• Child Health Nursing Research
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• 제8권4호
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• pp.449-457
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• 2002

The main purpose of this study is to examine the concepts appeared on researches and provide the future research directions in field of child health nursing. A descriptive study was conducted. 205 studies were included in an analysis the concepts in terms of the domain of client for a total 321 researches. All were originally published between 1990 and 2000 in Korea. An analysis of concepts for this study was used the metaparadigm framework for nursing proposed by H.S. Kim(2000). The concepts for this study were categorized by essentialistic concepts, problematic concepts, health-care experiential concepts with the following results. 1. Based on the four domains suggested Kim (2000), 205 studies(63.9％) belong to the domain of client ; 109 studies(34％) belong to the practice domain of nursing; 3 studies(0.9％) belong to the client-nurse domain; and 4 studies belong to the domain of environment, respectively. 2. In the domain of client, 117(57.1％) studies used concept of parent. Among them, mother was the prevailing research population(103 studies). 64 studies(31.2％) used child population and the developmental stage of children varied from preterm to puberty but school aged children was the most target population(28 studies). Family as a concept of client was used in 20 studies(9.8％) but most primary care provider was the mother. 3. In terms of research design, non-experimental design(83.5％) is the most and among them survey was 159 studies(77.6％). Qualitative research(23 studies) and experimental research(10 studies) methods were used relatively few. 4. In terms of the categories of concepts, 196 (61.4％) studies included the essentialistic concepts like stress and coping(20.4％), mothering role and child care(7.8％), health (5.6％), breast feeding(4.7％). 31 studies included problematic concepts like power-lessness, safety, obesity, pain, anxiety. And 65 studies included health-care experiential concepts like compliance, growth, hope, environment but relatively few. The findings of this study provide the evidence that research related problematic concept and health-care experiential concept should be conducted actively to improve the practice of child health nursing. Also to deeply understand the phenomena of client in field of child health nursing, interpretive research methods should be conducted actively, too.

• 대한간호
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• 제33권2호
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• pp.45-58
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• 1994

This study was conducted for the purpose of identifying the trends of nursing research and to suggest the direction of future research in the graduate levels of the study. The data was collected from 469 abstracts of master's and doctoral rapers from three graduate schools, one in Nursing, another in Education, and the other in Public Health Graduate College. The results of the study are as follows: The number of research was increased from 102 to 286 between the 1970 s and 1980's. The most frequently employed research design was descriptive studies in the master's level, but there was some balance between descriptive and experimental studies along with some qualitative approaches in the doctoral thesis. Patients were the most often studied sample group reaching 42% of the cases, though it Was noted that there was steady shift: toward the non-ratient population. With this shifting of the study sample, the places of the study also have showed some changes moving toward community. The most widely studied area was in clinical practice. Chronic illness, preventive, and health promoting areas of studies also increased in numbers. However, most of them were at the descriptive level of phenomena and only a few were concerned with cost/effective measures of nursing intervention. The number of variables studied repeatedly more than five times was 43. They were not only physical but also psychosocial aspects which imply the efforts to incorporate the whole person in nursing discipline. However, most researches with repeated studies showed little relation to previous studies, and thus little accumulation in knowledge. There was also little evidence of linkage to nursing theory in most studies of master's level. For the doctoral rapers, 17 out of 51 rapers showed specific theories related to the researches. Based on the above findings, the following suggestions were made. Various research design should be employed including case studies, historical studies, as well as qualitative approaches. There should be more effort to establish linkage between theory and research. The areas needing more attention are Korean Nursing History, Ethics in our Culture, Cost/Effective Measures of Nursing Intervention, Concept and Thory Development, and the Strategies for the Implication of the Research Results in clinical practice.

• 무역학회지
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• 제41권5호
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• pp.1-14
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• 2016

