• 대한간호학회지
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• 제20권2호
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• pp.227-248
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• 1990

The study was conceived in relation to a concern over the growing gap between the needs of chronic patients and the availability of care from the current health care system in Korea. Patients with agonizing chronic pain, discomfort, despair and disability are left with helplessly unprepared families with little help from the acute care oriented health care system after discharge from hospital. There is a great need for the development of an alternative means of quality care that is economically feasible and culturally adaptible to our society. Thus, the study was designed to demonstrate the effectiveness of home heath care as an alternative to bridge the existing gap between the patients' needs and the current practice of health care. The study specifically purports to test the effects of home care on health expenditure, readmission, job retention, compliance to health care regime, general conditions, complications, and self-care knowledge and practices. The study was guided by the operations research method advocated by the Primary Health Care Operations Research Institute(PRICOR) which constitutes 3 stages of research : namely, problem analysis solution development, and solution validation. The first step in the operations research was field preparation to develop the necessary consensus and cooperation. This was done through the formation of a consulting body at the hospital and a steering committee among the researchers. For the stage of problem analysis, the Annual Report of Seoul National University Hospital and the patients records for last 5 years were reviewed and selective patient interviews were conducted to find out the magnitude of chronic health problems and areas of unmect health care needs to finally decide on the kinds of health problems to study. On the basis of problem analysis, the solution development stage was devoted to home care program development asa solution alternative. Assessment tools, teaching guidelines and care protocols were developed and tested for their validity. The final stage was the stage of experimentation and evaluation. Patients with liver diseases, hemiplegic and diabetic conditions were selected as study samples. Discharge evaluation, follow up home care, measurement and evaluation were carried out according to the protocols of care and measurement plan for each patient for the period of 6 months after discharge. The study was carried out for the period from Jan. 1987 to Dec. 1989. The following are the results of the study presented according to the hypotheses set forth for the study ; 1. Total expenditures for the period of study were not reduced for the experimental group, however, since the cost per hospital visit is about 4 times as great as the cost per home visit, the effect of cost saving by home care will become a reality as home care replaces part of the hospital visits. 2. The effect on the rate of readmission and job retention was found to be statistically nonsignificant though the number of readmission was less among the experimental group receiving home care. 3. The effect on compliance to the health care regime was found to be statistically significant at the 5% level for hepatopathic and diabetic patients. 4. Education on diet, rest and excise, and medication through home care had an effect on improved liver function test scores, prevention of complications and self - care knowledge in hepatopathic patients at a statistically significant level. 5. In hemiplegic patient, home care had an effect on increased grasping power at a significant level. However. there was no significant difference between the experimental and control groups in the level of compliane, prevention of complications or in self-care practices. 6. In diabetic patients, there was no difference between the experimental and control groups in scores of laboratory tests, appearance of complications, and self-care knowledge or self -care practices. The above findings indicate that a home care program instituted for such short term as 6 months period could not totally demonstrate its effectiveness at a statistically significant level by quantitative analysis however, what was shown in part in this analysis, and in the continuous consultation sought by those who had been in the experimental group, is that home health care has a great potential in retarding or preventing pathological progress, facilitating rehabilitative and productive life, and improving quality of life by adding comfort, confidence and strength to patients and their families. For the further studies of this kind with chronic patients it is recommended that a sample of newly diagnosed patients be followed up for a longer period of time with more frequent observations to demonstrate a more dear- cut picture of the effectiveness of home care.

• 한국조경학회지
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• 제38권2호
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• pp.9-24
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• 2010

