• 제목/요약/키워드: Shared-decision Making

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이혼한 여성 한부모가족의 가족레질리언스(Family Resilience) 연구 : 모자보호시설 입소자를 중심으로 (Family Resilience in Divorced Female Single-Parent Families : In Case of Residents in the Institutional Facility for Female Single-Parent Families)

  • 김경순;이미숙
    • 가정과삶의질연구
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    • 제27권1호
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    • pp.89-105
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    • 2009
  • A family resilience approach aims to identify and fortify key interactional processes that enable families to withstand and rebound from disruptive life challenges. Walsh(1998) described family belief systems, organizational patterns, and communication processes as the three main keys of family resilience. The purpose of this study was to identify the three key factors of family resilience in case of divorced female single-parent families in Korea. The study participants were seven divorced mothers who were living in the institutional facility for female single-parent families. Using a qualitative approach, in-depth interviews were audiotaped and transcribed verbatim for analysis. The study findings were as follows. First, the participants showed positive thinking rather than fear about the adversity induced by the divorce. They also showed the senses of competence, control, and self-esteem. However, the senses of transcendence and spirituality were barely evident. Second, emotional and economic supports from parents, brothers and sisters, and community networks (i.e., mother-child protection institution, healthy family support center) enhanced the family resilience of the participants. Third, the participants showed clear communication, open emotional expression, and shared decision making. This study suggests that more counseling services and parent education be provided by healthy family support center and institutional facilities as important family resilience factors for divorced female single-parent families who are below the poverty line.

아웃소싱의 서비스 수준 협약 : 개념적 모형과 성공 요인에 관한 연구

  • 김세한;남기찬;김승윤
    • 한국경영과학회:학술대회논문집
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    • 한국경영과학회/대한산업공학회 2003년도 춘계공동학술대회
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    • pp.312-319
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    • 2003
  • In late 90s, organizations recognized the information technology as an key enabler of the business strategic accomplishment which lead them heavy increment on IT investment. These organizations tried to hold the competitive advantage by focusing on their core competency. And these acts raise their interests on IT outsourcing. Recent trends of the organizations concern on evaluating the effectiveness of the previous IT investment and the reasonable selection on IT investment type. Also, the objective evaluation of the service level and continuous improvement are major concern of the outsourcer. Consequently, interests on Service Level Agreement (SLA), an immanence operating tool for managing the level of the information system service objectively and qualitatively, were raised among IT outsourcing service providers, outsourcers, and operating departments. Yet, only a few domestic conglomerates adopted the SLA, and exact usage of the SLA is currently unknown. Because of the importance of the SLA between a service provider and an outsourcer, the agreement is treated with high confidentiality. This raised the problems to both the private and public organizations, are considering the SLA, with absence of concrete guide line to internalize SLA management process. This study provides the organizational and environmental factors of the adopting and applying the Service Level Agreement (SLA) by conducting multiple case research. The sampled companies are currently implementing the SLA over 1 year of usage period. Factors were used to provide the operational contribution for implementing the SLA. The study also provides the effects on IT performance through the SLA. For this, in depth interview was conducted for each sampled company. As a result, if SLA between outsourcer and service provider can be used as an immanence operation tool and actively implemented, SLA will be an strategic tool for various decision making in IT management practice with long term relationship, better shared partnership, and continuous service improvement.

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모의 수업 실행 과정에서 나타난 초등 예비 교사의 과학 탐구 수업에 대한 인식 (Examining Pre-service Elementary Teachers' Views on Science Inquiry Teaching during Peer Teaching Practice)

