• 제목/요약/키워드: Case holding activities

검색결과 14건 처리시간 0.022초

A Public-Private Collaboration Model for Treatment Intervention to Improve Outcomes in Patients with Tuberculosis in the Private Sector

  • Kim, Hee Jin;Bai, Gill-Han;Kang, Mi Kyung;Kim, Sang Jae;Lee, Jong Koo;Cho, Sung-Il;Lew, Woo Jin
    • Tuberculosis and Respiratory Diseases
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    • 제66권5호
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    • pp.349-357
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    • 2009
  • Background: The treatment success rates in patients with tuberculosis are known to be lower in the private sector compared to the public sector. To improve treatment outcomes in the private sector we developed a public-private collaboration model for strengthening health education and case holding activities with public health nursing in the private sector. Methods: We performed a prospective cohort study in new smear positive pulmonary tuberculosis patients treated at private hospitals, selected by non-randomization, with an intervention consisting of health education and case holding activities by specially trained public health nurses (intervention group) results were compared with cases treated without the intervention (conventional group). Physicians were asked to treat both groups routinely. The treatment outcomes of patients under treatment by the National Tuberculosis Programme were also analyzed for comparison. Results: There were 172 cases each in the intervention and conventional groups. The mean age was 48.9${\pm}$19.0 and 48.2${\pm}$19.7 in the respective groups (p=0.66). The PHN interacted with the cases in the intervention group by initial face to face interview and telephone calls an average of 7.1${\pm}$9.2 times during the initial six months. The intervention group showed a significantly higher treatment success rate, 91.6%, (Rate Ratio [RR]; 1.23, 95% Confidence Interval [CI]; 1.12-1.36), lower default, 3.6%, (RR; 0.31, 95% CI; 0.13-0.75) and transfer-out rate, 3.0%, (RR; 0.32, 95% CI; 0.12-0.86) than the conventional group where they were: 75.0%, 11.6%, 9.3%, respectively. The success rate was even higher than the rate (80.5%) of 1,027 cases treated in health centers (RR; 1.11, 95% CI; 1.05-1.17). Of the completed cases in the intervention group, 82.2% regarded the role of the public health nurse as very helpful. Conclusion: The treatment success rate, of tuberculosis patients in the private sector, was significantly improved by an intervention using a public-private collaboration model.

양호겸직교사 연수과정에 관한 연구 -경상남도를 중심으로- (A Study on the Training Course for Teachers Holding Additional Job of School Health Nursing in Kyeong Nam Province)

  • 강영실;정인숙
    • 한국보건간호학회지
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    • 제3권2호
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    • pp.133-142
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    • 1989
  • The purpose of this paper is to provide the basic information concerning school health nursing activities in schools lacking in a school nurse, and the degree of satisfaction of trainess to the training course of school health nursing. The data for this study were collected by means of questionnaire from 150 teachers(100 of primary school and 50 of middle school)who attended the training course superintended by the Board of Education of Kyeong Nam Province from July 27 to August 6 in 1987. The main results of this study can be summarized as following; 1. General characteristics of the trainees: The majority of the trainees (71.3%) were in the age of twenties, 86.5% graduated from four-year teachers' college, 63.5% had less than five-year experience as a teacher. 2. 60.5% of the trainees were actually offering school health nursing services. 67.8% decided voluntarily to participate in the training course, and 62.7% attended the course for the purpose of obtaining health knowledge. 3. Only 4.2% of schools established appropriate health organization, and 34.5% were equipped with nursing clinic. But the main reason school health nursing activities were not performed very well was the insufficient supply of needed medicines and related materials. 4. School health nursing services in schools lacking in a school nurse were offered mainly by the teacher holding additional job of school health. class teacher and atheletic teacher. But the sanitary management for school meal services and community health activities were not carried out at all in many schools. 5. As a whole, trainees were satisfied with training program. But some subjects of the course did not satisfy them because those ones were so theoretical without any practice. 6. Many trainees wished the training course to be more concentrated on case studies which are helpful to solve actual problems. 7. 75% of trainees answered to have decided to perform school health nursing activities more actively than before. 8. Any significant relationship can not be found between trainees' general characteristics and their attitude to school health nursing activities after the training course. Only one factor-motivation to attend the training course-had the statistical significance of 8.7%.

