• 지역사회간호학회지
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• 제6권1호
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• pp.55-73
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• 1995

An Effect of Muscle Strength Training Program on Muscle Strength, Muscle Endurance, Instrumental Activities of Daily Living and Quality of Life in the Institutionalized Elderly Recent statistics shows that the aged are the fastest growing segment of our population by increasing life span. The age group of over 60 shows multiple health problems and the most serious handicapping problem of these. are related to the changes in muscular skeletal system. With aging, people lose. their muscle mass and muscle strength resulting from biological changes and physical inactivity. Studies documented a 30-50% loss of muscle mass in an advanced age and thus, ordinary life activities can be seriously affected due to weakened muscle strength. Preservation of muscle strength of lower limb is especially important in the aged. Since it is readily affected from reduced physical activity in old age, sometimes to the detriment of moving or walking. So muscle strength exercise program designed for the elderly to improve leg muscle strength and leg muscle endurance. The research design used was nonequivalent control group pretest - protest design. The purposes of this study were to test the effect of muscle strength exercise program utilizing Leg Press on muscle strength, muscle endurance, instrumental activities of daily living(IADL), cognitive perceptual variables and quality of life. Forty nine subjects participating in this study consisted of twenty four male and twenty five female. Twenty four experimental group subjects were selected from C-institution in Chung Buk province, and twenty five control group subjects were selected from O-institution in Chung Nam province. The mean age of subjects was 72.8 years. Muscle strength training program utilizing Leg Press for the experimental group was carried out three times a week for 9 weeks. The data was collected from August, 1993 to October, 1993. Data were analyzed with $X^2-test$, t-test, ANCOVA test, Kruskal Wallis 1-Way ANOVA test using SPSS PC program. Results were obtained as follows : 1) The experimental group showed significantly higher scores on muscle strength (leg lift strength, back lift strength and grip strength) and muscle endurance than control group after the experiment $\ulcorner$F=52.35(p=.001), F=54.07(p=.001), F=6.97(p=.011), F=18.17(p=.001)$\lrcorner$ 2) Experimental group were significantly higher scores on IADL than control group(F=7.51, p=.009). 3) Experimental group showed significantly higher scores on economical state and self esteem aspects of the quality of life scale than control group $\ulcorner$F=10.59(p=.002), F=6.97(p=.011)$\lrcorner$. But there were no differences in emotional state, physical and functional state and relationship with reatives in the quality of life between groups. 4) Scores on IADL showed a significant difference with the level of muscle strength and muscle endurance $\ulcornerx^2=7.73(p=.025),\;x^2=8.86\;(p=.011)\lrcorner$ 5) Scores on self esteem and physical and functional state aspects of the quality of life scale showed a significant difference with the level of IADL $\ulcornerx^2=11.39(p=.003),\;x^2=9.02(p=.011)\lrcorner$. 6) Scores of experimental group after the experiment in cognitive perceptual variables (perceived benefit on exercise, perceived health status, self efficacy, emotion on exercise) were significantly higher than those of control group $\ulcorner$F=32.09(p=.001), F=5.07(p=.029), F=20.63 (p=.001), F=30.38(p=.001)$\lrcorner$. As a result of this study, the effect of strength training exercise program with Leg. Press had improved muscle strength, muscle endurance, IADL, and the perception of self esteem, physical and funtional state, and economical state. Thus strength training program could be beneficially applied for the prevention of disablity and promotion of health and wellbeing in the aged easily and safely. The subjects in the experimental group have maintained their exercises till six months after the cessation of the experiment. This seem to illustrate that changes in cognitive perceptual variables and the improvement in health status have reinforced motivation for the continuation of voluntary exercises. A further study is necessary to determine the factors affecting maintainance of muscle strength exercise and to assess the effect of weight training program on bone density.

• 한국병원경영학회지
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• 제18권2호
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• pp.33-56
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• 2013

The purpose of this study is to analyze the change of hospitals that patients safety and quality improvement by accreditation process and to examine the impact or interrelation of leadership, organizational culture, hospital management activities and recognition of hospital management performances. The data were collected through a review of the literature, and selfadministered survey with a structured questionnaires to 714 subjects from several medical staff members, administration staff members, nursing staff members, medical technicians and other staff members working in 23 accredited hospitals in Korea. In this analysis hierarchical multiple regression and structural equation model were used. The conclusion of this study provides a theoretical model for understanding organizational changes brought about by accreditation system. Factor on improvement of efficiency and raise the morale, rather than increase of medical income and reduce of the cost factors, had a stronger influence on the accreditation process. In the future, the hospital's participation to induce the accreditation program voluntarily will come up with an alternative policy concern about financial perspective. Also, the hospitals which preparing accreditation program to achieve the goal efficiently, will make use of transformational leadership through enhancing individual consideration and intellectual development to leading members participation. Additionally, non-accredited hospitals should aim at professional culture by innovative and creative approaches, and inviting members to learning and growth in the organization.

