• 보건행정학회지
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• 제28권3호
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• pp.315-319
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• 2018

This paper aims to make a step-by-step strategy to formulate an unified health system by clarifying and overcoming challenges facing South and North Korea and to estimate costs needed for South Korea to assist North Korea to recover to normal health delivery system. We explored implications through literature review and estimated costs under the assumption that supportive activities be provided for 5 years in three ways: support for the development of health and medical care manpower; support for health and medical facilities; and support for the provision of both preventive and primary health care. Step-by-step strategy is formulated for a unified health system with the cost estimation resulting as follows: in case of basic scenario, a total of 3 trillion and 341 billion won (at present value of the year 2017) is in need for the 5-year period at the initial 'recovery support stage' with 135.9 billion won for the development of health and medical care manpower, approximately 2 trillion won for health and medical facilities, and 1.2 trillion won for the provision of both preventive and primary health care. Step-by-step approach is more realistic and applicable in formulating unified health system. Suggested stages are 'recovery support stage,' 'system homogenization stage,' and 'unified system stage.' Strategies at 'recovery support stage' suggested in this paper need to be pursued and followed by those at 'system homogenization stage' and 'unified system stage.'

• 가정과삶의질연구
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• 제16권3호
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• pp.11-24
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• 1998

The purpose of this study was to develop the educational program model for adolescent substance abusers in relation to preventive and rehabilitative aspects. This educational program model was developed based not only on the social support theory ecological-developmental approach and cognitive-behavioral approach but also on previous studies. This model can be used both for adolescent substance abusers in early stage and in recovery stage. The main contribution of this study is that adolescent abusers will recover effectively through practicing this educational program model.

• 멤브레인
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• 제33권4호
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• pp.222-232
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• 2023

본 연구에서는 중공사형 지지체막을 폴리술폰(polysulfone, PSf) 고분자를 이용하여 비용매 상분리법(non solvent induced phase separation, NIPS)에 의해 제조하였다. 제조된 중공사 지지체막을 PDMS와 Pebax를 코팅하여 중공사형 복합막을 제조하고 CO₂, H₂, O₂ 그리고 N₂에 대한 순수 투과도(permeance)와 선택도를 측정하였다. 제조된 복합막 모듈 중에서 선택도(CO₂/H₂)가 가장 높은 모듈을 선정하여 모사가스를 사용하여 스테이지컷(stage cut, SC)의 변화에 따라 분리성능을 측정하였다. 이때 사용된 모사가스는 PSA에서 버려지는 off gas의 농도인 CO₂ 70% : H₂ 30%인 것을 사용하였다. 1단 실험에서는 H₂ 농도 약 60%, H₂ 회수율 12%의 값을 얻을 수 있었다. 낮은 H₂ 농도와 회수율을 극복하기 위해 2단 직렬 테스트를 수행하였으며, 이를 통해 H₂ 농도 약 70%, H₂ 회수율 70%를 달성할 수 있었으며, 이를 통해 CO₂/H₂ 분리에 대하여 분리 공정 구성을 도출할 수 있었다.

• 멤브레인
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• 제23권2호
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• pp.176-184
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• 2013

다성분계 휘발성 유기화합물(VOCs; Volatile Organic Compounds)의 분리를 위하여 상전이법을 이용하여 방사한 poly (ether imide) (PEI) 중공사 지지체에 poly (dimethylsiloxane) (PDMS)를 코팅하여 중공사 복합막을 제조하였다. VOCs 회수용 중공사막으로서 적합성을 알아보기 위해서 중공사막의 모폴로지, 질소 및 산소 기체 투과도를 측정하고, 벤젠, 톨루엔 그리고 자일렌에 대한 내구성을 조사하였다. 다성분계 휘발성 유기화합물의 효과적인 분리성능을 조사하기 위하여 Stage-cut과 feed 농도에 따른 다성분계 VOCs 투과 성능 변화를 관찰하였다. PEI 지지체 중공사막에 PDMS를 코팅시킴에 따라 산소와 질소 투과도는 각각 45,000 GPU와 49,450 GPU에서 63 GPU와 30 GPU로 감소하는 것을 확인하였다. VOCs 투과농도는 Stage-cut이 감소함에 따라 증가하나, 회수율은 감소하였다. 반면에 공급농도 증가에 따라 투과농도는 비례적으로 증가하였지만, 농축비나 회수율은 큰 변화가 없었다.

