• 한국산학기술학회논문지
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• 제19권4호
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• pp.293-300
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• 2018

본 연구는 간호대학생의 직무 유형을 통해서 경력개발을 위한 교육요구는 무엇인지 알아보기 위한 목적으로 실행하였다. 연구목적의 달성을 위하여 먼저 부산 경남 지역에 있는 K 대학과 P 대학의 간호대학생 146명을 대상으로 커리어앵커 질문지를 이용하여 직무 유형을 분석하였다. 그리고 직무 유형 중에서 상위 유형의 경향성을 보이는 간호대학생 28명을 선별하여 4개의 팀으로 나누어 맵을 작성하였고, 작성된 맵의 내용을 기반으로 초점집단인터뷰를 했다. 이는 간호대학생의 실제적 목소리를 통해 경력개발을 위한 교육요구에 대해서 알아보기 위해서이다. 그 결과 첫째, 간호대학생의 커리어앵커 유형은 라이프스타일과 안전 보장이 가장 높게 나타났고, 가장 낮은 커리어앵커 유형은 순수한 도전과 관리적 역량이었다. 둘째, 경력개발을 위한 교육요구는 크게 4개의 영역, 전공역량, 실무역량, 인성역량, 자원관리역량으로 범주화하였다. 전공역량은 간호 전문지식 및 기술, 실무역량은 병동 업무처리, 의사소통, 위기대처능력, 인성역량은 협력, 책임인식, 자원관리역량은 시간 관리 능력, 스트레스 관리능력이다. 본 연구의 결과는 향후 간호대학생의 경력개발을 위한 교육적 기초자료로 활용할 수 있다는 점에서 의의가 있다. 아울러 간호실무 개선을 위한 교육과정개발에 적용할 수 있을 것으로 기대한다.

• 한국지리정보학회지
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• 제11권3호
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• pp.92-106
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• 2008

이 연구는 부산광역시 강서구 지역을 대상으로 토지이용을 파악하고 비오톱지도를 작성 및 평가하는데 그 목적이 있다. 비오톱지도에 사용되는 평가도구는 헤메로비등급(Hemeroby)을 사용하였는데, 헤메로비란 생태계에 대한 인간의 영향정도를 파악하는 등급이다. 강서구는 부산광역시에서 두 번째로 큰 구이며 강한 개발압력의 영향을 받고 있다. 현장조사에 앞서 수치지도, 항공사진, 위성영상 등을 이용하여 비오톱유형을 사전에 구분하였으며, 비오톱유형의 구분 방법은 2000년 서울특별시에서 수행된 방법론을 수정하여 적용하였다. 현장조사에서는 종합적인 비오톱 지도작성법이 사용되었으며, 그 결과 강서구 비오톱의 전체 면적은 $172,620,207m^2$이었으며, 13,631개 폴리곤으로 이루어진 29개 비오톱유형으로 구분되었다. 전체 22.6%가 도시화지역이었으며, 나머지는 산림과 오픈스페이스지역이었는데, 산림과 오픈스페이스지역 중 22.6%는 산림, 35.6%는 경작지 및 기타지역이었다. 강서구의 헤메로비지수는 54.7이었는데, 이는 강서구 지역이 현재까지는 광범위하게 개발되지 않았음을 의미하며, 체계적인 발전을 위해서는 장기보전 및 개발계획이 수립되어야 할 것으로 사료된다.

• 한국지역지리학회지
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• 제12권2호
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• pp.323-337
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• 2006

본 연구는 중국 개혁개방 이후, 계속적으로 도시지역이 확장 발달하고 있는 연길시의 도시화에 따른 연길시 토지이용의 변화에 관한 연구이다. 결과를 요약하면 다음과 같다. 지목별 토지이용변화에서 1978$\sim$2003년 사이의 경지는 $22.7km^2$가 줄어 23.2% 감소하였으며, 시가화 면적은 $16.7km^2$가 늘어 무려 111.3%나 증가하였다. 또 도시적 토지이용인 공장은 250.0%, 학교는 75.2%, 공원은 271.4%, 도로는 153.3%로 증가하였다; 용도별 토지이용에서는 시역이 확대됨에 따라 1978년 이후 상업지역이 620.0%로 가장 많이 증가하였다. 또 공업지역은 250.0%로 증가했으며, 주거지역은 43.8%로 증가하였다. 이 사이에 용도지역은 뚜렷한 증가 현상을 보였다; 지가에 의한 도시화는 최고 지가지대와 최저지대가 현저한 차이를 보인다. 도시화의 정도가 지역에 따라 현저한 차이를 보이고 있으며, 도시개발사업에 의해 시가지가 확산되어, 이로 인해 지가는 개발지의 입지에 따라 변화 해왔다; 지가분포도를 살펴보면 남, 서쪽 보다 동 북쪽으로의 개발이 먼저 이루어졌음을 짐작할 수 있다. 도심 주변부는 동쪽으로의 확장이 이루어지고 도시 외연부는 남, 서쪽으로의 확장이 이루어졌다. 주요간선도로를 따라 '신흥(新興)'을 중심으로 동서방향으로 확장되었다.

