• 대한간호학회지
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• 제30권6호
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• pp.1488-1502
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• 2000

This study, based on current home nursing services, aims at promoting measures for establishing a community-based home nursing system derived from the pilot home nursing demonstration project conducted by the Seoul Nurses Association. The study was based on an analysis of home nursing records from march 1993 to December 1999. The following is a summary analysis, based on individual characteristics of the patients, the organization, which recommended the service for their patients and personnel services. 1. The service has been used by many elderly people 60years of age or older(66.4%). and married people(60.9%). The average number of visits by service personnel for patients of city government was 23.5. This is 2.5 times as many visits by general patients. General patients(20.2%) had only one visit from service personnel, while 65.5% of patients of city government had 10 or more visits. Particularly, for government recommended patients, 72.7% of the patients were recommended by nurses, while only 21.9% where referred to the services by doctors. The main focus of a home nursing service was to maintain present health status (53.4%), and hospice(11.6%). Also to increase hospital-based home nursing services focused on recovery(55.9%) and maintain present health conditions (19.0%). 2. For general patients, 42.0% of patients were suffering from problems related to CVA, 11.3% from high blood pressure, and for patients referred from city, 21.2% from skeletal muscular disease. Results of home nursing services 29.4% of patients were able to recover or maintain their health status, but 48.9% of the patients died. Another main point of community-based home nursing services is medication(6.7%), other basic nursing services(6.1%), special treatment, instructions on how to use medical devices(5.9%), change of physical posture(4.6%), and training on changing physical positions(4.7%). As mentioned above there were some differences between the characteristics of patients who used the pilot home nursing service conducted by the Seoul Nurses Association and those hospital-based service users. The results are believed to be useful to support a community-based home nursing service model. Particularly, patients under medical supervision and patients recommended by government-run health clinics show a higher frequency and longer use of home nursing services compared to general patients or hospital-based home nursing service users. According to the study, nurses accounted for a large number of recommendations for home nursing services. Many patients with CVA, high blood pressure, skeletal muscular disease and bedsores used community-based home nursing services, while others used the service for minor treatments or maintaining their current health status. Based on the study, the researchers make several suggestions to establish a community- based home nursing service system. First, different ways of setting up a community-based home nursing system have to be mapped out based on the evaluation of the pilot home nursing service conducted by the Seoul Nurses Association. Secondly, a new, community-based, home health care nursing service model, and reimbursement payment system have to be developed. This is based on the outcome of the analysis, and implemented policy. Accordingly, efforts are needed to develop a community- based home nursing system with an intermediary role to promote the visiting nursing services of government-run health centers.

• 대한간호학회지
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• 제45권2호
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• pp.169-182
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• 2015

Purpose: This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea. Methods: Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis. Results: Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

• 한국문헌정보학회지
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• 제48권3호
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• pp.335-351
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• 2014

이 연구는 전문도서관의 특성에 맞는 SNS 운영방안을 제시하는 것으로, 해양과학도서관의 사례를 중심으로 SNS 운영조직, 인력, 콘텐츠, 홍보에 관하여 심층적으로 분석하였다. 연구를 통해 도출된 전문도서관의 SNS 운영방안을 요약하면, (1) 운영목적에 적합한 SNS 채널의 선택, (2) SNS 운영에 대한 도서관 업무분장, (3) 연성형 T/F팀 조직 운영과 전담인력 지정, (4) 전문주제별 콘텐츠 특성화, (5) 참여형 이벤트 중심의 온 오프라인 홍보 실시, (6) 정기적인 로그분석을 통한 콘텐츠 개선, (7) SNS 이용을 통한 도서관 홈페이지 이용 유도 등이 있다. 또한 전문도서관 SNS 운영의 발전방향으로 전문도서관 직원 간 업무소통 및 협력강화, 모기관 연구 및 학술성과의 확산, 이용자와의 소통창구로서 역할 강화, 도서관의 소셜 큐레이터 역할 수행을 제안하였다.

