• 제목/요약/키워드: principal concepts

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실무수행능력 중심의 교육모형 및 측정도구 개발 (The Development of Nursing Education Model and The Instrument for Improving Clinical Competence)

  • 엄영란;서연옥;송라윤;전경자;유경희;조남옥
    • 한국간호교육학회지
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    • 제4권2호
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    • pp.220-235
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    • 1998
  • The revolution of nursing curriculum has been focused on clinical competency for nursing graduates to flexibly respond to changes in societal health needs and disciplinary requirements. In this trend, the study was designed to identify basic concepts of nursing education that reflects the changes in societal needs and nursing discipline, and to develop the instrument to measure performance level in each dimension of clinical competency. The study was conducted in two phases. In phase 1, principal concepts consisted of nursing education were determined through literature review as well as series of discussion sessions on nursing philosophies and educational objectives among researchers. Though the process, the conceptual framework of competency based nursing curriculum was constructed with nursing process and professional role as horizontal threads, client, health needs, and nursing interventions as vertical threads. Then, items were developed to represent each dimension of competency : client and health need, nursing process, professional role, and nursing interventions. The total of 273 items were included as to represent clinical competency required for BSN graduates. In phase 2, questionnaires were distributed to nursing faculties of 41 BSN programs to validate the 273-item Instrument developed to measure competency. The total of 34 subjects returned the questionnaire with 81% of response rates. The subjects of the study had an average of 42 months of clinical experience and 13 years of education experience in various nursing areas with an age range of 30 to 52 years. The data were analyzed by utilizing SPSSWIN and the results are as follows. 1) The mean score of the nursing process dimension was supported most with the mean of 3.60(SD=0.32) compared to client and health need dimension(M=3.49, SD=.40), professional role(M=3.41, SD=.44), and nursing interventions(M=3.57, SD=.34). 2) The dimensions of competency were moderately correlated to each other with a range of r=.433 to r=.829, confirming that four dimensions of competency were related but distinct concepts. 3) The items of each dimension were analyzed based on its appropriateness. 'Assessing risk factors of the clients' were most highly supported in client and health need dimension. Most items of nursing process dimension were considered appropriate, while items related to efficient communication were well supported in professional role dimension. In nursing intervention dimension, items on basic nursing skills were highly supported while items on specific nursing interventions such as music therapy or art therapy were considered relatively inappropriate to competency for BSN graduates. The findings clearly showed that the current nursing education more emphasizes nursing interventions based on nursing process than other dimensions of competency. There is a need to reconceptualize nursing curriculum that is able to reflect more of nursing professional role and client/health need dimensions. Further research to validate the instrument by confirming competency dimensions of nursing graduates who are currently working at the hospital has been suggested.

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학위논문의 주요어 분석 (간호학 및 간호학관련 학위논문을 중심으로 : 1960-1991. 8) (A Statistical Study on the Key Words in the Titles of Nursing Related Theses)