  • 윤혜경;정용재;김미정;박영신;김병석
    • 한국초등과학교육학회지:초등과학교육
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    • 제31권3호
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    • pp.334-346
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    • 2012
  • For teachers' conceptions and understandings are critical to their decision making and classroom practice, this study attempts to understand pre-service elementary teachers' views and practices of science inquiry during peer teaching practice. Fifteen 4th year university students in teacher education program participated in peer teaching practice. Their teaching and reflective discussion were video and audio recorded and written lesson plans were collected for data analysis. Five science teacher educators individually looked into the data and shared their comments and interpretations on pre-service teachers' views and practice. The study findings suggest that pre-service teachers emphasized the importance of providing students with motivating resources in the beginning of lesson, employing certain inquiry teaching models, the process of predicting and dis/proving via experiment, and teachers' minimal intervention as the important features of inquiry teaching. Science teacher educators emphasized that it is critical to help children understand inquiry questions in the beginning of inquiry process, to be mindful of children's problem solving and critical thinking rather than following instruction models or simply going through prediction and test process. They also commented that teachers' guidance could lead a good inquiry process in classroom practice, not always interfering students' inquiry. Based on the findings, the study suggests science teacher educators need to understand what and how pre-service teachers view and practice science inquiry teaching and consider these as useful resources where they can start effective teaching for pre-service teachers at the university level.

Gastric Cancer in Asian American Populations: a Neglected Health Disparity

  • Taylor, Victoria M.;Ko, Linda K.;Hwang, Joo Ha;Sin, Mo-Kyung;Inadomi, John M.
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권24호
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    • pp.10565-10571
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    • 2015
  • Gastric cancer incidence rates vary dramatically by world region with East Asia having the highest rate. The Asian population of the United States (US) is growing rapidly and over 17 million Americans are of Asian descent. A majority of Chinese, Korean and Vietnamese Americans are immigrants. Americans of East and Southeast Asian descent experience marked gastric cancer disparities and the incidence rate among Korean men in the US is over five times higher than the incidence rate among non-Hispanic white men. Randomized controlled trials have provided evidence for the effectiveness of helicobacter pylori identification and eradication in preventing gastric cancer. Additionally, Japan and South Korea have both experienced improvements in gastric cancer mortality following the implementation of programs to detect early stage gastric cancers. There are currently no clear US guidelines regarding the primary and secondary prevention of gastric cancer in high-risk immigrant populations. However, it is likely that a proportion of US physicians are already recommending gastric cancer screening for Asian patients and some Asian immigrants to the US may be completing screening for gastric cancer in their native countries. Surveys of US primary care physicians and Asian American communities should be conducted to assess current provider practices and patient uptake with respect to gastric cancer prevention and control. In the absence of clinical guidelines, US health care providers who serve high-risk Asian groups could consider a shared decision-making approach to helicobacter pylori identification and eradication, as well as gastric endoscopy.

공용 슈퍼컴퓨터 운영효과에 대한 경제성 분석 (An Economic Analysis on the Operation Effect of Public Supercomputer)

  • 이형진;최윤근;박진수
    • 한국산업정보학회논문지
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    • 제23권4호
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    • pp.69-79
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    • 2018
  • 본 논문에서는 슈퍼컴퓨터 공동 활용의 효과에 대한 경제성 분석을 비용편익분석 방법을 통해 수행한다. 슈퍼컴퓨터를 활용함에 있어 국가센터 등에서 중앙 집중형 범용 시스템을 운영 및 서비스하는 체제와 개별 기관들이 자체적으로 구축 운영하는데 소요되는 비용을 추정하여 비교한다. 공동 활용의 경우 기존 슈퍼컴퓨터 도입 및 운영 실적에 근거하여 비용을 쉽게 추정할 수 있다. 그러나 개별 사용에 소요되는 비용은 실제로 운영하고 있지 않은 관계로 슈퍼컴퓨터의 성능 및 기반시설, 인적 요인 등에 의한 변동성을 고려한다면 그 추정이 매우 어려운 실정이다. 따라서 본 논문에서는 개별 사용 비용을 산출하는 객관적이고 타당한 방법을 제시하고 두 대안의 비용을 비교하여 공용 슈퍼컴퓨터 운영 서비스가 경제적 측면에서 얼마나 효과적인지를 분석한다. 분석결과에 따르면 공용 슈퍼컴퓨터의 활용이 개별 사용에 비해 운영비용 측면에서 연평균 약 103억원, 6년간 총 620억원이 절감된다. 따라서 공용 슈퍼컴퓨터의 활용은 개별 도입에 비해 상당한 규모의 경제적 효과를 가져 올 것으로 판단된다.