• 대한간호학회지
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• 제49권3호
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• pp.349-360
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• 2019

Purpose: This study was conducted to derive a substantive theory on lived experiences of elderly cancer patients. Methods: The data were collected from February to March 2018 through in-depth personal interviews with 14 elderly cancer patients. The collected data were analyzed based on Corbin and Strauss's grounded theory. Results: The core category was "the journey to find balance in daily lives as a cancer patient by recovering disturbed ego integrity." The core phenomenon was "shattered by suffering from cancer," and the causal conditions were "physical change" and "limitations in daily life." The contextual conditions were "decreased self-esteem," "feelings of guilt toward the family," and the sense of "economic burden." The participants' action and interaction strategies were "maintaining or avoiding social relations," "seeking meaning of the illness," "falling into despair," and "strengthening the willingness to battle the cancer." The intervening conditions were "support from health care providers and family," "dissatisfaction with health care providers," "spiritual help from religion," and "the improvement or worsening of health conditions." The consequences were "having a new insight for life," "living positively along with cancer illness," and "the loss of willingness to live." A summary of the series of processes includes the "crisis stage," "reorganizing stage," and the "ego integration stage." Conclusion: This study explored the holistic process of ego integrity impairment and the recovery experience of elderly cancer patients. This study is expected to be used as a basis for the development of nursing interventions that can support patients when coping with all stages of their cancer illness trajectory.

• Journal of Hospice and Palliative Care
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• 제26권2호
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• pp.27-41
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• 2023

Purpose: Pediatric palliative care is a rapidly developing multidisciplinary approach that supports children with life-limiting conditions and their families. However, there is limited evidence on how to effectively support bereaved parents and siblings. The purpose of this study is to explore the therapeutic impact of art therapy for bereaved families, in accordance with John Bowlby's four-stage theory of mourning. Methods: This single-case study employed the consensual qualitative research method. Art therapy records of bereaved families were reviewed individually, and records from one case were selected. Verbal statements made during the art therapy sessions and photocopies of the artworks were analyzed to understand the mourning process of the family. Results: A total of 113 statements and 12 artworks from 19 art therapy sessions were analyzed. As the art therapy progressed, each family member exhibited a pattern of engaging in more positive and healthy conversations in daily life, demonstrating the final stage of mourning: reorganization and recovery. The family dynamics also revealed that they reconstructed their inner world and redefined the meaning of loss, which is the final stage of mourning. The art therapy provided a safe environment for the family, allowing them to fulfill their wishes and regain the strength needed for recovery. Conclusion: This study suggests that art therapy supports bereaved families in alleviating their psychological difficulties, engaging in a healthy mourning process, and functioning as members of society. Further research is needed to better understand the effect of art therapy as a bereavement support tool in pediatric palliative care.

• 한국지능정보시스템학회:학술대회논문집
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• 한국지능정보시스템학회 2001년도 The Pacific Aisan Confrence On Intelligent Systems 2001
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• pp.478-485
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• 2001

In this study, we have developed a prototype of clinical decision support systems (CDSS) for diagnosing neurogenic bladder and compared its predicted diagnoses with the actual diagnoses using 92 patient\`s Urodynamic study cases. The CDSS was developed using a Visual Basic based on the evidence-based rules extracted from guidelines and other references regarding a diagnosis of neurogenic bladder. To compare with the 92 final diagnoses made by doctors at the Yonsei Rehabilitation Center, we classified all diagnoses into 5 groups. The predictive rates of the CDSS were: 48.0% for areflexic neurogenic bladder; 60.0% for hyperreflexic neurogenic bladder in a spinal shock recovery stage; 72.9% for hyperreflexic neurogenic bladder, and 80.0% for areflexic neurogenic bladder in a spinal shock stage, which was the highest predicted rate. There were only 2 cases for hyperreflexic neurogenic bladder in a well controlled detrusor activity, and its predictive rate was 0%. The study results showed that CDSS for diagnosing neurogenic bladder could provide a helpful advice on decision-making for doctors. The findings also suggest that physicians should be involved in all development stages to ensure that systems are developed in a fashion that maximizes their beneficial effect on patient care, and that systems are acceptable to both professionals and patients. The future studies will concentrate on including more validating the system.

