• Journal of Hospice and Palliative Care
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• 제24권3호
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• pp.135-143
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• 2021

End-of-life patients experience physical, mental, social, and existential distress. While medical personnel provide medication and care to alleviate patients' distress, listening to and interacting with patients remains essential for understanding their psychological condition. The most important tool, though difficult to implement in practice, is end-of-life discussion (EOLD). EOLD has been shown to have positive effects on end-of-life treatment choices, achievement of patients' life goals, improvements in the quality of life of patients and their families, and the prevention of depression and complicated grief among bereaved family members. EOLD is not often undertaken in clinical practice, however, due to hesitancy among medical personnel and patients for various reasons. In order to conduct an EOLD, the patient's judgment, psychiatric illnesses such as delirium and depression, and psychological issues such as the side effects of psychotropic drugs, denial, and collusion must be evaluated. Open and honest conversation, treatment goal setting, the doctor's familiarity with the patient's background, and attentiveness when providing information are important elements for any dialogue. Meaning-centered psychotherapy was developed to alleviate the existential distress of cancer patients, and its application may promote EOLD. The future development of meaning-centered psychotherapy in practice and in research is expected to further promote EOLD.

• 시스템엔지니어링학술지
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• 제18권2호
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• pp.11-23
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• 2022

Although artificial intelligence(AI) is a key technology in the digital transformation among the emerging technologies, there are concerns about the use of AI, so many countries have been trying to set up a proper regulation system. This study analyzes the cases of the regulation policies on AI in USA, EU and Korea with the aim to set up and improve proper AI policies and strategies in Korea. In USA, the establishment of the code of ethics for the use of AI is led by private sector. On the other side, Europe is strengthening competitiveness in the AI industry by consolidating regulations that are dispersed by EU members. Korea has also prepared and promoted policies for AI ethics, copyright and privacy protection at the national level and trying to change to a negative regulation system and improve regulations to close the gap between the leading countries and Korea in AI. Moreover, this study analyzed the course of policy changes of AI regulation policy centered on ACF(Advocacy Coalition Framework) model of Sabatier. Through this study, it proposes hyper-scale AI regulation policy recommendations for improving competitiveness and commercialization in Korea. This study is significant in that it can contribute to increasing the predictability of policy makers who have difficulties due to uncertainty and ambiguity in establishing regulatory policies caused by the emergence of hyper-scale artificial intelligence.

• 유통과학연구
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• 제22권9호
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• pp.73-84
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• 2024

Purpose: This study aims to comprehensively analyze what small business owners experience in relation to stressors, consequences, coping methods, and situational factors. Research design, data and methodology: In this study, qualitative research methodology was used to conduct in-depth interviews with 15 small business owners who started franchise convenience stores, and classify stressors and consequences, coping methods, and situational factors based on the transactional theory of stress. Results: The results of this study are as follows. First, stressors were classified into challenge stressor and hindrance stressor. Second, stress coping methods were classified into problem-focused and emotion-focused coping methods. Among them, SBOs mainly used problem-focused coping methods. Third, consequences were classified into physiological, emotional, and behavioral tension. Lastly, the moderating factorsin the process of stress coping were resilience, social support, and positive traits. Conclusion: Theoretically, the stressors and coping methods that small business owners experience during the start-up process were confirmed from an integrated theoretical perspective. Practically, building trust relationships with SBOs and providing realistic job introductions are required at the head office level, and on the individual side, efforts are required to strike an appropriate balance between behavioral and emotional stress coping and to form a consensus with family members.