Characteristics of Community Life in Foreign Intentional Communities Focus on the Differences between Ecovillage and Cohousing

  • Choi, Jung-Shin
    • International Journal of Human Ecology
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    • 제9권2호
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    • pp.93-105
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    • 2008
  • This study investigates the different characteristics (mainly of community life) in representative intentional communities, between the ecovillage and cohousing, since the different purpose of the establishment of the community might result different characteristics. The study method is data analysis: the analysis material is Community Directory, A Comprehensive Guide to Intentional Communities and Cooperative Living (Rutledge, 2005). Of 750 listed communities, 397 (211 ecovillages and 186 cohousings) communities were analyzed. The findings of the study reveal that there are clear differences of community life between ecovillages and cohousings even though two communities are regarded as similar intentional communities. The similarities between the two communities are as follows: 1) Those mostly distributed in the USA, and established before 2000. 2) Dominant size of intentional communities is less than 20 residents and 20 houses. 3) They make decisions in consensus. 4) They eat together very frequently; at least once a week or more. 5) Shared work is required. The differences between the two communities are as follows: 1) They have different aims of establishment. For instance, ecovillage focus more on eco-living, while cohousing focuses more on the cohousing idea. 2) There are more female residents in cohousings than in ecovillages. 3) There are more cohousings in urban areas with a smaller area of land, contrary to that there are more ecovillages in rural areas with larger areas of land. 4) There are less identified leaders or leadership core groups in cohousing than in ecovillages. 5) Income sharing is more common in ecovillages than in cohousings. According to there findings, it is evident that a different purpose of establishment result in different characteristics of community life even though those belong to the similar category of the intentional community. Thus, it is recommended to adapt the correct characteristics that fit the aim of the community in the establishment an intentional community Topics and discussions about establishing intentional Topics and discussions abut establishing intentional communities could contribute to gather the intentional communities could contribute to gather the interests communities could contribute to gather the interests of residents as well as those of relevant civil-workers and administrators in Korea.

한국인의 상악 전치부 심미 인지 선호도 및 정상 치은의 형태 분포 (Perception of maxillary anterior esthetics by dental professionals and lay people and topographical tooth-gingiva interface)

  • 안기연;이주연;김성조;최점일
    • Journal of Periodontal and Implant Science
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    • 제36권4호
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    • pp.817-827
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    • 2006
  • Purpose : This study was designed 1) to compare the perception of dental professionals and lay people with respect to minor variations in maxillary anterior tooth size and alignment and their relation to the surrounding soft tissues, and 2) to evaluate the normal tooth-gingiva topographical relationships in periodontally healthy young subjects, Materials and methods : Maxillary anterior teeth were intentionally diagrammed in varying degree of deviation with respect to one of three common anterior esthetic discrepancies including variations in crown length, shape of gingival margin, and length of interproximal contact, 17 images were generated to be preferentially selected by 2 groups consisting of dental professionals and lay people (total of 740). Smiling photographs of 120 dental students who had healthy periodontium were taken and the photographic images were analyzed to be classified as 17 kinds of altered image groups. Results : The results demonstrated noticeable difference between the varying levels of discrepancy. Both group preferred gingival margin of lateral incisor to be 0.5mm lower than that of central incisor. Lay people preferred the gingival margin shape that has 2/9 horizontal component of the crown width, while dental professionals preferred the gingival margin shape that has 1/9 horizontal component of the crown width. Lay people preferred longer length of the interproximal contact (two thirds of the crown length), whereas dental professionals preferred shorter length of the interproximal contact (half of the crown length). Photographic analysis of normal esthetic gingival topography revealed 2/9 horizontal component and short length of the interproximal contact which was of the hybrid nature of the preferences shared by lay people and dental professionals. Conclusion: The results of this study show that dental professionals and lay people demonstrated significant difference in their preference of dental esthetic components, which may then influence the decision making process by dental professionals with respect to designing the anterior esthetic gingival line.