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금속판과 병합한 신연 골형성술을 이용한 단중수증의 치료 (Distraction Osteogenesis Combined with a Plate to Treat Brachymetacarpia)

  • 제갈믿음;김효곤;하성한;이기준
    • 대한정형외과학회지
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    • 제54권5호
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    • pp.457-462
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    • 2019
  • 단중수증을 치료하기 위한 일반적인 신연 골형성술은 신연 기간이 끝나도 안정성을 위해 외고정 장치를 장기간 유지해야 하기 때문에 환자의 일상 활동 제약이 불가피하다. 저자들은 단중수증으로 내원한 20세 남성 환자에서 금속판을 조합한 신연 골형성술을 통해 외고정 장치의 착용 기간을 줄여 조기에 일상 활동 복귀가 가능하도록 하고 만족할 만한 임상 결과를 얻었기에 이를 보고하고자 한다.

대학도서관에 있어서 사서중심의 장서개발은 가능한가\ulcorner-부산대학교 도서관을 중심으로-

  • 김정근
    • 한국도서관정보학회지
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    • 제20권
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    • pp.61-105
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    • 1993
  • For decades, general services and accounting officers have been dominant forces in collection development activities in college and university libraries in Korea. The role of certified librarians has been rather peripheral. This has been allowed by the fact that library acquisitions departments had to be headed by non-librarian general administrative officers by the government regulation. The philosophy behind this regulation was that acquiring library materials was not any different from simple purchasing act of other useful goods in the marketplace. In affiliation with the element of general administrative officers, domestic book-sellers also had a great influence in collection building activities in college and university libraries in Korea. This has been made possible by the fact that no other people could su n.0, pply library materials, especially foreign library materials. It has been pointed out for years that the mechanism in which general administrative officers and domestic book-sellers had a greater say in library acquisitions activities was especially inefficient in acquiring wanted materials in wanted speed and in wanted price. In this mechanism, books and periodicals were mere goods. They were not perceived as intellectual property holding information and knowledge in them. Since the student movement to revolutionize the library system of the Pusan National University, September 1987 to December 1988, the creative and progressive elements in this university library have been making great efforts to change the acquisitions system in this library into a more efficient one by putting certified librarians at the center of the whole acquisitions process. These efforts have been successful to a certain degree. In this discursive study of the case of the Pusan National University Library, I have tried to achieve a social description of the library process in which progressively motivated librarians succeeded in alienating administrative officers and book-sellers and in grasping in their hands the hegemony in the collection building aspect of library activities. It has been discovered that this was possible only when the librarians were mature enough to have their kind of professionalism, i.e., professional ethics and craftsmanship.

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Changes of Shoulder Muscles Activity during Maintaining and Lifting Shoulder Depending on Stretch Rate of Kinesio Tape

  • Kim, Ju-Seung;Park, Min-Chull
    • The Journal of Korean Physical Therapy
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    • 제27권5호
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    • pp.299-303
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    • 2015
  • Purpose: The objective of this study was to examine the changes in muscle activity on the anterior deltoid muscle depending on the stretch rate of kinesio tape when applying kinesio tape in healthy adult subjects. Methods: This study was a single-blind randomized controlled trial, including 22 healthy participants (male 15, female 7) with no pathology or past history of shoulder who participated voluntarily. Participants applied a different stretch rate of the kinesio tape, and the functional activity was tested. The stretch rate of kinesio tape was 0%, 10%, and 20%. Subjects lifted a weight (5% of their body weight) to their shoulder height. Subjects lifted a weight up to an angle of 90 degrees in the sagittal plane, and muscle activities (biceps brachii, anterior deltoid, middle deltoid, upper trapezius) were assessed using EMG (electromyography). Analysis of muscle activity was divided into two parts (lift weight and keep holding). The EMG activity of each muscle was normalized to the value of reference voluntary contraction (%RVC) and explored using repeated ANOVA. Results: There were no significant differences in muscle activity depending on the ratio of tape stretch when lifting a weight (p>0.05). There were no significant differences in muscle activity depending on the ratio of tape stretch when holding a weight (p>0.05). Conclusion: According to the results of this study, in the case of applying kinesio taping therapy for healthy people, it was found that the stretch rate of the tape does not have an effect on muscle activity.