• 복합신소재구조학회 논문집
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• 제6권2호
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• pp.105-117
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• 2015

The purpose of this study is to develop a new seismic resistant method by using precast concrete wall panels for existing low-rise, reinforced concrete beam-column buildings such as school buildings. Three quasi-static hysteresis loading tests were experimentally performed on one unreinforced beam-column specimen and two reinforced specimens with L-type precast wall panels. The results were analyzed to find that the specimen with anchored connection experienced shear failure, while the other specimen with steel plate connection principally manifested flexural failure. The ultimate strength of the specimens was determined to be the weaker of the shear strength of top connection and flexural strength at the critical section of precast panel. In this setup of L-type panel specimens, if a push loading is applied to the reinforced concrete column on one side and push the precast concrete panel, a pull loading from upper shear connection is to be applied to the other side of the top shear connection of precast panel. Since the composite flexural behavior of the two members govern the total behavior during the push loading process, the ultimate horizontal resistance of this specimen was not directly influenced by shear strength at the top connection of precast panel. However, the RC column and PC wall panel member mainly exhibited non-composite behavior during the pull loading process. The ultimate horizontal resistance was directly influenced by the shear strength of top connection because the pull loading from the beam applied directly to the upper shear connection. The analytical result for the internal shear resistance at the connection pursuant to the anchor shear design of ACI 318M-11 Appendix-D except for the equation to predict the concrete breakout failure strength at the concrete side, principally agreed with the experimental result based on the elastic analysis of Midas-Zen by using the largest loading from experiment.

• 한국식생활문화학회지
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• 제24권6호
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• pp.631-640
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• 2009

This study aim to identify preference of main and side dishes of 681 children who lived in Seoul and Gyoung-gi (Incheon) in 2007. To accomplish this, we divided the children into three age groups, an infancy group (below 6 years of age), a middle years group (between 7 and 12 years of age) and a juvenile group (above 12 years of age). Specifically, 145 children were in the infancy group (boys 68, girls 77), 300 children were in middle years group (boys 138, girls 162) and 236 children were in juveniles group (boys 131, girls 105). The average body mass index (BMI) of the parents of the respondents appeared to be normal, and the majority of the parents had bachelor degrees. Across all age groups, most fathers were office workers and most mothers were housewives. The preference for staple foods showed that the infancy group and the middle years group preferred rice the most, while the juvenile group preferred stir-fried rice the most out of 5 grain items. Evaluation of the preference for different types of noodles showed that both boys and girls from the infancy group preferred jajangmyun, while those in the middle years group and the juvenile group preferred spaghetti. For breads, both boys and girls from the infancy group had the highest preference for cake, while boys and girls in the middle years group and boys in the juvenile group preferred pizza the most, and girls from juvenile group preferred cake the most. Evaluation of the preference for soups and pot stew revealed that both boys and girls in the infancy group preferred seaweed soup, while boys from middle years group preferred seol-long-tang and girls from middle years group preferred seaweed soup. Boys and girls from the juvenile group preferred seol-long-tang the most. For hard-boiled foods and stir-fried foods, members of all age groups preferred beef boiled in soy sauce the most and hard-boiled peppers the least. Finally, comparison of the preference for roasted foods, seasoned vegetables and kimchi revealed that the infancy group preferred roasted seaweed the most and that both the middle years and juvenile group had the greatest preference for roasted galbi.

• 대한방사선기술학회지:방사선기술과학
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• 제30권1호
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• pp.53-59
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• 2007

