• 대한간호
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• 제35권1호
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• pp.66-80
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• 1996

Reacently one the main issues has been to develop useful strategies to improve hospital services for patients in the health care delivery system in our rapidly changing society. This study has focused on exploring the perceptions that the clinical nurses have concerning who they are and what they are going to become in the days ahead as medical care reaches a new stage of advancement centered around the patient and hospital services. This study in also based upon the premise that the role of the clinical nurse practitioner. is central to the progress of any patient centered nursing program. This study was carried out by the members of the academic committee of Seoul Branch of Korean Nurses Association from January 1995 to February 1995. The interview method was a semi-structured questionnaire used to collect data from 25 staff nurses who were working more than 3 years at 3 different university hospitals in Seoul. The 6 interviews were selected from each hospital and they were trained for the interviewing techniques. The data were analysed qualitatively and 10 elements of the nurse's responsibilities classified such as caring for the patients (which includes specific medical care as well as general); assessing; diagnosing; coordinating with other health personnel; careful listening; teaching and the patient guiding; administering the prescriptions; giving information and counseling the patient; ward management. Although the premise of this study was based on a wholistic concept, the overall behavioral aspects of hospital clinical nursing were the major thrust of the questionnaire. Broad philosophical questions regarding the nature of nursing need to be further explored. The data gathered for this questionnaire should be useful as a reenforcement tool in educating nursing students as well as in continuing education for clinical nurses. For the future, another study should be done to determine the nursing/patient relationship.

• Asian Pacific Journal of Cancer Prevention
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• 제16권7호
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• pp.3051-3056
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• 2015

Background: Skin self-examination (SSE) may facilitate early diagnosis of melanoma at a potentially curable stage. Little data are available concerning the SSE frequency and knowledge about the symptoms of melanoma in non-patient populations. The aim of our study was to assess the performance of skin self-examination, recognition of potential melanoma symptoms as well as behavior related to sun exposure among web users in Poland. Materials and Methods: A cross-sectional study was conducted among readers of a scientific portal. Invited respondents were asked to complete an online questionnaire. Finally, statistical analysis was conducted on 4,919 surveys towards potential clinical signs of melanoma and SSE performance. Results: Approximately 60% of respondents had ever performed SSE in their life. Only 18.4 % declared performance on a regular, monthly, basis. Factors promoting this activity were established to be bigger place of residence, higher education and sensitive skin phototype, higher level of knowledge concerning melanoma, safe tanning rules and, especially, past surgical excision of naevi. Declared longer use of tanning beds was linked to understanding better the importance of clinical features of melanoma. Awareness of hazardous behavior during sunbathing is associated with the attempts to change them. Conclusions: Regular SSE is not a common practice, whilst the knowledge about the clinical features of melanoma is varied. Therefore, constant pressure should be put on promotion of regular skin self-examination and teaching its proper techniques, including familiarity with the ABCD (asymmetry; border; color; diameter) rule and its extension of "EFG" (elevated, firm, progressive growth) criteria.

• 대한전자공학회논문지SP
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• 제41권6호
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• pp.127-135
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• 2004

멀티미디어 기술의 광범위한 보급으로 여러 분야에서 영상처리 기술 인력에 대한 수요가 증가하고 있으나, 실무능력을 가진 전문 인력의 수는 시장의 요구에 비해 매우 적다. 영상처리 분야에 실무능력을 갖춘 전문 인력을 양성하기 위해서는 이론 교육과정과 함께 학습한 이론을 실제 영상자료에 적용하고 적용된 결과를 분석해 볼 수 있는 실습과정을 체계적으로 지원할 수 있는 통합된 교육 환경이 필요하다. 본 논문에서는 효율적인 영상처리 교육이 이루어지도록 이론적인 내용과 이론에 따른 다양한 해법을 직접 체험해 볼 수 있고 학습과정에서 얻어진 새로운 아이디어를 쉽게 구현해 볼 수 있는 통합 환경인 MTES(Multimedia Technology Education System)를 제안한다. MTES는 영상처리 개발 환경인 Hello-Vision을 시뮬레이션 환경으로 사용할 수 있도록 수정하였으며, 이론교육환경과 이론과 실습이 체계적으로 이루어지도록 제어하는 제어관리자를 개발하여 효과적인 영상처리 교육 환경이 되도록 개발하였다.