  • 고옥자;김상혜;김희걸;이금재;이영숙
    • 대한간호학회지
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    • 제24권1호
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    • pp.58-69
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    • 1994
  • In order to see the development of Nursing related research activities in Korea over the last three decades, abstracts of almost all of the Master and Ph.D theses that appeared from 1961 up to August 1991 were collected. The number of theses was 2354, from which an index of key words has been constructed. Key words were defined as those terms in each thesis title that convey major objectives of the given thesis study and the important nursing concepts dealt with in the thesis. Although all the key words were picked from the thesis title only, full use was made of the abstracts in deciding the principal objectives and essential contents of the thesis studies and their important concepts as well. In total, 539 kinds of key words were identified from the 2354 titles, and the identified words were all found to be in the International Nursing Index. On an average each title has two key words. Which key words were most frequently used, how they have changed with time, what kind of concept is preferably dealt with by each graduate school, and the concepts to which a given key word is likely to be connected were examined. The results are summerized below : 1) For each decade the theses numbers were as follows : 54(2.3%) from the 60’s, 413(17.5%) from the 70’s, 1523(64.7%) from the 80’s, and 364(15.5%) from the 90’s. Master’s thesis contributed 96% (2252) of the papers and Ph. D’s theses filled the remaining 4%(102). 2) A total of 539 key words were used, averaging about 2 for each thesis. The most frequently used key words were ‘Nurse’, ‘Anxiety’, ‘Knowledge / Attitude /Practice’, ‘Stress /Stressor’, ‘Attitude’, ‘Job-Satisfaction’, ‘Mental Disorder’, ‘Operation’, ‘Elderly’, ‘Nursing Role’. 3) Each decades key words can be classified as : the 60’s : ‘Nursing Education’, ‘Pulmonary Tuberculosis’, ‘Mother-Child Health’, ‘Growth & Development’, ‘Public Facilities’, ‘Mental Disorder’ : the 70’s : ‘Nurse’, ‘Family Planning’, ‘Attitude’ / ‘Knowledge, Attitude / Practice’, ‘Curriculum in Nursing Education’, ‘Clinical Practice in Nursing’, ‘Analysis of the Work of the Nurse’, ‘Health Education of School’, : the 80’s : ‘Nurse’, ‘Anxiety’, ‘Stress /Stressor’, ‘Operation’, ‘Nursing Role’, ‘Job Satisfaction’ : the 90’s : ‘Nurse’, ‘Elderly’, ‘Family-Support’, ‘Stress /Stressor’, ‘Home Care’. Key word ‘Nurse’ appears continuously and most frequently through the years, which indicates that there has been active study of the characteristics of nurses and related fields. The concept ‘Anxiety’ has been studied steadly from the 80’s and it shows that interest in health and disease are increasing Which comes as a result of society changing to an industrial and informational community. 4) Looking into each graduate school’s study area key words ‘Anxiety’, ‘Nurse’, ‘Mental Disorder’, ‘Stress /Stressor’, ‘Operation’, ‘Attitude’, ‘Hemo-dialysis’, were studied in the regular graduate school : ‘Family Planning /Contraception’, ‘Knowledge / Attitude /Practice’, ‘Physical Health-State /Physical Health Examination’, ‘Nurse’, ‘Using Clinical Facilities’, ‘Health Education of School’, were studied in the Graduate School of Public Health’ ; ‘Nurse’, ‘Anxiety’, ‘Stress / Stressor’, ‘Job-Satisfaction’, ‘Clinical Practice Education’, ‘Nursing Education’, were studied in the Graduate School of Education : ‘Nurse’, ‘Job Satisfaction’, ‘Nursing Role’, ‘Administration - Employment /Employment Management’, ‘Leadership’, ‘Personnel Profile’, ‘Nursing Manpower / Changing Working Place’, were studied in the Graduate School of Public Administration. 5) The Connection between key words were : ‘Nurse Job Satisfaction’, ‘Stress / Stressor ⇔ Coping / Ajustment’, ‘Nurse ⇔ Nursing Role’, ‘Anxiety ⇔ Giving Information’, ‘Nurse ⇔ Stress / Stressor’, ‘Anxiety ⇔ Operation’, ‘Nurse ⇔ Burnout’, ‘Knowledge, Attitude, Practice ⇔ Family Planning’, ‘Nurse Administration ⇔ Employment’, ‘Anxiety Muscle ⇔ Relaxation Technic’, ‘Anxiety ⇔ Mental Disorder’. From the above it can be noted that many nursing concepts were handled in the thesis titles. But there were more than enough papers on the characteristics of the nurse. It is suggested that in depth research be made on ‘Nursing Accidents’, t-‘Ethics’, ‘Nurse - Patient Interactions’, ‘Spritual Care’, ‘Dying’, ‘Hospice’, ‘Resident Helper’ and that there should be in depth research relating to the physical and mental development of youth and in particular physical concepts like ‘Drug - Abuse’, ‘Child -Abuse and Teaching’.

