• 의학교육논단
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• 제21권1호
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• pp.1-12
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• 2019

This study is a narrative review introducing global trends in patient safety education within medical schools and exploring the status of Korean education. Core competences for patient safety include patient centeredness, teamwork, evidence- and information-based practice, quality improvement, addressing medical errors, managing human factors and system complexity, and patient safety knowledge and responsibility. According to a Korean report addressing the role of doctors, patient safety was described as a subcategory of clinical care. Doctors' roles in patient safety included taking precautions, educating patients about the side effects of drugs, and implementing rapid treatment and appropriate follow-up when patient safety is compromised. The Korean Association of Medical Colleges suggested patient safety competence as one of eight essential human and society-centered learning outcomes. They included appropriate attitude and knowledge, human factors, a systematic approach, teamwork skills, engaging with patients and carers, and dealing with common errors. Four Korean medical schools reported integration of a patient safety course in their preclinical curriculum. Studies have shown that students experience difficulty in reporting medical errors because of hierarchical culture. It seems that patient safety is considered in a narrow sense and its education is limited in Korea. Patient safety is not a topic for dealing with only adverse events, but a science to prevent and detect early system failure. Patient safety emphasizes patient perspectives, so it has a different paradigm of medical ethics and professionalism, which have doctor-centered perspectives. Medical educators in Korea should understand patient safety concepts to implement patient safety curriculum. Further research should be done on communication in hierarchical culture and patient safety education during clerkship.

• 한국수학교육학회지시리즈C:초등수학교육
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• 제22권3호
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• pp.149-166
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• 2019

초등학교 수학에서 자료와 가능성 영역은 통계적 과정에서 요구되는 기초적인 통계적 내용을 학습하여 통계의 기초 소양을 기르는 단원이다. 학생들은 실제 자료에서 정보를 추출하고, 이를 표와 그래프로 정리하여 결론을 통계적으로 추론하며, 합리적인 의사결정을 내리는 과정을 경험한다. 본 연구에서는 '그림그래프에서 추론하기' 과제에 대한 초등학교 5, 6학년 학생들의 통계적 소양을 분석하여 초등학교에서 추론 학습 가능성과 통계적 소양의 관점에서 그림그래프의 교육적 가치를 살펴본다. 학생들의 통계적 사고를 길러주는 것은 통계교육에서 중요한 목표이며, 비형식적인 통계 추론의 경험은 이후 학습할 형식적 통계적 추론에 도움을 줄 수 있다. 따라서 '그림그래프에서 추론하기' 과제에서 나타나는 초등학생들의 통계적 소양에 대한 논의는 학교 통계 교육에 유의미한 시사점을 제시할 것이다.

• Safety and Health at Work
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• 제9권4호
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• pp.381-387
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• 2018

Background: Physician behaviors that undermine a culture of safety have gained increasing attention as health-care organizations strive to create a culture of safety and reduce medical errors. We developed, implemented, and assessed a course to teach physicians skills regarding effective coping and interpersonal communication skills and present our results regarding outcomes. Methods: We examined a professional development program specifically designed to address unprofessional or distressed behaviors of physicians, and we evaluated the impact on burnout, quality of life, and emotional flooding scores of the physicians. Assessments of burnout, quality of life, and emotional flooding were assessed preintervention and postintervention. Results: Results demonstrated statistically significant reductions over time in physicians' emotional flooding and emotional exhaustion (EE). Specifically, using a Wilcoxon Signed-Rank test, results revealed that flooding scores at follow-up were statistically significantly lower than at baseline, V = 590, p < 0.05, and EE and personal accomplishment distributions were found to significantly deviate from normal as indicated by Shapiroe-Wilks tests (p < 0.05). A Wilcoxon signed-rank test indicated that EE scores were significantly higher at baseline compared to follow-up 1, V = 285, p < 0.05. Conclusion: We conclude that the physician participants who enrolled in the educational skills training program improved scores on emotional flooding and EE and that this may be indicative of improved skills related to their experiences and learning in the program. These improved skills in physicians may have a positive impact on the overall culture of safety in the health system setting.

• 한국보육지원학회지
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• 제17권3호
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• pp.65-87
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• 2021

Objective: This study aimed to examine the effects of maternal monitoring, shared activities with children, maternal education-oriented behavior, and allowing children to own smart-phones on smart media usage patterns based on smart-phone usage time and purposes among elementary school children. Methods: The participants were 1,315 second-grade elementary school children from the 9th wave of PSKC. Latent profile analysis and the three-step estimation approach were used to examine the determinants of the latent profile and the effects of maternal parenting on the profile. Results: Four latent profiles were identified: 'High-level usage & Entertaining oriented,' 'Moderate-level usage & Social/entertaining oriented,' 'Moderate-level usage & Learning oriented,' and 'Low-level usage.' Additionally, results showed that each profile can be predicted by maternal monitoring, education-oriented behavior, and permitting children to own smart-phones. Conclusion/Implications: Our outcomes suggested that it would be necessary to understand the smart media usage patterns of elementary school children, considering both the amount of time spent with smart media and purposes of uses. Further, it is helpful for mothers to monitor children's daily activities, support their educational activities, and take the role of gatekeeper for smart media as a way of appropriate guidance for their children's use of smart media.

