• Title/Summary/Keyword: 임상 숙련도

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Producing and Updating Digital Map of Forest Stands Using Digital Stereo Images (수치입체영상을 이용한 임상도의 제작 및 갱신)

  • 조우석;정한용;이영진
    • Proceedings of the Korean Society of Surveying, Geodesy, Photogrammetry, and Cartography Conference
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    • 2003.04a
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    • pp.369-376
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    • 2003
  • 정보화사회에서 필수적인 사회간접자본으로 간주되고 있는 지리정보체계는 국토공간의 효율적인 이용 및 관리, 재해예방 등 다양한 분야에서 활용되고 있다. 특히, 전 국토의 2/3 이상을 차지하고 있는 산림은 환경적 가치의 확산에 따라 산림정보의 체계적인 관리를 위해 지리정보체계의 활용이 급증하고 있다. 본 연구에서는 수치사진측량 방법을 이용하여 수치임상도의 효율적인 수정 및 갱신방법을 제시하였고, 이를 실제작업에 적용함으로서 적합성을 검증하였다. 이를 위해 연구 대상지역의 항공사진 영상과 IKONOS 위성영상을 이용하여 수치임상도를 갱신함으로서 임상의 판독정확도, 임상의 위치 정확도, 에피폴라영상 제작과정에서 소요되는 제작시간 및 제작 숙련도, 제작비용 등을 비교, 분석함으로서 사용되는 수치영상의 적합성 여부를 판단하였다. 이러한 비교 결과를 토대로 위성영상을 이용하는 방법이 기존의 방법이나 항공사진을 이용한 방법에 비해 보다 효과적인 방법임을 판단할 수 있었으며, 고해상도 위성영상을 이용한 임상도 제작 및 갱신방법이 항공사진이 갖는 판독상의 문제점과 제작과정의 복잡함을 보완할 수 있는 방안이 될 수 있을 것으로 판단된다.

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A Convergence Study on the Effect of Self-directed Practice based Peer-tutoring on Performance, Confidence and Self-efficacy of Core Nursing Skills in Nursing Students (동료 교수학습 기반 자율실습이 핵심기본간호술 숙련도, 수행자신감 및 자아효능감에 미치는 효과에 관한 융합연구)

  • Koo, Heesun
    • Journal of the Korea Convergence Society
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    • v.10 no.12
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    • pp.453-463
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    • 2019
  • The purpose of study was the non-equivalent control group pretest-posttest design to test the effect of self-directed nursing practice based peer-tutoring of same sophomore, on the level of confidence, performance and self-efficacy of core nursing skills in nursing students. The subjects were 68 nursing students in K City from May 1th to June 12th in 2019. The participants were shared into the peer tutoring practice group (experimental group, n=34) and the lecturer guided practice group (control group, n=34). The results of study, the experimental group scored significantly higher on the foley catheterization performance (t=11.60, p<.001), confidence (t=4.123, p<.001) and wearing protection equipment performance (t=5.91, p<.001), confidence (t=4.24, p<.001) and enema performance (t=2.82, p=.008), confidence (t=2.09, p=.044) and self-efficacy (t=4.52, p<.001) than control group. Therefore, the results justified that self-directed nursing practice based peer-tutoring could be effective in improving the performance, confidence and self-efficacy of core nursing skills in nursing students. Based on this, I suggest the study that examines the effects of peer-tutoring by applying it to various majors.

A Study of on the Forest Map Update Using Orthorecified High Resolution Satellite Imagery Data (고해상도 정사위성영상을 이용한 임상도 수정에 관한 연구)

  • 성천경;조정호
    • Spatial Information Research
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    • v.12 no.2
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    • pp.127-135
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    • 2004
  • The operational availability of multispectral high-resolution satellite imagery, opens up new possibilities for updating forest map. Compared with information acquired by traditional methods (Panchromatic Aerial Photo), these data of for a number of advantages. In this study used 1m spatial resolution and 4 multispectral band, which are capability to update forest map of kind of tree. From the result of this study, First, the visual analysis of the colour composites of the multispectral data made it possible to distinguish some species(conifer, broad-leaved, un-stocked, arable land). Second, forest map and orthorectiffd satellite imagery are not match in the boundary of forest, therefore work have some troubles in the modification of forest map. Third, the distinguish from age-class, girth-class and density are much need experience and skillful about sample such as aerial photo.

