• 한국전통조경학회지
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• 제28권2호
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• pp.75-85
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• 2010

본 연구는 새로운 세계관으로서의 전환에 대해 주목하고 그 변화의 경향이 동양적 사유 방식과 유사한 관계형성 도구라는 것에 초점을 맞춰 한국 전통정원인 소쇄원에 대해 새로운 해석을 시도하고자 한다. 따라서 개별적 구성요소들의 특성보다는 관계를 통해 전체를 바라보려는 복잡성 이론에 기초하여 소쇄원과 연결, 재해석하는데 목적이 있다. 연구결과를 요약하면 다음과 같다. 첫째, 물리적 차원의 공간과 열린 시스템에 나타난 복잡성의 특성은 '사건(상황)', '비결정성', '부분과 전체의 상동적 관계' 등 세 가지로 나타났으며, 다양한 기법들은 자연을 적극적으로 도입하고 있는 것으로 나타났다. 특히, 지형의 이용이 많은 이유는 소쇄원의 경우 부지를 적극적으로 선택하였고, 그 주어진 자연지세의 흐름에 순응하며 건축하였기 때문에 나타난 결과이다. 이것은 창발적 상황에 열린 텍스트로서의 성격을 갖게 된다. 둘째, 비가시적 차원으로서의 경험과 열린 시스템에 나타난 복잡성의 특성은 '사건(상황)', '행위자와 환경간의 상호 감응관계'가 주로 나타났으며, 다양한 기법들은 자연과 일상의 경험이 결합되어 상호작용하는 공간으로 나타났다. 이는 주체와 객체, 인간과 자연 사이의 상호작용을 바탕으로 한 양방향의 어울림의 전형이라 할 수 있으며, 삶의 일시적 행태를 담아내는 창발적 공간이 된다. 셋째, 자기조직화를 통한 감성언어와 체험에서의 구성요소들은 고정적 관계들을 해체하고 유기성을 가진 공간으로 재구성된다. 특히 '소쇄원 48영'은 현재의 행위자들에게 소쇄원의 감성적 공간체험을 위한 원천이 되어준다. 결국 소쇄원 공간에서의 행위자는 동시에 공간의 창출자가 되며, 환경과 상호텍스트 된 새로운 공간을 생성한다. 그러므로 소쇄원은 인간과 자연, 전체와 부분의 유기적 사고를 바탕으로 상호관계를 유지하면서 나와 타자를 결속시켜주는 장소가 되는 것이다.

• International Journal of Quality Innovation
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• 제6권3호
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• pp.95-120
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• 2005

Utilization of information and communication technologies is commonly accepted as important to value creation in the knowledge economy. Nevertheless, empirical findings from our business case studies often show that while sophisticated technological tools may be developed, the potentials are not realized. It is evident that technology is subject to adaptive and emergent strategies of use, diverging from the original intention. Within this space of opportunities, we elaborate the importance of constructing strategic concepts as communication tools to support organisational implementation of technologies. We use the concept of organisational implementation as a way of taking the technology into use in order to support changes and value creation in the user organisation. In this paper we present our findings related to how use and experiences are conditioned by the users' expectations. We have conducted a business case study in order to understand and explore how users employ and use a particular wireless technology infrastructure. On behalf of the infrastructure vendor, we have studied three different organisations that use this technology. The overall research goal of our joint research project was to find out what is good use and for whom. We find that users struggle to go beyond the expectations they had when they were conceptualising and telling us about their practice. We have good indications that a narrowed consciousness was also conditioning the users' use of the technology. In this paper we draw the conclusion that technological implementations towards changing work practices and value creation must not be viewed by the company solely as a knowledge acquisition process, but as a process of knowledge creation. Organisational implementation is an ongoing process, a learning process at both the organisational and individual level. Flexible tools and technologies are constituted and shaped in interaction and communication in the workplace. Based on that knowledge, we build up an argument for an organisational implementation framework, including strategic discussions, learning spaces, and concept constructions.