본 연구는 조경설계 수업 전반에 대한 학생들의 인식을 조사하고, 설계수업 개선을 위한 방향을 도출하고자하였다. 본 연구는 점차로 대학교육이 절대적인 지식을 전달하는 실증주의적 배경으로부터 학생들 스스로가 지식을 구축해가는 구성주의적 교육방법으로 진화해야 한다는 가정을 둔다. 학생들이 설계수업을 어떻게 경험하고, 느끼고, 이해하고, 평가하고 있는지를 이해하는 것은 이러한 구성주의 철학과 관점을 바탕으로 설계수업을 개선하기 위한 첫 번째 단계이다. 본 연구에서는 설계 스튜디오 교육에 대한 이론적 연구로 교육철학의 변화, 스튜디오 수업의 기원과 변화, 건축분야의 설계 교육의 변화, 그리고 조경교육에 있어서 설계교육에 대한 논의를 고찰하였다. 이를 바탕으로 네 개 대학의 학부생을 대상으로 실시한 설문조사의 내용을 분석하였다. 그 결과, 설계수업은 학생들이 조경설계가로서의 진로를 결정하는데 긍정적 혹은 부정적 영향을 행사하는 것으로 나타났다. 절반 정도의 학생들은 설계수업에 대해 불만을 표시하였으며, 상당한 심적 부담감을 느끼는 것으로 나타났다. 특히 설계과정의 초기단계와 개념을 구체화하는 단계에서 가장 많은 스트레스를 받는 것으로 분석되었고, 진로에 대한 유보적인 집단이 설계수업에 대한 심적 부담감이 가장 큰 것으로 나타났다. 학생들은 스스로의 설계능력에 대해 부정적으로 평가하고 있었으며, 성적이 학생들의 설계능력을 잘 반영해준다고 강하게 믿지 않는 것으로 나타나, 보다 투명한 평가체계에 대한 고민이 이어져야함을 시사한다.

• Acta Via Serica
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• 제1권1호
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• pp.95-104
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• 2016

The Silk Route in ancient times served as a link between the World's greatest civilizations and as a source of knowledge, art, religion and philosophy. This network of ancient caravan paths formed the first bridge between East and West, where two different civilizations came in contact with their respective cultural traditions and religious beliefs, as well as their scientific and technological achievements. One of the main routes of the Great Silk Route passed through the Karakoram, linking Kashgar with Kashmir and the Gandhara regions. The Karakoram Highway connects the Chinese province with Pakistan and follows the ancient Silk Route, which connected the Heartlands of Asia with the Western fringes and further beyond the entire continent of Europe. Evidences of the history of humankind, ranging from Pre-historic times to the spread of Buddhism from South Asia to China and the Far East, is depicted in the rocky cliffs on the waysides and on rough boulders scattered in the upper valley of the Indus River and its tributaries. The ancient trade routes also carried scholars, teachers, missionaries and monks of different beliefs and practices, who met and exchanged ideas. The Buddhists as well as Zoroastrians and other missionaries all followed the Silk Route, leaving permanent footprints of their passage. The ancient greater Gandhara is situated in the North-West of the Indian Sub-continent, with the steep mountain ranges of the Karakoram, the Pamir and the Hindu-Kush bordering it and the dry areas of Central Asia to its rear. A number of races from Central Asia migrated to Gandhara because of its mild climate and plentiful farm products and fruits. This area was an entry point of Western Culture into India and at the same times the exit point of Indian Culture, including Buddhism, to the West. In Gandhara, the diffusion of different cultures developed an art form, during the 1-7th centuries CE commonly known after its geographic name as "Gandhara Art". The Buddhism's route of introduction into China originated in Gandhara, then reached in Korea and Japan and other countries. The fame of Gandhara however, rested on its capital, "Taxila" which was a great centre of learning. From the time of the Achaemenians, down through Muslim period, Gandhara continued to establish and maintain a link between East & West, as shown by material evidences recovered from Taxila and other Buddhist centres of Gandhara during the course of archaeological excavations.

• 대한불안의학회지
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• 제10권2호
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• pp.176-181
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• 2014

Objective : Despite high prevalence and effective treatments of panic disorder, lots of patients are not properly treated due to lack of awareness of the disorder. This study summarizes and presents the results from Public Awareness Survey of Panic Disorder during the Mental Health Exposition held in Seoul in April, 2014. Methods : A total of 401 participants who visited the booth of the Korean Academy of Anxiety Disorder agreed and completed the survey. The questionnaires comprised of three sections; first, after given a case of patient with panic disorder, participants were asked to choose a diagnosis and treatment options. Second, participants were asked to differentiate the symptoms of panic disorder from those of other mental disorders and answer where they acquired the knowledge of the disorder. Third, visual analogue scales were used to get more detailed information for several issues about panic disorder. The incidence and ratio for each question were provided and compared. Results : Among the participants, 78% reported a patient within the case need treatment, and 30% accurately recognized it was panic disorder. As for treatment needed, 40% selected psychotherapy by psychiatrists, 28% chose counseling by psychologist, 23% said that they can overcome it by self-care. Only 2% of participants selected the pharmacotherapy as treatment needed. Approximately 40% of participants have encountered information about the disorder from gossips of celebrities, 32% from mass-media, and merely 6% from medical professionals. About 80% of participants could discriminate the symptom of panic disorder from those of depression, schizophrenia, or generalized anxiety disorder. Conclusion : Our results suggest that substantial proportions of participants have the awareness of panic disorder, while as for treatment they were strongly biased against pharmacologic treatments. Most of their source of the awareness was not relied upon professional information. Efforts for giving correct information and increasing public awareness of panic disorder are needed to bridge a gap between professionals and general public.

