• Title/Summary/Keyword: 관찰-추천

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Wayfinding Performance in an Outpatient Clinic -Focused on Outdoor Space from Driveway to Entrance- (외래 클리닉에서의 길찾기 행위 -진입로에서 출입구까지의 외부공간을 중심으로-)

  • Kim, Duk-Su
    • Journal of The Korea Institute of Healthcare Architecture
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    • v.17 no.2
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    • pp.53-59
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    • 2011
  • 본 연구는 미국 텍사스 주의 소도시에 있는 스캇 앤 화이트 클리닉의 외부공간을 대상으로 하여 외래환자와 방문객들이 직면하는 길찾기의 문제점을 분석한다. 연구의 공간적 범위는 클리닉의 외부공간으로 한정하여 진입도로에서 진입하여 주차한 후 출입구에 도달하는 경로에서 관찰되는 행태적 특성을 분석한다. 분석의 초점은 진입도로에서 이루어지는 경로선택의 결정과 그것이 클리닉에 진입하기 위한 출입구 결정에 미치는 영향관계에 둔다. 분석은 외부공간에서의 길찾기에 관한 기존 연구문헌을 참고하여 작성한 연구모형에 의해 이루어진다. 구체적으로 보면, 이용자들이 보이는 날씨, 성별, 그리고 나이에 따른 길찾기 행태의 차이를 클리닉의 남동측 출입구와 남서측 출입구에서 발생하는 이용자들의 하차 빈도를 측정하였다. 또한 하차의 위치를 행태 지도에 기록하여 연구모델에 나타나는 상관성을 분석하였다. 길찾기 행태분석 결과를 통해 파악된 외부주차장에 주차한 후 클리닉에 접근하는 이용자들의 경로선택의 문제점과 클리닉의 입구 공간에서 하차한 이용자들의 입구선택에서 나타나는 문제점을 토대로 하여 외부공간에서 발생하는 길찾기 행위의 효율성을 증진시키기 위한 디자인 추천 사항을 다음과 같이 제시한다: (1) 시각적 단서를 제공하기 위해 남서쪽 출입구의 형태와 색채 차별화; (2) 도로에서 클리닉 진입공간에 위치한 안내판의 글자 크기 확대; (3) 학습된 길찾기 행태를 보조하기 위해 동쪽에 랜드마크 시설물 설치 및 목적 지점의 최종경관 개선; (4) 과도한 클리닉의 정보에 의해 감소되는 가독성을 고려하여 안내판의 정보 간략화; (5) 색채의 대조를 고려(출입구 벽에 설치된 클리닉의 이름이 갈색에 푸른색으로 설치되어 있어 색채의 대비가 낮아 가독성 떨어짐); (6) 클리닉 중앙 출입구의 하차 공간 상부에 설치된 캐노피 기둥의 과도한 크기에 의해 발생하는 가시공간의 감소에 의해 발생하는 하차 공간 사용의 혼잡 문제를 제거하기 위해 기둥규모 축소; (7) 하차점 6까지 캐노피를 확장하여 우천시에 발생하는 공간 사용의 문제점 제거; 그리고 (8) 올바른 하차공간 사용을 위해 진입 접근도로에 차선 설치.

A Study on the Trends and Characteristics of Mental Health Services in the Public Libraries of North America (북미 공공도서관계 정신건강 지원서비스의 경향과 특성)

  • Lee, Yeon-Ok
    • Journal of Korean Library and Information Science Society
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    • v.41 no.1
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    • pp.51-76
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    • 2010
  • This study discussed the trends and characteristics of mental health services in the public libraries of North America. To accomplish this, this study collected its data through literature surveys, observations and interviews with librarians within the Vancouver public library system. The results show that there were many cases in which patrons asked public libraries for information on their mental health problems and the public libraries helped the patrons cope with their problems. The public libraries' assistance programs for national tragedies and natural disasters were temporary services. On the other hand, public libraries were continuously advising and guiding patrons dealing with emotional and psychological problems through the readers' advisory and information services. Specifically, public libraries were actively assisting various sensitive issues that are generated in the development of children and youths(for example, adoption, divorce and separation, remarriage, family, friendship, disabilities, death, self-esteem, emotions, bulling, violence, abuse, suicide, illness, addiction, sexual health, youth pregnancy and so on). The key role of librarians under these circumstances was to guide and recommend appropriate books and professional institutions that help solve the problems.