• 성인간호학회지
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• 제12권4호
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• pp.497-506
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• 2000

The purpose of this phenomenological study was to explore and describe the experience of people with HIV/AIDS. Three men and three women with HIV/AIDS participated in the study. They were asked open-ended and descriptive questions in order for them to talk about their experience in their own terms. Interviews were audiotaped and transcribed to maintain data integrity and to reduce perceptual bias. The transcripts were analyzed by the Colaizzi method. Member checks from the participants were used to validate the emergent themes. Seven themes emerged from the analysis. 1. People with HIV/AIDS have a strong impact and emotional reaction when receiving positive HIV test results. 2. All people with HIV/AIDS attempt to conceal HIV infection because of fear of stigma or rejection. 3. After the initial brief traumatic reaction to HIV/AIDS diagnosis, all participants feel lonely because they had no one to express or share their own experiences. 4. People with HIV/AIDS reflect on their life, think about the death and dying process and they become depressed. 5. Most participants feel that the family members who know his/her diagnosis are a big source of support. 6. According to the normativeness of infection route of HIV, the degree of guilty feeling differs among participants. 7. Although all participants think medication is a lifeline, the adherence to medication is not maintained because of side effects, denial and concealment of HIV/AIDS. The results of this study may help nurses and other health care workers to implement more efficient nursing strategies for people with HIV/AIDS by more deeply understanding their experience.

• 한국콘텐츠학회논문지
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• 제21권1호
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• pp.710-721
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• 2021

본 연구의 목적은 요양병원 간호사가 경험하는 임종간호 대처 경험의 구조를 규명하여 경험의 의미를 파악, 기술하고 이해하는 것이다. 현상학적인 연구 방법을 이용하여 요양병원에 근무하는 간호사 16명의 임종간호 대처 경험을 심층적으로 면담하였고, Colaizzi가 제시한 방법으로 분석하였다. 요양병원 간호사의 임종간호 대처 경험은 3개의 범주와 15개의 주제모음으로 구조화하여 규명할 수 있었다. 참여자들의 임종간호 경험의 세 범주는 '임종환자를 돌보는 요양병원 간호사의 태도', '임종간호 스트레스', '임종간호 대처'이었다. 요양병원 간호사의 임종간호 태도를 긍정적으로 변화시키고, 임종간호 스트레스를 줄이기 위한 실제적이고 체계적인 교육이 필요하다. 더불어 대처 능력을 향상할 수 있는 프로그램이나 전문가 상담과 같은 프로그램의 운영을 제언한다.

• 한국엔터테인먼트산업학회논문지
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• 제13권3호
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• pp.139-155
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• 2019

강량원과 극단 동의 연극은 재현연극에서처럼 마음을 표현하는 기호체계로서의 육체를 지향하지 않는다. 그 대신에 관객의 감각적 지각을 유도하는 배우의 신체적 현존을 드러내고자 한다. 이로써 수행성의 미학이 작동할 수 있는 가능성이 열린다. 즉 몸성 소리성 공간성이 중요한 의미를 획득하며, 그런 가운데 관객의 신체 역시 감각적으로 개방되어야 한다. 다시 말해서 관객은 무대 위에서 배우의 신체가 드러내는 에너지 호흡 밀도 긴장 등에 대해서 언제나 감각적으로 지각할 수 있는 준비를 갖추어야 한다. 그 결과 관객의 지각을 통해 의식이 열리는 경험이 실행된다. 즉 지각과 의식은 동시에 작동하면서 관객은 창발적 의미 형성의 기회를 얻게 된다. 극단 동의 연극을 제대로 이해하기 위해서는 이러한 창발적 의미 형성에 대한 접근이 전제되어야 한다. 본고는 극단 동의 주요 공연 네 편에 대한 연구를 통해서 감각적 지각에 근거한 창발적 의미 생성이 이루어지는 방식과 함께, 더 나아가 무대와 객석 사이에 자동형성적 피드백-고리가 작동하는 상황들에 대해서 심층적으로 논구하였다. 이로써 관객이 각 공연의 주어진 상황에서 갖게 되는 육체적 감정의 내용 및 그 작동 방식을 추적하였다.

