• Title/Summary/Keyword: 임상구조

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A Study On The Awareness And Practice Of Hand Washing According To The Clinical Practice Of Paramedic Students

  • Yoo, Young-Gun;Kim, Sung-Lyoung;Lee, Nam-Jong
    • Journal of the Korea Society of Computer and Information
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    • v.25 no.8
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    • pp.129-135
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    • 2020
  • This study is to identify the awareness and performance of hand washing according to the presence of clinical practice experience of paramedic students and provide basic data of education on hand washing that can be practically applied. 335 students in paramedicine department in P city and J city were the study subjects and we distributed URL to those who agreed to participate in the study to carry out untact survey using questionnaire. The study results were analyzed by using SPSS/WIN 23.0. The results showed that the average number of hand washing per day was 5~8 times (142 students, 42.4%) and average time for washing hands was 24.34 seconds. We could find statistically significant differences in 'hand washing to wrist' and 'it is necessary to completely dry after hand washing' in terms of difference on awareness of hand washing according to the clinical experiences (p<0.05). In terms of differences in hand washing performance according to clinical practice experience, statistically significant difference was found in 'before touching equipment for clinical practice' and 'before taking foods such as drinks during practice' (p<0.05). The correlation between awareness and performance of hand washing showed that if awareness of hand washing is high, its performance is increased, too (p=0.001). We try to provide basic data of education on hand washing that can improve awareness and performance on hand washing based on the results of this study.

Considerations for Implementing Online Art-Based Peer Supervision (온라인 미술기반 동료 슈퍼비전 실행에 대한 고려사항)

  • Yoon, Ra-Mi;Kim, Soo-In;Jung, HeeJae
    • The Journal of the Korea Contents Association
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    • v.22 no.5
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    • pp.404-415
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    • 2022
  • The purpose of this study is to propose considerations to help actual application based on the characteristics of the online art-based peer supervision execution process. Colleagues in the clinical art therapy doctoral program, including the researcher, attempted to repeatedly identify problems and apply improvements in the implementation process as research participants, and qualitatively analyzed the various data collected in the process. Looking at the characteristics of the analysis results, extensibility of materials and space was confirmed in terms of 'art-based' and initiative, convenience, and speed in terms of 'online'. The considerations identified through this are as follows. First, 'pre-structuring' should be based on clear boundaries and setting, prior consultation of the group, and self-directed preparation and attitude. Second, for the 'structural aspect of art', space and media to help immersion through creation, and stable implementation structure should be established. Third, in the 'technical aspect', it is necessary to apply a method that can deliver a work of art and a method that can communicate the creator's clear intention. Lastly, for the 'ethical aspect', it is necessary to use online software in accordance with the minimum security standards and to make efforts to repeatedly maintain confidentiality. This study is meaningful in that it suggested a practical method for maintaining the professional competence of art therapists and expanding networks among art therapists in various situations including pandemics.

A Study on Learner's Cognitive Structure in Division of Fraction (분수의 나눗셈에 대한 학습자의 인지구조)

  • Lee, Youngju;Lee, Kwangho;Lee, Hyojin
    • Journal of Elementary Mathematics Education in Korea
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    • v.16 no.2
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    • pp.295-320
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    • 2012
  • The purpose of this study is searching students' cognitive structures before and after learning division of fraction. Also the researchers investigated how their structures are connected when they solve division of fraction problems through individual interviews. The researcher suggested the instruction of division of fraction from the results.

