• 제목/요약/키워드: Case record

검색결과 667건 처리시간 0.026초

How do Elementary Students Classify the Branches of Science?

  • Kwon, Sung-Gi;Nam, Il-Kyun
    • 한국과학교육학회지
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    • 제29권3호
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    • pp.329-347
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    • 2009
  • Science curriculums for elementary schools were, traditionally, developed to be balanced in content and contain equal proportions of the four branches of science: physics, chemistry, biology, and earth science. To develop a successful science curriculum, we asked some questions about how elementary students recognize these branches and about what they think of the domains of science in the science curriculum. Our study was designed to investigate how elementary students classify the domains of science in the curriculum. Previous research (Lee et al., 2001) seemed not to be successful, because verbal expressions in that research might be inappropriate for elementary students who were unaccustomed to the technical language of science. For this reason, instead of using only words, we developed image card instruments, made of picture duplicates of the introductory covers of each unit in the 3$^{rd}$, 4$^{th}$, and 5$^{th}$ grades' science textbooks. We asked students to classify these cards into their own categories and record the reasons for classifying them. The ratio and distribution of the units was then analyzed to identify their view of the science domains. 30% of the 4$^{th}$ grade students created the following categories: 'nature,' 'observation,' 'seasons,' 'living things,' 'sounds,' 'separating,' and 'the things necessary for everyday life'. In the case of the 5$^{th}$ grade, over 30% created the categories of 'living things,' 'weight,' and 'water.' Over 30% of the 6$^{th}$ grade created the categories of 'nature,' 'light,' 'water,' 'living things,' 'solution,' 'fire,' 'properties of an object,' and 'experiment.' Upon scrutinizing the above results, we discovered that the science domains selected by students into three types of domains: academic contents and concepts; activities related to a science class; and lessons and experiences in students ' lives. The last category was a new, complex kind of domain. We concluded that students did not utilize the four branches of science when constructing their own domains of science. Instead, they created many alternative domains, which reflected students' thoughts of and their experiences. The educational needs of elementary students suggest that when organizing science curriculum as 25 % allocation of the four science branches, newly-created domains should be considered.

Impact of COVID-19 pandemic on routine immunization services in a tertiary care hospital of Rajasthan, India

  • Madhvi Dhamania;Kusum Gaur
    • Clinical and Experimental Vaccine Research
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    • 제12권4호
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    • pp.313-318
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    • 2023
  • Purpose: Globally, 25 million children were either unvaccinated or under-vaccinated in year 2021. Among them, India had the highest number of children unvaccinated. Studies have shown impact of coronavirus disease 2019 (COVID-19) pandemic on routine health-care services. Present study aimed to estimate the impact of COVID-19 on utilization of routine immunization services during years 2020 and 2021 in tertiary-care facility. Materials and Methods: Record based descriptive analytic study was conducted at pediatric tertiary-care hospital, Jaipur. Data of children vaccinated as per the National Immunization Schedule for the period January 2019 to December 2021 were retrieved from the immunization records. Doses administered were assessed as a proxy measure of vaccine coverage. The vaccination trends of 2020 and 2021 were compared assuming base year 2019. Unpaired t-test of significance and Pearson correlation was used for correlation analysis. Results: There was significant drop in the vaccine counts after emergence of COVID-19 pandemic. In year 2020 and 2021, mean monthly vaccine count was 2,190±715.1 and 2,305±393.2, respectively, in which maximum drop was in April 2020 (-79.12%) and May 2021 (-57.16%) when it was compared with matched month of base year. There was negative correlation between percent change in vaccine count and COVID-19 cases in 2020 (r=-0.057, p=0.861) and 2021 (r=-0.827, p=0.001) as compared to year 2019. Conclusion: Study concludes that there was a significant gap in utilization of routine immunization services during the COVID-19 pandemic. This necessitates planning and management of routine immunization services in-case of future pandemics to avoid resurgence of vaccine-preventable diseases in the Rajasthan.