• 정보관리연구
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• 제41권2호
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• pp.1-30
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• 2010

이 연구에서는 경제인문사회연구회 산하 19개 정부출연 연구기관이 2003년부터 2007년까지 5년동안 생산한 정책지식은 사회와 경제 분야의 10개 정책에 집중되고 있음을 확인하고, 연구기관들의 연구과제 유사성을 다차원축척법을 사용하여 표현하였다. 이 중 5대 정책에 대해 이슈의 생존주기 유형을 파악하고 정책지식의 생산량 추이와 비교함으로써 언론관심도와 정책지식의 생산 상관관계를 살펴보았다. 또한 정책지식의 문헌에서 추출한 핵심어를 동시출현단어 분석을 통해 각 정책을 구성하는 하위 주제를 파악하였으며, 정책지식 생산기관의�汰恝諛喚� 분석 결과,�泰逞╂岵막� 유사성을 갖는 기관들은 인용관계에서 있어서도 상호 선호하는 경향을 나타냄을 확인하였다.

• 한국실내디자인학회논문집
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• 제24권1호
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• pp.43-53
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• 2015

As part of alternative of elderly problems in the future super-aging society, this study aims to extract an improvement plan of interior environment design of Seoul-type day care centers to expand in future by observing day care centers as medical and healing environments, from the perspective of user experience. For this study, after selecting major activity areas of representative cases of Seoul-type day care centers, user behaviors in the space were observed and 4 seniors of baby-boom generation who are potential uses were chosen as personas by reflecting characteristics of healthy elderly, physical aging, mental aging and infirm elderly, from the perspective of user experience. Based on previous studies on healing environments, these characteristics and demands of personas were classified into environmental aspects, physical aspects and mental aspects to extract an improvement plan. The study results are as follows. First, interior environment design reflecting persona characteristics helps the elderly adapt to the environment and provides a comfortable environment like home for stability, treatment and recovery of memory. Second, interior environment design reflecting persona characteristics helps psychological healing through light entering the large windows and natural environment elements. Third, for interior environment design reflecting persona characteristics, finish materials with bright and soft colors should be used to change the images of facilities positively. Fourth, spatial composition should be remedied through division of space and built-in furniture depending on the needs of users for loitering of extra time and programs.

• Asian Pacific Journal of Cancer Prevention
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• 제15권23호
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• pp.10509-10512
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• 2015

Objective: To investigate the differential features of CT images in children with neuroblastomas (N) and ganglioneuroblastomas (G). Materials and Methods: Clinical data of 12 children in group G and 15 in group N undergoing CT examination and definitely diagnosed by pathology were retrospectively analyzed. The focal conditions were observed and compared in the two groups, including location, size, boundaries, morphology, enhanced degree and mode, abdominal vascular involvement, presence or absence of spanning the midline, infiltration of peripheral organs, angiography manifestations in tumors or surroundings, presence or absence of calcification and vascular tumor emboli as well as metastases of distal organs and lymph nodes. Results: In group N, the incidence of tumors in the adrenal area was conspicuously higher than in group G (P<0.05), while that of tumors with regular morphology and clear boundaries was significantly lower than in group G (P<0.01); Angiography manifestation rate and incidences of vascular embedding, lymph node metastasis, infiltration and organic metastasis in group N were all markedly higher than in group G (P<0.05). There was no statistical significance between the two groups in terms of focal size, presence or absence of calcification and spanning the midline, and enhanced degree and mode, as well as vascular tumor emboli (P>0.05). Conclusions: Mostly located in adrenal areas and with vascular embedding as a primary manifestation, the neuroblastoma extremely readily metastases to lymph nodes and other organs as well as infiltrating local tissues, with dilation on angiography frequent in or around the tumors. With vascular displacement as a primary manifestation, ganglioneuroblastoma has a regular morphology and clear boundaries.