최근 소비자들은 제품을 구매할 때 제품의 본질적인 특성 뿐 아니라 기업의 투명성과 윤리성 특히 공정무역제품에 대한 관심이 높아지고 있다. 일반적으로 공정무역을 하는 기업의 제품이나 서비스에 대해 소비자들은 긍정적인 태도를 가지게 되어 제품을 구매하게 되는 윤리적인 마케팅으로 간주 되지만 이를 실증한 연구는 거의 없다. 본 연구는 공정무역과 관련된 소비자의 구매의도를 파악하여 실제로 공정무역의 행위가 기업의 경쟁우위가 될 수 있는지 수단적 이해관계자 이론과 신호이론에 근거하여 실증분석 하였다. 첫 번째 실험은 순수 실험 디자인 중 피실험자 내 디자인을 통해 소비자 구매의도의 공정무역 마케팅 효과를 조사하였다. 두 번째 실험은 소비자 구매의도의 공정무역인증의 효과를 테스트하기 위해 시행되었다. 연구결과 소비자들은 일반적인 제품보다 공정무역제품을 선호한다는 결과를 도출하였으며, 공정무역인증 제품인 경우 그렇지 않은 제품보다 프리미엄 가격을 지불하고서라도 소비하려는 성향을 파악하였다. 또한 공정무역인증 라벨을 부착한 제품이 판매되는 장소에 따라 다른 결과를 도출하였는데, 이는 향후 기업이 목표로 하는 소비자에 따라 차별화된 제품을 유통해야한다는 시사점을 제시할 수 있을 것으로 보인다. 본 연구 결과는 기업이 목표로 하는 기대성과를 위하여 보다 차별화되고 중점적으로 활동할 수 있는 기업의 사회적 책임활동 방향을 제시할 수 있을 것으로 보인다.

• 재활치료과학
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• 제8권3호
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• pp.31-41
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• 2019

목적: 본 연구는 섭식 장애가 있는 뇌성마비 아동에게 시행한 구강감각운동치료에 대한 중재 방법, 중재 기간, 중지 시간, 평가 방법 등에 대한 국내외 문헌을 종합적으로 분석하고자 하였다. 연구방법: 본 연구는 2009년 1월부터 2018년 12월까지 국내외 논문을 검색하여 176편의 논문이 검색되었다. 1차 초록 및 제목 중심으로 47편의 논문이 선정되었고, 2차 원문 검색을 통해 5편의 논문이 선정되었다. 결과: 선정된 논문의 PEDro scale은 평균 7점으로 높은 편이었으며, 치료의 중재 기간은 8주에서 24주 사이로 나타났으며, 중재 시간은 일주일에 1회에서 5회, 하루에 최소 15분에서 1시간씩 제공되었다. 구강감각운동치료의 접근 방법은 손상 기반 치료적 접근과 적응 기반 치료적 접근이 사용되었으며, 평가 방법은 임상적 평가와 비 도구적 평가로 나누어 사용되었다. 결론: 본 연구는 섭식 장애를 가진 뇌성마비 아동에게 실시한 구강감각운동에 대해 분석하였고, 이러한 자료를 통해 뇌성마비 아동들의 구강운동치료 프로그램 계획 시 적절한 치료적 중재 적용방법을 선택하는 데 도움이 될 수 있는 정보 제공 및 근거를 마련하였다.

• 대한지역사회작업치료학회지
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• 제9권2호
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• pp.33-42
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• 2019

목적 : 이 연구는 국내 소아재활 분야에 종사하는 재활의학과의사 및 치료사를 대상으로 강제유도운동치료(constraint-induced movement therapy, CIMT)에 대한 지식과 임상적용 현황에 대해 조사하고자 하였다. 연구방법 : 대한소아재활발달의학회에 등록된 510명 (재활의학과의사 204명, 치료사 306명)을 대상으로 전자우편을 이용한 설문조사를 시행하였다. 결과 : 총 510명 중 179명이 설문에 응답하여 응답률은 35.1%였다. 응답한 179명 중 재활의학과 의사 39명, 물리치료사 89명, 작업치료사 48명, 언어치료사 3명이었다. 응답자 중 45.9%(82명)는 소아재활분야의 경험이 6년 이상인 전문가로 구성되어 있었고, 58.1%(104명)가 강제유도운동치료에 대한 경험이 있었다. 임상 진료에서 강제유도운동치료를 적용하는 경우는 환자의 순응도가 좋을 때 73.1%(76명), 보호자의 순응도가 좋을 때 48.1%(50명), 양손훈련(bimanual training)의 효과가 제한적이라고 판단될 때 39.4%(41명) 순으로 조사되었다. 임상적용에서 제한점으로 작용하는 요인은 치료인력 부족이나 가정내 환경 부적합 등과 같은 환경제한 35.1%(61명), 인식부족 19.5%(34명), 건측 제한으로 인한 건측 기능발달 저해에 대한 우려 13.8%(24명)으로 조사되었다. 강제유도운동치료를 중단한 이유로는 환자의 비협조 77.6%(76명), 인지/행동요인 42.9%(42명), 보호자의 비협조 25.5%(25명), 효과가 없다고 판단될 때(non-effectiveness) 11.2%(11명) 순으로 조사되었다. 결론 : 강제유도운동치료의 의학적 근거가 높게 보고되고 있지만 이 연구에서는 많은 수의 재활의학과 의사와 치료가사 실제 임상치료에서 적용하지 못하고 있음을 확인하였다. 국내 현황에서 제한점을 개선하여 향후 임상적용 확대를 위한 노력이 필요하겠다.