• 한국조리학회지
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• 제20권2호
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• pp.152-164
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• 2014

본 연구에서는 요리활동 프로그램의 교육적 가치와 효과를 인식하여 아동 요리활동 프로그램에 대한 학부모의 기대와 만족을 비교하고, 만족도에 영향을 미치는 요인을 분석하였다. 자녀에게 요리활동 프로그램을 시행하고 있거나 시행한 경험이 있는 학부모를 대상으로 총254개의 표본을 바탕으로, 대응표본 t검정, IPA분석, 회귀분석, One-way ANOVA를 시행하였고, Duncan's multiple test를 통해 사후 검증을 실시하였다. 연구결과, 요리활동 프로그램의 기대와 만족의 차이에는 '언어 표현능력 향상', '수개념 및 과학개념 발달', '내면을 표현하는 표현력 신장', '정서적 안정감과 스트레스 해소에 도움'이 유의한 차이가 있는 것으로 나타났다. 또한 요리활동 프로그램의 만족도에 영향을 미치는 요인으로 '교육내용 및 방법'이 나타났으며, 요리활동 프로그램 기관에 따른 만족도의 차이를 알아본 결과 유의한 차이가 있는 것으로 나타났다.

• Journal of Information Technology Applications and Management
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• 제20권3_spc호
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• pp.259-278
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• 2013

At the center of the repeating evolution of IT industry, there is mobile computing in the ubiquitous environment, and the increasing usage of smart phones contribute more to its growth. P corporation co-developed with Google and implemented smart work system called SWP for the purpose of 'communication and collaboration with co-workers' beyond the general goal of increasing productivity and comfort of employees. The primary objective of this study is to objectively analyze the influence of the effect factor from end user's perspective and user satisfaction on SWP usage, intention for continuous usage and individual performance. To accomplish this research purpose, this study established research models and hypothesis by collective review about information system success models, and tested the research hypotheses using the structural equation modeling technique by data collected from 320 SWP system users of P corporation. Variations for system satisfaction evaluation standard are 1)SW system usage 2) intention for continuous usage 3) individual performance, effect variations are 1) social factors 2) technical factors 3) combination of social and technical factors. Therefore, this study is about influence factors on success of SWP system and how the factors impact the outcome. The test results of this research model is summarized as follows. Firstly, system user's satisfaction had positive impact on all three; SWP system usage, intention for continuous usage and individual performance. Secondly, social factor 'SWP control system' and technical factor 'information quality' and 'system quality' had positive impact on SWP system user satisfaction, while social factor 'shared value' and technical factor 'service quality' did not have significant effect on user satisfaction. Shared value however, had interactive effect with 'information quality' and 'service quality'. This study is expected to contribute to spread of academic research on smart work system by suggesting a model that can show important factors for corporation while explaining the successful implementation of SWP and its continuous usage.

• 한국사회복지학
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• 제64권1호
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• pp.5-30
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• 2012

본 연구는 지역사회복지관의 주민조직 활동에서 지역주민이 구성한 언어를 토대로 주민조직과 참여자의 변화과정을 살펴봄으로써 근린지역사회조직화모델의 효과를 이해하기 위해 수행되었다. 연구결과 주민조직의 조직적, 개인적 차원에서의 변화과정을 확인할 수 있었다. 먼저 주민조직차원의 변화과정을 살펴보면 참여자들은 문제의 발견과 주민조직을 거쳐 조직의 목표를 설정하고 조직의 질적, 양적 변화의 의미를 구성한다. 개인적 차원에서 참여자들은 '갇힌 세계로부터의 탈출'을 거쳐 가치 있는 일을 통한 '나의 재구성'단계를 거치게 된다. 다음으로 참여자는 가족을 통해, 자신을 자랑스러운 존재로 재규정하고 있고 또한 이웃을 통해, '이웃은 곧 나'라는 새로운 의미를 구성한다. 마지막으로 연구결과를 토대로, 근린지역사회조직화모델의 효과를 높이기 위한 실천적 제언을 했다.

• Journal of Microbiology and Biotechnology
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• 제30권6호
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• pp.804-810
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• 2020

The profitability of the dairy and beef industries is largely affected by the actually achieved reproductive efficiency. Although a large proportion of cows worldwide are bred by artificial insemination (AI) services, many potential factors affecting the outcome of pregnancy by AI remain to be addressed. In the present study, we investigated the vaginal microbiota by high-throughput sequencing of 16S rRNA gene and analyzed their association with differential pregnancy outcomes (i.e., pregnant vs. nonpregnant) of multiple AI services in dairy cows. Sequencing of the V3-V4 region totally produced 512,046 high-quality sequences that were computationally clustered into 2,584 operational taxonomic units (OTUs). All OTUs were taxonomically assigned to 10 bacterial phyla. There were statistically significant differences among the three AI service times (T1, T2 and T3) with respect to the Shannon index and number of observed OTUs (p < 0.05). Bray-Curtis distance-based PCoA analysis also revealed that T2 group could be significantly distinguished from T1 and T3. However, no significant difference between the pregnant and nonpregnant cows was found in confidence regarding both alpha diversity and beta diversity. These results could help us better understand the possible influence of vaginal microbial community on pregnancy outcomes of AI service in cows.