• 한국의상디자인학회지
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• 제10권3호
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• pp.111-126
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• 2008

This article aims to discover the current status and appropriate way to research Gyubang craft, expecting its development and preservation, and elevating it to Korea's unique artistic textile culture. It also searches improved methods for Gyubang craft as the following: First, in order to avoid confusions about Gyubang craft, appropriate concepts and definitions of Gyubang craft must be settled through a discussion among experts. Second, by activating economic activities at lower ratio, among purposes of Gyubang craft, achievements must be elevated. Third, in order to settle down the difficulties of Gyubang craft, a variety of methods such as effective sewing machines and manufacturing techniques as well as providing materials at a reasonable price, considering practical ways through diversifying products, elevating the economy of crafts, exploring sales routes, improving educational contents, and expanding educational places must be facilitated. Fourth, for nurturing talented and excellent human resources in the area of Gyubang craft, the followings should be considered: diversifying contents of education, developing textbooks, improving instructors' quality, providing reasonable cost of education, educating on the utilization and application of Gyubang craft, introducing efficient teaching methods through textbooks and multimedia, awarding 'certificates' to trainees, and permitting certificate holders' to instruct Gyubang craft. Finally, it is convinced that the achievement of production, pride of preserving tradition, pleasure of procedural work, economic activities as experts, and sales of products will be reinforced, and the population for Gyubang craft is also expected to increase. By elevating Gyubang craft into Korea's traditional textile art, Korea's global competitiveness in the area of textile should be strengthened.

• Archives of Plastic Surgery
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• 제40권4호
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• pp.304-311
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• 2013

With an increasing emphasis on microsurgery skill acquisition through simulated training, the need has been identified for standardised training programmes in microsurgery. We have reviewed microsurgery training courses available across the six continents of the World. Data was collected of relevant published output from PubMed, MEDLINE (Ovid), and EMBASE (Ovid) searches, and from information available on the Internet of up to six established microsurgery course from each of the six continents of the World. Fellowships and courses that concentrate on flap harvesting rather than microsurgical techniques were excluded. We identified 27 centres offering 39 courses. Total course length ranged from 20 hours to 1,950 hours. Student-to-teacher ratios ranged from 2:1 to 8:1. Only two-thirds of courses offered in-vivo animal models. Instructions in microvascular end-to-end and end-to-side anastomoses were common, but peripheral nerve repair or free groin flap transfer were not consistently offered. Methods of assessment ranged from no formal assessment, where an instructor monitored and gave instant feedback, through immediate assessment of patency and critique on quality of repair, to delayed re-assessment of patency after a 12 to 24 hours period. Globally, training in microsurgery is heterogeneous, with variations primarily due to resource and regulation of animal experimentation. Despite some merit to diversity in curricula, there should be a global minimum standard for microsurgery training.

• Smart Structures and Systems
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• 제25권5호
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• pp.605-617
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• 2020

The existence of damages in structures causes changes in the physical properties by reducing the modal parameters. In this paper, we develop a two-stages approach based on normalized Modal Strain Energy Damage Indicator (nMSEDI) for quick applications to predict the location of damage. A two-dimensional IsoGeometric Analysis (2D-IGA), Machine Learning Algorithm (MLA) and optimization techniques are combined to create a new tool. In the first stage, we introduce a modified damage identification technique based on frequencies using nMSEDI to locate the potential of damaged elements. In the second stage, after eliminating the healthy elements, the damage index values from nMSEDI are considered as input in the damage quantification algorithm. The hybrid of Teaching-Learning-Based Optimization (TLBO) with Artificial Neural Network (ANN) and Particle Swarm Optimization (PSO) are used along with nMSEDI. The objective of TLBO is to estimate the parameters of PSO-ANN to find a good training based on actual damage and estimated damage. The IGA model is updated using experimental results based on stiffness and mass matrix using the difference between calculated and measured frequencies as objective function. The feasibility and efficiency of nMSEDI-PSO-ANN after finding the best parameters by TLBO are demonstrated through the comparison with nMSEDI-IGA for different scenarios. The result of the analyses indicates that the proposed approach can be used to determine correctly the severity of damage in beam structures.

• 의학교육논단
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• 제10권1호
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• pp.35-42
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• 2008

Purpose : Since PBL was first developed by Howard Barrows at McMaster, it has been adopted as one of the best teaching and learning methods in medical schools throughout the world. However, the educational superiority of PBL relative to traditional approaches is less clear. Given the somewhat extensive resources required for the operation of PBL curriculum, this gives reason for concern. The aim of this study is to review experiences of PBL in other medical schools and learn how to implement PBL in our school. Methods : This study was undertaken in two stages. In the first stage, PBL curricular examples in 7 medical schools (University of Pennsylvania, University of Melbourne, University of Maastricht, McMaster University, Flinders University, Harvard medical school. University of California at L.A.) were collected and summarized. In the second stage, a careful search for articles of journals published since 2000 regarding PBL group assessment, effectiveness of PBL and group facilitation skills was conducted. Results : PBL is generally introduced in a core curriculum in undergraduate medical education. Relating to small group assessment, the perception of students has been well developed. but the current PBL assessment tool needs to be revised, to develop thinking skills of students. The PBL graduates considered themselves as having much better interpersonal skills, better competencies in problem solving and self-directed learning than the non-PBL graduates. Tutors used various techniques to raise awareness, facilitate the group process and direct learning. Conclusions : The following three aspects can be regarded as important in this study. First, to implement PBL in our school more effectively, it might be considered, which curriculum content can be best learned with PBL. Second, to enhance students' thinking skills during PBL, a new assessment tool needs to be developed. Third, tutors' competencies are important to facilitate, group process, so it would be worthwhile including in staff development.