• Journal of Trauma and Injury
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• 제24권1호
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• pp.37-44
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• 2011

Purpose: Recently, social interest in an organized trauma system for the treatment of patients has been increasing in government and academia and the establishment of trauma center is being considered across the country. However, establishing such a system has not been easy in Korea, because enormous experiences and resources are necessary. The objectives of this study were (1) to estimate a trauma patient's demands during the course of treatment and (2) to provide appropriate direction for trauma centers to be established in Korea. Methods: The records of 207 patients who were admitted to the Department of Trauma Surgery in Ajou University Medical Center due to trauma were retrospectively reviewed for a 1 year period from March 2010 to February 2011. Patients were reviewed for general characteristics, number of hospital days, numbers and kinds of surgeries, numbers and kinds of consultations, ISS (Injury Severity Score) and number of patients with ISS more than 15. Results: All 207 patients were enrolled. The average number of hospital days was 36.7 days. The ICU stay was 15.9 days, and the general ward stay was 20.8 days. Admitted patients occupied 9.02 beds in ICU and 11.80 beds in the general ward per day. The average number of surgeries per patient was 1.4, and surgery at the Department of Trauma Surgery was most common. Number of consultations per patient was 14.23, and consultations with orthopedic surgeons were most common. The average ISS was 18.6. The number of patients with ISS more than 15 was 141 (61.8%) and the average number of patients treated per trauma surgeon as a major trauma patient was 94.3. The number of mortalities was 20, and the mortality rate was 9.7%. Conclusion: To reduce mortality and to provide proper treatment of patients with major trauma, hospitals need some number of beds, especially in the ICU, to treat patients and to prepare them for emergent surgery. An appropriate number of trauma surgeons and various specialists for consultation are also needed.

• Archives of Reconstructive Microsurgery
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• 제14권1호
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• pp.1-13
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• 2005

Purpose: The purpose of this study is to present extended indications for the use of arterialized venous flaps in reconstructing soft tissue, tendon, nerve, blood vessel, and composite tissue defects of the hand of various sizes based on researches and clinical experiences of the authors. Moreover, procedures to achieve complete flap survival and postoperative results are presented. Materials & methods: This study is based on 154 cases of arterialized venous flaps performed to reconstruct the hand during the past 11 years. The most common cause of injury was industrial accidents with 125 cases. One hundred thirty patients or 84% of the cases had emergency operation within 2 weeks of the injury. The flaps were categorized depending on the size of the flap. Flaps smaller than $10\;cm^2$ were classified as small (n=48), those larger than $25\;cm^2$ classified large (n=42) and those in between medium (n=64). Classified according to composition, there were 88 cases (57.1 %) of venous skin flaps, 28 cases of innervated venous flaps, 15 cases of tendocutaneous venous flaps, which incorporated the palmaris longus tendon, for repair of extensor tendons of the fingers, and 17 cases of conduit venous flaps to repair arterial defect. There were 37 cases where multiple injuries to multiple digits were reconstructed. Moreover, there were 6 cases of composite tissue effects that involved soft tissue, blood vessels and tendons. The donor sites were ipsilateral forearm, wrist and thenar area, foot dorsum, and medial calf. The recipient sites were single digit, multiple digits, first web space, dorsum and palm of hand, and wrist. Results: There were seven cases (4.5%) of emergent re-exploration due to vascular crisis, and 3 cases of flap failure characterized by more than 50% necrosis of the flap. The survival rate was 98.1 % (151/154). In small flaps, an average of 1.01 afferent arteries and 1.05 efferent veins were microanastomosed, and in large flaps, an average of 1.88 afferent arteries and 2.19 efferent veins were anastomosed. In 8 cases where innervated flaps were used for reconstructing the palm of the hand, the average static two-point discrimination was $10\;(8{\sim}15)\;mm$. In 12 cases where tenocutaneous flaps were used, active range of motion at the proximal interphalangeal joint was 60 degrees, 20 degrees at the distal interphalangeal joint, and 75 degrees at the metacarpophalangeal joint. Conclusion: We conclude that the arterialized venous flap is a valuable and effective tool in the reconstruction of hand injuries, and could have a more comprehensive set of indications.

• 대한지리학회지
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• 제51권2호
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• pp.269-281
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• 2016

