• 한국의료질향상학회지
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• 제22권2호
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• pp.75-90
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• 2016

Objectives: This study measures the level of cognition of employee's patient safety culture and evaluates the current level through comparing the results to external levels. Ultimately it is performed to construct a strategic improvement plan through the basic database for patient's safety culture. Methods: A questionnaire survey of self reporting type was carried out using structured questionnaire of the patient's safety culture for employees currently employed in a hospital. Total responders was 1,129 and a response rate was 54.6%. The survey results were calculated with a percent positive response, and the current level was evaluated by comparing with the survey results of a hospital (2009 and 2014) and the survey result of The Agency for Healthcare Research and Quality(2014). Results: Sub-dimension of high percent positive response for each area were 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%) and 'supervisor/manager expectations & actions promoting safety' (67%). Meanwhile, 'teamwork across hospital units' (31%), 'hospital management support for patient safety' (29%), 'staffing' (27%) and 'non-punitive response to error' (17%) were relatively low percent positive response. Compared to the survey results of AHRQ (2014) for each area, 'teamwork within hospital units' (80%), 'feedback & communication about error' (73%), 'frequency of event reporting' (66%) were at the top 50% percentile level and the remaining sub-dimensions showed a very low level in the lower 10% percentile area. Conclusion: In order to establish a system for patient safety culture within the hospital and evaluate the effect on this, it is necessary to periodically evaluate the patient's safety culture and establish regulations on hospital safety culture to comply with this.

• 디지털융복합연구
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• 제11권3호
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• pp.317-325
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• 2013

본 연구는 지역사회의 경증인지장애노인과 치매환자에게 인지작업치료를 적용한 후 인지기능과 일상생활활동 수행능력, 우울정도의 효과를 알아봄으로 인지작업치료가 인지기능회복에 미치는 효과를 알아보고자 하였다. 연구방법은 2012년 2월에서 2012년 6월까지 일개광역지역에 소재하는 노인종합복지관과 요양원에 내원한 환자 중 경증인지장애군 13명과 치매군 19명으로 전체 32명을 대상으로 8주 동안 주 1회 신체기능, 인지기능, craft를 이용한 작업치료 활동 프로그램을 실시하였다. 두군 모두에서 인지기능, 우울감에서 유의한 호전을 보였다. 특히 경증인지장애군은 치매보다 집중력과 기억력 유지에 필요한 인지기능에서 유의한 효과를 보여 향후 경증인지장애군에서 인지기능회복을 위한 프로그램의 개발과 예방적 효과에 대한 연구가 필요하다.

• Journal of Ginseng Research
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• 제46권3호
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• pp.464-472
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• 2022

Background: Gut microbiota influence the central nervous system through gut-brain-axis. They also affect the neurological disorders. Gut microbiota differs in patients with Alzheimer's disease (AD), as a potential factor that leads to progression of AD. Oral intake of Korean Red Ginseng (KRG) improves the cognitive functions. Therefore, it can be proposed that KRG affect the microbiota on the gut-brain-axis to the brain. Methods: Tg2576 were used for the experimental model of AD. They were divided into four groups: wild type (n = 6), AD mice (n = 6), AD mice with 30 mg/kg/day (n = 6) or 100 mg/kg/day (n = 6) of KRG. Following two weeks, changes in gut microbiota were analyzed by Illumina HiSeq4000 platform 16S gene sequencing. Microglial activation were evaluated by quantitative Western blot analyses of Iba-1 protein. Claudin-5, occludin, laminin and CD13 assay were conducted for Blood-brain barrier (BBB) integrity. Amyloid beta (Aβ) accumulation demonstrated through Aβ 42/40 ratio was accessed by ELISA, and cognition were monitored by Novel object location test. Results: KRG improved the cognitive behavior of mice (30 mg/kg/day p < 0.05; 100 mg/kg/day p < 0.01), and decreased Aβ 42/40 ratio (p < 0.01) indicating reduced Aβ accumulation. Increased Iba-1 (p < 0.001) for reduced microglial activation, and upregulation of Claudin-5 (p < 0.05) for decreased BBB permeability were shown. In particular, diversity of gut microbiota was altered (30 mg/kg/day q-value<0.05), showing increased population of Lactobacillus species. (30 mg/kg/day 411%; 100 mg/kg/day 1040%). Conclusions: KRG administration showed the Lactobacillus dominance in the gut microbiota. Improvement of AD pathology by KRG can be medicated through gut-brain axis in mice model of AD.