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『황제내경소문(黃帝內經素問)·칠편대론(七篇大論)』 왕빙 주본(注本)을 통(通)한 운기학설(運氣學說) 관(關)한 연구(硏究)

  • 김기욱;박현국
    • 동국한의학연구소논문집
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    • 제4권
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    • pp.109-140
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    • 1995
  • As we considered in the main subjects, investigations on the theory of 'Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' through 'Wang Bing's Commentary(王氷 注本)' of 'The seven great chapters in The Yellow Emperor's Internal Classic Su Wen' ("黃帝內經素問 七篇大論") are as follows. (1) In The seven great chapters("七篇大論")' Wang Bing supplement theory and in the academic aspects as a interpreter, judging from 'forget(亡)' character. expressed in the 'The missing chapters("素問遺篇")', 'Bonbyung-ron("本病論")' and 'Jabeob-ron(刺法論)', 'The seven great chapters("七篇大論")' must be supplementary work by Wang Bing. Besides, he quoted such forty books as medical books, taoist books, confucianist books, miscellaneous books, etc in the commentary and the contents quoted in the 'Su Wen(素問)' and 'Ling Shu("靈樞")' scripture nearly occupy in the book. As a method of interpreting scripiure as scripture, he edited the order of 'Internal Classic("內經")' ascended from the ancient time and when he compensated for commentary, with exhaustive scholarly mind and by observing the natural phenomena practically and writing the pathology and the methods of treatment. We knew that the book is combined with the study of 'Doctrine on five elements motion and six kinds of natural factors(運氣學說)' (2) When we compare, analyze the similar phrase of 'The seven great chapters in The Yellow Emperor's Internal Classic Su Wen'("黃帝內經素問ㆍ七篇大論") through 'Wang Bing's Commentary(王氷 注本)', he tells abouts organized 'five elements(五行)' and 'heaven's regularly movement(天道運行)' rather than 'Emyangengsangdae-ron("陰陽應象大論")' in 'The seven great chapters("七篇大論")'. Also the 'Ohanunhangdae-ron("五運行大論")' because the repeated sentences with 'Emyangengsangdae-ron("陰陽應象大論")' is long they are omitted. And in the 'Youkmijidae-ron("六微旨大論")', 'Cheonjin ideology(天眞四象)' based on the 'Sanggocheonjin- ron("上古天眞論")', 'Sagijosindae-ron("四氣調神大論")' is written and in the 'Gigoupyondae-ron("氣交變大論")', the syndrome and symptom are explained in detail rather than 'Janggibeobsi-ron("藏氣法時論")', 'Okgijinjang-ron ("玉機眞藏論")' and in the 'Osangieongdae-ron("五常政大論")', the concept of 'five element(五行)' of the 'Gemgwejineon-ron("金櫃眞言論")' is expanded to 'the five elements' motion concept(五運槪念)' and in the 'Youkwonjeonggidae-ron("六元正紀大論")', explanations of 'The five elements' motion and six kinds of natural factors(運氣)' function are mentioned mainly and instead systematic pathology is not revealed rather than 'Emyangengsangdae-ron("陰陽應象大論")'. And in the 'Jijinyodae-ron("至眞要大論")', explanations of the change of atmosphere which correspond to treatment principle by 'The three Yin and Yang(三陰三陽)' as a progressed concepts are revealed. Therefore there are much similarity between the phrase of 'Emyangengsangdae-ron("陰陽應象大論")' and 'chapters of addition(補缺之篇)'. Generally, the doctrine which 'The seven great chapters("七篇大論")' are added by Wang Bing(王氷) is supported because there are more profound concepts rather than the other chapter in 'The seven great chapters("七篇大論")'. (3) When we study Wang Bing's(王氷) 'Pattern on five elements motion and six kinds of natural factors(運氣格局)' in 'The seven great chapter("七篇大論")', in the 'Cheonwongi-dae-ron("天元紀大論")', With 