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양.한방 협진병원 뇌졸중 입원환자 진료이용실태와 협진에 대한 태도에 관한 연구 (Utilizing Patterns and Attitude on Collaborating Care of Korean Traditional Medicine and Western Medicine among Cerebral Apoplexy Patients)

  • 김대환;이기효
    • 한국병원경영학회지
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    • 제9권2호
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    • pp.76-101
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    • 2004
  • The primary purpose of this study was to provide the basic information for improving collaborating care of Korean traditional medicine and western medicine by surveying utilization and attitude on it among cerebral apoplexy(CA) patients hospitalized at a general hospital with both the western and Korean traditional medical department in Busan metropolitan city, Korea. The survey was conducted on 170 patients, 80 from Korean traditional medical department, and 90 from western medical department. The major results of this study were as below: First, CA patient's medical utilization patterns including selecting medical institution, term of treatment and type of medical institution at first-aid were significantly variated by their socio-demographic characteristics such as religion and job. Second, the perceptions of collaborating care, such as effectiveness and reduction of treatment period, were better at respondents who were hospitalized at oriental medical department and had been experienced with collaborating care. Third, the major contents of collaborating care which utilized by respondents in side of western medicine were physical therapy, x-ray, pathologic diagnosis, and medication, and in side of Korean traditional medicine were acupuncture, herbal medication, moxa cautery, cupping a boil therapy. Fourth, overall satisfaction on collaborating care was good(3.5 of 5.0) and was significantly variated by age and religion. Fifth, respondents perceived that collaborating care was most helpful for rehabilitation and the major problem of current duplicate medical system was increasement of medical expenditures, and the major obstacle of collaborating care was prejudice against each other medicine. The results of this study imply that effective marketing for collaborative care suitable for age and religion of customers and patient satisfaction strategy is needed to activate collaborating care.

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초등학교 환경교육 운영에 대한 연구 -초등학교 실행 사례를 중심으로- (A Study on the Management of Environmental Education in Elementary School -A Case Study of Elementary Schools-)

  • 김용근
    • 한국환경교육학회지:환경교육
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    • 제15권2호
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    • pp.86-99
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    • 2002
  • The purpose of this study is to make clear the management of Environmental Education in Elementary school in Korea. To accomplish this purpose, The research for the actual condition of management of Environmental Education according to school, grade, and class was progressed. The researcher was analyzed Hindrance Factors of Sound Environmental Education in School and presented some suggestion on the basis of above-mentioned findings. On one side, the method of research is a case study on qualitative based way. A case study was conducted with it's focus on public elementary school in Seoul. As for major research methods, observation by participating in school field and in-depth interview were respectively employed; subsidiary methods included literature study. The findings of this study are as belows: First, Environmental Education was not managed practically with specific way in school. Second, Environmental Education by direct and actual outdoor experience was unusual. Third, most of class school work about Environmental Education was focused on not only the type of prescription after the environmental problem but also, the treatment of articles in newspaper and TV. Forth, educational compulsion such as “you have to do that.” was mainly used as Environmental guidance for sound attitude in school without clear reasons. In the last analysis, hindrance factors of sound management for environmental education in elementary schools were ‘passive adjustment’, ‘discriminative reception’, ‘absence of information resource’. these factors came from atmosphere of negligence environmental education in schools. Therefore, all of teachers have to affirmative belief and attitude as personal dimension and all of elementary schools improve environmental education system.

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제4차 산업혁명의 성공요인에 관한 연구 (A Study on CSFs in the 4th Industrial Revolution)

  • 성태경
    • 서비스연구
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    • 제10권1호
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    • pp.69-83
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    • 2020
  • 본 연구는 문헌 연구를 통하여 제4차 산업혁명의 성공요인을 도출하고, 제4차 산업혁명을 선도하는 산업계 경영진에게 설문을 통하여 이들 성공요인을 실증적으로 검증하는데 있다. 문헌 연구 결과, 리더쉽', '변화관리', '최고경영층 지원', '전략적 조화', '교육훈련', '의사결정 위양', '팀워크', '조직문화', '소통', '프로젝트 관리'의 10개의 성공요인이 도출되었다. 제4차 산업혁명에 관련된 산업계에 해당되는 기업의 CIO와 CEO를 대상으로 설문조사를 실시하였고, 설문 조사로서는 상당히 높은 64.4%의 응답률을 보였다. 설문 분석 결과 응답자는 '전략적 조화', 가장 중요한 성공요인으로 이어서 '최고경영층 지원', '리더쉽', '변화관리', '프로젝트 관리', '팀워크', 소통', '교육훈련', '조직 문화', 의사결정 위양' 순으로 평가하였었다. 제4차 산업혁명의 성공적인 추진을 위해서는 (1) 추진 전략의 구체화와 정교화, (2) 정부, 공공기관, 연구기관, 대학, 산업계의 효과적인 네트워크 구축, (3) 전략적이고 장기적인 계획, (4) 추진 전략의 차별화와 글로벌 협력체계 구축이 요청된다.