한방음악치료(韓方音樂治療)의 기전(機轉)에 따른 치료법(治療法) 연구(硏究) - 신허자음음악요법(腎虛滋陰音樂療法)을 중심(中心)으로 - (The Study of Deficiency of the Kidney-Eum Nourishing Therapy by Methodology of Oriental Medicine Music Therapy)

  • 이승현
    • 대한한의학원전학회지
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    • 제23권1호
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    • pp.91-100
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    • 2010
  • In this study, I investigated physiology and pathology of the kidney and then researched deficiency of the kidney-nourishing the Eum music therapy to apply for clinical use, because symptoms such as chronic fatigue, morbus asthenia, anxiety, dizziness, tinnitus, and amnesia are prevalent in our modern societies. These symptoms are due to deficiency of the kidney. The kidney stores vital essence and has a function to keep activities as motive power. If the kidney is abnormal in storing the essence and holding Gi, various symptoms like dizziness, tinnitus, amnesia are caused by deficiency of the kidney. In deficiency of the kidney-nourishing the Eum music therapy, Water-Gi music which can store the essence is mainly used. In case of patients with deficiency of the kidney, dizziness, tinnitus, and amnesia, we can make use of NO.3, BWV 1068, Air of J.S.Bach and Jinyangjo of Geomungo. If there are flaring-up and fidgetiness due to deficiency of vital essence, Earth-Gi music that can help the vigor of spleen and stomach should be used prior to Water-Gi music. In the concrete, Hahyeondodeuri of Yeongsanhoesang played on Geomungo can be used. The tinnitus is caused by wind-heat and fire in the gallbladder. It is good to nourish the Eum through Water-Gi music after dispelling pathogens through Jajinmori among Gayageum sanjo.

민.관의 활동에서 본 쓰시마시의 지역 활성화 정책: 아리랑 축제를 사례로 (The Regional Development Strategy by Public-Private Activities: A Case Study of the Tsushima Arirang Festival, Tsushima, Nagasaki Province, Japan)

  • 신영근
    • 대한지리학회지
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    • 제43권6호
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    • pp.951-960
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    • 2008
  • 본 연구에서는 쓰시마시의 아리랑 축제를 사례로, 쓰시마시는 어떠한 과정을 거천 아리랑 축제를 한국인을 겨냥한 장소마케팅의 수단으로 이용해 왔는지, 아리랑 축제의 역사를 통한 민과 관의 활동에 착안하여 고찰하였다. 쓰시마시는 기존의 축제에 조선통신사 행렬과 아리랑 축제의 타이틀을 추가함으로써, 한국인 관광객을 유치하려고 노력하여 왔으나, 독도문제 등으로 인한 일부 주민들의 항의에 부딪혔다. 이에 시는 협의회를 거쳐, 지역 활성화를 위해 축제를 중지할 필요는 없지만, 2007년부터는 아리랑 축제를 서브타이틀로 사용할 것에 합의하였다. 이처럼 지역주민들은 때로는 아리랑 축제의 개최를 둘러싸고 관과 첨예하게 의견대립을 보이는 경우도 있었지만, 한편으로 그들은 축제의 운영에서 프로그램의 공연에 이르기까지 적극적으로 참가하고 있어, 쓰시마시의 아리랑 축제는 지역주민의 아이덴티티에 기초한 그들의 축제이면서 동시에 장소마케팅의 수단으로 이용되고 있음을 알 수 있고, 그 과정은 민과 관이 함께 만들어 가는 지역 만들기의 과정이라고 할 수 있다.