• 한국구조물진단유지관리공학회 논문집
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• 제15권5호
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• pp.92-100
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• 2011

본 연구는 실제 교량에서 차량 주행에 따른 가속도 계측 자료를 이용하여 교량의 고유진동수를 진동 모드별로 파악한 후, 수치 모델링을 통하여 유도된 동적하중에 따른 6차 모드까지의 고유진동수를 고려하여 처짐을 계산할 수 있는 산정식에 관한 것이다. 처짐 계산식은 모드중첩법에 의한 비감쇠 강제진동 이론을 이용하여 교량을 등속도로 이동하는 동적 주행하중에 의해 발생하는 처짐을 계산할 수 있도록 수치 모델링을 하였으며, 이를 검증하고 자동으로 계산할 수 있도록 하였다. 그리고, 제안된 처짐 계산식을 검증하기 위하여 콘크리트 교량을 대상으로 동적재하시험을 실시하여 처짐을 측정하고 이 값을 본 연구의 처짐 계산식의 결과와 비교하여 정확성 및 타당성 검증을 실시하였다. 이 결과, 본 연구에서 제시하는 처짐 계산식은 고유진동수를 고려하는 진동모드의 차수가 낮은 경우에 비교적 정확한 처짐을 예측하며, 주행속도에 따라서는 적용하는 진동 모드 차수에 의하여 처짐 예측의 정확도가 영향을 받는 것을 확인하였다. 그리고, 주행속도가 비교적 빠른 경우에 한하여 본 연구에서 제시하는 처짐 계산식은 진동 모드에 상관없이 비교적 정확하고 신뢰도가 양호한 계산 결과를 얻을 수 있는 것으로 나타났다.

• 한국균학회소식:학술대회논문집
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• 한국균학회 2014년도 추계학술대회 및 정기총회
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• pp.11-11
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• 2014

Fungal pathogens have huge impact on health and economic wellbeing of human by causing life-threatening mycoses in immune-compromised patients or by destroying crop plants. A key determinant of fungal pathogenesis is their ability to undergo developmental change in response to host or environmental factors. Genetic pathways that regulate such morphological transitions and adaptation are therefore extensively studied during the last few decades. Given that epigenetic as well as genetic components play pivotal roles in development of plants and mammals, contribution of microbial epigenetic counterparts to this morphogenetic process is intriguing yet nearly unappreciated question to date. To bridge this gap in our knowledge, we set out to investigate histone modifications among epigenetic mechanisms that possibly regulate fungal adaptation and processes involved in pathogenesis of a model plant pathogenic fungus, Magnaporthe oryzae. M. oryzae is a causal agent of rice blast disease, which destroys 10 to 30% of the rice crop annually. Since the rice is the staple food for more than half of human population, the disease is a major threat to global food security. In addition to the socioeconomic impact of the disease it causes, the fungus is genetically tractable and can undergo well-defined morphological transitions including asexual spore production and appressorium (a specialized infection structure) formation in vitro, making it a model to study fungal development and pathogenicity. For functional and comparative analysis of histone modifications, a web-based database (dbHiMo) was constructed to archive and analyze histone modifying enzymes from eukaryotic species whose genome sequences are available. Histone modifying enzymes were identified applying a search pipeline built upon profile hidden Markov model (HMM) to proteomes. The database incorporates 22,169 histone-modifying enzymes identified from 342 species including 214 fungal, 33 plants, and 77 metazoan species. The dbHiMo provides users with web-based personalized data browsing and analysis tools, supporting comparative and evolutionary genomics. Based on the database entries, functional analysis of genes encoding histone acetyltransferases and histone demethylases is under way. Here I provide examples of such analyses that show how histone acetylation and methylation is implicated in regulating important aspects of fungal pathogenesis. Current analysis of histone modifying enzymes will be followed by ChIP-Seq and RNA-seq experiments to pinpoint the genes that are controlled by particular histone modifications. We anticipate that our work will provide not only the significant advances in our understanding of epigenetic mechanisms operating in microbial eukaryotes but also basis to expand our perspective on regulation of development in fungal pathogens.