방사선종사자와 환자 및 보호자의 안전을 위해 개정된 진단용방사선발생장치의 안전관리 규칙이 2006년 2월 10일 공포되었다. 이 규칙에는 중환자실, 수술실, 응급실을 제외한 곳의 방사선검사 시 반드시 방사선방어 용칸막이를 설치하도록 하고 있다. 이 연구의 목적은 이동형 진단용방사선발생장치를 안전하게 관리하여, 방사선으로 인한 위해를 방지하고, 환자 및 보호자들로부터 발생될 수 있는 고객 불만사항들을 최소화 하는데 있다. 조사대상은 병실 이동형 방사선검사환경과 본원의 의료정보시스템(KIS) 및 의료영상전송시스템(PACS)의 통계 데이터를 조사하였다. 그리고 병실 이동형 방사선검사 시 환자 상태 및 감염 등 관련 정보를 조사하여 자료화 하였다. 자료 분석을 통한 이동형 방사선검사에 대한 개정된 규칙을 적용할 경우 고려되는 문제점은 공간적인 측면에서의 제약, 운영적인 측면에서의 인력 및 비용, 업무적인 측면에서 환자 및 보호자 만족도저하 등의 문제가 예상되었다. 따라서 위와 같은 문제를 해결하기 위해 다인병실의 검사를 제한하고, 각 병동에 있는 치료실을 이용하여 검사하도록 하였다. 그 결과 전체 병실 이동형 방사선검사율이 50% 가까이 감소하였고, 거동이 양호한 환자의 병실 이동형 방사선검사율도 85% 이상 감소하였다. 이 결과는 새로운 법 규정에 따라 예상되는 인력, 비용, 고객만족도 저하의 문제들을 해결할 수 있는 대안이 될 수 있었다. 또한 병실 이동형 방사선검사로 인한 환자 및 보호자를 방사선노출로부터 보호하고, 검사로 인한 주위 환자 및 보호자의 불편을 최소화하는데 의의가 있다.다. 6. 성별에 따른 질환의 종류는 남자가 여자보다 pulmonary nodule이 많았고, 여자는 남자보다 cardiomegaly와 tortous aorta, scoliosis가 더 많았다. 7. 연령에 따른 질환의 종류는 35세 미만이 다른 연령대보다 scoliosis가 많았고, $40{\sim}49$세는 CP angle blunting, $35{\sim}39$세는 pulmonary nodule, 50세 이상은 cardiomegaly와 tortous aorta가 많았다. 수 있으리라고 사료된다.이었고(p<0.01) 포장에 대해서는 주택형태에 따라 농가나 아파트에 거주하는 주부가 단독주택이나 연립주택에 거주하는 주부보다 더 나쁘게 평가하는 경향이었다. (p<0.05) (9) 조사대상주부들은 시판제품의 가장 개선해야 할 점으로 위생성(37.0%), 가격(23.8%), 포장(15.6%), 맛(11.1%), 저장성(10.1%) 및 색(2.4%) 등의 순으로 지적하였고 주부의 거주지에 따라 대도시에 거주할수록 위생성을, 농어촌에 거주할수록 가격을 가장 개선해야 할 점으로 보는 경향이었다. (p<0.05)3.2%는 채소에는 cholesterol이 함유되어 있지 않으므로 채식이 건강에 좋다고 하였다. 또한 질병치료에 유효한 채소는 당근 등 42가지, 질병을 유발시키는 채소는 고사리 등 10종을 지적하였으며 이들은 과학적 증명이 가능하거나 민간요법으로 전해지고 있는 내용이다. 이상과 같이 덕성여자대학교 평생교육원에 다니는 주부의 채소 소비 형태에 대하여 살펴보았는데

• 벤처창업연구
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• 제14권2호
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• pp.235-247
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• 2019

기업 본연의 목적에 맞는 성과를 달성하기 위해서는 조직구성원들의 역할 내 행동과 역할 외 행동까지 종합적으로 파악하는 것이 주효하다. 하지만 지금까지 조직의 성과를 다루어온 기존의 연구들 가운데 기업의 사회적 책임 (CSR)과 관련하여 살펴본 연구는 상대적으로 미비하게 진행되어왔다. 특히, 조직의 성과가운데 조직구성원들이 자발적으로 헌신하는 행동인 조직시민행동은 기업의 성과를 높이는 매우 효과적인 변인으로 인식되고 있으나, 기업의 사회적 책임에 따른 조직시민행동을 규명한 연구는 드물게 진행되었다. 최근 국내의 기업들은 사회적 책임을 기업이 추가적으로 행하여야 하는 활동이 아닌 본연의 활동으로 인식하고 있기 때문에, 이러한 사회적 책임을 구성하는 요인들을 기업의 관점에서 조명하여 조직의 성과를 살펴보는 것은 매우 의미 있는 과업으로 여겨진다. 이를 실증하기 위해 본 연구는 전국의 대학과 공공기관에서 운영하고 있는 창업보육센터 입주기업으로부터 자료를 수집하여 총 303부의 표본을 활용하였다. 검증결과, 조직구성원이 받는 임금은 조직몰입에 영향을 미치지 않는 것으로 나타났으며, 노동시간과 노동환경은 조직몰입에 영향을 미치는 것으로 나타났다. 또한, 마케팅 측면에서 기업의 사회적 책임은 조직구성원의 조직신뢰에 영향을 미치는 것으로 나타났다. 조직몰입과 조직신뢰는 조직시민행동에 긍정적인 영향을 미치는 것으로 연구되었다. 아울러 본 연구는 조직구성원의 사회적 책임 인식 정도를 고인식 집단과 저인식 집단으로 나누고 이를 고용형태(정규직, 비정규직)에 따라 조직시민행동의 수준에 차이가 있는지에 대하여 분석하였으며, 분석결과 조직구성원의 사회적 책임 인식수준 보다는 고용형태가 조직시민행동 수준 결정에 높은 관여를 하고 있는 것으로 나타났다.