• 전자공학회논문지
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• 제50권12호
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• pp.91-97
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• 2013

현재의 IT 환경에서 영상 또는 영상처리 기술은 많은 부분에서 응용이 되고 있고 또한 매우 중요하다. 본 논문에서는 벡터 양자화 방법을 통해 원본 BMP영상을 인덱스 영상과 제안하는 codebook으로 재구성하고 동일한 픽셀 깊이 내에서 고화질의 영상을 디스플레이 할 수 있는 방법을 제안하였다. 즉, $2^n$ 개의 컬러 코드북(맵)를 가지는 영상에 공용 맵 기법을 적용함으로서 $2^{n+1}$ 개의 컬러 코드북 정도의 화질로 표현이 되는 방법을 제안한다. 제안된 방법을 통해 얻어진 출력영상을 원본 BMP영상과 비교했을때 JPEG과 같은 8 bit 인덱스 영상의 출력 시 보다 약 2 dB 정도 높은 PSNR을 제공해주며 이는 9 bit 인덱스를 사용했을 때의 화질과 거의 비슷함을 알 수 있었다.

• Journal of Forest and Environmental Science
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• 제24권3호
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• pp.175-179
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• 2008

Forestry education in vocational high schools is one of the fundamental keys for achieving sustainable forest management. However, support systems for forestry education have not been well developed in Japan. Forest research institutes, which have accumulated relevant information, should have sufficient ability to develop new educational programs in this field. This study examined the possibility of support systems for forestry technical education by a research institute. Educational programs for vocational high schools were developed, and the programs were examined for their practical applications through a workshop for these teachers. We set the following five requirements for the programs: They should 1) incorporate new contents related to sustainable forest management, 2) be based on forestry education textbooks, 3) meet recent demands of the schools and society, 4) allow participants to learn through actual practice and experience, and 5) utilize readily available teaching materials. With these criteria, we developed the following two educational programs: (a) Forest management program to teach advanced techniques, (b) A timber-program to teach about biomass resources. The workshop was held on July $28^{th}$, 2007 with ten teachers attending. The programs were very interesting, who gave them high average evaluation of 4.6 on a scale of 1 to 5. Only a few issues need to be resolved before classroom instruction can begin, such as making wood structure easier to understanding for some teachers, and obtaining base maps of school forests. In conclusion, forest research institutes can effectively support forestry education by providing and implementing programs based on scientific information.

• 여성건강간호학회지
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• 제7권4호
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• pp.499-507
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• 2001

The purpose of this study was to explore nursing needs during labor pain that had been suffered by women who have given birth. It is essential to identify the nursing needs in order to solve nursing problems and to provide better care for the parturients. The sample consisted of 20 women of primiparas and 17 women of multiparas. They underwent normal labor and delivered a healthy baby at term. The data had been collected through the unstructured interviews conducted 1-2 days after delivery in the admission room from March 1998 to March 1999. On average, the interviews lasted for about 30 minutes. Interviews were taken with the consent of the subjects. The data are categorized according to the similarities of their contents. Seventeen subordinate categories and six superordinate categories have been identified. Six superordinate categories are 1) physical nursing needs 2) nursing needs of medical behavior 3) emotional nursing needs 4) informational and teaching nursing needs 5) nursing needs of pain control 6) nursing needs of respect(personality). Seventeen subordinate categories include: comfortable posture, touch, professional knowledge and techniques, duty execution, support, company and talk, stable surroundings, reassurance, information on delivery, explanation of medical behavior, information on surroundings, instruction on the case of pain, arbitrary adjustment, artificial adjustment, respect, interest and reflection of opinions. The result of this research is the same as that of foreign research and the items of the questionnaire in Korea are the same as the foreign one. Despite the same result, however, this dissertation is significant in that the research identifies the parturients nursing needs and classified the data and thus the basis has been formed to develop the tools to assess the nursing needs of the Korean parturients. The findings can be used as the guide for nursing intervention of parturients.