• 대한치과기공학회지
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• 제37권3호
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• pp.131-144
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• 2015

Purpose: This study set out to propose plans for more efficient and effective clinical practice by investigating the current state of clinical practice in the field of dental technology and thus provide basic data to develop pre- and post-education programs for clinical practice. Methods: The subjects include dental technicians at dental technical laboratories that were appointed as the place of clinical practice by the Department of Dental Technology of G University. The survey period spanned from December 22, 2014 to January 20, 2015. Total 250 questionnaires were distributed to them, and 190(76.0%) were returned. After excluding 23 whose answers were uncertain or seemed to lack reliability, total 167(66.8%) were used in final analysis. Results: 1. The most frequent practice the student did during clinical practice was articulator attachment, which was followed by pin operation or model making, one's own task and practice, sand and crow sculpturing, burying, casting, and grinding. 2. In case of going through the entire process, porcelain had the most students at 39(23.4%), being followed by crown & bridge at 28(16.8%), clinical model at 23(13.8%), full denture at 17(10.2%), and partial denture at 17(10.2%) in the order. 3. Of the students, 59.8%(30.5% for reinforced basic practice; 29.3% for intensive practice education) said that intensive practice education should be reinforced in school; and 22.3% said that intensive theory and practice education was needed, which indicates that 82.6% voiced their opinion of reinforcing education around practice. 4. The students felt that they lacked diligence, passion, and theoretical knowledge somewhat and were relatively good at clinical adaptation and operational skills. Conclusion: The findings show that the students felt an absolute lack of practice education as the school education was focused on theory and national exams in the field of dental technology, thus raising a need to reinforce practice education. Of all the respondents, 62.9% said there was a need to improve the current education with a focus on jobs. In future, education of dental technology should work to bring up able dental technicians that can perform in clinical dental technology right after graduation by reinforcing job-based practice education.

• 한국사회복지학
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• 제52권
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• pp.89-115
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• 2003

그동안 사회복지 임상실천 분야에서 주로 관심을 기울여 온 것은 개입방법의 개발과 효과성 측정 연구였다. 반면 이러한 연구 결과물이 어떻게 현장에 보급되고 활용되는지에 대한 관심은 상대적으로 부족한 편이었다. 이러한 현상은 결과적으로 연구와 실천간의 괴리를 초래할 수 있다는 비판이 제기되면서, 최근 외국에서는 사회복지 분야에서도 이론과 실천, 또는 학문과 현장을 잇는 중요한 기제로서 지식 및 기술의 보급과 활용에 대한 관심이 부각되고 있다. 이에 본 연구에서는 본 연구자가 프로그램 개발에 이어 현장보급 노력을 기울여 온 성장기술 프로그램을 중심으로 현장보급 과정과 활용현황을 살펴보고자 하였다. 이를 위하여 보급과 활용에 관한 기존 이론 및 모델들을 정리하고, 그 중 Herie와 Martin의 연구-실천 가교 모델에 의거하여 성장기술 프로그램의 현장 보급과정 및 활용 상황을 추적 조사하고 분석해 보았다. 그 결과 성장기술 프로그램 보급과정의 문제점으로는 구체적인 전략의 부재, 계획성 부족으로 인한 즉흥적인 대응, 초기 보급 대상자에 대한 허술한 파악 등을 도출할 수 있었다. 그리고 효과적인 보급과 활용을 위해서는 적절한 모델을 선택하고 그에 따라 보급과정을 적용하고 실천할 것, 프로그램 개발과정부터 보급에 대해 염두를 두고 진행할 것, 프로그램 개발 뿐 아니라 현장 피드백 확보를 위한 노력을 기울일 것, 그리고 사회복지 교육 및 연구에서 전파과정에 대한 부분을 강화할 것 등을 제언하였다. 이를 통해 몇 가지 한계점들에도 불구하고 보급 및 활용에 대한 중요성을 제시할 수 있었으며, 성장기술 프로그램의 현장 활용성도 파악할 수 있었다. 이와 같은 보급과 활용에 대한 논의들은 국내에서 진행되는 연구의 전파 뿐 아니라 그동안 외국으로부터 도입해온 개입방법들을 한국 상황에 맞게 토착화하기 위하여 앞으로 더욱 활성화될 필요가 있을 것이다.

