• 한국과학교육학회지
• /
• 제38권2호
• /
• pp.161-170
• /
• 2018

과학자들은 연구 과정에서 다양한 시각적 표상을 다양한 방식으로 활용한다. 과학 교수 학습 과정에서도 시각적 표상은 과학 개념을 가르치거나 이해하기 위한 수단으로, 또 학생의 과학적 사고를 촉진하고, 탐구 능력을 증진시키기 위한 도구로 활용될 수 있다. 본 연구에서는 과학 교수 학습 과정에서 효과적인 시각적 표상 활용을 촉진하고, 체계적인 과학교육 연구의 기초를 제공하고자 하는 목적으로 시각적 표상능력의 교육목표 분류체계(visual representation competence taxonomy: VRC-T)를 개발하였다. VRC-T는 시각적 표상 유형과 인지 과정, 2개 차원으로 구성하였고, 선행 연구를 고찰하여 초기 모형을 개발한 뒤 교사 중심의 타당도 검토 결과, 전문가 중심의 타당도 검토 결과를 반영하여 최종 모형을 개발하였다. 최종 모형에서 시각적 표상 유형은 크게 '기술적 표상', '과정적 표상', '설명적 표상'으로 구분하였으며, 시각적 표상의 인지 과정은 크게 '해석하기', '통합하기', '구성하기'로 구분하였다. VRC-T의 타당화 과정과 각 세부 범주의 개요 및 예시를 설명하였고 가능한 활용 방안을 제안하였다.

• Journal of Korean Biological Nursing Science
• /
• 제18권4호
• /
• pp.264-273
• /
• 2016

Purpose: This study is a descriptive study to investigate the relevance between pathophysiological subject and examination workbook items for national nurse licensure examination in South Korea and the United States. Methods: Eight registered nurse licensure examination workbooks published by the Korean nurses association were used for the analysis. Saunders comprehensive review for the national council licensure examination (NCLEX-RN) was used for analysis of those in the United States. The relevance between the subjects in the standard syllabuses of pathophysiology and the registered nurse licensure exam items of these workbooks in South Korea and the United States respectively was analyzed. Results: The Relevance rates in South Korea and the United States were : fundamentals of nursing 6.34% vs 32.12%, adult nursing 25.5% vs 25.92% child health nursing 7.81% vs 21.7%, woman health nursing 5.1% vs 17.07% psychiatric mental health nursing 2.7% vs 7.32%, and community health nursing 0.9% vs 0%. Conclusion: the relevance in pathophysiology between the registered nurse licensure exam in South Korea and the United States was high in adult nursing and fundamentals of nursing (especially in the United States). In developing integrated registered nurse licensure exam questions, we should consider pathophysiology as an important subject.

• 한국임상보건과학회지
• /
• 제4권3호
• /
• pp.603-614
• /
• 2016

Purpose. The purpose of this study was to provide basic data regarding the intention to use community care service based on special grading for dementia in the South Korean Society. Methods. A survey was conducted using a questionnaire adapted on the basis of literature review regarding the first to fourth grade under the long-term care insurance system for the aged from May 1 to 30, 2015 and a total of 272 questionnaires were statistically processed using SPSS 21.0. Frequency analysis, descriptive statistics, and cross-tabulation analysis were performed. The non-parametric type of test, ${\chi}^2$ test, was used for statistical testing. Results. This study obtained the following results: First, caregivers had greater intention to ask recipients to use daytime and nighttime care service. Second, there were statistically significant differences in caregivers' education, occupation, monthly average income, co-residence status, intimacy, and care-giving burden (emotional, financial, and social) and recipients' activities of daily living, instrumental activities of daily living, mental health status, dementia status, and intention to use community care service based on special grading for dementia. Conclusions. There are very few statistical data and academic materials regarding special grading for dementia, which has recently been established. The results of this study are therefore expected to help make a systematic analysis of the intention to use community care service by caregivers based on special grading for dementia.

• 근관절건강학회지
• /
• 제5권1호
• /
• pp.7-25
• /
• 1998

Rheumatoid arthritis, unlike other chronic diseases, causes the patients to experience uncertainty in their daily lives and thus to feel threat on their emotional comfort because of inconsistent and unpredictable symptoms such as pain. Therefore, a theoretical framework is needed for explanation of uncertainty in patients having rheumatoid arthritis. A hypothetical model was constructed on the basis of Mishel's Uncertainty Theory and other literature review. The model included 9 theoretical concepts and 19 paths. Subjects of the study constituted 330 partients who visited outpatient clinics of two university hospitals and one general hospital in Seoul. Self report questionnaires were used to measure the variables affecting uncertainty. Reliability coefficients of these instruments were found Cronbach's Alpha=$.70{\sim}.94$. In data analysis, SAS program and PC-LISREL 8.03 computer program were utilized for descriptive statistics and covariance structure analysis. The results of covariance structure analysis for model fitness were as follows : 1) Hypothetical model showed a good fit to the empirical data : Chi-square($X^2$)=41.81 (df=11, P=.000), Goodness of Fit Index=.974, Root Mean Square Residual=.049, Normed Fit Index=.928, Non Normed Fit Index=.814. 2) For the validity and the parcimony of model, a modified model was constructed by appending 2 paths and deleting 5 paths according to the criteria of statistical significance and meaningfulness. 3) The results of hypothesis testing were as follows : (1) Educational level, event familiarity and severity of illness had a direct effect on uncertainty : Event congruency had both direct and indirect effect on uncertainty : Credible authority and symptom consistency had a nonsignificant direct effect on uncertainty, (2) Illness duration, symptom consistency, and event congruency had a direct effect on severity of illness ; Credible authority had a both direct and indirect effect on severity of illness ; Event congruency had the greatest effect on severity of illness, and event familiarity had a nonsignificant direct effect on severity of illness.

