinese medicine, Kampo medicine) as interventions for stroke patients. It includes statements about ischemic stroke (I63), stroke not specified as hemorrhage or infarction (I64), and sequelae of cerebrovascular disease (I69) according to the International Classification of Disease (ICD). The committee subdivided the description of herbal medications into acute stroke management, subacute stroke management, post-stroke management, and secondary prevention of stroke. Guidelines on the practice of acupuncture and moxibustion were described in order for acute stroke management, subacute stroke management, chronic stroke management, and post-stroke rehabilitation. Clinicians who are working in the field of stroke care can adopt this guideline for their practice.

Quantitative and Qualitative Gradient of Pain Experience, Sleep Quality and Psychological Distress in Patients with Different Phenotypes of Temporomandibular Disorders

  • Choi, Hee Hun;Kim, Hye-Kyoung;Kim, Mee-Eun
    • Journal of Oral Medicine and Pain
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    • v.45 no.3
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    • pp.56-64
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    • 2020
  • Purpose: Temporomandibular disorders (TMD) is a mosaic of clinical signs and symptoms that can be regarded as a set of phenotypes that are affected by various factors including pain sensitivity, pain disability, sleep and psychological functioning. The aims of this study were to evaluate association of pain experience, sleep quality and psychological distress with different phenotypes of TMD patients. Methods: This retrospective study included a cohort (n=1,858; 63.8% for female, mean age=34.9±15.9 years) of patients with TMD. A set of self-administered questionnaires concerning pain interference (Brief Pain Inventory), pain disability (Graded Chronic Pain Scale), sleep quality (Pittsburg Sleep Questionnaire Index), psychological distress (Symptom Checklist-90 revised), and pain catastrophizing (Pain Catastrophizing Scale) were administered to all participants at the first consultation. All TMD patients were classified into four groups including TMD with internal derangement without pain (TMD_ID, n=370), TMD with joint pain (TMD_J, n=571), TMD with muscle pain (TMD_M, n=541) and TMD with muscle-joint combined pain (TMD_MJ, n=376). Results: The female ratio was particularly high in the group with TMD_MJ (p=0.001). The patients with muscle pain and both muscle and joint pain had longer symptom duration (p=0.004) and presented significantly higher scores in pain experience (p<0.001), subjective sleep quality (p<0.001), pain catastrophizing (p<0.001) and psychological distress (p<0.05) except for paranoid-ideation than the groups with only joint problems. Conclusions: The results of this study highlight the importance of multi-dimensional approach that consider pain disability, sleep quality, and psychological functioning in the management of TMD with muscle component. This study would contribute to a better understanding of interaction between heterogeneous TMD and multiple risk factors in order to build tailored treatment based on different phenotypes.

Review on Science and Invention-gifted Students Having Social and Emotional Problem (사회-정서적 어려움을 겪고 있는 과학영재에 대한 고찰)

  • Lyu, Eun-Joo;Kim, Jung-Eun;Paik, Seoung-Hey
    • Journal of Gifted/Talented Education
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    • v.21 no.3
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    • pp.659-682
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    • 2011
  • The objective of this research is to search the solution for the difficulties of science and invention gifted middle school students with social and emotional problems that they are faced. The result of this research has shown that the gifted students were feeling difficulties of low self-esteem in their peer relationships, communication and cooperation skills. They were feeling less confident in their stress processing capacity and their multi-processing capacity. Some were also troubled with the intense expectations from their environment and theirselves which led them to feel confusion in their identities and their future. Therefore, instead of education focused on academic achievement and cognitive activity, present education for the gifted must focus on helping to solve the student's social and emotional problems and to strengthen social and emotional skills they need. To achieve this, the education for the gifted students should include a social-emotional learning program, and it should also run a continued and personalized consultation program for gifted students.

Fragility reduction using passive response modification in a Consequence-Based Engineering (CBE) framework

  • Duenas-Osorio, Leonardo;Park, Joonam;Towashiraporn, Peeranan;Goodno, Barry J.;Frost, David;Craig, James I.;Bostrom, Ann
    • Structural Engineering and Mechanics
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    • v.17 no.3_4
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    • pp.527-537
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    • 2004
  • Consequence-Based Engineering (CBE) is a new paradigm proposed by the Mid-America Earthquake Center (MAE) to guide evaluation and rehabilitation of building structures and networks in areas of low probability - high consequence earthquakes such as the central region of the U.S. The principal objective of CBE is to minimize consequences by prescribing appropriate intervention procedures for a broad range of structures and systems, in consultation with key decision makers. One possible intervention option for rehabilitating unreinforced masonry (URM) buildings, widely used for essential facilities in Mid-America, is passive energy dissipation (PED). After the CBE process is described, its application in the rehabilitation of vulnerable URM building construction in Mid-America is illustrated through the use of PED devices attached to flexible timber floor diaphragms. It is shown that PED's can be applied to URM buildings in situations where floor diaphragm flexibility can be controlled to reduce both out-of-plane and in-plane wall responses and damage. Reductions as high as 48% in roof displacement and acceleration can be achieved as demonstrated in studies reported below.