구술 기록의 공공성 (A Study on the Publicness of Oral Records : The Cases of 2021 Digital Life History Archiving)

  • 김택호
    • 기록학연구
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    • 제79호
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    • pp.443-469
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    • 2024
  • 본 연구는 다양한 기관에서 생산하고 있는 구술 기록과 구술 기록 생산과정에 공론장 형성 기능이 있으며, 이것이 구술 기록의 공공성이라는 점을 드러내려는 데에 목적이 있다. 연구는 이를 위해 공론장과 공공성을 논의하고 분석한 철학, 사회학, 정치학 분야 선행연구를 살펴보면서 공론장의 기능과 공공성의 의미를 규정하고, 그것이 구술 기록의 일반적인 특성과 어떤 연관성이 있는지 확인했다. 본 연구는 이와 같은 논의의 구체성을 확보하기 위해 문화체육관광부에서 주관하고 (협)아카이빙네트워크연구원이 수행했던 「2021년 디지털 생활사 아카이빙 사업」의 성과를 분석하였다. 결과적으로 사업에 참여했던 시민 면담자들의 구술 기획과 구술 기록, 구술 기록 해설로부터 공공성을 강화하는 데 기여할 수 있는 요소를 다수 찾아낼 수 있었다.

Variation of Hospital Costs and Product Heterogeneity

  • Shin, Young-Soo
    • Journal of Preventive Medicine and Public Health
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    • 제11권1호
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    • pp.123-127
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    • 1978
  • The major objective of this research is to identify those hospital characteristics that best explain cost variation among hospitals and to formulate linear models that can predict hospital costs. Specific emphasis is placed on hospital output, that is, the identification of diagnosis related patient groups (DRGs) which are medically meaningful and demonstrate similar patterns of hospital resource consumption. A casemix index is developed based on the DRGs identified. Considering the common problems encountered in previous hospital cost research, the following study requirements are estab-lished for fulfilling the objectives of this research: 1. Selection of hospitals that exercise similar medical and fiscal practices. 2. Identification of an appropriate data collection mechanism in which demographic and medical characteristics of individual patients as well as accurate and comparable cost information can be derived. 3. Development of a patient classification system in which all the patients treated in hospitals are able to be split into mutually exclusive categories with consistent and stable patterns of resource consumption. 4. Development of a cost finding mechanism through which patient groups' costs can be made comparable across hospitals. A data set of Medicare patients prepared by the Social Security Administration was selected for the study analysis. The data set contained 27,229 record abstracts of Medicare patients discharged from all but one short-term general hospital in Connecticut during the period from January 1, 1971, to December 31, 1972. Each record abstract contained demographic and diagnostic information, as well as charges for specific medical services received. The 'AUT-OGRP System' was used to generate 198 DRGs in which the entire range of Medicare patients were split into mutually exclusive categories, each of which shows a consistent and stable pattern of resource consumption. The 'Departmental Method' was used to generate cost information for the groups of Medicare patients that would be comparable across hospitals. To fulfill the study objectives, an extensive analysis was conducted in the following areas: 1. Analysis of DRGs: in which the level of resource use of each DRG was determined, the length of stay or death rate of each DRG in relation to resource use was characterized, and underlying patterns of the relationships among DRG costs were explained. 2. Exploration of resource use profiles of hospitals; in which the magnitude of differences in the resource uses or death rates incurred in the treatment of Medicare patients among the study hospitals was explored. 3. Casemix analysis; in which four types of casemix-related indices were generated, and the significance of these indices in the explanation of hospital costs was examined. 4. Formulation of linear models to predict hospital costs of Medicare patients; in which nine independent variables (i. e., casemix index, hospital size, complexity of service, teaching activity, location, casemix-adjusted death. rate index, occupancy rate, and casemix-adjusted length of stay index) were used for determining factors in hospital costs. Results from the study analysis indicated that: 1. The system of 198 DRGs for Medicare patient classification was demonstrated not only as a strong tool for determining the pattern of hospital resource utilization of Medicare patients, but also for categorizing patients by their severity of illness. 2. The wei틴fed mean total case cost (TOTC) of the study hospitals for Medicare patients during the study years was $11,27.02 with a standard deviation of $117.20. The hospital with the highest average TOTC ($1538.15) was 2.08 times more expensive than the hospital with the lowest average TOTC ($743.45). The weighted mean per diem total cost (DTOC) of the study hospitals for Medicare patients during the sutdy years was $107.98 with a standard deviation of $15.18. The hospital with the highest average DTOC ($147.23) was 1.87 times more expensive than the hospital with the lowest average DTOC ($78.49). 3. The linear models for each of the six types of hospital costs were formulated using the casemix index and the eight other hospital variables as the determinants. These models explained variance to the extent of 68.7 percent of total case cost (TOTC), 63.5 percent of room and board cost (RMC), 66.2 percent of total ancillary service cost (TANC), 66.3 percent of per diem total cost (DTOC), 56.9 percent of per diem room and board cost (DRMC), and 65.5 percent of per diem ancillary service cost (DTANC). The casemix index alone explained approximately one half of interhospital cost variation: 59.1 percent for TOTC and 44.3 percent for DTOC. Thsee results demonstrate that the casemix index is the most importand determinant of interhospital cost variation Future research and policy implications in regard to the results of this study is envisioned in the following three areas: 1. Utilization of casemix related indices in the Medicare data systems. 2. Refinement of data for hospital cost evaluation. 3. Development of a system for reimbursement and cost control in hospitals.