'Cheonjin ideology(天眞思想)' and the concepts of 'Owang(旺)'${\cdot}$'Sang(相)'${\cdot}$'Sa(死)'${\cdot}$'Su(囚)'${\cdot}$'Hu(休)' and 'Cheonbu(天符)'${\cdot}$'Sehwoi(歲會)' are measured time-spacially to the concept of 'Three Sum(三合)' the concept of 'Taeulcheonbu(太乙天符)' is explained. In the 'Ounhangdae-ron("五運行大論")', 'The calender Signs five Sum(天干五合)' is compared to the concepts of 'couples(夫婦)', 'weak-strong(柔强)' and in the 'Youkmijidae-ron("六微旨大論")', 'the relationship of obedience and disobedience(順逆關係)' which conform to the 'energy status(氣位)' change and 'monarch-minister(君相)' position is mentioned. In the 'Gikyobyeondae-ron("氣交變大論")', the concept of 'Sang-duk(相得)', 'Pyungsang(平常)' is emphasized but concrete measurement is mentioned. In the 'Osangieongdae-ron("五常政大論")', the detailed explanation with twenty three 'systemic of the five elements' motion(五運體系)' form and 'rountine-contrary treatment(正治. 反治)' with 'chill-fever-warm-cold(寒${\cdot}$${\cdot}$${\cdot}$凉)' are mentioned according to the 'analyse and differentiate pathological conditions in accordance with the eight principal syndromes(八綱辨證)'. In the 'Youkwonjeonggidae-ron("六元正紀大論")', Wang Bing of doesn't mention the concepts of 'Jungwun(中運)' that is seen in the original classic. In the new corrective edition, as the concepts of 'Jungwun, Dongcheonbu, Dongsehae and Taeulcheonbu(中運, 同天符, 同歲會, 太乙天符)' is appeared, Wang Bing seems to only use the concepts of 'Daewun, Juwun, and Gaekwun(大運, 主運, 客運)'. In the 'Jijinyodaeron("至眞要大論")', Wang Bing added detailed commentary to pathology and treatment doctrine by explaining the numerous appearances of 'Sebo, sufficiency, deficiency(歲步, 有餘, 不足)' and in the relation of 'victory-defeat(勝復)', he argued clearly that it is not mechanical estimation. (4) When we observe the Wang Bing's originality on the study of 'the theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)', he emphasized 'The idea of Jeongindogi and Health preserving(全眞導氣${\cdot}$養生思想)' by adding 'Wang Bing's Commentary(王氷 注本)' of 'The seven great chapters("七篇大論")' and explained clearly 'The theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' and simpled and expanded the meaning of 'man, as a microcosm, is connected with the macrocosm(天人相應)' and with 'Atmosphere theory(大氣論)' also explained the meaning of 'rising and falling mechanism(升降氣機)'. In the sentence of 'By examining the pathology, take care of your health(審察病機 無失氣宜)'. he explained the meaning of pathology of 'heart-kidney-water-fire(心腎水火)' and suggested the doctrine and management of prescription. In the estimation and treatment, by suggesting 'asthenia and sthenia(虛實)' two method's estimation, 'contrary treatment(反治)' and treatment principals of 'falling heart fire tonifyng kidney water(降心火益腎水)', 'two class of chill and fever(寒熱二綱)' were demonstrated. There are 'inside and outside in the illness and so inner and outer in the treatment(病有中外 治有表囊)'. This sentence suggests concertedly. 'two class of superfies and interior(表囊二綱)' conforming to the position of disease. Therefore Wang Bing as an excellent theorist and introduced 'Cheoniin ideology(天眞思想)' as a clinician and realized the medical science. With these accomplishes mainly written in 'The theory of Doctrine on five elements' motion and six kinds of natural factors(運氣學說)' of 'The seven great chapters("七篇大論")', he interpreted the ancient medical scriptures and expanded the meaning of scriptures and conclusively contributed to the development of the study 'Korean Oriental Medicine(韓醫學)'.