• 한국환경복원기술학회지
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• 제20권6호
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• pp.93-105
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• 2017

This study aims to establish the integrated system of national protected areas by identifying OECMs which are not officially recognized as protected areas, but effectively and enduringly deliver the conservation of biodiversity and ecosystem service to expand them up to the level recommended by the international community. In order to identify them, candidates for OECMs were listed and it was developed a three-step systematic screening tool based on preconditions, essential characteristics, and sustainable means for conservation outcome of them. As a result of using the tool that considers domestic conditions, seven areas which included Development Restriction Zones, Urban Natural Park Areas, Fishery Resources Protection Zones, Riparian Zones, Natural Recreation Forest Zones, Water Source Protection Areas, and Buffer Zones for Korea National Arboretum were selected as OECMs. And the system of national protected areas was built by integrating them with national protected areas(NPA). Compared with the NPA, the system has been expanded by them and has reached to 17.88%, exceeding the target of 17% for terrestrial and inland water protections. It was proven that they were very effective in enlarging these protections. However, it failed to contribute to the target for marine protections. The expansion of marine protected areas requires different approaches, such as discovering new types of marine protected areas or linking them to biologically important marine areas all over the world.

• 보건행정학회지
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• 제28권2호
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• pp.168-177
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• 2018

Background: This study investigates the potential volume and outcome association of coronary heart disease (CHD) patients who have undergone percutaneous coronary intervention (PCI) using a large and representative sample. Methods: We used a National Health Insurance Service-Cohort Sample Database from 2002 to 2013 released by the Korean National Health Insurance Service. A total of 8,908 subjects were analyzed. The primary analysis was based on Cox proportional hazards models to examine our hypothesis. Results: After adjusting for confounders, the hazard ratio of thirty-day and 1-year mortality in hospitals with a low volume of CHD patients with PCI was 2.8 and 2.2 times higher (p=0.00) compared to hospitals with a high volume of CHD patients with PCI, respectively. Thirty-day and 1-year mortality of CHD patients with PCI in low-volume hospitals admitted through the emergency room were 3.101 (p=0.00) and 2.8 times higher (p=0.01) than those in high-volume hospitals, respectively. Only 30-day mortality in low-volume hospitals of angina pectoris and myocardial infarction patients with PCI was 5.3 and 2.4 times those in high-volume hospitals with PCI, respectively. Conclusion: Mortality was significantly lower when PCI was performed in a high-volume hospital than in a low-volume hospital. Among patients admitted through the emergency room and diagnosed with angina pectoris, total PCI volume (low vs. high) was associated with significantly greater cardiac mortality risk of CHD patients. Thus, There is a need for better strategic approaches from both clinical and health policy standpoints for treatment of CHD patients.

• 정보관리학회지
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• 제27권3호
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• pp.189-206
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• 2010

본 연구는 국내 공공도서관에 근무하는 사서들에 대한 정보이용자들의 인식정도를 73개의 표본을 대상으로 분석이 이루어졌다. 공공도서관 이용자들의 평소 사서들의 근무태도와 자질 및 서비스수준에 대한 인식정도를 성별집단으로 나누어 분석하였다. 이를 위해 기존연구를 기반으로 설문지를 3가지 유형으로 수정, 작성하여 조사하였다. 첫째, 사서의 근무태도에 관한 인식도, 둘째, 사서의 자질에 관한 인식도, 셋째, 사서들의 정보이용자와의 커뮤니케이션에 관한 인식도를 명목척도와 등간척도를 이용하였다. 본 연구결과, 첫째, 사서들의 근무태도에 관한 연구결과 평균값=2.81로 전반적으로 낮게 나타났다. 둘째, 사서의 전문직으로서의 자질에 관한 정도는 평균값=2.84로 낮게 나타났다. 마지막으로 이용자들과의 커뮤니케이션에 대한 서비스 수준에 대한 만족도 역시 평균값=2.89로 역시 낮게 나타났다. 각 항목별 성별 집단간에는 다소 인식의 차이를 보였다. 향후 다양한 집단별 요인분석을 통한 선행연구 결과들과의 비교연구가 필요할 것이다.