• 한국응급구조학회지
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• 제13권1호
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• pp.19-33
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• 2009

Purpose : To check the legal relation between rescue team and patient as well as legal responsibility for patient's damage intentionally or erroneously caused by rescue member, a public official, in the performance of relevant job ; to prevent legal dispute over rescue team and to present program for fair settlement of dispute and equitable and feasible burden of damage. Method : First, the legal principle of Civil Law, Criminal Law and Administrative Law related to the theme of this research will be investigated around research by literature. Second, the case of dispute related to rescue team will be introduced. Result: 1. If 119 rescue members as a public official intentionally or erroneously cause damage to patient in the performance of job, they shall bear civil, criminal and administrative responsibility. They shall bear civil responsibility for indemnity for damage due to default or tort. The typical criminal responsibility includes accidental homicide arising out of duty, preparing falsified official document, dereliction of duty, etc. In the administrative side, the state is responsible for indemnity for peculiar status of the rescue member, public official. 2. Though raising civil petition or legal dispute over unsatisfactory rescue service may be reasonable to guarantee the right of nation, such action may cause stress to rescue member as well as may lead to mental shrinking and defensive attitude only to take the basic first aid treatment which has low possibility of mistake instead of active first aid treatment so as to avoid legal responsibility. 3. The program that may prevent legal dispute over 119 rescue team includes expansion of manpower specialized in first aid treatment, enhancement of education on legal environment, development and application of standard job guideline, formation of mutual trust with patient, detailed explanation, preparing and keeping minute record, improvement of the rescue members' ability of first aid treatment and development of medical instruction mode. Conclusion : The best policy is to prevent legal dispute. If it is impossible to basically exclude the possibility of dispute, however, we need to make effort to minimize the occurrence, settle fairly and divide damage equitably and feasibly. To improve the preventible death rate of our first aid system to the level of advanced country, 119 rescue team which is in charge of the stage before hospital needs to positively enforce special first aid by improving the qualitative level of rescue service and to strive to prevent legal dispute that may occur in the process.

• 대한치과마취과학회지
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• 제14권1호
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• pp.29-39
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• 2014

Background: Dental phobia or anxiety of patients is the serious impediment to appropriate and effective dental treatment. Sedative technique helps to mitigate patients' fear and anxiety thus make them more cooperative and familiar to dental practices. With increasing attention to sedative dentistry in dentists, educational requirements and technical qualification also become stricter but actual survey on recent sedative dentistry has not been reported yet. Especially there is insufficient study reporting the survey of sedative dentistry subjected to Korean adults. In this paper, we conducted a survey study on the actual condition and practice related to sedation with a questionnaire to dentists in South Korea. Methods: The survey was done for members of The Korean Dental Society of Anesthesiology (KDSA), who had great interest in sedation and for whom survey-by-mail was convenient. 472 members of The KDSA having dental license and solid address and contact information were subjected to the survey by sending them survey questions about their sedative techniques and knowledge. In order to increase the response rate, small gifts were presented to those who accurately responded to the survey questions and text messages and phone calls were made to encourage their participation. We collected their responses over two months and examined the returned surveys. Statistical analysis was performed using IBM SPSS Statistics 21 for each question. Results: Out of 472 dentists, 181 responded (38.4% response rate). 63.0% (114 dentists; 77 male and 37 female) of respondents had experience on sedative technique and their average age was $39.8{\pm}7.6$ year. 74 of them were private practitioners, 17 of them were professors (14.9%), 11 of them were dentists-in-service (9.6%), 11 of them were residents (specialist training) (9.6%) and 1 of them was military doctors (0.9%). There were 89 dentists (78.1%) who were specialists or receiving trainings to be specialist, most of whom were pediatric dentists (55, 48.2%) and oral surgeon (31, 27.2%). The most popular route for drug medications was orderly oral, inhalational, intravenous medication. Combination of oral and inhalational medications or single use of intravenous medication was the most common. The most preferred sedative drug was pocral in oral sedation and midazolam in intravenous sedation. 48.2% of practitioners responded that they experienced side effects and emergency situations. Airway obstruction was the most frequent. Conclusions: Results from the survey show that the protocol and system for sedative dentistry have been improved compared to the past. Nevertheless, quality of emergency protocol, monitoring devices and preparation of sedative drugs was still insufficient to achieve safe sedative procedure. This study acquires novelty since actual survey on recent sedative dentistry for adult patients has not been reported yet.