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공변량 구조분석을 이용한 국내 간호연구의 동향 (The Trend of Korean Nursing Research with the LISREL)

  • 임난영;강현숙;이성은;서연옥;권영은
    • 대한간호학회지
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    • 제31권2호
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    • pp.221-231
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    • 2001
  • This study was conducted by analyzing all 33 articles based on the LISREL, published from January 1991 to March 1999 in Korea. The analyses consisted of the publication date of articles, principal dependent variables, subjects of the research, adequacy of sampling, adequacy of research purposes and results, accordance between theoretical model and hypothetical model, fit measures, theoretical base of model modification, and adequacy of conclusion. The results were as follows : . The thesis of 33 articles in total were outnumbered as 25 (75.8%) to 8 (24.2%) research articles. As for a sex classification of the subjects, 45.5% of the research were conducted around a female group of subjects, while 54.5% were done for both sex, The range of the sample size was 105 to 803, and the average was 259 subjects. . A single theoretical variable was measured for each measurement variable, any difference between variables was hardly found in 8 articles (24.2%), and 19 articles (57.6%) did not consider any measurement error. To analyze if the representative has been articles (21.2%) were seen with a sign of a representative. Questionnaires were used in a majority (31 articles) of the data collecting process. Only 2 articles (6.1%) were measured with a physiologic index simultaneously. . 14 articles (42.2%) were centered on theory development, 10 articles on theory synthesis, and 9 articles on theory test. The research purposes and results were consistent in 25 articles (75.5%) and 8 articles (24.2%) were inconsistent. The quality of life and health promotion behavior were the concepts most frequently studied as a dependent variable, and 7 articles centered on them. In applied theories a health promotion model was used on 4 articles (12.1%), while role theory and stress-coping models were in 3 articles respectively. . The articles were analyzed to see if the hypothetical model was elaborated and tested by the theoretical model. Twenty-five articles proved to be rationale for the inconsistencies. Also, 56.5% proposed hypotheses were supported among the subject articles, and 30 articles (90.0%) suggested a revised model. Path coefficient (17 articles) and theoretical adequacy (17 articles) were the standards mostly used. In conclusion, the principal factors were obtained from the research are to be considered as the principes of LISREL application. First, a model has to be established on a theoretical base rather than empirical results dependent on the data. The results are also required to be globally interpreted. Secondly, at least 200 samples are necessary to satisfy the need. Third, more than 3 measurement variables are to be adjusted to a single theoretical variable; the measurement errors must be suggested as well. Finally, normal distribution characteristics of the data and the estimation method need to be reported. Based on the research result, the follows are suggested; . Systematic criteria on the LISREL application and procedure need to be developed . Agreement form is required to report the results of research using the LISREL

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초등학생의 수학 청해력 측정 도구 개발 연구 (Development of Mathematics Listening Ability Surveys for Elementary School Students)

  • 김리나
    • 한국수학교육학회지시리즈E:수학교육논문집
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    • 제37권1호
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    • pp.1-19
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    • 2023
  • 수학 청해력이란 수학적 개념과 원리가 포함된 음성 언어를 듣고 그 의미를 파악하는 능력을 의미하며 일상생활 및 타 교과 수업에서의 듣기와 구분할 수 있다. 선행연구에 따르면 수학 청해력은 여섯 가지 유형으로 구분할 수 있다. 그 중 해석하며 듣기, 발견하며 듣기, 평가하며 듣기는 수학 수업에서 바람직한 듣기 태도를 나타낸다. 반면 선택적으로 듣기, 듣는 척하기, 무시하기는 적절하지 않은 듣기 태도 유형이다. 본 연구에서는 수학 청해력의 여섯 가지 유형을 기반으로 초등학교 3~6학년 학생들 834명과 그들의 담임 교사 총 44명을 대상으로 한 설문의 통계적 분석을 근거로 초등학교 학생을 대상으로 하는 수학 청해력 측정 도구를 교사용, 학생용으로 나누어 개발하였다. 측정 도구 개발 과정에서 신뢰도 검증을 위해 주성분 분석(Principal Component Analysis)을, 타당도 검증을 위해 전문가 검토 및 교사용과 학생용 측정 도구 응답 결과의 상관관계 분석을 진행하였다. 또한 학생들과 그 담임 교사의 설문 결과를 통계적으로 분석하여 추가 타당도 검증을 하였다. 선행연구 및 통계 자료 분석을 토대로 본 연구에서는 25개의 문항으로 구성된 수학 청해력 측정 도구(학생용), 26개의 문항으로 이루어진 수학 청해력 측정 도구(교사용)를 개발 하였다.

청소년들에게서 전두엽연합령은 어떻게 과학적 추론 및 과학개념 변화의 수행을 매개하는가? (How Do the Prefrontal Lobes Mediate Scientific Reasoning and Conceptual Change in Adolescents ?)

