• 가정간호학회지
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• 제8권2호
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• pp.159-170
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• 2001

Client(patient) satisfaction has been used for a variety of purposes in different settings, yet, those receiving home care services have been the focus of few satisfaction studies. Satisfaction is considered an indicator of quality of care and is also being used to assess the performance of home care providers and home health care delivery at multiple levels. The aim of this study was to develop the tool for evaluating client satisfaction in several aspects with home care service while maintaining or achieving acceptable reliability and validity. Firstly, Client Satisfaction Instrument made preliminary of 43 items composed basic 6 criteria and 7 indicators, based on a review of literature, quality improvement and client satisfaction findings in home care. Secondly, there were consisted in two expert panel groups who were made in professionals of research and practice in home care field. The tool was modified to 6 criteria and 7 indicators, 25 items after reviewing by two expert panel groups. The content validity index of the tool was above 0.8 and the results of internal consistency was more than 0.8 in all items. Finally. The Client Satisfaction Instrument in Home Care Service was made up 6 criteria such as client satisfaction of nurses's instruction of home care educational need. knowledge/technique/attitude of homecare nurses's performance. interpersonal relationship and emotional support of nurse. easiness of homecare accessibility, continuity of homecare service. overall efficacy of homecare use, 7 indicators. and 25 items. The results of evaluating client satisfaction will be able to contribute in quality improvement and service marketing in home care.

• The Journal of Asian Finance, Economics and Business
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• 제8권2호
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• pp.243-253
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• 2021

This study aims to examine (1) the association between the chief executive officer tenure and audit quality, (2) the relationship between chief executive officer duality and audit quality, (3) the association between board independence and audit quality, (4) the relationship between board size and audit quality, and (5) the role of controlling variables (client size, leverage debt, and business complexity) in controlling these relationships. The research sample includes 325 financial reports from manufacturing firms listed in Amman Stock exchange over the 2014-2018 period. The study relationships are tested by using logistic regression. The results revealed a negative relationship, but not significant between CEO tenure and independent directors with audit quality. In addition, the results showed there is a negative effect of CEO duality on audit quality; also the results revealed that there is a statistically significant effect on the board of directors (board size) on the AQ. In general, the coefficient estimates of controlling variables show that client size and leverage debt positively affect audit quality, and on the contrary, business complexity has an insignificant positive relationship with audit quality. The summary of the study findings play an active role to external auditor opinion on business practice in towered the corporate governance system.

• 한국사회복지학
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• 제61권3호
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• pp.103-127
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• 2009

사례관리의 수행요소가 지역거주 정신장애인의 삶의 질에 미치는 영향이 소비자 만족도에 의해 어떻게 매개되는지를 분석하였다. 분석대상은 지역사회정신보건서비스 기관 중 사례관리를 수행하는 18개 기관과, 이 기관의 서비스를 이용하는 381명의 정신장애인이다. 설문조사를 실시하였으며, 클라이언트 수준과 기관 수준의 자료를 동시에 고려하는 위계적 선형모형(HLM: Hierarchical Lineral Model)을 적용하여 검증하였다. 주요한 연구 결과는 실무자의 담당 사례량이 삶의 질에 직접적 영향을 주었다. 사례관리팀 접근은 소비자 만족도에 직접적 영향을 미친 반면, 소비자 만족도를 매개하여 삶의 질에 이르는 간접적 영향은 미미하였다. 적절한 사례량의 확보 및 사례관리자 확대, 팀접근의 유용성에 대한 실천적 함의를 제안하였다.

• 분석과 대안
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• 제7권1호
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• pp.83-114
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• 2023

제1차 세계대전을 다루는 국제정치에 대한 이전의 연구들은 주로 세력균형과 동맹 문제를 전쟁의 원인으로 지목했다. 이러한 시각들은 전쟁의 직접적인 원인인 사라예보 암살을 단순한 계기로 보았다. 결과적으로, 이러한 연구들은 '무엇이 전쟁을 피할 수 없게 만들었는지'를 설명할 수 있지만, 여전히 '왜 전쟁이 발칸 반도에서 시작되었고, 어떻게 유럽 전역으로 퍼졌는지'를 완전히 설명하지 못했다. 이러한 선행연구들의 한계를 보완하기 위해 본 연구는 독일-오스트리아와 러시아-세르비아의 갈등으로 시작된 발칸반도의 맥락에서 1차 세계대전의 기원을 찾는 것을 목표로 한다. 이를 위해 본 연구는 슈메이커와 스파니에의 국가 간 후견-피후견 관계와 위기 조작의 개념을 통해 발칸 위기의 역사적 배경과 위기의 전개를 분석하였다. 그 결과, 러시아와 독일의 경쟁과 그들의 피후견국들의 위기 조종 시도가 반드시 전쟁으로 이어지지는 않았음을 확인하였다. 그러나 위기 조종은 잠재적으로 그리고 누적적으로 나타날 후견국의 경쟁적 사고방식을 심어주었다. 이후 예상치 못한 위기가 발생했고, 경쟁 후견국들은 상대가 대전략적 음모와 도전을 계획하고 있다고 의심했다. 그 결과 그들은 피후견국들에 의한 위기 조작에 취약해졌다. 이러한 상황은 발칸의 후견-피후견 관계의 맥락에서 제1차 세계 대전의 발발 원인이 되었다.