• Journal of Chest Surgery
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• 제52권4호
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• pp.248-329
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• 2019

Background: Though clinical practice guidelines (CPGs) for cardiac rehabilitation (CR) are an effective and widely used treatment method worldwide, they are as yet not widely accepted in Korea. Given that cardiovascular disease is the second leading cause of death in Korea, it is urgent that CR programs be developed. In 2008, the Government of Korea implemented CR programs at 11 university hospitals as part of its Regional Cardio-Cerebrovascular Center Project, and 3 additional medical facilities will be added in 2019. In addition, owing to the promotion of CR nationwide and the introduction of CR insurance benefits, 40 medical institutions nationwide have begun CR programs even as a growing number of medical institutions are preparing to offer CR. The purpose of this research was to develop evidence-based CPGs to support CR implementation in Korea. Methods: This study is based on an analysis of CPGs elsewhere in the world, an extensive literature search, a systematic analysis of multiple randomized control trials, and a CPG management, development, and assessment committee comprised of 33 authors-primarily rehabilitation specialists, cardiologists, and thoracic surgeons in 21 university hospitals and 2 general hospitals. Twelve consultants, primarily rehabilitation, sports medicine, and preventive medicine specialists, CPG experts, nurses, physical therapists, clinical nutritionists, and library and information experts participated in the research and development of these CPGs. After the draft guidelines were developed, 3 rounds of public hearings were held with staff members from relevant academic societies and stakeholders, after which the guidelines were further reviewed and modified. Results: CR involves a more cost-effective use of healthcare resources relative to that of general treatments, and the exercise component of CR lowers cardiovascular mortality and readmission rates, regardless of the type of coronary heart disease and type and setting of CR. Conclusion: Individualized CR programs should be considered together with various factors, including differences in heart function and lifestyle, and doing so will boost participation and adherence with the CR program, ultimately meeting the final goals of the program, namely reducing the recurrence of myocardial infarction and mortality rates.

• 한국사회복지학
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• 제65권4호
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• pp.61-88
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• 2013

이 연구는 아동학대 예방과 개입의 큰 축을 담당하는 병원 학대피해아동보호팀의 아동학대 사망사건 개입경험을 탐색할 목적으로 수행되었다. 이를 위하여 전국적으로 등록된 62개 병원 학대피해아동보호팀과 접촉하였고, 최종적으로 아동학대 사망사건을 경험한 5개 병원 학대피해아동보호팀 구성원들(의료사회복지사와 의사)과의 인터뷰를 통해 자료를 수집하였다. 수집된 자료를 질적연구방법을 사용하여 분석한 결과, 팀의 개입에도 불구하고, 학대 피해 아동이 매우 위중한 상태에서 병원에 도착했거나, 보호자의 거짓말이나 치료 거부로 인한 치료적 대응의 지연 때문에, 아동의 사망 진행을 막기 어려웠던 것으로 나타났다. 그럼에도 학대피해아동보호팀의 의심과 개입을 통해 사망 원인이 학대임을 밝혀낸 것은 팀 활동의 의미 있는 성과로 간주되었다. 이 과정에서 신고의무자 역할에 대한 인식 부족과 부담은 의료진의 적극적인 개입을 막는 장애물이며, 개입을 지속하기 위해서는 학대 인과관계 규명에 필요한 증거자료의 확보가 중요하다는 점이 확인되었다. 이러한 연구 결과를 토대로 학대 상황에 대한 조기 발견과 증거 확보 조치, 사망 원인 규명을 위한 실천적 및 정책적 방안에 대해 제언하였다.