북유럽 디자인 거버넌스의 사회혁신 패러다임 분석 -핀란드, 덴마크, 독일의 디자인 주도 사회혁신 사례를 중심으로- (Analysis of Social Innovation Paradigm of Northern European Design Governance - Focusing on Design-driven Social Innovation Cases in Finland, Denmark and Germany)

  • 전영옥
    • 디지털융복합연구
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    • 제15권9호
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    • pp.463-470
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    • 2017
  • 본 연구는 공동체 위협을 극복하는 북유럽 국가들의 전략적 디자인 협업체계 분석을 통해 사회공유 서비스와 삶의 질적 가치인식을 제고하는 디자인 거버넌스의 역할을 이해하는 데 목적이 있다. 핀란드의 시트라(Sitra), 덴마크의 마인드 랩(Mind Lab), 독일의 걸리버(Gulliver) 프로젝트에서 살펴본 디자인 거버넌스는 사회 현상을 분석하고 문제 해결의 전 과정에 디자인 방법론을 적용한 민 관 산 학 협의체의 개입을 장려하고 있다. 특히 시민은 정보 제공이나 일시적인 참여가 아니라 다른 거버넌스 구성원들과 함께 문제 해결 아이디어 개진과 새로운 정책 설계에 적극적으로 개입한다. 이 사례들에서 디자인 거버넌스는 사회 문제가 발생하는 현장 중심적 접근, 지역의 특수성과 다원주의, 다양성에 대한 존중을 바탕으로 정책 집행에 있어 불필요한 행정적 재정적 소모와 불편을 줄인다. 결과적으로 향후 디자인 정책 패러다임은 소수의 관계자들에 의한 정책 결정의 방식에서 민간 참여를 토대로 한 디자인 거버넌스 중심의 정책 설계와 다원적 모니터링의 개념으로 진화해야 할 것이다.

측면경사면에서의 목표 타격시 체중이동에 관한 연구 : 오르막경사를 중심으로 (A Study on Weight Transfer Sidehill Slopes during Goal Impact : Especially sidehill Slopes with ball above the feet)

  • 이의린;최지영
    • 한국운동역학회지
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    • 제16권1호
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    • pp.43-53
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    • 2006
  • Among several movements that occurred upon a slope, golf swing is the most typical one because environmental conditions dynamically vary with many kinds of slopes. Some studies on the golf swing were performed about a weight transfer on flatland, however, there couldn't be seen any study about the weight transfer on slope elsewhere. Therefore, the purpose of this study was to provide quantified data to objectively test the coaching words and keys about the weight transfer at sidehill slope during goal impact EspeciaIly sidehill Slopes with ball above the feet. Four highschool golfer, who have average handy 5, were recruited for this study. Plantar pressure distribution and cinematographic data were collected during golf swing in the conditions of flatland, $5^{\circ}$, $10^{\circ}$ and $15^{\circ}$sidehill slope simultaneously. The two data were used to synchronize the two data later. The plantar regions under the foot were divided into 8 regions according to the directly applied pressure pattern of the subject to insole sensor. The 8 foot regions were hullux, medial forefoot, central forefoot, lateral forefoot, medial midfoot, lateral midfoot, medial heel, and lateral heel. And the plantar pressure data was also divided into four movement address, phases-backswing. downswing, and follow-through phases according to the percentage shown to the visual information of film data. Based on the investigations on public golf books and experiences of golfers, it was hypothesized by the authors in the early of this study that the steeper slopes are, the more weight loads on left foot that positions at the higher place. When observing the results of plantar pressure and vertical force curves according to the sidehill slope conditions, the hypothesis could be accepted.