• Maxillofacial Plastic and Reconstructive Surgery
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• 제34권5호
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• pp.337-342
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• 2012

The osseous or osteocutaneous free fibula flap has become the gold standard for most mandibular reconstructions because of its favorable osseous characteristics. However, disadvantages, such as the time-consuming reconstructive step, difficulty in performing the osteotomies to precisely recreate the shape of the missing segment of mandible and poor bone-to-bone contact play a role in making the surgeons look for alternative flaps. With the advent of computerized design software, which accurately plans complex 3-dimensional reconstructions, has become a process that is more efficient and precise. However, the ability to transfer the computerized plan into the surgical field with stereolithographic models and guides has been a significant development in advancing reconstruction in the maxillofacial regions. The ability to "pre-plan" the case, mirror and superimpose natural structures into diseased and deformed areas, as well as the ability to reproduce these plans with good surgical precision has decreased overall operative time, and has helped facilitate functional and esthetic reconstruction. We describe a complex case treated with this technique, showing the power and elegance of computer assisted maxillofacial reconstruction from the University of Michigan, Oral and Maxillofacial Surgery.

• Asian Pacific Journal of Cancer Prevention
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• 제15권5호
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• pp.1919-1924
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• 2014

Background: In India, breast cancer is the leading malignancy among women in a majority of the cancer registries. Therefore it is important to understand screening practices and its predictors, including in rural areas with high female literacy and good health indices. Materials and Methods: A cross-sectional study with multistage sampling was conducted in Vypin Block, Ernakulam district, Kerala, India. Four Panchayats (self administration units) were randomly chosen and a woman in every second household was invited to participate from the tenth ward of each. Thus a total of 809 women were interviewed. Results: The majority of the repondents (82.1%) were not aware of risk factors and about a third (37.9%) were not aware of symptoms of breast cancer. About half of the population studied (46.6%) had undergone screening. Age (35-50 years), being married, health professionals as source of information and working were significant predictors of screening. Logistic regression showed that older women (35-50 yrs) were more likely to practice screening. Out of the never screened, about a third (35%) were desirous of doing it, but had not for various reasons and 53.5% were not willing to screen. The reasons identified for not screening among those desirous of doing it were grouped into knowledge 66 (43.4%), resources 23 (15.1%) and psychosocial 32(21.1%) factors. Unmarried women were significantly more likely to express factors related to all the three domains. Conclusions: This study showed that in spite of the absence of a population-based screening program, about half of the study population had undergone some type of screening. The older women (35-50 years) in particular were significantly more likely to practice screening. At this critical juncture, a high quality breast cancer awareness and screening initiative can help to consolidate the gains and tackle knowledge, resource and psychosocial barriers.

• The Korean Journal of Pain
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• 제27권2호
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• pp.152-161
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• 2014

Background: According to the reports of the World Health Organization 20% of world population suffer from pain and 33% of them suffer to some extent that they cannot live independently. Methods: This is a cross-sectional study which was conducted in the emergency department (ED) of Valiasr Hospital of Arak, Iran, in order to determine the causes of delay in prescription of analgesics and to construct a model for prediction of circumstances that aggravate oligoanalgesia. Data were collected during a period of 7 days. Results: Totally, 952 patients participated in this study. In order to reduce their pain intensity, 392 patients (42%) were treated. Physicians and nurses recorded the intensity of pain for 66.3% and 41.37% of patients, respectively. The mean (SD) of pain intensity according to visual analogue scale (VAS) was 8.7 (1.5) which reached to 4.4 (2.3) thirty minutes after analgesics prescription. Median and mean (SD) of delay time in injection of analgesics after the physician's order were 60.0 and 45.6 (63.35) minutes, respectively. The linear regression model suggested that when the attending physician was male or intern and patient was from rural areas the delay was longer. Conclusions: We propose further studies about analgesics administration based on medical guidelines in the shortest possible time and also to train physicians and nurses about pain assessment methods and analgesic prescription.

• 임상간호연구
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• 제17권2호
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• pp.176-191
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• 2011

Purpose: This methodological study translated, adapted, and validated the evidence based guideline of RNAO (Registered Nurses Association of Ontario) in Canada, for acute stroke care to domestic circumstances. Methods: Quality of the RNAO guideline was evaluated using AGREE tool. Then the guideline was translated into Korean and a preliminary guideline was established After checking content validation by an expert group, the Korean version of the guideline was applied to clinical settings to see its applicability. Results: The RNAO guideline in Korea was deemed appropriate. The Korean version of the guideline was drawn up with 56 items in 3 areas in stroke system related nursing, nursing of acute stroke inpatients, and stroke nursing assessment. A questionnaire survey was performed on appropriateness, enforceability, and applicability of those recommendations. A total of 54 recommendations were finalized after deleting 2 items below CVI 0.7 and correcting 3 items by taking professional advices. After trial application of the guideline to 40 stroke patients hospitalized at a ward of a hospital in Seoul, its performance was improved but was not statistically significant. Conclusion: This guideline is expected to contribute to improving nursing quality by offering it as a guide to evidence based practices for acute stroke care in Korea.