• PNF and Movement
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• 제16권3호
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• pp.451-460
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• 2018

Purpose: The purpose of this study was to investigate the effects of a modified constraint induced movement therapy (mCIMT) using proprioceptive neuromuscular facilitation (PNF) on the upper extremity function and activities of daily living (ADLs) in patients with subacute stroke. Methods: Fourteen participants with subacute stroke were randomly assigned to a group using both mCIMT and PNF or a group using mCIMT alone. Each group underwent twenty sessions (1 h/d, 5 d/wk) for 4 weeks. Patients were assessed with the action research arm test (ARAT), the Fugl-Meyer assessment for the upper extremities (FMA-UE), the Modified Barthel Index (MBI), and motor activity logs (MALs; amount of use [AOU] and quality of movement [QOM]). Results: Both the experimental group and the control group showed significant intragroup improvement in the ARAT, FMA-UE, MBI, and MAL-AOU (p<0.05). The group using both mCIMT and PNF exhibited greater improvement in the ARAT, FMA-UE, MBI, and MAL-AOU than did the group using mCIMT alone. Statistical analyses showed significant differences in the ARAT (p=0.01), FMA-UE (p=0.01), MBI (p=0.00), and MAL-AOU (p=0.01) between the groups. Conclusion: This study applied mCIMT combined with PNF for subacute stroke patients, and the results showed significant improvements in the patients' upper extremity function and ADLs. Therefore, mCIMT using PNF may be more effective than mCIMT alone in improving upper limb function and ADLs in patients with subacute stroke.

• 산업융합연구
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• 제20권2호
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• pp.45-50
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• 2022

본 연구에서는 비대면 교육 환경에서의 질적 개선을 위하여 교수-학습 활동 전반적인 과정을 데이터로 처리하면서 학생들과 소통할 수 있는 e-포트폴리오 시스템을 구성하고 활용하였다. e-포트폴리오는 교수자의 수업 계획부터 성찰의 전 과정을 지원하면서, 수업 운영 과정에서 학습자의 이해도를 정기적으로 확인하고, 온라인상에서 의사소통하며 학습자 중심의 교육 활동을 지원할 수 있도록 구성하였다. 비전공 학생들이 어려워할 수 있는 교양의 프로그래밍 수업에서 e-포트폴리오를 활용한 교수자와 학습자의 의사소통 기반의 학습 효과인 효용성을 분석한 결과, 문제해결력 기반의 과제와 중간고사와 기말고사에서 유의미한 상관이 나타났다. 또한, e-포트폴리오의 만족도를 나타내는 확대 적용성을 분석한 결과, 학생들의 컴퓨팅사고력 검사 결과와 함께 과제, 학업 성적 등과 유의미한 상관이 나타났고, 컴퓨팅사고력의 향상에 유의미한 영향을 주는 것으로 나타났다. 제안하는 e-포트폴리오 시스템 형태를 활용하여 비대면 교육을 실시한다면, 학생들과 효율적으로 소통하면서 비대면 교육의 품질을 향상시킬 수 있을 것이다.

• 한국습지학회지
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• 제10권2호
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• pp.115-128
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• 2008