농어촌 정주생활권 개발계획 수립을 위한 마을특성분석 방안 연구 -성내면을 대상으로- (A Study on the Analysis of Village Characteristics for Planning Rural Settlement Area Development - Mainly on Sungnae-Myun District -)

  • 김학응;오무형;이신호
    • 한국농공학회지
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    • 제38권6호
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    • pp.51-63
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    • 1996
  • This study is about the problems found in the process of the current governments planning rural settlement area development. As a measure to solve them, It proposed the analysis method of village characteristic in terms of standard score and tried to use this method as a basic material in planning more effective rural settlement area development. On the basis of the above analysis, which is an objective basic material to solve the problems revealed in the process of the bottom-up development planning by the residents' demands, It shows the following conclusion about what method should be applied to each part according to a village's characteristics and its development level. 1. Accessibility can be a basic material for setting the local area, analyzing its settlement system, and them such development facilities as village-linking roads, rural road, or various kinds of bridges and determining the investment priority. 2. With the index of the industrial basis, we can see what village has plenty of social, economical resources including advanced industrial facilities and looking into the advance level of the industrial basis, we can get some information about determining the local area development direction such as estashing the plan to build a farm product gathering center, a collective work place, storage facilities, and special housing development. 3. Since the issue about living environment is raising it's head, compared to weakened agricultural competitive power, with the analysis of this living environment, we can get an objective basic material for solving problems caused by the local egoism and the effective investment strategy of the limited resources. Therefore, It is necessary that we should abstain from expert-centered planning and formal public opinion-collecting and on the basis of this analytic result, we should plan development. We need to continue our research about index selecting and differentiation, weight etc. and using these analysis methods, we should make up a systematic development plan by analyzing village characteristics and setting the development direction.

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일개 종합병원 입원환자의 낙상 실태 및 관련 요인 (Falls in the General Hospital Inpatients: Incidence, Associated Factors)

  • 양화미;천병철
    • 한국의료질향상학회지
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    • 제15권2호
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    • pp.107-120
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    • 2009
  • Background : To estimate fall incidence rate and associated factors in inpatients from a general hospital. Method : The data were collected from 104 fall incident reports developed by the patient safety committee in a general hospital in Seoul from 01 January 2007 to 31 December 2008. Information included general characteristics of patients, factors related to fall, types, places, circumstances and outcomes of fall. Result : The incidence rate of fall, which was 4.4 per 1,000 total discharged patients and 0.5 per 1,000 patient-days, was much lower than that of several hospitals in the United States. The difference may reflect the different incidence reporting system of each hospital. Fall-prone patients were, in general, $$\geq_-$$65 years of age, had an alert mental status, were ambulatory with some assistance, and were dependent on and ambulatory device. High incidence of falls was associated with patients with circulatory disease. The majority of fall events usually occurred in bed or at the bedside in the patient's room, and occurred more often during the night than during the day or evening. Risk factors of fall were use of drugs (antihypertensive or neuropsychiatric drugs) and environmental factors (e.g., overly high bed height, surrounding objects, inadequate fitness shoes and slippery floor). Physical injury occurred in 43.3% of fall events, which typically required diagnosis of injury and treatment such as suturing. Risk factors for repeated falls were use of a neuropsychiatric drug (odds ratio=13.9) and gait disturbance (odds ratio=91.2). Risk factors for fall-related injury were alert mental status (odds ratio=3.3 times more likely to fall than those who were drowsy or in a stupor) and general weakness(odds ratio=3.3 times more likely to fall than those who were not generally weak). Conclusion : Medical and nursing staff should be aware of the fall risk factors of hospitalized patients and should intensively pursue preventative strategies. Development of fall prevention education based on these results is recommended.