표고버섯분말 첨가가 우육의 연도 및 관능특성에 미치는 영향 (Effect of Letinus edodes Powder on Tenderness and Sensory Characteristics of Beef)

  • 김호경;한혜영
    • 한국조리학회지
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    • 제23권7호
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    • pp.63-70
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    • 2017
  • The purpose of this study was to investigate the effects of proteolytic enzymes in Letinus edodes powder which has the ratio of 0%, 2%, 4%, and 8% on the tenderness and sensory characteristics of beef. Beef eye of rounds were marinated in distilled water (Control), 2% L. edodes (L2), 4% L. edodes (L4), and 8% L. edodes (L8). As a result, the enzyme activities have shown to have higher activity (p<0.001) as the amount of freeze-dried Letinus edodes powder increased. The pH and color of the meat were slightly different between the C (control) group and the sample groups. The cooking loss showed the lowest value of control (p<0.01), and water holding capacity showed the highest value of L8. Furthermore, the sample groups exhibited lower shear force values compared with the control (p<0.05). L4 and L8 showed muscle proteolytic effects compared with the control. In case of sensory evaluation, L4 showed significantly higher values in terms of color (p<0.05), flavor (p<0.01), taste (p<0.01), tenderness (p<0.01), juiciness (p<0.01), and overall acceptance (p<0.01). Based on the results, this study conclude that adding of 4% around freeze-dried Letinus edodes powder may be the best optimization ratio for sensory character and tenderization of the beef.

Development Process of Agriculture And Technology -A Case Study of Korea

  • Gajendra-Singh;Ahn, Duck-Hyun
    • 한국농업기계학회:학술대회논문집
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    • 한국농업기계학회 1993년도 Proceedings of International Conference for Agricultural Machinery and Process Engineering
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    • pp.109-118
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    • 1993
  • Development process of agricultural technology has been studied with a case study of Korean agriculture. Technological is considered as a transformer of inputs into outputs and hence technological appropriateness, an important aspect of agricultural development strategies, is considered as a dynamic concepts. Considering the concept of agricultural system as a delivery system for providing essential materials and services to producers and consumers, it has been divided into two major groups of dimensions vis. external challenge dimensions and internal response dimensions. Market, investment and agro-ecosystem constitute the external challenge dimensions : whereas trade , technology as well as production and resources allocation constitute internal response dimensions. The system manager is responsible for maintaining equilibrium in the mentioned six sub-systems. Two kinds of alternatives paths of technological development viz. land saving technology and labour saving technolog have been studied. Technology is considered as a combination of four basic components viz. facilities, abilities, facts and frameworks. Adoption of innovation in agriculture depends on profitability, awareness, risk aversion, financial capacity, institutional infrastructure, availability of physical inputs and adaptability to the local conditions. For a cast study of Korea, changes in the agricultural system through external challenge dimensions are investigated. The impacts of industrialization on agro-ecosystem reported are shift of labour from the agricultural sector to non-agricultural sectors and continuously increasing demand of farm the agricultural sector to non-agricultural sectors accompanied by increase in land prices. The impacts on the commodity market discussed are shift in demand from rice, barley and other cereals to meat , dairy products and vegetables : and increasing in supply capacity of agricultural inputs. The process of agricultural development from 1962 to 19 1 9 (i.e. from start of the first to the end of the sixth five year plan) are also discussed in details with several policy measures taken. The trend of agricultural income and productivity are also analyzed. The main cause of increase in the agricultural income is considered as increase in labour productivity. The study revealed that during the span of 1965-88, holding size has not changed significantly, but both the land and labour productivity increased and so did the agricultural income. R&D activities in Korea have changed over time in three stages vix. import of improved technology, localization by adaptive research and technological mastery. For the new technology to be made affordable to farmers, policy measures like fertilizer and food grain exchange system, dual price system in rice and barely and loan for machinery were strengthened.