• 한국조경학회지
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• 제43권1호
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• pp.139-156
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• 2015

산업사회에서 지식기반사회로의 시대적 변화에 부응하는 새로운 조경전문가의 인재상과 핵심역량에 대한 정의가 필요한 시점에서 스튜디오 교육은 조경학과 교과과정에서 실천적 전문가를 양성하기 위한 핵심적인 교육방법론이다. 본 연구는 실무현장과 대학교육의 간극을 극복할 수 있는 스튜디오 수업의 의미와 주요 쟁점을 교육학적 접근을 통해 도출하여 스튜디오 수업을 재정비하기 위한 이론적 기초를 제공하고자 하였다. 조경의 외부적, 내부적 여건 변화와 교육의 관계성을 역량을 중심으로 살펴보고, 대학교육 패러다임의 변화와 스튜디오 교육을 학습자의 관점에서 고찰하며, 조경교육의 변화를 추적하여 현재 우리나라 조경 스튜디오 수업의 현주소를 살펴보았다. 이를 통해 우리나라 스튜디오 교육을 진단하기 위한 다섯 가지 쟁점을 도출하였다. 먼저 역량에 대한 총체적 접근의 필요성을 제기하였으며, 두 번째로 전체 교과과정에서 스튜디오 과목의 위상을 재정립하고 이론과목과의 연계성을 강화할 필요성을 제시하였다. 셋째, 현재 가장 활성화되어 있는 설계 스튜디오의 의미를 되짚어 학년별 차별화 전략을 도입할 필요성을 논의하였고, 네 번째로 스튜디오 방법론의 연구와 실천을 통한 실질적인 수업개선이 필요하다는 점을 제기하였다. 마지막으로 스튜디오의 현장성 강화 및 다양성 확보 전략 수립과 기반시설의 확충과 관련한 문제를 제시하였다.

• 한국염색가공학회:학술대회논문집
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• 한국염색가공학회 2010년도 제3회 국제학회
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• pp.40-40
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• 2010

Studies on attractive color changing property of dye chromophore and fluorophore have been greatly enjoyed in the related industrial and research fields such as optoelectronics, chemosensor, biosensor and so on. The optical property based on D-$\Pi$-A intramolecular charge transfer (ICT) system of chromophore molecules can be utilized as suitable sensing probes for checking media polarity and determining colorimetric chemosensing effect, especially heavy metal detection. These finding are obtained by absorption and emission properties. In this work, donor-acceptor D-$\Pi$-A type fluorescent dyes were designed and synthesized with the corresponding donor and acceptor groups. The selected donor moieties might be provided prominent amorphous properties which are very useful in designing and synthesizing functional polymers and in fabricating devices. Another reasons to choose are commercial availabilities in high purity and low price. Donor-bridge-acceptor (D-A) type dyes can produce impressive optical-physical properties, yielding them potentially suitable for applications in the synthesis of small functional organic molecules. Small organic functional molecules have unique advantages, such as better solubility, amorphous character, and represent an area of research which needs to be explored and developed. Currently, their applications in metalorganic compounds is rapidly expanding and becoming widespread in self-assembly processes, photoluminescence applications, chiral organocatalysts, and ingrafts with nanomaterials. Colloidal nanoparticles have received great attentions in recent years. The photophysical properties of nanoparticles, particularly in terms of brightness, photostability, emission color purity and broad adsorption range, are very attractive functions in many applications. To our knowledge background, colloidal nanoparticles have been enjoyed their applications in bio-probe research fields. This research interest can be raised by the advantages of the materials such as high photoluminescence quantum yields, sharp emission band, long-term photostability and broad excitation spectra. In recent, the uses of nanoparticles being embedded in a polymer matrix and binded on polymer surface have been explored and their properties such as photo-activation and strong photoluminescence have been proposed. The prepared chromophores and nanoparticles were investigated with absorption and emission properties, solvatochromic behaviors, pH induced color switching effects, chemosensing effects and HOMO/LUMO energy potentials with computer simulation. In addition, synthesized fluorophore dyes and particles were applied onto PE/Aramid fiber fluorescing colorations. And the related details were then discussed.