도시화 및 산업화 등 인간의 다양한 활동은 하천의 주요 오염원으로 평가되어져 왔다. 현재 하천의 수질에 악영향을 미치는 요인으로 토지의 이용 및 축산업에 따른 비점오염원을 관리하기 위한 다양한 연구들이 이루어고 있으며, 이 가운데 서울을 비롯한 경기도의 상수원을 공급하는 주요 수자원으로 이용되고 있는 팔당호의 관리 방안에 대한 초유의 관심이 모아지고 있는 실정이다. 지금까지 팔당호의 수질개선을 위한 노력의 일환으로 경안천 살리기 운동과 같은 지자체의 노력이 이루어지고 있으며, 상당한 액수의 경비를 소요하고 있는 실정이다. 특히, 경안천 하류에 대단위 인공습지 조성사업을 계획 시행하고 있으며, 이와 더불어 하수처리장의 신설 및 증설이 이루어지고 있어 팔당호 수질의 주요인으로 인정되고 있는 경안천의 수질이 상당 부분 개선될 것으로 전망되어지고 있다. 하지만 지금까지의 그러한 수질개선사업은 근본적인 원인 분석 및 적극적 대안 제시가 아닌 아쉬움을 내포하고 있어 보다 세밀하고 과학적인 분석이 우선시되어져야 한다. 따라서 본 연구에서는 경안천 수질 개선을 위한 수질 및 부하량 분포를 공간적으로 파악함과 동시에 고해상도 위성영상을 통한 대상지의 토지이용행태 분석과 GIS분석을 통한 습지의 입지 가능성을 분석하고, 이들의 종합적인 조건에 부합할 수 있는 인공습지의 위치 및 규모를 산정하고자 하였다. 연구의 진행은 (1) 수질 및 부하량에 대한 공간분석을 통한 최대 오염부하 구역을 선정, (2)고해상도 위성영상을 통한 토지이용 현황 파악, (3) 습지 조성 가능 대상지의 위치 선정, (4) GIS를 이용한 인공습지의 면적 및 체적 산정 등으로 이루어졌다. 기본적으로 인공습지의 규모는 수자원공사에서 제공하고 있는 습지처리효율에 따른 설계기준을 통해 유도되었으며, 그 결과 경안천 일대에 2개 구역(용인하수처리장 부근, 대대천 주북천 일대)에서 인공습지의 조성이 필요하다고 판단되었고, 그 면적은 각각 $127,586m^2$과 $1,647m^2$로 책정되었다.

• 한국조경학회지
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• 제49권1호
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• pp.1-18
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• 2021

본 연구는 공동주택 조경현장에서 조경식재 및 시설물의 품질개선, 하자저감을 위한 조경 감리활동의 적정성과 수행과정에서 발생하는 문제점을 파악하여 공동주택 조경 감리제도의 개선 방안을 제시하고, 현재 추진 중인 공동주택 조경 감리원 배치의무화 법령 개정을 위한 입법 활동의 근거자료 제공을 목적으로 하였다. 연구는 2010년대 준공된 공동주택의 최종 감리보고서에서 조경시공분야 시공관리 및 품질관리 내역을 추출하고, 공동주택 조경분야 감리/감독 지침에 의거한 시공 및 품질관리 활동이 진행되었는지에 대해 비교분석하고 계량화하였다. 분석결과, 1,500세대 미만의 공동주택 단지는 조경 감리원이 배치되지 않았고, 조경 공정은 전체 공정의 19~46%를 차지하였으나, 토목 감리원이 조경 감리를 병행 수행하여, 조경분야 시공품질 관리를 위해 집중할 수 없는 상황이었다. 조경식재 분야 시공품질 관리업무는 조경 감리원이 배치되지 않은 단지에서는 토목 감리원의 역량과 경험에 따라 품질관리에 차이가 있었고, 조경시설물의 공통자재 시공분야는 토목감리 업무와 연계하여 시공품질관리 업무가 충분히 진행되었으나, 단위시설물 설치분야는 조경 감리원이 배치되지 않은 공동주택에서는 놀이시설안전관리법 등 법령에서 정한 시설품질기준 및 설치안전기준 부합 여부에 대한 현장검측을 생략하거나 서면으로 대체하는 것으로 나타났다. 공동주택 조경 감리활동 지수 분석 결과, 공동주택 A가 72.0, 공동주택 B는 70.4이었고, 공동주택 C~G는 38.7~46.9 수준으로, 조경 감리원의 배치 유무에 따라 품질관리, 공정관리, 기술지원의 차이가 시공품질, 하자발생에 영향을 미치는 것으로 파악되었다. 조경감리원 배치 기준을 기존의 1,500세대 이상에서 300세대 이상으로 확대하고, 공동주택 건설현장에서 조경분야 기술인력의 확대 배치를 통한 조경공정의 품질관리 증진, 건설 현장의 원가관리, 공정관리가 원활하게 되며, 하자 발생율도 현저히 줄일 수 있을 것으로 생각되었다. 본 연구를 통해 공동주택 건설에서 조경분야의 시공품질의 질적 개선과 조경 기술인력의 활동영역 확대, 조경분야 감리 인력의 배치 활성화, 조경업역의 제자리 찾기를 통한 조경산업의 진흥에 도움이 될 것으로 기대되었다.