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A Perceived Causal Structural Model on Work-based Stressor of Clinical Nurse (임상간호사의 업무스트레스요인에 관한 인지적 인과구조모형)

  • Park, Mi-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.11 no.2
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    • pp.161-168
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    • 2005
  • Purpose: The purposes are to identify the factors that influence work-based stressor experienced by clinical nurses and to provide a perceived causal structural model among these factors. Method: Data was collected and analyzed in 2 steps to apply a perceived causal structure : network analysis which was developed by Kelley(1983). Results: 1. The extracted causes from qualitative data were identified 10 categories ; over loaded work, relative feelings of deprived, inefficient duty schedule, negative attitudes of patient, burden of extra affair, inadequate administrative support, negative attitudes of physician, conflict with other personnels in hospital, lack of professional knowledge and skill, nursing service marketing burden. 2. Construction of the perceived causal structural model ; 1) The most central cause is over loaded work and the distal causes were inadequate administrative support, lack of professional knowledge and skill in the systems of causation. 2) The causes that have a number of outgoing link were over loaded work, inadequate administrative support, negative attitudes of physician. 3) The cause that have a number of incoming link was relative feelings of deprived. Conclusion: The network suggests that the first centre cause was related on over loaded work.

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Ultrasonographic Appearance of the Gestational Structures Throughout Pregnancy in Shih-tzu bitches I. Time of Initial Detection of the Fetal and Extra-fetal Structures (Shih-tzu견에서 임신일령에 따른 임신구조물의 초음파상 I. 태아 및 태아외구조물의 최초 관찰시기)

  • 고진성;김방실;이순애;조양택;김재풍;오기석;김성호;김종택;박인철
    • Journal of Veterinary Clinics
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    • v.21 no.1
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    • pp.29-34
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    • 2004
  • Serial ultrasonographic examinations were daily performed on 12 Shih-tzu bitches from 15 days after ovulation until parturition to determine the time of first detection and ultrasonographic appearance of the fetal and extra-fetal structures and to determine the size of gestational structures. Gestational age was timed from the day of ovulation (day 0), which was estimated to occur when plasma progesterone concentration was first increased above 4.0 ng/ml. The gestational length in 12 Shih-tzu bitches was 62.1 (range:60-64) days. The initial detection of the fetal and extra-fetal structures were: gestational sac at days 19.2 (16-21); zonary placenta in the uterine wall at days 25.9 (24-28); yolk sac membrane at days 24.1 (22-26); amniotic membrane at days 26.6 (24-28); embryo initial detection at days 22.3 (21-24); heartbeat at days 23.8 (23-25); limb buds at days 29.3 (27-31); fetal movement at days 32.3 (31-34); stomach at days 32.6 (29-34); urinary bladder at days 33.1 (29-35); skeleton at days 35.9 (34-38) and kidney at days 45.8 (45-48).

Ultrasonographic Appearance of the Gestational Structures throughout Pregnancy in Pet Dogs 1. Time of Initial I)election of the Fetal and Extra-fetal Structures (애완견에서 임신일령에 따른 임신구조물의 초음파상 1. 태아 및 태아외구조물의 최초 관찰시기)

  • 강병규;최한선;신창록;서동호;박인철;손창호
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.279-286
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    • 1997
  • Serial ultrasonographic examinations were daily performed on 11 bitches (5 Maltese and 3 Yorkshire terrier) from day 15 until parturition to determine the time of Sift detection and ultrasonographic appearance of the fetal and extra-fetal structures. Gestational age was timed from the day of ovulation (day 0), which was estimated to occur when p18sma progesterone concentration was first increased above 4.0 ng/ml. The gestational length in 8 bitches was 61.5 (range: 60-64) days. The initial detection time of fetal and extra-fetal structures were: gestational sac at days 20.5 (18-23); zonary placenta in the uterine wall at days 25.4 (24-30); yolk sac membrane at days 25,5 (23-37); amniotic mombrane at days 28.7 (25-32); embryo initial detection at days 23.3 (20-26); fetal heartbeat at days 23.9 (21-27); fetal movement at days 31.3 (26-34); limb buds at days 32.1 (29-35); rotomarh at days 35.3 (32-40); urinary bladder at days 35.6 (33-39); skeleton at days 37.8 (37- 40) and kidney at days 45.3 (41-49), respectively.