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토공측량 자동화 기술의 적용 활성화를 위한 제도개선 방안 (System Improvement for Application and Diffusion of Earthwork Surveying Automation Technology)

  • 이두헌;박재우
    • 한국콘텐츠학회논문지
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    • 제18권6호
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    • pp.303-313
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    • 2018
  • 본 연구는 무인항공기, 레이저스캐너 등 최신의 기술을 활용하여 3차원 지형 분석 플랫폼 개발 등 토공현장을 디지털화하여 궁극적으로 토공 자동화를 이루는데 있다. 이를 위해서는 해당 요소기술 개발과 함께 국내 건설공사의 특성에 맞게 기술이 적용 활성화될 수 있도록 제도화가 요구되어진다. 본 연구의 무인항공기 및 레이저스캐너를 활용한 토공측량 자동화 기술은 시범사업을 통해 토공작업 계획, 현장관리 등의 기본 정보가 되는 지형의 좌표, 토질, 시추, 토공량, 성 절토 여부 등의 정보가 원활하게 취득될 수 있도록 하는 활용성 검토가 이루어졌다. 또한, 토공자동화에 대한 기술개발 및 활용에 있어 활발하게 적용되고 있는 일본에서의 토공자동화에 대한 기준, 매뉴얼 등 제도 개선 추진현황 및 내용을 파악하고 이를 벤치마킹하여 국내 관련 제도의 개선안을 마련하였다. 향후 금번 제시한 "공공측량 작업규정" 개선을 포함하여 건설사업 초기단계부터 시공완료 단계까지 해당 기술 적용에 요구되어지는 관련 제도 내용을 파악하여 구체적인 제도화를 추진할 계획에 있다.

중고 자동차 선택시 구매경로별 선호속성에 관한 융합적 시각 (A Convergent Perspective on Preference Attributes by Purchase Channel Choosing Used Cars)

  • 변현수
    • 한국융합학회논문지
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    • 제8권3호
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    • pp.215-223
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    • 2017
  • 본 연구는 중고차 시장에 있어서 온라인 및 오프라인 거래시 고객의 선호도 차이를 확인해 보는 것을 목적으로 하였다. 이를 위해 컨조인트 기법을 이용하여 중고차 거래시 중요한 영향을 미치는 속성에 대한 조사를 실행하였다. 컨조인트 분석은 개별 제품이나 서비스를 구성하는 여러 속성 중 가치있는 것을 판별하는 데에 적합한 기법이다. 연구결과 오프라인 시장에서의 중고차 거래시에는 제조사, 차종, 가격, 연식, 주행거리의 순으로 중요도가 높았으며, 온라인 시장에서는 제조사, 신뢰, 가격, 웹사이트 구성, 사고 여부의 순으로 중요도가 높게 나타나는 것을 확인하였다. 따라서 중고차 거래시 구매경로에 따라 고객의 선호 속성이 다르게 나타나는 점과 각 구매경로별로 중요한 속성에 대한 관심과 주의가 필요하다는 것을 알 수 있었다. 중고차 시장이 신차 시장 못지 않게 중요한 시장으로 성장하고 있는 현실을 감안할 때 향후 중고차 시장에 대한 이해를 통해 사업구상이나 정책 개발 등으로 이어질 필요가 있을 것이다.

만성질환 교육이 고혈압, 당뇨병 환자의 지식수준에 미치는 영향 (Effects of Chronic Disease Education for Hypertension, Diabetes Patients's Knowledge)

  • 이요셉;임준;임정수;오대규;한진옥
    • 보건교육건강증진학회지
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    • 제30권5호
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    • pp.79-90
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    • 2013
  • Objectives: This study is based on Public Care Service for Chronic Diseases in Incheon Metropolitan City featuring Health-Point Service. It is objective to evaluate whether the service could improve self-management ability of hypertension and diabetes patients. Methods: The knowledge about diabetes and hypertension, which can be improved by educational intervention, is considered as one of the most important factor for self-management ability. While the education service have been conducted, 194 patients who have been diagnosed as hypertension and diabetes within 3 months were included. They completed questionnaires two times within 4 months period, which give information about the knowledge, service registration and education experiences. For further inspection, 396 patients who had been diagnosed formerly were studied by cross-sectional analysis. Results: Regardless of service registration or educational intervention, there wasn't statistically meaningful difference between the initial and the follow-up assessments on the knowledge. However, when investigating formerly diagnosed patients, educated patients had better knowledge on hypertension compared with non-educated patients and registered patients, educated patients had the better knowledge on diabetes compared with non-registered patients, non-educated patients. Additionally, analyzing each questions, educated patients got higher grades in questions about definition of hypertension, diabetes managements which they can practice in daily lives. Conclusions: It is probable that long-term service registration and education experiences could improve the knowledge and self-management ability.