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초등학교 수학과 수행평가 실천에 관한 연구 - 자기평가.동료평가.관찰평가를 중심으로 - (A Study on the Practice of Performance Assessment in the Elementary School Mathematics - Focussing on Self-assessment and Peer-observation -)

  • 김송자;최창우
    • 한국초등수학교육학회지
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    • 제10권1호
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    • pp.67-87
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    • 2006
  • 본 연구는 초등학교에서 이루어지는 수행평가 실시에서의 문제점을 인식하고 자기평가, 동료평가 및 관찰평가의 실천을 통하여 평가에 따르는 시간적인 제약을 줄이고, 평가의 결과를 교수 학습계획에 반영시킴으로써 평가를 통한 초등수학과 교수 학습의 개선에 대한 시사점을 찾아보고자 이루어졌다. 이러한 목적을 달성하기 위하여 연구자는 초등학교 2학년 1개 반 학생 40명을 대상으로 자기평가, 동료평가를 실시하고 '재미있는 놀이를 하여 봅시다' 차시의 운영과정에서 관찰평가를 한 학기동안 적용하였으며 평가의 적용과정에서 얻어진 학생들의 자기평가결과물(수학일지, 자기평가지, 평가의 과정에서의 대화내용)과 관찰평가 결과물(체크리스트, 놀이 활동 결과물, 놀이의 과정에서의 대화내용)을 분석해 보았다.

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가족아카이브의 사회적 확대를 위한 시론적 분석 (Basic Analysis for Social Spreading of Family Archives)