• 한국콘텐츠학회논문지
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• 제15권11호
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• pp.658-671
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• 2015

본 연구는 블렌디드 액션러닝프로그램이 대학생의 자기주도적 학습능력 향상에 미치는 영향을 탐색하였다. 이를 위해 수도권 D 대학의 사범대학 학생들을 대상으로 실험집단 30명, 통제집단 30명을 구성하여 연구를 수행하였다. 연구대상의 평균연령은 22.3세이며, 2-4학년 재학생으로 인구통계학적 배경은 비교적 동질적이다. 교육사회학(교직과목) 수업에서 실험을 수행하였다. 연구는 학기 초에 자기주도적 학습 능력을 사전 검사하였다. 이후에 실험집단은 블렌디드 액션러닝프로그램으로 수업을 진행하였고, 통제집단은 액션러닝프로그램으로 수업을 진행하였다. 학기가 종료되는 시기에 사후 검사를 실시하였다. 자료 분석은 사전 검사 점수를 고려하여 집단 간 사후 검사 점수를 비교하기 위해 공분산분석(ANCOVA)을 수행하였다. 그 결과 첫째, 대학생들의 자기주도적 학습능력 향상을 위해서는 액션러닝프로그램 보다 블렌디드 액션러닝프로그램이 효과적인 것으로 나타났다. 둘째, 인지적, 경험적 수준이 낮은 학습자 대상의 수업에서는 액션러닝프로그램 보다 블렌디드 액션러닝프로그램이 더욱 효과적인 것으로 나타났다. 셋째, 학습자원 관리와 학습전략 활용 측면에서는 액션러닝프로그램과 블렌디드 액션러닝프로그램 공히 영향을 미치지 못하는 것으로 나타났다. 이상의 내용을 종합해볼 때 대학생의 자기주도적 학습능력을 향상하기 위해서는 다양한 교수방법 중 전통적 집단강의보다 학습자들의 참여 및 실천학습 방법인 액션러닝프로그램이 효과적인 교수방법이지만, 대학생들의 지적, 경험적 측면의 초보적 수준을 고려할 때 블렌디드 액션러닝프로그램의 적극적 활용이 요구된다.

• 대한지구과학교육학회지
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• 제7권1호
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• pp.133-143
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• 2014

The purpose of this study was to examine the effect of scientific discussion classes focusing problem finding on the primary school students' scientific creative problem solving ability, science process skills and attitude toward science class. To verify this research problem, the subject of this study was fifth-grade students selected from four classes of M elementary school located in Busan city. For four months, the experimental group of 51 students was taught using the "scientific discussion classes focusing problem finding". The control group also of 53 students was taught in normal classes which used a text-book. All students were given pre and post test to verify the effects of scientific discussion classes focusing problem finding on the primary school students' scientific creative problem solving ability, science process skills and attitude toward science class. The results from this study are as the following. First, the scientific discussion classes focusing problem finding were effective in scientific creative problem solving ability among the primary school students. It is possibly because in the process where one student compare his/her own thoughts with the others' ones and discuss them. Second, the scientific discussion classes focusing problem finding were effective in science process skills among the primary school students. Third, the scientific discussion classes focusing problem finding were effective in attitude toward science class. In conclusion, the scientific discussion classes focusing problem finding had positive effects on improvement of primary school students' scientific creative problem solving ability, science process skills and also could lead to a change in students' cognition about science class to a positive way. Therefore, the scientific discussion class focusing problem finding is hopefully to be provided as an effective instructive strategy of science class in school in the future.

• 인터넷정보학회논문지
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• 제20권5호
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• pp.67-77
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• 2019

Today, companies are making efforts to improve the performance of workers by utilizing various IT-based mobile and internet devices. In pharmaceutical companies, salespeople are using the e-brochure to search for diverse expertise in real time. Through the e-brochure, pharmacists and doctors can be provided with the information they need, thereby increasing confidence in pharmaceuticals and salespeople. Salespeople can also use e-brochures to improve their work performance and to be more satisfied with their jobs. This study examines which functions of e-brochures satisfy salespeople and what attitudes to the e-brochures they need to have. This paper explains the effect of satisfaction and attitude to the e-brochures on job satisfaction through self-efficacy with statistical analysis. As a statistical result, the functions of e-brochures (professional knowledge, massive amount of data, easy searching, information updates, and the reflection of feedback) and attitudes to the e-brochures (importance, intention to use, belief in improvement, efficacy to use, and negative cognition) influence on self-efficacy of salespeople. Further, self-efficacy has mediating effects on the relationship between the functions of e-brochures / attitudes to e-brochures and job satisfaction. Exceptionally, the mediating effect of self-efficacy was not significant in relation to information updates / reflection of feedback and job satisfaction. These results will explain what functions should be focused for the future development of e-brochures. It will also suggest what attitudes the salespeople should have about e-brochures. Through these efforts, salespeople will be able to utilize new technology of e-brochures to satisfy their jobs and improve their performance.