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Surgical Anatomy of the Sternal Median and Paramedian Approaches on the Junction of the Veins and the Arteries of the Pig Heart (흉골 정중선 절개와 방정중선 절개 접근술에 따른 돼지 심장 대혈관들의 외과적 해부구조의 육안적 비교)

  • Mi-young An
    • Journal of Veterinary Clinics
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    • v.16 no.1
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    • pp.95-99
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    • 1999
  • 돼지 심장의 해부학적 구조에 대해서는 많은 연구가 보고되어 있으나 흉골 정중선 절개와 방정중선 절개 후 절개선에 나타나는 돼지 심장 대혈관들의 외과적 해부구조에 대한 보고는 아직 없고 심장적출 및 수술에 외과적 해부구조의 숙지가 필수적이므로, 체중 15kg - 25kg의 돼지 12마리를 4마리씩 3군, 즉 정중선절개군, 우측방정중선절개군, 좌측방정중선절개군으로 나누어 흉골열개 후 나타난 심장 대혈관들의 육안적 외과구조를 보고하고 심장적출술을 시도해 각 수술절개 접근법에 따른 수술의 용이성을 관찰하여 더 나은 수술접근법을 선택하는데 필요한 정보를 제공하고자 본 실험을 실시하였다. 그 결과, 우측과 좌측 방정중선절개법에 의해 흉골을 완전 열개시에는 제 1흉골과 갑상연골 부위에서 정중선으로 접근하는 초승달형 절개를 통해 internal mammary artery의 절개 위험성을 피할 수 있음을 발견하였고 흉골정중선절개에서는 상행대동맥의 정 중앙부에 aortic cannula를 쉽게 장착할 수 있었고 특히 비숙련자에게 더 적절한 수술 방법임을 알 수 있었다. 한편 숙련자가 심장적출이 아닌 동맥관개존증등과 같은 심장수술의 경우에는 방 정중선절개로써 환축의 수술 후 통증을 감소시키고 조기치유가 가능하다면, 초승달형 절개법을 응용한 방정중선 절개를 권할 수 있고 이에 따른 임상적 관찰이 요구되는 바이다.

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CAD/CAM system을 이용한 Zirconia수복

  • Park, Eun-Jin
    • The Journal of the Korean dental association
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    • v.47 no.12
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    • pp.817-822
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    • 2009
  • 치과보철학 분야에서 컴퓨터를 이용한 기술의 발달로 치료 계획, 수술, 보철물 수복에 이르기까지 CAD-CAM의 광범위한 적용이 가능해지고 있으며, 비용과 시간의 절약으로 효율적인 진료가 가능하다는 점을 인지한 많은 회사들의 투자로 다양한 프로그램과 기계들이 소개되고 있다. 그러나, 이렇게 활발한 제품 개발에도 불구하고 아직 실제 임상으로의 적용은 보편화되었다고 보기는 어려운데, 가장 큰 이유는 정확도에 대한 의심과 복잡하다고 느껴지는 초기의 숙련 과정에 있다고 하겠다. 제작회사들의 보고에 따르면 컴퓨터를 이용하여 디자인하고 절삭하는 것이 기존의 주조 기술보다 더 정교하다고 하였으나, 실제 임상에서는 미세한 오차를 간과한 데서 오는 최종 결과물과의 차이를 얘기하는 임상가들이 있는 것이 현실이다. 또, 그 사용 재료에 있어서도 초기 티타늄 금속 재료에 이어 심미적 요구를 위한 알루미나, 보다 향상된 강도를 가진 지르코니아에 이르기까지 다양한 재료들이 쏟아져 나오고 있다. 이에 본 논문에서는 다양한 CAD-CAM 시스템 중 대표적인 것 중의 하나인 Nobel Biocare사의 $Procera^{(R)}$ 시스템을 중심으로 지르코니아 수복물에 관한 최신 정보를 제공하며, 그 다양한 치과적 적용을 누구나 쉽고 정확하게 사용할 수 있는 임상 증례와 함께 소개함으로써 실제 임상 적용에 도움이 되고자 한다.

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Comparison of Effects of Nursing Process Reeducation according to Academic Credit Bank System Student Nurses' Clinical Experience - Expertise, Critical Thinking Disposition, Clinical Decision Making - (학점은행제 교육과정 간호사들의 임상경력에 따른 간호과정 재교육의 효과 비교 - 숙련성, 비판적사고 성향, 임상의사결정 능력을 중심으로 -)

  • Yi, Yeo-Jin
    • Journal of Korean Academy of Nursing Administration
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    • v.15 no.2
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    • pp.275-283
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    • 2009
  • Purpose: This study investigated the effects of reeducation of nursing process on nurses' expertise, critical thinking disposition, and clinical decision making. Methods: Data were collected from March to June, 2007. The subjects were 47 Academic Credit Bank System Student Nurses. They were taught 'nursing process' during 1 semester(15weeks). 47 nurses were divided into three groups according to clinical experience(under 3 years, 3 to under 5 years, 5 years or more). After 15 weeks, the effects of education were compared using a paired t-test between pre-test and post-test. Results: There was a significant difference in the 3 to under 5 years experienced nurses's expertise(t=-3.659, p=.004) between the pre-test and post-test. There was a significant difference in the 5 years or more experienced nurses's expertise(t=-5.781, p<.001) and critical thinking disposition(t=-3.345, p=.003) between the pre-test and post-test. There were no significant differences in clinical decision making(accuracy, proficiency, and confidence) of 3 groups. Conclusion: Reeducation of nursing process is a valuable teaching and an evaluation strategy for 5 years or more experienced nurses to improve expertise and critical thinking disposition. We need to develop continuing education program for improving nurses' clinical decision making.