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Automatic Determination of Usenet News Groups from User Profile (사용자 프로파일에 기초한 유즈넷 뉴스그룹 자동 결정 방법)

  • Kim, Jong-Wan;Cho, Kyu-Cheol;Kim, Hee-Jae;Kim, Byeong-Man
    • Journal of the Korean Institute of Intelligent Systems
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    • v.14 no.2
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    • pp.142-149
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    • 2004
  • It is important to retrieve exact information coinciding with user's need from lots of Usenet news and filter desired information quickly. Differently from email system, we must previously register our interesting news group if we want to get the news information. However, it is not easy for a novice to decide which news group is relevant to his or her interests. In this work, we present a service classifying user preferred news groups among various news groups by the use of Kohonen network. We first extract candidate terms from example documents and then choose a number of representative keywords to be used in Kohonen network from them through fuzzy inference. From the observation of training patterns, we could find the sparsity problem that lots of keywords in training patterns are empty. Thus, a new method to train neural network through reduction of unnecessary dimensions by the statistical coefficient of determination is proposed in this paper. Experimental results show that the proposed method is superior to the method using every dimension in terms of cluster overlap defined by using within cluster distance and between cluster distance.

The Teachers' Recognition and a Plan for the Improvement of the System on Selection of Gifted Students in Science Using Teachers' Observation and Nomination (과학 영재 관찰.추천 선발 방식에 대한 교사의 인식 조사 및 개선 방안)

  • Bang, Mi Seon;Kim, Yong Gwon
    • Journal of Korean Elementary Science Education
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    • v.32 no.2
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    • pp.169-184
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    • 2013
  • The purpose of this study is to investigate teachers' recognition and to suggest an improvement in the system of teacher's observation and nomination used to selecting gifted and talented students in Science in the Busan Metropolitan School District in 2013 by investigating teachers' recognition of the system and their expressed needs. The results are as follows. First, it was observed that teachers are of the opinion that it is difficult to determine the science gifted students by observation due to their lack of expertise in giftedness and gifted education, the lack of a check list to use, and the difficulty of ensuring the objectivity of the results of the determination. Second, the absence of objective screening tools used for the selection, the selection of gifted students based on their subjective judgment, and the possibility to select students based only on visible manifestations of ability may cause parents to mistrust the system. Thus, institutional support is required to address the concerns of teachers and parents. Third, the teachers who are in charge of observation, nomination, selection and determination need to be trained. After that, at least one of these teachers should be assigned in each school and training should operate continuously and systematically. Lastly, while these things are occurring, the process of observation and nomination of by teachers, which is the basis of pooling gifted students at the level of Busan Metropolitan School District, should be continued.

Herpes zoster complicated by deep vein thrombosis: a case report (대상포진에 합병된 심부정맥혈전증 1예)

  • Choi, Woo-Yeon;Cho, Young-Kuk;Ma, Jae-Sook
    • Clinical and Experimental Pediatrics
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    • v.52 no.5
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    • pp.607-610
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    • 2009
  • Varicella zoster virus (VZV) causes two diseases: Varicella, a generalized, primary infection, and herpes zoster (zoster), a secondary infection caused by latent VZV reactivation. Zoster can also be caused by latent VZV reactivation after a varicella vaccination. The complications associated with varicella include cutaneous infections, which are the most common, as well as pulmonary and neurological involvement. However, a deep venous thrombosis (DVT) has been rarely described as a varicella-associated complication. Here, we describe the case of a child with varicella zoster who developed a DVT that completely resolved after intravenous acyclovir and subcutaneous low-molecular-weight heparin treatment.

Partial thickness tear: Debris vs. Repair (회전근 개 부전층 파열: 변연절제술가 봉합술)

  • Oh, Jeong-Hwan;Park, Jin-Young
    • Journal of the Korean Arthroscopy Society
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    • v.9 no.1
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    • pp.34-39
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    • 2005
  • Partial thickness rotator cuff tears (PTRCTs) are now a well-established clinical entity, yrt there is no consensus in regards to surgical management. Recommended treatment varies widely from simple debridement of the torn tendon to subacromial decompression to excision of the degenerative tendon and repair. Surgery may be performed using an open, arthroscopically assisted (miniopen), or entirely arthroscopic procedure. The advantages and disadvantages of open and arthroscopic procedures may lie in the balance between precision and morbidity. Visualization of both the articular and bursal surfaces is mandatory to determine the level of rotator cuff disease and formulate a treatment strategy. Because these tear often are secondary finding, recognition of the primary pathology is critical. Treatment of the primary problem usually remedies the partial tear. However, when there is significant PTRCT, an arthroscopic or open repair of the diseased tendon will give the most consistent results.