• 한국사회복지학
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• 제4권
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• pp.103-120
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• 1983

The theory of psychotherapy was established by a single case study. Even though it was lack of generality, it must have been a basic important role in the clinical field. Under the above assumption, the therapist had only one client as a case study that couldn't be well adjusted and had many conflicts because he not only had many complexes, but could'nt recognize complexes themselves. The chief problems to the client who complained the psychosomatic symptoms and anxieties were assumed dependency and inferiority complex. In order to recognize these complexes, therapist had 30 interview section with him. The major goal of therapy was the maturation by which the ability of recognition of complex was obtained. The measurement of effect as to whether the client was matured or not was the advancement of schoolwork result and the progress of sociometric rating. Besides, the therapist exerted all the possible effort in interpreting psycological problems was found in every section of interview. The result of this therapy was known as a full progress in academic credits and in the development of human relationship as same as therapist's expectation. In this study, the therapist used the psychoanalytic insight therapy and the client-centered therapy as the therapeutic method for the client.

• Biomolecules & Therapeutics
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• 제29권1호
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• pp.73-82
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• 2021

Hsp90 is often overexpressed with activated form in cancer cells, and many key cellular proteins are dependent upon the Hsp90 machinery (these proteins are called "client protein"). Nowadays, more client proteins and more inhibitors of Hsp90 are being discovered. Chaetocin has been identified as an inhibitor of histone methyl transferase SUV39H1. Herein, we find that Chaetocin is an inhibitor of Hsp90 which binds to the C-terminal of Hsp90α. Chaetocin inhibited a variety of Hsp90 client proteins including AMl1-ETO and BCL-ABL, the mutant fusion-protein in the K562 and HL-60 cells. SUV39H1 mediates epigenetic events in the pathophysiology of hematopoietic disorders. We found that inhibition of Hsp90 by Chaetocin and 17-AAG had ability to induce degradation of SUV39H1 through proteasome pathway. In addition, SUV39H1 interacted with Hsp90 through co-chaperone HOP. These results suggest that SUV39H1 belongs to a client protein of Hsp90. Moreover, Chaetocin was able to induce cell differentiation in the two cells in the concentration range of Hsp90 inhibition. Altogether, our results demonstrate that SUV39H1 is a new client protein of Hsp90 degradated by Chaetocin as a novel C-terminal inhibitor of Hsp90. The study establishes a new relationship of Chaetocin and SUV39H1, and paves an avenue for exploring a new strategy to target SUV39H1 by inhibition of Hsp90 in leukemia.

• 대한간호학회지
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• 제38권6호
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• pp.789-801
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• 2008

Purpose: The purpose of this study was to develop a substantive theory of case management (CM) practice by investigating the experience of nurse case managers caring for Medical Aid enrollees in Korea. Methods: A total of 12 nurses were interviewed regarding their own experience in CM practice. Data were recorded and analyzed using grounded theory. Results: Empowerment was the core category of CM for Medical Aid enrollees. The case managers engaged in five phases as follows, phase of inquiring in advance, building a relationship with the client, giving the client critical mind, facilitating positive changes in the client's use of healthcare services, and maintaining relationship bonds. These phases moved gradually and were circular if necessary. Also, they were accelerated or slowed depending on factors including clients' characteristics, case managers' competency level, families' support level, and availability of community resources. Conclusion: This study helps understand what CM practice is and how nurses are performing this innovative CM role. It is recommended that nurse leaders and policy makers integrate empowerment as a core category and the five critical CM phases into future CM programs.