• PNF and Movement
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• 제19권3호
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• pp.351-359
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• 2021

Purpose: This purpose of this study was to investigate the effects of initial cognitive status on the recovery of functional status in patients with subacute stroke. Methods: The participants were 111 patients with subacute stroke, divided into two groups: mini-mental state examination (MMSE) <20 (n=49) group and MMSE ≥20 (n=62) group. Clinical evaluation scores were collected before and after rehabilitation. The repeated measurements ANOVA was used to confirm the changes in functional status before and after intervention in the two groups. Changes in functional status within the group were examined through a paired test. A Pearson correlation coefficient analysis was performed to identify the correlation between MMSE change amount and functional status score. Results: In each of the two groups, according to the initial cognitive status, the clinical evaluation score increased statistically significantly, but there was no difference between the two groups in the degree of significant increase. When examining the correlation between the MMSE change amount, according to the initial cognitive state and the functional state score change amount, it was found, only in the group with MMSE <20, that the larger the change in the MMSE score, the greater the functional state change of Berg balance scale, Rivermead Mobility Index, and motor assessment scale. This did not apply to the group with MMSE ≥20. Conclusion: Initial cognitive status should be considered when setting the patient's goal, and considering cognitive improvement when constructing a rehabilitation program is thought to have a positive effect on rehabilitation services.

• 대한간호학회지
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• 제26권4호
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• pp.833-852
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• 1996

Regular long term dance movement could be one of ways to induce improvement of psychophysiological variables, resulting in improvement of quality of life. However, there have been few studies to evaluate the effect of dance movement training on both physiological and psychological variables in the elderly. This study was focused to determine the effect of Korean traditional dance movement training on psychophysiological variables-body weight, body fat, lean body mass, muscle strength, muscle endurance, flexibility, agility, resting heart rate and blood pressure, depression and life satisfaction-in Korean elderly women. Thirty four subjects, aged between 65 and 75years who have normal cognition, sensory function, cerebellum function, cardiovascular function, participated in this study. Seventeen experimental group subjects were selected from E-elderly university in Kyung Gi province, and Seventeen control group subjects were selected from N-welfare facility in Seoul City. Seventeen experimental group subjects participated for 12weeks dance movement program. Korean traditional dance movement program was developed on the basis of Korean traditional dance and music by the author. The program consisted of approximately 50minutes of dance, 3times a week for 12weeks. During 50minutes workout, there were 15minutes of warm-up dancing, 25minutes of conditioning dance and 10minutes of cool-down dancing. The intensity for the conditioning phase was at between 60% and 65% of age-adjusted maximum heart rates. The body weight, body fat, lean body mass, muscle strength(grip strength, leg strength), muscle endurance, flexibility, agility, resting heart rate and blood pressure, depression and life satis-faction were measured prior to and following the experimental treatment. The participants in dance movement were interviewed focusing on subjective feeling following 12 week's regular dance movement. Data were analyzed with mean, standard deviation, percentage of change, X²-test, t-test, and ANCOVA test using SPSS PC/sup +/ program. Subjective feeling was categorized into cognitopsy-chological and physiological responses. Results were obtained as follows : 1) The body weight (F=15.52, p=.000), body fat (F=18.33, p=.000) and lean body mass (F=7.28, p=.011) of the experimental group were significantly lower than those of the control group following the dance movement training. 2) The leg strength (F=30.96, p=.000), muscle endurance (F=9.06, p=.005), agility(F=44.92, 000), flexibility(F=6.84, p=.014) of the experimental group were significantly higher than those of the control group following the dance movement training. There was no significant difference of grip strength(F=.43, p=.515) between experimental and control groups. 3) The heart rate(F=26.96, p=.000), systolic (F=10.40, p=.000) and diastolic(F=3.99, p=.005) blood pressure at rest of the experimental group were significantly lower than those of the control group following the dance movement training. 4) No significant difference of score of depression (F=3.49, p=.071) was observed between experimental and control groups. 5) Score of life satisfaction of experimental group was remarkably higher than that of control group following 12weeks of dance movement training (p<0.05). 6) Thematic responses about the dance movement following the training were positive. "I feel good" was the most frequent among cognitopsychological responses and "I feel lightness of body" was the most frequent among physiological responses. The results suggest that Korean traditional dance movement training can improve psychophysiological variables of Korean elderly.