NCEI레이어 모델에 관한연구 (A Study on the Net Centric Entity Interoperability Layer)

  • 손현식;이태공
    • 한국통신학회논문지
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    • 제37권4B호
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    • pp.269-277
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    • 2012
  • 미래의 전장환경이 플랫폼기반 전쟁에서 네트워크기반전쟁으로 변화되고 있다. NCO(Net Centric Operation)는 강력한 네트워크를 기반으로 구성된 그리드를 통하여 전투원 간 정보공유, 상황인식 공유, 의사결정 및 행동의 동기화를 통해 전투력 향상을 구현하기 위한 작전개념이다. 또한, 이러한 작전환경은 물리, 정보, 인지 및 사회도메인으로 구성이 된다. 플랫폼환경에서의 시스템은 대부분이 물리 및 정보도메인과 연관되어 있으며 OSI 7 레이어로 표현이 가능하다. 그러나, OSI 7 레이어로는 인지 및 사회도메인을 포함한 NCW 환경을 표현하는 것에는 제한사항이 있어 NCW 환경을 표현하는 새로운 모델이 필요하다. 본 논문에서는 OSI 7 레이어, NCO 효과분석모델 및 NCW 아키텍처 택사노미를 중점적으로 분석하고 분석된 내용을 바탕으로 NCW환경을 표현할 수 있는 모델을 개발하였다. 이렇게 개발된 모델은 NCW 아키텍처 택사노미에 적용하여 NCW 환경을 표현하고 이를 바탕으로 효과분석 및 군사력 건설(NCW 작전개념, 획득)에 활용이 가능함을 제시하였다.

글로벌 협업 전자상거래를 위한 모형 및 절차 (Global Collaborative Commerce: Its Model and Procedure)

  • 최상현;조윤호
    • 한국전자거래학회지
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    • 제9권4호
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    • pp.19-36
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    • 2004
  • 본 연구는 제품의 구매자와 수령자가 상이한 글로벌 협업 전자상거래를 구현하기 위한 비즈니스 모형 및 절차를 제안한다. 글로벌 협업 전자상거래를 수행하고자 하는 기업은 해당 기업의 소재 지역에만 지점을 보유하고 있으며 판매 및 물류 프로세스 협업을 통해 글로벌 판매를 수행하고자 한다. 해당 기업들은 교환 가능한 제품분류표를 공유함으로 인해 글로벌 협업 전자상거래를 수행할 수 있다. 이를 위해서는 기업들이 보유하고 있는 판매 제품과 교환판매가 가능한 제휴 기업의 제품을 찾아내기 위한 알고리즘이 필요하다. 본 연구에서는 제휴 기업간 교환 판매를 위해 교환 가능한 제품들을 찾아내기 위한 유사상품발견 알고리즘을 제안한다. 이 알고리즘은 제휴 기업들의 제품분류표에서 동일한 제품 군에 속해있는 제품들의 사양 값에 따라 효용 값을 계산하는 다기준 의사결정기법에 근거한다. 제안된 알고리즘에 근거한 글로벌 협업 전자상거래 모형을 활용하게 되면 기업들은 물리적 지점의 확장 없이 글로벌 판매를 수행할 수 있으며 고객은 자신의 거주 지역에서 구매한 제품을 다른 지역으로 저렴하게 배달시킬 수 있게 될 것이다.

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지역사회 기반 참여연구 방법론 (The Methodology of Community-Based Participatory Research)

  • 정민수;정유경;장사랑;조병희
    • 보건교육건강증진학회지
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    • 제25권1호
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    • pp.83-104
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    • 2008
  • Objectives: Community-Based Participatory Research (CBPR) is a kind of health promotion approach to increase social cohesion and sense of community, which has built the collaborated partnership in all phases. This has the co-ownership of research objectives and knowledges produced by residents, and the outcome was taken to enhance community empowerment. This study performed to embody CBPR, which had regulated collective health status approached by social epidemiology. Methods: Reference review had been exercised focused on CBPR books and papers published since 1990. Our interests were aimed at its paradigm and methodological issues. Particularly, we problematized its feasibility in the social and behavioral foundations of pubic health. Results: According to the review, CBPR shared critical understanding and decision-making related to their community development including health status. Therefore, it was strength-based approach in spite of scientific dichotomy. CBPR created social cohesion and community empowerment with all participants, because it sublated contradiction between subjectivism and objectivism. Conclusions: The success of CBPR needs what we so called trust, democracy, collaboration, devotion, and consensus of equity. Despite these factors, CBPR may be a methodological transition to prepare some intervention of health inequality. This is because it does emphasize a mixture of theory and praxis to manage vulnerable people in community.