  • 권용주
    • 한국과학교육학회지
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    • 제18권3호
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    • pp.427-441
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    • 1998
  • 청소년들의 과학적 추론이나 과학개념 변화에 영향을 미치는 변인들에 대한 교육학적 또는 심리학적 접근에서 수행 된 연구들은 많지만, 아직 두뇌기능의 성숙적 측면에서 이들 변인에 대한 접근은 국내외적으로 거의 이루어지질 않았다. 이 연구는 청소년들의 과학객 추론 능력과 개념획득 능력이 그들의 전두엽연합령(prefrontal lobes)의 인지적 기능, 예를 들면 설계기능(planning function) 또는 억제기능(inhibiting function)의 성숙에 의해서 주로 매개된다는 가설을 테스트하였다. 이 가설을 테스트하기 위하여 한국의 중등학생들의 과학척 추론 능력, 수업을 통한 개념 변화 능력, 추론능력과 개념변화에 영향을 미치는 것으로 알려져 온 탈잠입능력과 작동기억용량, 그리고 설계능력과 억제능력을 조사하여 그들 사이의 상관성과 회귀계수를 알아보았다. 이 연구의 결과는 전두엽연합령의 셜계능력과 억제능력이 과학적 추론 및 개념변화와 통계적으로 유의하게 관련되어 있음을 보여주었을 뿐만아니라, 더 나아가 과학적 추론과 개념변화에 이미 유의미한 인지변인으로 지지되어온 탈잡입능력과 작동기억용량보다 높은 지수로 관련되어 있음을 보여주었다. 이 연구는 또한 전두엽연합령의 인지적 기능들이 크게 활성과정(representing process)과 억제과정 (inhibiting process)으로 수행되어짐올 보여주었고, 이들 두 인지과정은 과학적 추론과 개념변화과정은 물론 다른 인지활동에도 적용되어질 수 있음을 본 연구는 제시하고 있다.

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Performance Prediction of a Laser-guide Star Adaptive Optics System for a 1.6 m Telescope

  • Lee, Jun Ho;Lee, Sang Eun;Kong, Young Jun
    • Current Optics and Photonics
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    • 제2권3호
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    • pp.269-279
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    • 2018
  • We are currently investigating the feasibility of a 1.6 m telescope with a laser-guide star adaptive optics (AO) system. The telescope, if successfully commissioned, would be the first dedicated adaptive optics observatory in South Korea. The 1.6 m telescope is an f/13.6 Cassegrain telescope with a focal length of 21.7 m. This paper first reviews atmospheric seeing conditions measured over a year in 2014~2015 at the Bohyun Observatory, South Korea, which corresponds to an area from 11.6 to 21.6 cm within 95% probability with regard to the Fried parameter of 880 nm at a telescope pupil plane. We then derive principal seeing conditions such as the Fried parameter and Greenwood frequency for eight astronomical spectral bands (V/R/I/J/H/K/L/M centered at 0.55, 0.64, 0.79, 1.22, 1.65, 2.20, 3.55, and $4.77{\mu}m$). Then we propose an AO system with a laser guide star for the 1.6 m telescope based on the seeing conditions. The proposed AO system consists of a fast tip/tilt secondary mirror, a $17{\times}17$ deformable mirror, a $16{\times}16$ Shack-Hartmann sensor, and a sodium laser guide star (589.2 nm). The high order AO system is close-looped with 2 KHz sampling frequency while the tip/tilt mirror is independently close-looped with 63 Hz sampling frequency. The AO system has three operational concepts: 1) bright target observation with its own wavefront sensing, 2) less bright star observation with wavefront sensing from another bright natural guide star (NGS), and 3) faint target observation with tip/tilt sensing from a bright natural guide star and wavefront sensing from a laser guide star. We name these three concepts 'None', 'NGS only', and 'LGS + NGS', respectively. Following a thorough investigation into the error sources of the AO system, we predict the root mean square (RMS) wavefront error of the system and its corresponding Strehl ratio over nine analysis cases over the worst ($2{\sigma}$) seeing conditions. From the analysis, we expect Strehl ratio >0.3 in most seeing conditions with guide stars.

한국과 일본의 웰니스관광정책 동향 분석 및 정책적 함의 (Trend Analysis and Policy Implications of Wellness Tourism Policy in Korea and Japan)