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The Effects of Self-directed Practice using Peer-tutoring on Confidence, Performance and Learning Satisfaction of Nursing Students in Practicing Core Nursing Skills (동료 교수학습이 핵심기본간호술 수행자신감, 숙련도와 학습만족도에 미치는 효과)

  • Yoo, Myoung-Ran;Kang, Myungsuk;Kim, Hyewon;Han, Hye-Lee;Choi, Ju-Young
    • The Journal of Korean Academic Society of Nursing Education
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    • v.23 no.1
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    • pp.27-36
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    • 2017
  • Purpose: The purpose of the non-equivalent control group pretest-posttest study was to test the effects of self-directed nursing practice using peer-tutoring, on the level of confidence, performance and learning satisfaction of nursing students in practicing core nursing skills. Methods: The data were collected from 80 junior nursing students at a nursing college in Daejeon before and after 3 weeks of intervention on practicing six core nursing skills, according to the highest order of priority. The subjects were divided into the peer-tutoring practice group (PTPG, n=40) and the lecturer-guided practice group (LGPG, n=40). The data were analyzed using mean, frequency, and t-test. Results: The PTPG scored statistically higher than the LGPG on the performance of 'indwelling urinary catheterization' and 'wearing protection equipment while entering quarantine room & disposing waste'. The PTPG scored statistically higher than the LGPG on the confidence of 'indwelling urinary catheterization' and 'inserting intravenous catheterization'. The PTPG scored statistically higher on learning satisfaction than LGPG. Conclusion: The results showed that self-directed nursing practice using peer-tutoring could be effective for nursing students in improving proficiency in core nursing skills and might be applied to core nursing skills training.

The Effects of Expertise Level on Task Load and Easy-to-use in Virtual Reality Based Dental Clinical Simulation (치과임상용 가상현실 시뮬레이션에서 사용자의 숙련도 수준이 과제부하와 사용용이성에 미치는 영향)

  • Jeong, Museok;Lim, Taehyeong;Ryu, Jeeheon
    • The Journal of the Korea Contents Association
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    • v.21 no.8
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    • pp.258-270
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    • 2021
  • This study aimed to investigate the effects of the virtual reality simulation for malocclusion examination for dental education. A 4-step modeling procedure was applied to develop a tooth model with a realistic level in order to be held and observed in detail. Eighty-six participants used HMDs to examine the developed virtual dental simulation to identify their perception according to expertise levels. The independent variable, expertise group, included three levels: 29 juniors, 29 seniors, and 28 dentists, respectively. The dependent variables, that were task-load and usability, were measured through two cases. Results showed that the junior group perceived a higher level of mental demands and embarrassment than the dentist group. It indicated that the perceived task load varies according to the expertise levels in the simulation task. However, the senior group perceived a higher level of ease of use than the dentist group. This study presented the implications for the development of virtual reality simulation in detail.

Evaluation of Usefulness of Assertive Devices to Improve the Accuracy in Skull lateral X-ray Projection (두개골 측방향 X-선 촬영에서 정확도 향상을 위한 촬영 보조 기구의 유용성 평가)

  • Bo-Seok Chang
    • Journal of the Korean Society of Radiology
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    • v.18 no.2
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    • pp.153-159
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    • 2024
  • In X-ray projection, Unskilled radiologists become skilled through fail exam. This causes the patient to be exposed to unnecessary radiation. In this study, pre-position unskilled radiologic technologist presented ways to improve clinical proficiency. presented a skull lateral x-ray projection practice method using visual, spatial, and assistive devices. In addition, the accuracy and usefulness of the use of assistive devices were evaluated. When X-ray images were taken based on learning, the rotational spacing, which indicates image distortion, was 7.85 ± 1.45 mm and the tiliting spacing was 4.84 ± 0.5 mm. When practicing using visual aids, the rotational spacing is 4.4 ± 0.76 mm and the inclination spacing is 3.01 ± 0.87 mm. using a spatial compensation device, the rotational spacing is 5.2 ± 0.69 mm and the tiliting spacing is 3.33 ± 0.61 mm. Skull lateral X-ray Image distortion caused by empirical photography practice decreased by 5.4%, but image distortion caused by tilting increased by 1.2%. When practicing using a visual assistive devices, the degree of rotational spacing by 40.1% and the tiliting spacing decreased by 30.7% compared to the empirical x-ray exposure practice. When using spatial assistive devices, the rotation interval was reduced by 41.7% and the tilting interval by 23.7% compared to conventional empirical x-ray exposure practice. Therefore, if an unskilled radiologist practices using visual and spatial aids,the accuracy will be improved in skull lateral x-ray projection.

Neuropsychological Tests in Consultation Neurology (자문 시 유용한 신경인지검사)

  • Oh, Jee-Young
    • Korean Journal of Psychosomatic Medicine
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    • v.18 no.1
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    • pp.11-18
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    • 2010
  • The clinical assessment of a patient with a cerebral lesion is not easy to physicians. Extensive neuropsycho-logical tests often need both skilled experience and some special tools. Some bedside tests equally provide valuable clues to localize cerebral lesion, when a clinician knows functional anatomy of cerebral hemisphere. In this article, several techniques used to evaluate cerebral cortical function will be introduced.

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