• 한국재난정보학회 논문집
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• 제13권2호
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• pp.163-172
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• 2017

전 세계적으로 이상기후로 인한 고위도 북반부에 폭설이 빈번하게 발생하고 있으며, 폭설로 발생하는 피해액은 국내 자연재해 피해액 중 높은 실정이다. 자연재해가 다양하게 발생하고 있다. 우리나라에서는 2004년, 2005년, 2011년 강릉 및 포항 지역에서 폭설로 인한 특별재난지역으로 선포되며, 도로 제설업무 수행요령안(안)이 개정되었다. 제설방법론과 지역별 장비보유량 및 제설담당구간이 국도별로 분류가 되어있지만, 인근 시 군별 응원체계 구축은 분류가 되어있지 않은 상태이다. 다만, 자체 제설이 불가능할 경우 군부대 및 인근 사무소에 지원 및 협조 요청이라는 내용이 담겨있다. 따라서, 본 연구에서는 대설재난 발생 시 대설재난 유형 시나리오를 개발하고, 시나리오별 지역특성을 고려한 대응체계 및 응원체계 구축하는 연구를 하였다. 시나리오 도출을 위해 지역별 일 강설데이터와 재해연보 데이터를 수집하고, 유사 과거사례를 비슷한 패턴으로 분류하여 재설 GIS지도를 도출하였다. 본 연구에서는 지역별 대설재난 유형별로 분석함으로써 5단계의 시나리오를 도출하여, 지역별 제설응원체계를 구축하였다. 5단계의 시나리오는 전국(1단계), 수도권 충청권(2단계), (3단계), 영동권 호남권(4단계), (5단계)로 유형으로 도출되었으며, 그에 따른 인근 시 군 제설 응원체계 구축을 제시하였다.

• International Journal of Internet, Broadcasting and Communication
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• 제16권1호
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• pp.92-98
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• 2024

This meta-analysis systematically reviewed studies on mirror therapy focused on arm and hand function in stroke patients, aiming to comprehensively assess the efficacy of mirror therapy interventions and furnish empirical support for its potential application and future development in the context of stroke rehabilitation. A rigorous search for articles published in international journals up to the year 2022 was conducted. Various assessment tools were employed to calculate effect sizes, evaluating the impact of mirror therapy on arm and hand function in stroke patients. Utilizing a random-effects model, mean effect sizes were determined, yielding a total effect size of 0.545. The effect sizes for the Brunnstrom Recovery Stage (BRS), Box and Block Test (BBT), Modified Barthel Index (MBI), Fugl-Meyer Assessment (FMA), and grip strength test were 0.957, 0.596, 0.490, 0.488, and 0.417, respectively. In summary, we suggest that mirror therapy engenders positive changes in functional recovery among stroke patients, establishing a foundation for its tailored clinical application based on individual subject characteristics.

• Child Health Nursing Research
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• 제6권3호
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• pp.397-410
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• 2000

This is a nonequivalent control group pretest- posttest design in quasi experimental basis to assess how the thermal head and feet support influences on early stage weight gain in premature neonates. The clients were selected among the premature infants with the weight under 2000gms and with the gestational period under 37 weeks, admitted over 15 days in K university hospital, Seoul. The control group of 29 were selected from January 1998 to August 1998, who were without head and feet thermal support, and the experimental group of 30 were selected from September 1998 to May 1999, who were with the two thermal interventions. The results of the study follow, 1.The experimental group with thermal interventions showed more weight gain than the control group without thermal interven- tions, which was statistically significant between the two groups. 2.The physiological weight loss after birth showed less in the experimental group than in the control group. 3.The recovery of the birth weight after the physiologic weight loss showed no statistical difference between the experimental group and the control group. Consequently, the thermal head and feet supportive nursing intervention could be applied as a nursing intervention program to help the premature neonates' development. With the results above we should like to suggest the following: 1) A continuous application in the practice of our thermal supportive intervention for the premature neonates, a development of the content through evaluation, and a comparision of the results through a long time study. 2) A neccessity of deveopment of various study and cross comparision. 3) A neccessity of multi-angular study on the premature infants' characteristics influencing the thermal therapy and the study of the individual differences of the clients.