  • 김명훈
    • 기록학연구
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    • 제66호
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    • pp.229-265
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    • 2020
  • 본 연구에서는 가족공동체 회복을 위한 방편으로 가족아카이브의 구축 필요성과 함께, 가족아카이브를 하나의 사회문화로 자리매김하기 위한 방향성을 고찰하였다. 가족아카이브에 대한 연구가 전 세계적으로 미진한 상황에서, 본 연구에서는 세 영역에 초점을 맞추어 가족아카이브를 분석하였다. 첫 번째는 가족아카이브 필요성에 대한 고찰이다. 이를 위해 먼저 최근의 사회환경에서 가족공동체의 위기가 심화되는 상황을 파악하기 위해 사회학 및 가족학 분야의 연구들을 분석하였으며, 이를 토대로 한국 사회 내에서의 기록을 활용한 가족아카이브 구축 필요성을 제시하였다. 두번째는 가족아카이브의 사회적 확대를 위한 주요 기록관리 선진국의 국립기록청 사례조사이다. 서구 기록관리 선진국의 경우 가족아카이브는 가족사 내지 계보 연구와 밀접히 연관되어 있으며, 기록보존소의 방문자 절반 이상이 가족사 내지 계보 연구자들이 차지하게 되면서, 서구 각국의 국립기록청에서는 가족아카이브 구축을 위한 다양한 서비스를 제공하기 때문이다. 세 번째는 가족아카이브의 의미 및 특성에 관한 분석이다. 가족아카이브가 범사회적인 기록문화로 자리하기 위해서는 기존의 공공기록과는 다른 고유의 의미 및 특성과 함께, 가족아카이브가 지니는 가치 및 역할 정립이 필요하기 때문이다. 이에 가족아카이브의 개념 및 목표 정립과 함께 가족아카이브가 지니는 기능 및 가치를 기존의 기록학 이론과 대비하여 모색하고자 하였다. 이러한 세 영역에 초점을 맞춘 분석 결과, 가족아카이브는 '제도'가 아닌 '문화'로, 또한 '관리'가 아닌 '활용'에 중점을 둘 필요가 있다. 그동안의 기록학 이론 및 방법론들은 공공기록처럼 방대한 양의 기록을 체계적으로 관리·보존하는데 주안점을 두고 개발되어왔고, 아울러 고도로 전문화된 지식을 기반으로 기록관리법령 및 표준, 기침 등을 통해 준수해야 할 하나의 제도로 자리해왔다. 하지만 가족아카이브를 사회적으로 확산시키기 위해서는 일반 시민 누구나 일상적인 삶의 과정 속에서 행할 수 있는 문화 내지 생활방식으로 정착되어야 하며, 전문적인 기록의 관리·보존에 앞서 기록 속에 담고 있는 의미를 가족구성원 모두가 공유할 수 있도록 활용에 우선점을 둘 필요가 있다.

성범죄 전자감독대상자들에 대한 재범추적 연구 (Recidivism Follow-Up Study on Sex offenders under Electronic Monitoring)

  • 이승원;이수정;서혜란
    • 한국심리학회지:법
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    • 제12권1호
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    • pp.15-33
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    • 2021
  • 본 연구에서는 성범죄 전자감독대상자들의 재범 기간 추적과 동종재범여부에 따른 생존율의 차이를 분석하였으며, 범죄전력의 재범예측력을 확인하고자하였다. 재범에 대한 기준은 전자감독 실시 중 발생한 범죄사건으로 인해 유죄가 확정된 경우로 정의하였으며, 재범일은 유죄로 확정된 사건의 사건발생일로 하였다. 분석에 활용된 재범자는 122명, 비재범자는 126명이며, 모두 성범죄를 저질러 전자감독명령을 부과 받은 대상자이다. 연구 결과, 성범죄 전자감독대상자 중 재범을 저지른 자들은 대부분 3년 이내에 재범하는 것으로 확인되었다. 또한 본 연구에서는 재범사건을 이종재범과 동종재범으로 분류한 후 집단 간 생존율의 차이를 분석하였다. 집단구성인원은 각각 이종재범집단 88명, 동종재범집단 34명으로 분석 결과, 두 집단 모두 3년 이내에 가장 많은 재범이 확인되었다. 이종재범집단의 생존율과 동종재범집단의 생존율은 다소 차이가 나타나는 것으로 확인되어 비교분석을 수행하였으며 통계적으로 유의한 수준의 차이는 확인되지 않았다(Wilcoxon statistic = 2.326, df = 1, p = .13, Log Rank = 1.345, df = 1, p = .25). 다음으로 범죄전력 변수의 재범 예측력 확인을 위해 Cox회귀분석을 실시한 결과, 성범죄 전력횟수와 폭력범죄 전력횟수는 성범죄 전자감독대상자의 재범을 잘 예측하는 것으로 분석되었다(X2=27.33, df=1, < .001). 결과적으로 최근 발표되는 자료들에 따르면, 전자감독의 시행으로 재범률이 점차 낮아지고 있으나, 전자감독 대상자 중 고위험군(재범집단)에 속하는 대상자들의 재범소요기간은 다소 짧은 것으로 확인되었다. 이들에 대한 집중적인 통제와 관리가 이루어지기 위해서는 초고위험 집단을 선별할 필요가 있다. 이에, 본 연구와 같이 고위험군에 대한 특성 및 재범연구들을 기반으로 처분의 근거를 마련하는 것은 형사사법절차의 객관성을 부여하는데 있어 큰 역할을 할 것이다.