• 농촌계획
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• 제22권4호
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• pp.13-24
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• 2016

Tourism is often considered as one of the main industries to promote development and modernization in small South Pacific islands countries. In Fiji, this was recognized in the 1960s, and resulted in large-scale resort based tourism development in coastal areas. While tourism has obvious advantages to the economy, a lot of problems such as exclusive foreign control of the main hotels and resorts, considerable overseas leakage of earnings, the limited participation by indigenous resource owners, and localized environmental damages to reefs and mangroves are emerging. For sustainable tourism development, it is needed to set growth objectives and targets for tourism in terms of benefits to Fiji, and to concentrate support on 'Rural Tourism' such as community-based tourism that have lower leakage and put more into local economies. Through case study in this paper, to develop rural tourism at the local level, several recommendations are as follows: 1) to introduce various rural tourism programs such as experiencing Fiji's traditional culture, participating in activities, picking fruits and harvesting agro-products, 2) to enhance aggressive promotion and marketing strategies, 3) to build the capacity of local communities for improving the quality of tourism services, and 4) to provide the infrastructure for tourism business such as road accessing, water supply and disaster prevention.

• 한방재활의학과학회지
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• 제25권3호
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• pp.91-102
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• 2015

Two patients, diagnosed as cervical spinal cord injury, were hospitalized and treated by Korean medical interventions with Functional Electrical Stimulation (FES). The range of motion of the shoulder joint, manual muscle test were adopted to measure the resulting motor recovery after treatment. And the Korean version of Barthel index (K-MBI) was adopted as a method of measuring the improvement of quality of life after treatment. The range of motions and muscle strengths of the shoulder joints were improved. The activities of daily living were slightly improved in case 2, but showed no improvement in case 1. FES was effective for upper extremities rehabilitation of spinal cord injured patients. Further studies are needed to set up an Korean medical protocol for spinal cord injury rehabilitation.

• 무역상무연구
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• 제64권
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• pp.187-210
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• 2014

As port functions change to act as an economic catalyst and take on a central position in industries engaged in international trade, port hinterland has become a significant component in international shipping. The success of port hinterland as a strategic base of logistic activities critically depends on location selection factor for international distribution center that links elements of global supply chain management. By examining multi-measurement items empirically, this paper analyzed location selection factor for international logistics distribution center in port hinterland, and evaluated Busan new port hinterland from the user's perspective. Employing exploratory factor analysis, the results revealed that the model structured around five factors incorporating geo-location and accessibility, availability, political supports, cost factors, and quality of business environment is valid and reliable in the context of the location selection factors for logistics distribution center in the context of port hinterland operations. The evaluation of Busan new port hinterland provides useful insights for strategic improvement to accommodate the users' expectation. Further, the model offers both a descriptive and diagnostic strategic management tool for port hinterland development and operations, to guide future improvement.

• 대한간호학회지
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• 제13권3호
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• pp.86-94
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• 1983

The purpose of this study were to find out the perceived importance of psychological care, to investigate the nurses perception on the quantity of psychological care activities, and the correlation between the structual variables. 206 registered nurses from general wards of 3 university hospitals in Seoul were randommly sampled. Data were gathered by check-list on the perceived importance and perceived quantity and were analysed by the frequency, percentile scores, ANOVA and Correlation-coefficient. Results are as follows 1. Majority of subjects(96.6%) responded to the psychological care for hospitalized patients being very, and most important nursing care activity Two-third(66%) revealed to be give more or less satisfactory amount of psychological care-to the hospitalized patients. 2. Heavy work-load(79%), personal factors of(33.0%) nurses and the health team and factors of nurse-patient relationship (20.9%) revealed to be the major causes hindering psychological care. 3. To improve quality and the quantity of psychological care, personal and professional development of nurses and the health team(56.8%), improvement of nurse-patient relationships (49.03) and improvement of nurse patient ratio(45%) were suggested. 4. The perceived quantity of psychological care and the educational status revealed significant correlation(p<.005). The perceived quantity and position in nursing revealed significant correlation (p<.01). 5. No significant correlation was revealed between the perceived importance and the perceived quantity of the psychological care.