• 미술이론과 현장
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• 제13호
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• pp.35-71
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• 2012

The purpose of this essay is to examine the responses of artists on nuclear experiences through an analysis of the nuclear images represented in contemporary Japanese art. Japan has previously as twice experienced nuclear disaster in 20th century. The first atomic bombs were dropped in 1945 as well as the 5th Fukuryumaru, Japanese pelagic fishing boat, exposed by hydrogen bomb test operated by the US in 1954 nearby Bikini atoll. Due to Tsunami taken place by the great earthquake that caused the meltdown of Fukushima Nuclear Power Plant in March 2010, Japan is being experienced a nuclear disaster again. Despite practical experiences, comtemporary Japanese art has avoided the subject of nuclear disasters since the end of the Asia-Pacific War for a variety of reasons. Firstly, GHQ prohibited to record or depict the terrible effect of atomic bomb until 1946. Secondly, Japanese government has tried to sweep the affair under the carpet quite a while a fact of nuclear damage to their people. Because Japan has produced numerous war record paintings during the Second World War, in the aftermath of the defeated war, most of Japanese artists thought that dealing with politics, economics, and social subject was irrelevant to art as well as style of amateur in order to erase their melancholic memory on it. In addition, silence that was intended to inhibit victims of nuclear disasters from being provoked psychologically has continued the oblivion on nuclear disasters. For these reasons, to speak on nuclear bombs has been a kind of taboo in Japan. However, shortly after the atomic bomb dropped on Hiroshima, the artist couple Iri and Toshi Maruki visited to ruin site as a volunteer for Victim Relief. They portrayed the horrible scenes of the legacy of nuclear bomb since 1950 based on their observation. Under the condition of rapid economical growth in 1960s and 1970s, Japanese subculture such as comics, TV animations, plastic model, and games produced a variety of post apocalyptic images recalling the war between the USA and Japanese militarism, and battle simulation based on nuclear energy. While having grown up watching subculture emerged as Japan Neo-Pop in 1990s, New generation appreciate atomic images such as mushroom cloud which symbolizes atomic bomb of Hiroshima. Takashi Murakami and other Neo-Pop artists appropriate mushroom cloud image in their work. Murakami curated three exhibitions including and persists in superflat and infantilism as an evidence in order to analyze contemporary Japanese society. However, his concept, which is based on atomic bomb radiation exposure experience only claimed on damage and sacrifice, does not reflect Japan as the harmer. Japan has been constructing nuclear power plants since 1954 in the same year when the 5th Fukuryumaru has exposed until the meltdown of Fukushima Nuclear Plant although took place of nuclear radiation exposures of Three Mile and Chernobyl. Due to the exploding of Fukushima Nuclear Power Plant, Japan reconsiders the danger of nuclear disaster. In conclusion, the purpose of this paper may be found that the sense of victim which flowed in contemporary art is able to inquire into the response of artist on the subject of nuclear as well as the relationship between society, politics, culture, and modern history of Japan and international political situation.

• 한국자연치유학회지
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• 제11권1호
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• pp.68-78
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• 2022

배경: 통합의학의 관점에서 새로운 요가치료의 발전 방향에 대한 연구가 필요하다. 목적: 체계적 문헌고찰을 통해, 요가치료 임상연구의 현황을 과학적 범주로 분석하고, 요가치료의 내용과 발전방향을 모색한다. 방법: 자료수집은 RISS, NDSL, DBpia, e-article, KISS 등 전자데이터베이스를 통해 2010년부터 2018년까지 출판된 KCI 등재후보 이상 국내 학술 논문 530편을 선정하였고, PRISMA 가이드라인을 참조하여 최종 28편을 추출하였다. 결과: 질적인 측면에서는 CEBM 근거수준의 3b에 머물렀고, 양적인 측면에서도 전체 임상연구의 실험군이 288명이라는 점에서 요가치료의 국내 임상연구는 부족한 실정이다. 요가치료의 내용은 80%가 아사나 동작에 중점으로 두는 운동치료인 것으로 나타났다. 결론: 요가치료에 있어서 통합의학적 관점의 8지요가 및 판차코샤 이론에 대한 이해와 실천이 필요하다는 것을 알려준다. 즉, 요가치료는 개인의 정신적, 신체적 체질을 바탕으로 한 전인치유 요가와 아유르베다를 기반으로 하는 명상치료와 운동치료가 통합된 심신통합치료 프로그램으로의 발전이 요구된다.

• Tuberculosis and Respiratory Diseases
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• 제67권4호
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• pp.281-302
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• 2009

The successful treatment of community-acquired pneumonia requires appropriate, empirical antimicrobial therapy. The etiology and antimicrobial susceptibility of major pneumonia pathogens can differ by country. Therefore, the ideal treatment guidelines for community-acquired pneumonia should be based on the studies performed in each country. We developed a treatment guideline for community-acquired pneumonia for immunocompetent adults in Korea. This guideline was developed by the joint committee of the Korean Society for Chemotherapy, the Korean Society of Infectious Diseases, and the Korean Academy of Tuberculosis and Respiratory diseases.