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Ultrasonographic Appearance of the Gestational Structures throughout Pregnancy in Pet Dogs II. Estimation of Gestational Age and Prediction of Parturition Day by Measurement of the Gestational Structu (애완견에서 임신일령에 따른 임신구조물의 초음파상 II. 임신구조물의 측정에 의한 임신일령의 판정과 분만일의 예시)

  • 손창호;강병규;최한선;서동호;신창록;박인철
    • Journal of Veterinary Clinics
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    • v.14 no.2
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    • pp.287-296
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    • 1997
  • Serial ultrasonographic examinations were daily performed on 8 bitches (5 Maltese and 3 Yorkshire terrier) from day 15 until parturition to determine the size of gestational structures. Gestational age was timed from the day of ovulation (day 0), which was estimated to occur when plasma progesterone concentration was first increased above 4.0 ng/ml. When the size of fetal and extra-fetal structures according to gestational age was measured, there was a difference between Maltese and Yorkshire terrier in extra-fetal structures (P<0.001), and no difference in fetal structrures (P<0.001). The correlations between the gestational age and the growth in fetal and extra-fetal structures were examined by regression analysis. The extra-fetal structure which showed high correlation from day 20 to 35 was inner chorionic cavity diameter in two breeds. The fetal structures which showed high correlation from day 36 until parturition was fetal head diameter in two breeds. In conclusions inner chorionic cavity diameter was the most accurate for estimation of gestational age and prediction of whelping day from day 20 to 35, and fetal head diameter from day 36 to parturitions respectively. Ultrasonography is very useful tool to evaluate the gestational age and to predict the whelping day in pet dogs.

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A Hybrid EMR System to bridge Source-Oriented and Problem-Oriented Medical Record (SOMR과 POMR의 혼용을 위한 하이브리드 EMR 시스템)

  • Kim, Jong-Ho;Kim, Hyun-Ju
    • 한국IT서비스학회:학술대회논문집
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    • 2007.11a
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    • pp.364-369
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    • 2007
  • 다양한 의료서비스를 정형화되고 효율적인 방법으로 제공하기 위하여 최근 의료기관의 EMR(Electronic Medical Record; 전자의무기록) 시스템의 도입이 급속도로 확산되고 있다. 그러나 국내에서 구축되고 있는 EMR은 초기에 기대했던 EMR의 도입목적을 중분하게 달성하지 못하고 있다. 이는 근본적으로 EMR의 방향성과 구조에 한계를 지니고 있기 때문이다. 국내에서 구축되고 있는 대부분의 전자의무기록시스템은 자료수집원 지향 의무기록 (Source Oriented Medical Record; SOMR) 방식으로 개별 사실을 수집하고 제시하기 위한 관찰자 중심, 서식중심의 시스템이며 차트 이송과 종이를 없애는 것이 주목적이다. SOMR 방식은 EMR의 다양한 도입목적, 특히 임상자료의 효과적 활용을 충족시킬 수 없는 태생적인 한계를 지니고 있기 때문에 문제지향 의무기록 (Problem Oriented Medical Record; POMR) 방식의 EMR과 적절한 혼용전략 (Hybrid Strategy)이 절실히 요구된다. 본 연구의 목적은 SOMR 시스템과 POMR 시스템이 보완적으로 결합된 하이브리드 EMR 아키텍처를 제시하고 아키텍처를 구성하는 데 필요한 기술적 요소들과 그들간의 상호관계 틀 파악한 후 이를 기반으로 개발방법론을 도출하는 것이다. 또한 만성신부전증 환자 사례를 이용하여 앞서 제시된 개발방법론에 따라 프로토타입을 개발하였다. 본 연구는 EMR 시스템이 SOMR 구조에만 편향됨으로써 발생될 수 있는 다양한 문제들을 해결함으로써 진료의 품질 항상, 임상연구의 활성화, 조직적이고 과학적인 진료계획의 수립과 같은 소외되어 왔던 EMR의 목표를 실현할 수 있을 것으로 기대 된다.