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기업의 사회적 책임(CSR)활동의적합성이 브랜드 태도에 미치는 영향에 관한 재고찰: 브랜드 계층구조 관점에서 (A Reexamination of the Impact of the Fit of Corporate Social Responsibility on the Brand Attitude: The Perspective of Brand Hierarchy)

  • 양재호;서해진;송태호
    • 광고학연구
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    • 제27권8호
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    • pp.59-90
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    • 2016
  • 소비자는 시장에서 경제적 가치뿐만 아니라 사회적 가치에도 영향력을 행사하며 기업이 사회적 책임을 다하기를 요구하고 있다. 구체적으로 이런 사회적 분위기에 편승해 기업들은다양한 사회적 책임 활동(Corporate Social Responsibility:CSR)활동을 적극적으로 펼쳐가고 있다. 아울러 학계에서도 CSR활동의 효과에 관한 다양한 연구가 진행되어 왔다. 그 중에서도 CSR 활동과 브랜드 자산가치의 관계에 관한 연구들이 다수 진행되었는데, 이러한 연구의 대다수가개별브랜드 관점에서 CSR활동에 대한 소비자 반응에 초점을 맞추고 있는 게 사실이다. 하지만브랜드 매니지먼트 관점에서 볼 때, 대부분의 기업들이 다수의 브랜드를 관리하고 있는 상황을고려한다면 기업브랜드를 포함하여 살펴보는 것이 CSR활동의 효과를 좀 더 포괄적으로 이해하는데 도움이 될 것으로 보인다. 또한 브랜드 간 파급효과를 고려한 브랜드 운용의 필요성이 증가하고 있는 상황을 고려할 때, 다수의 브랜드를 보유한 기업이 CSR활동 전략을 수립할 때에도브랜드 간 파급효과를 고려해야 한다고 판단된다. 따라서 본 연구는 브랜드 계층구조에 따른 브랜드 운용과 CSR활동의 적합성 문제를 고려하였으며, CSR활동 적합성의 상대성을 반영한 2가지 CSR전략 유형의 효과를 살펴보았다. 연구 결과, 첫째 개별브랜드 중심 CSR전략과 기업브랜드 중심 CSR전략의 효과의 차이가 없었다. 특히 일부 개별브랜드의 경우에는 기업브랜드 중심 CSR전략이 오히려 더 큰 소비자의 태도 변화를 이끌어 냈다. 이를 토대로 기존의 CSR활동 관련 연구에서의 일반적 주장과 달리 브랜드 계층구조의 영향으로 적합성의 역할이 상대적으로 줄어들 수 있음을 유추해 볼 수 있다. 둘째, 동일한 기업브랜드에 속하는 하위 개별브랜드들 사이에서 CSR활동에 의한 파급효과가나타나, 명확한 브랜드 계층구조의 역할을 검증했다. 이를 통해 개별브랜드 중심 CSR전략과 기업브랜드 중심 CSR전략 모두 소비자의 브랜드에 대한 태도 변화를 유발하지만, 기업 전체적인측면에서 살펴본다면 브랜드 간 파급효과를 낳는 기업브랜드 중심 CSR전략이 더 효과적일 수있음을 밝혔다. 셋째, 개별브랜드들과 기업브랜드 간 연상의 강도를 달리하여 기업브랜드 중심CSR전략의 효과를 검증하였다. 그 결과 연상 강도에 따른 차이를 확인하여 기업브랜드 중심CSR전략의 효과는 기업브랜드를 통한 브랜드 간 연상의 파급효과에 기인함을 검증하였다. 본연구에서는 이러한 결과를 바탕으로 시사점을 논의하였다.