• 공학교육연구
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• 제24권1호
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• pp.34-45
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• 2021

This research is a case study about "Critical Thinking and Debate Education" class which was done for freshmen at the engineering college of "S" Women's University. Real time remote classes through LMS and ZOOM were the most effective tools under on-line circumstances, considering the fact that video lectures only cannot cultivate students' capabilities of critical thinking and communication. Throughout the analysis on students' self-reflection journals and lecture evaluations, this paper examined considerable future points and the pros and cons of "Critical Thinking and Debate Education" under online presentation and discussion situation. As research outputs, students told they could feel less nervousness and anxiety when they exercise and have a presentation because they could choose familiar space for them. In addition, students also told that they feel comfortable about both self-feedback and peer evaluation, repeatedly seeing the recorded video clip. However, on the contrary, sometimes students felt uncomfortable due to unstable internet connection through the online classes, and they also were regretful about the missing chances of interaction between a teacher and students and of intimate exchanges among students. They also told they had felt a kind of limit of enhancing their presentation skills just in front of the monitor. Considering these outcomes, this research paper points out that online education needs to be proceeded by strengthening multi layered feedback to students with the build-up of a non-face-to-face stable educational infrastructure, application of online instructional strategy, and utilization of YouTube platform and video contents. Through this research paper, I hope the new system of encompassing on/off line "Critical Thinking and Debate Education" and effective teaching and learning method can be developed soon by strengthening the strength of online education.

• 산업노동연구
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• 제23권1호
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• pp.221-253
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• 2017

본 연구에서는, 기업 경영적 측면에서 청년 고령자 고용상생을 촉진하기 위한 구체적인 실천방안을 제시하고자 하였다. 이를 위해, 세대 간 고용상생을 위해 적극적으로 노력하고 있는 일본 기업의 고용상생 전략과 경영성과를 분석하였다. 경영전략은 인사조직 전략, 생산전략, 기술개발 및 인재육성 전략으로 구분하여 분석하였고, 경영성과는 균형성과평가 모델(BSC)을 활용하여 분석하였다. 청년 고령자 고용상생기업의 경영전략을 분석한 결과, 대부분의 기업에서는 청년 고령근로자의 협업과 유연근무제 도입, 기술개발을 위한 교육 프로그램을 적극적으로 실시하고 있었다. 또한, 균형성과평가(BSC)를 활용하여 경영성과를 분석한 결과, 매출액 증가 및 원가절감(재무 관점), 신규 거래처 증가 및 시장점유율 확대(고객 관점)와 같은 재무적 성과를 달성하고 있는 것으로 나타났다. 또한, 재무적 성과 외에도 제품 및 서비스 품질개선(내부프로세스 관점), 청년 고령근로자의 기술향상(학습과 성장 관점)과 같은 비재무적 성과를 달성하고 있는 것으로 나타났다. 이러한 연구결과를 바탕으로 향후 우리나라 기업의 청년 고령자 고용상생을 실천해 나가기 위한 구체적인 실천방안을 제시하였다.

• 한국축산식품학회지
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• 제41권2호
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• pp.312-323
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• 2021

The purpose of this study was to use 1H nuclear magnetic resonance (1H NMR) to quantify taste-active and bioactive compounds in chicken breasts and thighs from Korean native chicken (KNC) [newly developed KNCs (KNC-A, -C, and -D) and commercial KNC-H] and white-semi broiler (WSB) used in Samgye. Further, each breed was differentiated using multivariate analyses, including a machine learning algorithm designed to use metabolic information from each type of chicken obtained using 1H-13C heteronuclear single quantum coherence (2D NMR). Breast meat from KNC-D chickens were superior to those of conventional KNC-H and WSB chickens in terms of both taste-active and bioactive compounds. In the multivariate analysis, meat portions (breast and thigh) and chicken breeds (KNCs and WSB) could be clearly distinguished based on the outcomes of the principal component analysis and partial least square-discriminant analysis (R2=0.945; Q2=0.901). Based on this, we determined the receiver operating characteristic (ROC) curve for each of these components. AUC analysis identified 10 features which could be consistently applied to distinguish between all KNCs and WSB chickens in both breast (0.988) and thigh (1.000) meat without error. Here, both 1H NMR and 2D NMR could successfully quantify various target metabolites which could be used to distinguish between different chicken breeds based on their metabolic profile.