• 한국콘텐츠학회논문지
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• 제12권10호
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• pp.237-253
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• 2012

본 연구는 이혼한 부부들이 현실적으로 이혼 후 대안의 하나로 고려해보거나 혹은 실행하는 재결합에 대하여 사이버상에서 이루어지는 이혼 후 재결합과 관련된 논의의 내용을 살펴보고자 하였다. 이를 위해 이혼 후 재결합과 관련된 인터넷 웹사이트에서 이혼 후 재결합을 고민 중인 다양한 일곱 가지 사례들을 택하여 각각의 사례들에 대해 사이버공동체 성원들이 재결합을 지지 혹은 반대하는 의견을 중심으로 이혼 후 재결합에 대한 인식을 살펴보았다. 그 결과 사이버공동체 성원들은 다양한 이유에서 이혼 후 재결합에 대해 지지하였다. 즉, 재결합에 대한 준비나 전배우자의 이혼 후 이성관계의 포용, 이혼이유의 성찰과 전배우자의 약점을 감싸주려는 노력이 전제되었을 때 그리고 혼인 신고 없이 재결합을 해보는 것, 자녀를 위해서는 재혼보다 재결합이 나을 것이라는 생각, 전배우자와의 이혼 후 성적 관계가 이루어진 경우 이혼 후 재결합을 지지하며 긍정적으로 인식하였다. 반면에 사이버공동체 성원들이 이혼 후 재결합에 대해 부정적으로 인식하며 반대하는 이유도 있었다. 즉, 시간이 갈수록 재결합의지가 약화될 것이라는 예측과 이혼한 전배우자에 대한 용서가 어려운 점, 전배우자의 무반성적이고 믿을 수 없는 태도, 외도로 인한 이혼의 경우 전배우자의 외도 재발의 우려, 재결합에 대한 전배우자의 진정성 결여, 성급한 재결합 결정으로 인한 후유증에 대한 염려, 이전의 갈등 해결 이 선행되지 않은 재결합으로 인한 재이혼의 문제, 전배우자의 단점 불변에 대한 생각 등으로 이혼 후 재결합에 대해 부정적으로 인식하였다. 아직 재결합을 하지 않고 재결합을 고민 중인 사례들에 대해 사이버공동체 성원들의 찬반 의견과 조언이 다양했던 반면, 자녀를 위해 이미 재결합을 결정한 사례에 대해서는 대부분의 사이버공동체 성원들은 재결합을 지지하며 긍정적으로 인식하였다. 이러한 연구의 결과는 이혼 후 재결합에 대한 학문적 논의와 사회적 관심이 미흡한 상황에서 이혼증가로 익명성이 보장된 사이버공간상에서 이혼 후 재결합을 둘러싼 논의들이 활발히 이루어지고 있음을 보여주며 아울러 이혼 후 재결합에 대한 사이버공동체 참여자들의 인식을 통해 추후로 이혼 후 재결합의 성패요인에 대한 학문적, 실천적 논의를 확장시켜 가는데 일조할 수 있을 것이다.