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Video-Assisted Thoracoscopic Lung Volume Reduction Surgery in Severe Emphysema -A Case Report (폐기종 환자에서의 흉강내시경을 이용한 폐용적 감축술 -1례 보고-)

  • Lee, Du-Yeon;Jo, Hyeon-Min;Mun, Dong-Seok
    • Journal of Chest Surgery
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    • v.30 no.8
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    • pp.827-832
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    • 1997
  • Lung volume reduction surgery(LVRS) has recently been advocated as an alternative or a bridge to lung transplantation for patients with evere dibbling emphysema. This procedure is a palliative treatment performed to alleviate the dyspnea of patients with emphysema and improve performance in the activities of daily living. The rationale of lung volume reduction for generalized emphysema is that the removing of the diseased and functionless lung may improve the function of remaining, less diseased lung. The factors critical to the success of LVRS are careful patient selection, accurate localization of target areas, meticulous anesthetic and operative technique, and intensive postoperative support. We have experienced a case of severe emphysema in a 59-year-old male patient. After selection process and pulmonary rehabilitation, the patient was treated with video-assisted thoracoscopic LVRS and the post-operative course was uneventful.

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CONSERVATIVE SURGICAL REMOVAL OF COMPOUND ODONTOMA: CASE REPORTS (복합 치아종의 보존적 외과적 적출: 증례보고)

  • Kim, Soo-Yung;Choi, Nam-Ki;Kim, Seon-Mi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.39 no.1
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    • pp.97-102
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    • 2012
  • Odontoma is a mixed tumor formed by the overgrowth of ectodermal epithelial cells and mesodermal cells. It arises during normal tooth development and only grows to a certain level. It is not a true neoplasm and therefore it is considered as hamartomas. Odontomas are classified into compound and complex types based on morphology. Compound odontoma is commonly found in the anterior region of the maxilla, and has a radiopaque lesion that resembles small teeth. Usually, odontoma is treated by conservative surgical removal and there is little probability of recurrence. This paper describes three cases of compound odontoma diagnosed in children with 1 year of follow-up. These case reports present patients having eruption disturbance of primary and permanent teeth due to the presence of compound odontoma. In order to induce spontaneous eruption, conservative surgical removal was performed showing favorable results.

A CASE REPORT OF KIKUCHI-FUJIMOTO DISEASE (Kikuchi-Fujimoto Disease의 치험례)

  • Jang, Tae-Hwa;Kim, Jin-Wook;Kwon, Tae-Geon;Jang, Hyung-Jung;Kim, Chin-Soo;Lee, Sang-Han
    • Maxillofacial Plastic and Reconstructive Surgery
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    • v.29 no.6
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    • pp.548-553
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    • 2007
  • Kikuchi-Fujimoto disease is a rare disease first described in 1972 by Kikuchi and Fujimoto et al. The disease is described as a benign and unusual self-limiting histiocytic necrotizing lymphadenitis of unknown origin, which is characterized histologically by necrotic foci surrounded by histiocytic aggregates. is usually manifested with lymphadenopathy and high fever. This disease mostly affects young Asian women between 20 and 30 years of age and has rarely been reported in children. Main symptoms are indolent or light tender, enlarged lymph nodes in the neck area. The correct diagnosis requires the histologic examination of the lymph node. Kikuchi-Fujimoto disease is easily confused histologically and clinically with lymphoma and systemic lupus erythematosis histologically and clinically. Although it is an uncommon cause of fever of unknown origin, early recognition of KFD is very important and will minimize potentially harmful and unnecessary evaluations and treatments. We reported a case, a 23-year old man who had Kikuchi-Fujimoto disease with a literature review.

Association between Oral Health Status and Perceived General Health (EuroQol-5D) (구강건강상태와 감지 건강상태(EuroQol-5D)와의 연관성)

  • Sim, Seon-Ju
    • Journal of dental hygiene science
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    • v.14 no.3
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    • pp.364-370
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    • 2014
  • The purpose of this study was to examine association between oral health status and perceived general health symptom. We analyzed 14,231 subjects who participated in Korea National Health and Nutrition Examination Survey (2007~2009). All individuals were examined by a questionnaire about socioeconomic history, smoking and drinking habit, the frequency of daily tooth brushing, the presence of regular dental visit, and EuroQol-5D. Dental survey was conducted to find the decayed, missing, and filled teeth (DMFT) index and community periodontal index. Subjects with perceived problem with mobility had higher DMFT index (odds ratio, 1.18, p<0.001). Subjects with with perceived problem with pain/discomfort had higher DMFT index (odds ratio, 1.16, p<0.001). Self-rating general health symptom was not associated with periodontitis (p>0.05). Perceived general health was associated with DMFT index. It is recommendable that we can use the perceived general health to predict oral health status.