• 의학교육논단
• /
• 제17권2호
• /
• pp.88-93
• /
• 2015

The purpose of this study was to examine the variation in professors' satisfaction with faculty development programs and in their teaching efficacy according to their demographic characteristics and the rate of participation in faculty development programs in a medical school. The data were collected from 59 faculty members who participated in the Professor's Seminar. The questionnaire consisted of three parts: general background of the respondent; satisfaction with the faculty development program; and teaching efficacy. The data were analyzed by methods of descriptive analysis, analysis of variance, and the Mann-Whitney U-test. The program satisfaction of faculty members was significantly different by the years of educational career but it was not different by job status, specialty, gender, and the participation level in faculty programs. The faculty members' teaching efficacy differed significantly by gender and the participation level in faculty programs, while it did not differ by educational career, job status, or specialty. The results of this study suggest that various faculty programs should be developed to increase the satisfaction level of different groups of faculty members, and that they should be more focused on teaching efficacy, as it is considered to be one of the most effective way to increase the quality of education.

• Asian Pacific Journal of Cancer Prevention
• /
• 제16권15호
• /
• pp.6715-6717
• /
• 2015

Background: The purpose of this study was to provide epidemiological and histological data of thyroid cancers in Togo. Materials and Methods: This was a retrospective cross-sectional study of cases of thyroid cancers diagnosed from 2000 to 2014 (15 years) at the pathology laboratory of the Sylvanus Olympio Teaching Hospital of $Lom{\acute{e}}$. All cases of review of a thyroid sample (biopsies, surgical specimens) were collected from the data records of that laboratory. Results: Thyroid cancers represented 1.1% (7930cases) of all cancers registered during the study period. Mean age was $45.4{\pm}0.3$ years and the proportion of females was 78.3%. We identified 92.4% carcinomas and 7.6% lymphomas. Carcinomas were well differentiated in 80 cases and were dominated by the papillary type (47 cases). Metastasis was observed in 13% of patients. The pTNM classification evaluated in 18 cases showed a predominance of grade I (13 cases). Lymphomas were dominated by lymphoma diffuse large B-cell (5 cases). Conclusions: This study is the first global standard for thyroid cancer pathology in Togo. The high frequency of follicular form suggests an unrecognized iodine deficiency. The improvement of the technical platform of the LAP (immunohistochemistry) will increase the diagnosis of rare forms of thyroid cancer.

• 보건행정학회지
• /
• 제17권2호
• /
• pp.68-90
• /
• 2007

Nurse staffing level is an important factor that influences the quality of health service and patient outcomes. This study was carried out to examine the current state of acute hospital nurse staffing and find out factors that affect the nurse staffing level. Nurse staffing of individual hospitals was measured using the number of registered nurses per 100 beds. Descriptive and multiple regression analyses were conducted using 592 acute care hospitals' data. Regression model included structure factors such as referral level, ownership, medical and general staffing, and financial outcome factors such as occupancy rate, inpatient and outpatient revenues. Market characteristics included strength of competition, supply of nurses, and income and health status level of consumers. The average number of nurses per 100 beds was 28 and showed a great variation according to the referral level. Regression model explained this variation as much as 76.87%. Hospital structure variables which affecting the hospital nurse staffing level positively were ICU bed ratio, the staffing level of specialist, training doctor and employees except doctor and nursing personnel, while the negative factor was nurse aid staffing level. General hospitals employed more nurses than hospitals. Among outcome characteristics, occupancy rate and the amount of health insurance inpatient revenue affected positively on the hospital nurse staffing level. The more supply of the new nurse and the higher consumer income and health status in the medical service markets, the more nurses were employed by the medical institutes. According to the study result, hospitals employed more nurses when they had more financial incentive by increasing nurses. This means appropriate hospital incentive policy and regulation policy, which hospital violate nurse staffing level have to pay penality, should be needed. Clarifying job description between nurses and nurse aids and the reentry program for unemployed experienced nurses will be helpful to increase nurse staffing level.