본 논문은 한국 도시 정책에서 그 중요성이 확대되고 있는 '공동체' 개념을 탐구 문제로 설정하여 심문한다. 이를 위해 서울의 한 '공동체 텃밭' 프로그램 장소에서 일반 시민 참여자들과 시민사회 단체들이 공동체라는 개념을 어떻게 이해하고, 사용하며, 실천하는지를 조사하여 비교, 분석한다. 신푸코주의적 '통치성' 관점을 통해 공동체 중심의 정책 프로그램과 신자유주의 사이의 담론-수행적 연관성을 분석하지만, 결정론적 해석을 지양하기 위해 '아래로부터의 통치성' 또한 본 논문에서 중요하게 여겨진다. 이와 같은 통치성에 대한 '절충적' 이해를 바탕으로, 본 논문은 일반 시민과 시민사회 활동가 사이의 공동체에 대한 경합적 간극을 암시할 법한 경험적 발견들을 기술한다. 구체적으로, 일반 시민 참여자들은 공동체를 장소 중심으로 새롭게 나타나는 공통적이고 구체적인 실천적 사항의 결과물로 이해하고 일상적으로 수행하지만, 시민사회 단체들의 목적론적 정책 담론 속에서 공동체는 특정 시민주체를 배양하기 위한 사회-공간적 통치 기술로 짜여 있는 것으로 보인다. 이들이 주창하는 공동체는 신자유주의가 유발한 각종 사회, 경제, 공간적 문제의 해결책으로 그려지는 동시에, 신자유주의적 도시 정책과 적극적 연대 관계에 놓여있는 것으로도 보인다. 이것은 모순적 신자유주의적 도시정책이 만들어낸 틈에 적극 개입하여 대안적 해결책을 찾는 유의미한 시도로 판단되지만, 일반인들의 일상적 실천 결실과 시민사회 운동 사이의 간극은 도시 공동체 정책의 잠재적 위협 요소가 될 수 있을 것으로도 여겨진다. 이 같은 논의를 바탕으로, 본 논문은 긍정적인 것으로 당연시되는 공동체 활성화 정책에 대한 면밀한 분석을 요구하고, 일상적 실천의 결실과 정책적 기대 사이에 생성되는 긴장 관계가 없는지 반추하는 것이 그 분석의 한 가지 방법이 될 수 있다는 점도 강조한다.

• 보건행정학회지
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• 제2권1호
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• pp.17-41
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• 1992

During the month of October, 1990, 676 practicing physicians in Taegu City were surveyed by mail questionnaires about their general characteristics and the reasons why they chose Taegu as a practice location and 331 out of them responded completely. Collected data were analyzed to provide basic reference data for future health manpower policy which intends to solve the problem of geographical maldistribution of physicians, The major findings are as follows: For the question asking why Taegu area is favored, following lists are as the order of their magnitude of the reasons replied by more than 20% of the respondents: 1) Taegu is a foundation of life until now(81.3%) 2) Better educational environments are available for their offsprings(73.7%) 3) They can have intimate relationship with acquaintances or friends sharing same or similar interests(61.0%) 4) Due to characteristics of their specialty, metropolitan seems to fit better(52.0%), 5) They graduated from the medical school in Taegu(49.8%) 6) Never thought of selecting practice location in other area than Taegu without any specific reasons(45.9%) 7) Intelligent communications are available with other physicians(39.9%) 8) More opportunities to participate in social life, such as medical, or alumni association etc., can be given(33.2%) 9) No specific knowledge or relationships with other area are available(32.6%) 10) They finished internship or residency training in Taegu area(31.4%) 11) Facilitation of transferring patients including emergent patients can be obtained (30.8%) 12) Continuing medical educational programs are available(29.9%) 13) Sufficient medical demands are provided because of the large population(28.1%) 14) More chances to be grown up as a medical professionals can be achieved(25.7%) 15) More leizure time can be utilized for cultural activities(23.9%) 16) They had experiences to work in hospitals or facilities in Taegu area(23.3%) 17) Medical facilities of fellow physicians or alumni can be used(20.5%) In addition, 37% of female physicians answered that their spouse strongly influenced them to choose Taegu, and 33.3% of physicians with age of thirty replied that parents did so. Physicians of specialty in radiology, clinical pathology, anatomical pathology, and anesthesiology considered that patients from other hospitals and medical facilities would be referred often to them and that less competition seemed to be expected in their specialty (30.8%). In contrast, general practitioners anticipated that larger population would increase the medical demand(62.5%). 28.6% of medical practitioners who graduated medical schools in other are than Taegu and 22.0% of medical practitioners who were trained in hospitals of other area than Taegu were influenced to choose Taegu by their spouses. In consideration of above findings, we may conclude that long term and rational manpower policies should be implemented to solve the problem of geographical maldistribution of physicians as well as short term physician-inducing policies, and they have to be incorporated with equitable community development.