• 과학교육연구지
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• 제34권2호
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• pp.405-420
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• 2010

본 연구의 목적은, 2007년 개정 과학과 교육과정에서 강조되고 있는 자유탐구를 현장에 원활하게 적용하기 위한 구체적인 지도방안을 구안하여 그것에 따른 자유탐구 수업이 초등학생들의 과학적 태도와 과학탐구능력에 어떠한 영양을 미치는지 알아보고 또한 자유탐구를 지도한 교사들이 자유탐구에 대해 어떠한 인식을 가지고 있는지를 알아보는것이다. 연구대상은 부산광역시 소재의 동일한 급지에 속한 J 및 S 초등학교의 5학년 각각 1개 반이었다. 실험집단이 속한 J초등학교는 자유탐구 수업을, 비교집단이 속한 S초등학교는 전통적 방식으로 제7차 교육과정에 의한 수업을 실시하였다. 연구의 결과는 다음과 같다. 자유탐구 수업을 한 학생들은 전통적 방식의 수업을 학생들에 비해 과학적 태도에서의 평균 점수가 더 높게 나왔으나 유의미한 차이는 아니었다. 하지만 하위 요소별로 보았을 때 정직성과 비판성의 요소에서 유의미한 차이가 나타났다. 자유탐구 수업을 한 학생들은 전통적 방식의 수업을 학생들에 비해서 과학탐구능력의 평균 점수도 높아졌을 뿐만이 아니라 그 차이는 p<.05의 수준에서 유의미한 것으로 나타났다. 특히 하위 영역에서 보았을 때 기초탐구능력에서 그러한 효과를 확인할 수 있었다. 자유탐구를 지도한 교사들은 자유탐구에 대해 '학생들의 흥미를 높이고 과학탐구능력 향상을 위한 자기 주도적 문제 해결학습'이라 생각하였다. 교사들의 자유탐구에 대한 부정적 인식척도는 환경 요인에 다소 높게 치우쳐 있어 환경 요인에 대한 요구가 많이 남아 있음을 보여준다. 그리고 교사들은 자유탐구의 장애요인으로서 주로 학생들의 경험이나 지식의 부족, 학급당 인원수 과다 등을 지적하였으며 자유탐구 정착을 위한 선행 조건으로는 자유탐구 지도를 위한 교육과정과 교재의 개발을 꼽았다.

• 생물정신의학
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• 제18권3호
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• pp.148-158
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• 2011

Objectives The eye movement (EM) has been reported to play a role in enhancing the retrieval of episodic memories and reducing effects of fearful episodes in the past and worries for the futures. However, it is still unclear in the mechanism of EM in normal subjects. We examined the horizontal eye movement (HEM) effect using an aiding apparatus on mental health indices including negative and positive psychological factors, and psychophysiological measures such as heart rate variability and quantitative electroencepaholography (qEEG) in healthy subjects. Methods Twenty eight healthy subjects were recruited and randomly allocated into two groups : active HEM group and control group. The active HEM group conducted the HEM training with usual stress management audio-intervention using the apparatus inducing eye movement once a day for 14 days. The control group also conducted the same training once a day for 14 days, however, the saccadic eye movement was not included in this training. Psychological measurements, neurocognitive function tests, heart rate variability measurement and qEEG were conducted before and after the training in both groups. Results In the active HEM group, sleep status using Sleep Quality Scale (SQS) positive factors significantly increased after the training. By contrast, scores on the negative items of Psychological Well-Being Scale (PWBS), and negative items of the Life Orientation Test-Revised (LOT-R) were significantly decreased after the training. The percentage of delta amplitude (1-3 Hz) in qEEG significantly decreased after the HEM training. The percentage of alpha amplitude (8-12 Hz) significantly increased after HEM training. The change of delta amplitude in the active HEM group was positively correlated with the change of sleep satisfaction of Visual Analogue Scale (VAS), and the change of alpha amplitude was negatively correlated with depression of VAS, anxiety of VAS and Beck Anxiety Inventory (BAI). Conclusions The HEM training improved sleep quality and well-being, and sense of optimism. The HEM training also increased alpha amplitude and decreased delta amplitude in qEEG. The qEEG changes were well correlated with subjective improvement of mental health indices in healthy subjects. These results suggest some evidences that HEM training using the apparatus that induces EM would be helpful in improving subjective mental health in healthy subjects. Further study with larger samples size would be needed.