• Archives of Plastic Surgery
• /
• 제45권4호
• /
• pp.367-374
• /
• 2018

Background This analysis presents patient-reported outcomes of breast augmentation procedures performed in Singapore using an inframammary fold incision and the "5 Ps" best practice principles for breast augmentation. These data are the first of their kind in Southeast Asian patients. Methods Through a retrospective chart review, patients who underwent primary breast augmentation with anatomical form-stable silicone gel breast implants using an inframammary fold incision were followed for ${\geq}6$ months postoperatively. The BREAST-Q Augmentation Module (scores standardized to 0 [worst] - 100 [best]) and Patient and Observer Scar Assessment Scale (POSAS; 1 [normal skin] to 10 [worst scar imaginable]) were administered. Responses were summarized using descriptive statistics. Patient-reported events were collected. Results Twenty-two Southeast Asian patients (mean age, 35.1 years) completed ${\geq}1$ postoperative BREAST-Q and POSAS assessment and were assessed 11 months to 5.5 years postoperatively. The mean postoperative BREAST-Q satisfaction with breasts and psychosocial well-being scores were 69.2 and 84.0, respectively. The mean POSAS score for their overall opinion of the scar was 4.2; the mean scores for all scar characteristics ranged from 1.2 to 4.2. Over 90% of patients (20/22) said that they would recommend the procedure. Patient complaints following surgery included anisomastia (possibly pre-existing; n=2), sensory loss at the nipple (n=2) or around the nipple (n=3), scarring (n=4), and slight capsular contracture (n=1). No patients required reoperation. Conclusions Southeast Asian patients reported high long-term satisfaction scores on the BREAST-Q scale and with their scar characteristics following breast augmentation using an inframammary fold incision, and nearly all said they would recommend this procedure. No reoperations were necessary in patients assessed for up to 5.5 years postoperatively.

• 대한교통학회지
• /
• 제33권1호
• /
• pp.81-89
• /
• 2015

고속도로 영업소에서 발생하는 교통사고는 사고발생 원인, 사고 유형, 사고 차종 측면에서 본선 구간 교통사고와 다른 특성을 보이므로, 본선 구간과는 별도로 고속도로 영업소에 초점을 맞춘 안전성능함수의 개발이 필요하다. 이에 본 연구에서는 고속도로 영업소의 교통사고 발생건수에 유의한 영향을 미치는 요인들을 규명하고, 이를 기반으로 사고예측을 위한 안전성능함수를 개발하고자 한다. 기존 문헌 및 사고 특성 분석을 통해 고속도로 영업소에서 발생하는 사고에 영향을 미치는 설명변수들을 설정하였으며, 설명변수의 형태에 따라 사고 예측을 위한 두 개의 음이항 회귀모형을 구축하여 모형 간 설명력 비교를 통해 고속도로 영업소에 대한 최종 안전성능함수를 제시하였다. 모형 구축 결과 AADT, 하이패스차로비율, 중차량 혼입률이 증가할수록, 평균 차로폭이 감소할수록, 그리고 본선형 영업소 유형에서 사고 건수가 증가하는 것으로 분석되었다. 본 연구에서 제시된 안전성능함수는 고속도로 영업소 사고다발지점 선정을 위한 근거로 활용될 수 있을 것이다.

• 성인간호학회지
• /
• 제12권3호
• /
• pp.323-333
• /
• 2000

The purpose of this study was to determine the impact of situational, clinical and psychsoical factors on treatment-seeking behavior among those with acute myocardial infarction(AMI). This study used a retrospective, descriptive design. The sample consisted of 72 patients aged over 30 and who were diagnosed with an acute myocardial infarction at two large university-affiliated medical centers from July 1, 1998 to March 30, 2000. But of 72, patients 5 who were an outlier in treatment-seeking time were deleted. Data were collected by using questionnaires, which included demographic data, situational, clinical and psychosocial data. Also patient interviews and chart review were used to obtain information related to treatment-seeking time. The results of this study were summarized as follows ; 1. Mean time from the onset of AMI symptoms to arrival at the hospital was $12.09{\pm}11.44$ hours; 2. Treatment-seeking time was not significantly different by age, gender, or education; 3. Most(44 or 65.78%) patients were at home when they began having AMI symptoms. The remaining patients were either in a public area, workplace or in a car. Patients at home delayed longer than those who had their first symptoms elsewhere, but not significantly different. Also, most patients were with another person when they began to experience AMI symptoms: a spouse(25 or 37.3%), other family member(31 or 46.3%); the remaining 11 were alone. There were no significant differences in treatment-seeking time based on whether alone or with others. Most patients(46 or 68.7%) used an ambulance rather than taking private transportation, and patients who used an ambulance were delayed longer than those who used private transportation, but there were no significant differences; 4. Time to treatment-seeking was not significantly different by blood pressure, heart rate on admission and the peak CK-MB, CPK and Cholesterol level, Killips class; 5. There were no significant statistical differences in treament-seeking times by anxiety level, mood status or control ability.