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Effects of Operative Technique, Pedicle Screws, or Fusion on Loading of Adjacent Segments after Lumbar Fusion: Finite Element Biomechanical Analysis (요추 유합술 후, 인접분절의 위험을 초래하는 원인들에 대한 생체 역학적 분석)

  • Kang, Kyoung-Tak;Jung, Hyung-Jin;Chun, Heoung-Jae;Kim, Ho-Joong
    • Proceedings of the Computational Structural Engineering Institute Conference
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    • 2010.04a
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    • pp.280-283
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    • 2010
  • 척추경 나사못을 이용한 요추 유합술은 가장 보편적으로 사용되는 수술 적 치료 방법이다. 과거 여러 연구들에서 이러한 척추 유합술의 임상적 우수성은 이미 입증 되었으며, 척추경 나사못은 시술 부위의 운동을 완전히 제한함으로써 높은 유합율을 얻을 수 있으나, 상대적으로 인접 분절의 조기 퇴행성 변화의 요인 중 하나로 보고되고 있다. 또한 유합술을 수행 할 때 후방조직의 절제 또한 인접 분절의 퇴행을 초래하는 원인으로 보고되고 있다. 따라서 본 연구에서는 유한요소해석 방법을 이용하여 척추경 나사못 과 후방조직을 절제하는 시술 방법을 비교하여 척추체의 운동범위의 증가량을 계산하였고, 척추경 나사못 모델과 후방조직을 제거한 모델을 개발하여 시술하기 전 정상모델과 비교하였다. 개발된 모델과 정상 모델을 생체 역학적 측면에서 분석하여 인접분절의 조기 퇴행성 변화를 일으키는 가장 큰 원인이 무엇인지 정량적으로 분석하였고, 이를 근거 하여 임상적 효과와 그 이론적 근거를 제시하고자 한다.

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The analysis of damage characteristics of facility caused by the Forest fire on Ul-ju (울주 산불피해 시설물들의 산림환경 특성분석)

  • Yeom, Chan-Ho;Lee, Si-Yeong;Gwon, Chun-Geun;Park, Heung-Seok
    • Proceedings of the Korea Institute of Fire Science and Engineering Conference
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    • 2013.11a
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    • pp.210-210
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    • 2013
  • 본 연구는 산림 내 시설물의 산림환경 특성 분석을 위하여 2013년 3월 9일부터 10일 이틀 동안 280ha의 산림 피해면적과 57동의 시설물 피해를 준 울주산불에 대하여 현장조사를 실시하였다. 조사 대상물은 주택 15개소, 비닐하우스 1개소, 축사3개소 등 총 19개소에 대하여 2013년 3월부터 5월까지 현지조사를 실시하였다. 조사항목은 시설물의 입지여건, 임상분포, 주변 산불인자, 시설물 외벽구조제, 산불 등 화재진화를 위한 소방시설 여부, 기타 산불 등 화재방지를 위한 시설, 보호시설과 산림과의 거리 등 총 7개 항목을 작성하여 피해시설물 및 미피해시설물의 특성을 분석한 결과 입지여건의 경우 피해시설물과 미피해시설물은 1~2개의 진 출입로를 갖고 있었고, 도로 폭은 7m 내외로 비슷한 여건이었다. 주변 임상은 침엽수, 임분 밀도는 중, 밀임분이었다. 비가연성 외벽구조제는 피해시설물 보다 미피해시설물에 많았고, 피해시설물과 미피해시설물의 시설물 주변 가연물질 관리상태는 모두 양호하였다. 반면, 급수시설 및 스프링클러, 방화선, 방화벽 등 소방시설 및 화재방지 시설은 미피해시설물이 피해시설물보다 더 많이 구축되어 있었고, 산림과의 이격거리는 피해시설물 평균 20m, 미피해시설물 평균 25m로 조사되었다.

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