  • 김상윤
    • 한국융합학회논문지
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    • 제12권6호
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    • pp.183-195
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    • 2021
  • 본 연구는 웰니스관광 수요가 증대되고 있는 가운데 관련 문헌연구와 온라인 면접조사를 통해 우리나라와 정책적 유사성을 가진 일본과의 웰니스 관련 관광정책 동향을 비교 분석하여 국내 웰니스관광에 대한 정책적 시사점을 강구하였다. 조사 결과, 웰니스관광 관련 개념은 한일 양국 간 큰 차이는 없으나, 일본의 경우 치유(힐링)관광보다 헬스투어리즘이나 웰니스관광 개념사용이 보편화되어 있는 것으로 나타났다. 웰니스관광정책은 정책주체의 유연성과 정책의 효율성, 관련 인증 및 인력양성 분야는 일본이, 정책의 추진력과 제도적 정비는 우리나라가 보다 체계적인 것으로 분석되었다. 우리나라도 일본의 NPO법인 헬스투어리즘진흥기구나 산림테라피소사이어티 사례와 같이 웰니스관광협의체를 구축하고, 웰니스관광의 체계적 인증 및 관련 인력양성의 질적 관리를 통해 정책의 효율성을 제고할 필요가 있다고 판단되었다. 또한 웰니스관광의 산업화를 위해서는 지역별 특화된 웰니스자원을 유기적으로 연계함으로써 웰니스관광의 치유적 효능과 상품적 가치를 제고시킬 필요가 있으며, 포스트 코로나 시대를 대비한 웰니스관광정책의 방향과 대응전략에 대한 심도있는 분석과 웰니스관광지에 대한 실증적 연구가 필요할 것으로 판단된다.

안면신경 마비 환자에 있어서의 측두근 및 근막피판을 이용한 안면근 기능 회복 증례보고 (TEMPORALIS MUSCLE AND FASCIA TRANSPOSTITION FOR REHABILITATION OF THE PARALYZED FACE)

  • 정호용;엄인웅;민승기;우승철;정창주;권혁도
    • Maxillofacial Plastic and Reconstructive Surgery
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    • 제16권1호
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    • pp.12-20
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    • 1994
  • Generally, the totally paralyzed face can never be made normal by any of the current methods of reconstruction. Careful selection of patients based on sound judgment of what can and cannot be achieved by the proposed surgical technique is paramount to a successful operation and a satisfied patient. The results are related to time of delayed between injury and repair ; the shorter the delay the better are the results. The objectives in correcting facial paralysis are to achieve normal appearance at rest ; symmetry with voluntary motion ; control of the ocular, oral, and nasal sphincter ; symmetry with involuntary emotion and controlled balance when expressing when expressing emotion ; and no significant functional deficit secondary to the reconstructive surgery. It must be employed a number of concepts, for treatment of the paralyzed face by surgeon, depending on the cause, time interval, and wound characteristics, as well as the availability of and necessity for neuromuscular substitution. Nerve grafts, crossovers, muscle transfers, free muscle and nerve-muscle grafts, micronuerovascular muscle transfers, and regional muscle transposition are the principal methods being developed. We applied the temporal musle transposition for reanimation of unilatrally paralyzed faces for long times on two patients. The results of muscle transposition can be enhanced by the patient's learning to activate the transposed muscle by voluntary effort, and are best in patients who are motivated to learn the necessary motor-sensory coordination techniques.

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반류수탈암모니아 공정 (Sidestream Deammonification)

  • 박영현;김정미;최원영;유재철;이태호
    • 한국물환경학회지
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    • 제34권1호
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    • pp.109-120
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    • 2018
  • Sidestream in domestic wastewater treatment plants contains high concentration of ammonium, which increases nitrogen loading rate in the mainstream. The process for deammonification consisting of partial nitritation-anaerobic ammonium oxidation (ANAMMOX) and heterotrophic denitrification is an economical method of solving this problem. Currently, about 130 full-scale deammonification plants are fully operating around the world, but none is in Korea. In order to transfer the principal information about sidestream deammonification processes to researchers and operators, we summarized basic concepts, processes type, and key influence factors (e.g., concentration of nitrogen compounds, dissolved oxygen (DO), temperature, and pH). This review emphasis on the processes of single-stage sequencing batch reactor (SBR) deammonification, which are widely used as full-scale plants. Since simultaneous processes of partial nitritation, ANAMMOX and heterotrophic denitrification occur in a single reactor, the single-stage SBR deammonification requires appropriate control/monitoring strategies for several operating factors (DO and pH mostly) to achieve efficient and stable operation. In future, AB-process consisting of A-stage (energy harvesting from organics) and B-stage (ammonium removal without organics) will be applied to the wastewater treatment process. Thus, we suggest mainstream deammonification for B-stage connected with the sidestream deammonification as seeding source of ANAMMOX. We expect that many researchers will become more interested in the sidestream deammonification.