• 한국전산구조공학회논문집
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• 제19권2호
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• pp.161-169
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• 2006

본 연구에서는 효과적인 인터넷 기반 구조해석 플랫폼을 개발하기 위하여 컴포넌트 모델을 제시하였다. 구조해석의 특성상 복잡한 알고리즘을 수행해야 하므로 다수 사용자에 대한 원활한 서비스를 위해 서버 연산 보다는 X-Internet을 이용한 클라이언트 연산을 실시하였다. 기존 상용 해석프로그램들의 사용자 편의적인 인터페이스에 부합되도록 Smart Client를 이용하여 윈도우 기반 인터페이스를 구축하였으며, 개발된 플랫폼의 재사용 및 확장성을 고려하여 컴포넌트 기반 프로그래밍을 함으로써 수정 및 변화에 능동적인 대처가 가능하게 하였다. 컴포넌트는 분할-단순화의 기법을 적용하여 전체 시스템을 표현하였고, 상위 컴포넌트와 하위 컴포넌트, 컴포넌트와 객체간의 관계에는 공통 인터페이스를 사용함으로써 라이브러리간의 연결을 명확히 구분하였다. 설계검토를 XML WebService를 사용하여 이기종 플렛폼과의 데이터 통신을 실시함으로써 차후의 통합 CAE에서의 데이터 교환의 기틀을 제시하였다. 2차원 트러스 구조물의 정적해석 및 설계검토를 수행하여 개발한 플랫폼의 효율성을 검증하였다.

• 한국간호교육학회지
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• 제6권2호
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• pp.199-217
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• 2000

This descriptive longitudinal study was done to identify the ethical value of nursing students and to compare the differences of results with one year interval. The data were collected twice in 1999 and in 2000, from the 82 first year and 64 second year nursing students who have been attending at C college in Chonnam province. The analysis of data was done by frequency, mean, paired t-test, t-test, and ANOVA. The results of data were summarized as follows: 1. The total ethical value score of the first year students was 3.48 (maximum : 5) and, one year later, the score was lowered to 3.26. Especially, the degree of their ethical value was significantly decreased in the sub-areas of human-life and nurse-nursing task. 2. The total ethical value score of the second year students was 3.24 and, one year later, the score was increased to 3.39. The degree of their ethical value was significantly increased in the subarea of nurse- client relationship. 3. In the subarea of human-life, the mean score of ethical value was 3.25 and, one year later, the score was 2.95. The degree of ethical value was significantly lowered among the first year students with an utilitarian position. 4. In the subarea of nurse-client relationship, the mean score of ethical value was 3.39 and, one year later, the score was 3.67. The degree of ethical value was significantly increased among the second year students with a deontological position. 5. In the subarea of nurse-nursing task relationship, the mean score of ethical value was 3.38 and, one year later, the mean score was 3.08. The degree of ethical value was significantly decreased among the first year students. 6. In the subarea of nurse-collaboration relationship, the mean score of ethical value was 3.96 and, one year later, the mean score was 4.08 in second year students. There was no statistically significant difference. 7. The ethical values of nursing students were significantly different depending on their religion, length of study, attitude toward nursing and the experience of dying during their clinical practice.

• 한국정보과학회논문지:데이타베이스
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• 제28권3호
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• pp.512-527
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• 2001

클라이언트-서버 공간 데이터베이스에서는 대용량의 공간 데이터를 네트웍을 통해 접근하는 과부하를 피하기 위해 캐쉬를 사용한다. 이 논문은 클라이언트에서 지도를 수정하는 변경트랜잭션들의 동시성 지원과 일관성 제어 문제를 다룬다. 지도를 수정하는 클라이언트 트랜잭션은 화면을 통해 대화식으로 진행되는 긴 트랜잭션이며, 변경 대상인 공간 객체는 공간 관련성에 의한 종속성을 가지는 특징이 있다. 또한, 캐쉬의 동적 중복에 대한 일관성을 제어하기 위해서는 변경 후 서버 뿐만 아니라 다른 클라이언트들로 전파가 필요하며, 이러한 변경 전파로 인한 통신 부하는 캐쉬의 이점을 잃지 않도록 최소화 되어야한다. 이 논문은 CR 잠금과 CX 잠금을 이용한 캐쉬 영역 잠금법을 제시하여 공간 관련성에 의한 변경 종속성을 해결한다. 또한, CS 잠금 및 COD 잠금을 제시하여 낙관적인 탐지기반 기법 으로 일관성 제어를 지원함으로써 클라이언트들의 메시지 부하 최소화를 지원한다. 그리고, 이러한 확장된 잠금을 적용한 공간 관련성 기반 2PC 프로토콜을 통하여 긴 트랜잭션들 간 의 정확한 지도 수정을 보장한다.