The Development and Application Of Cyber Counseling System for the Gifted Class (영재 학급을 위한 사이버 상담 시스템 개발 및 적용)

  • Chung, Hyun-Nam;Kim, Dong-Hyu;Goh, Byung-Oh
    • Journal of The Korean Association of Information Education
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    • v.8 no.2
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    • pp.177-187
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    • 2004
  • It soaks but from 2003 the gifted child whom it is propelling as the enterprise of real national dimension oneself will know and it will do well the case which with the thought which goes wrong it lets to let alone is many but about lower social unsuitable Eung and melancholia, nervous characteristic anorexia cung with the back the same multi branch problem point occurs with emotional vulnerability of the gifted person. From the gifted people it grasps the emotional vulnerability which occurs from the dissertation which it sees consequently and the gifted person cyber counseling system which does the hazard web which solves a problem point in base plan and it embodies. One side, it applied the gifted child and the parents who are participating to an Dae-jeon 6th area joint the gifted person class in the gifted person cyber counseling system which it develops the result and it analyzed. Emotional vulnerability of the analysis result the gifted child considerable portion there is a possibility the fact that it overcomes, if facing each other it will be able to complement the portion which is insufficient from consultation.

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Selection on the Order of Priority Factor of Construction Key Technology for Improving the Flexibility for a Long Life Apartment Housing at the Next Generation (차세대 장수명 공동주택의 가변성능향상을 위한 건축요소기술 우선순위결정에 관한 연구)

  • Lee, Jeong-Seok;Cho, Gun-Hee;Sohn, Jeong-Rak;Kim, Jae-Jun
    • Korean Journal of Construction Engineering and Management
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    • v.10 no.2
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    • pp.84-92
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    • 2009
  • Recently, lots of the research aspects of space, materials, structure, construction method relation to improving the flexibility going on throughout the construction industry, moreover the development of construction key technology has been accelerating by reason of deterioration in the apartment housing. Therefore, this study should firstly suggests assessment list of construction key technology through investigation of questionnaire and consultation of the expert on the basis of case studies, and should select it about the flexibility which making social issues lastly in the apartment housing. Secondly, this study should classify, reestablish core technology through inspection procedure of feasibility study among lists of deduced key technology. Finally, this study will suggest the manual & guideline for improving the flexibility for a long-life apartment housing at the next generation by selecting, analyzing and estimating higher score items of all key technology.

Feasibility Evaluation of Korean Advance Directives (K-AD) (한국판 사전의료의향서(K-AD)의 가용성 평가)

  • Kim, Shin Mi;Hong, Sun Woo;Kim, Jin Shil;Kim, Ki Sook
    • The Journal of Korean Academic Society of Nursing Education
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    • v.20 no.4
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    • pp.639-649
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    • 2014
  • Purpose: This study evaluates the feasibility of Korean Advance Directives (K-AD) developed earlier. Method: From January 1 to February 28, 2013, data were collected from 330 adults through a self-reported questionnaire established by the authors based on literature review and expert consultation. The feasibility of K-AD was multi-dimensionally evaluated through four criteria: cognitive, psychological, document making and socially expecting aspects. Data were analyzed using t tests, one-way ANOVA, and Scheffe post hoc tests via the SAS 9.1.3 program. Results: The feasibility of K-AD differed significantly by gender (p=.003), educational level (p<.001), religion (p=.002), and self-reported health status (p=.039). Differences in the level of easiness with K-AD by gender (p=.008) and education (p=.047) were significant. Perceived simplicity of AD differed significantly by religion (p=.005), and the necessity of AD differed significantly by gender (p=.025) and religion (p=.005). Conclusion: K-AD are sufficiently feasible to be tentatively utilized in practice. This is the first study to explore the feasibility of K-AD on the basis of multiple aspects. However, further studies involving diverse populations and methodologies to validate the usefulness of K-AD are warranted.