• 대한예방한의학회지
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• 제25권2호
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• pp.99-111
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• 2021

Objective : The definitions and categories of subjects related to humanities and social medicine are still controversial, and we tried to find the areas lacking compared to the standards of medical education Method : Humanities and social medicine-related subjects of the World Medical Education Standards, ASK2019, and KAS2021 were reviewed, and humanities and social medicine subjects of the College of Korean Medicine were searched. We compared subjects with the medical school learning outcomes and Korean Medicine Doctors' job competency. In order to increase validity, two authors independently classified them. In case of different opinions, we revised after sufficient discussion Results : Humanities and social medicine-related subjects in the Korean Medicine curriculum appear to be sufficient when compared with WFME and ASK2019. The humanities and social medicine-related subjects of Korean Medicine schools were not distributed evenly throughout. The areas to be supplemented in Korean Medicine education were 'a diverse understanding of life and death', 'prevention and response to patient safety incidents', 'effective communication with health-related organizations and groups', 'social responsibility and reflective practice' and 'communication between health and medical professions'. Conclusion : Humanities and social medicine-related subjects in Korean Medicine education are sufficient, but they are not evenly distributed, and the areas listed above need to be reinforced.

• 한국콘텐츠학회논문지
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• 제22권4호
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• pp.445-457
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• 2022

학생 중심을 표방하는 대학이 늘고 있으나, 학생들이 생각하는 좋은 대학이 어떠한 모습인지는 분명하지 않다. 이 연구는 좋은 대학의 여러 특성 중 학생에 따라 어떤 것을 중요하게 생각하는지 밝히는 것을 목적으로 한다. 이를 위해 인간의 주관적 인식에 대한 연구방법인 Q 방법론을 활용하여, 이공계열 졸업생의 좋은 대학에 대한 인식을 유형화하고, 각 유형별로 학생들의 교육 경험의 차이를 살펴보았다. Q 방법론의 연구절차에 따라서 선행 연구와 대학의 질 관리 기준에 기초하여 29개의 진술문을 개발하고, 사회진출에 성공한 이공계열 졸업생 16명에게 진술문을 Q 표본 배열표에 맞게 분류하도록 하였다. 진술문의 선호도에 따라 참여자들은 세 유형으로 분류되었다. 학생 경험 중심형인 제1유형은 학생이 교내외 다양한 활동과 경험에 참여하도록 장려하고 지원하는 대학을 좋은 대학이라 인식했다. 대학 성과 중심형인 제2유형은 취업률, 연구성과, 입학 성적과 같은 지표를 보고 좋은 대학을 판단했다. 교육 활동 중심형인 제3유형은 대학을 하나의 공동체로 인식하며 교수와 학습의 질을 중요하게 여겼다. 이 연구는 학생의 입장에서 좋은 대학에 대한 상대적인 인식 차이를 분석했다는 점에 의미가 있다. 마지막으로 연구 결과를 기반으로 대학의 질 관리와 개선을 위한 제언을 추가하였다.

• Clinics in Shoulder and Elbow
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• 제24권4호
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• pp.209-214
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• 2021

Background: The treatment for acromioclavicular joint injuries (ACJI) ranges from a conservative approach to extensive surgical reconstruction, and the decision on how to manage these injuries depends on the grade of acromioclavicular (AC) joint separation, resources, and skill availability. After a thorough review of the literature, the researchers adopted a simple cost-effective technique of AC joint reconstruction for acute ACJI requiring surgery. Methods: This was a prospective single-center study conducted between April 2017 and April 2018. For patients with acute ACJI more than Rockwood grade 3, the researchers performed open coracoclavicular ligament reconstruction using synthetic sutures along with an Endobutton and a figure of 8 button plate. This was followed by AC ligament repair augmenting it with temporary percutaneous AC K-wires. Clinical outcomes were evaluated using the Constant Murley shoulder score. Results: Seventeen patients underwent surgery. The immediate postoperative radiograph showed an anatomical reduction of the AC joint dislocation in all patients. During follow-up, one patient developed subluxation but was asymptomatic. The mean follow-up period was 30 months (range, 24-35 months). The mean Constant score at 24 months was 95. No AC joint degeneration was noted in follow-up X-rays. The follow-up X-rays showed significant infra-clavicular calcification in 11 of the 17 patients, which was an evidence of a healed coracoclavicular ligament post-surgery. Conclusions: This study presents a simple cost-effective technique with a short learning curve for anatomic reconstruction of acute ACJI. The preliminary results have been very encouraging.