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한일공동VLBI상관기에서 관측 데이터의 동기재생처리를 위한 RVDB 시스템 개발과 성능시험 (PERFORMANCE EVALUATION AND DEVELOPMENT OF RVDB SYSTEM FOR THE SYNCHRONIZED PLAYBACK PROCESSING OF OBSERVED DATA IN KJJVC)

  • 오세진;노덕규;염재환;정현수;이창훈;김광동;김효령
    • 천문학논총
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    • 제23권2호
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    • pp.91-107
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    • 2008
  • In this paper, we introduce the performance evaluation and development of Raw VLBI Data Buffer(RVDB) system for the synchronized playback processing of observed data in Korea-Japan Joint VLBI Correlator(KJJVC). The high-speed correlation processing system is under development so that the radio data obtained with 8192 channels and 8 Gbps speed from 16 stations will be able to be processed. When the recorded data of each station are played to correlator, the time synchronization of each station is very important because the correlator should process the data obtained with same time and condition. There are many types of recorder systems in the East Asia VLBI Network (EAVN). Therefore it is required to prepare the special time synchronized playback processing system to synchronize the time tag of observed data. The developed RVDB system consists of Data Input Output(DIO), 10GbE switch, and Disk Data Buffer(DDB). It can record the data with maximum 2 Gbps speed, and can play back the data to correlator with nominal 2 Gbps speed. To enable to play back the data of different playback system to the correlator, we developed the high-speed time synchronized playback processing system. We carried out the experiments of playing back and correlation for gigabit correlator and VCS trial product so as to confirm the performance of developed time synchronized playback processing system. In case of online and offline playing back experiment for gigabit correlator, we confirmed that the online and offline correlation results were the same. In case of playing back experiment for VCS trial product, we verified that the wide band and narrow band correlation results were also the same. Through the playing back experiments of RVDB system, the effectiveness of developed RVDB system was verified. In this paper, the system design, construction and experimental results are shown briefly.

일부 대학생에서 치면세균막 관리 프로그램에 의한 치면세균막 감소 효과 및 관리 난이도 (The Dental Biofilm Reduction Effect & Control Difficulty Level of University Students through Dental Biofilm Control Program)

  • 최하나;임순연;조영식
    • 치위생과학회지
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    • 제12권1호
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    • pp.39-44
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    • 2012
  • 본 연구는 치면세균막 관리 프로그램에 의한 치면세균막 감소 효과 및 관리 난이도를 알아보기 위하여 충남지역에 위치한 N대학교 치위생학과에서 2006년부터 2011년까지 학생들이 제출한 임상치위생 증례보고서의 대상자 158명의 기록 가운데 가운데 본 연구에 적절하지 않은 기록을 제외하고 총 131부(82.9%)의 진료기록부를 최종분석에 사용하였다. 1. 치면세균막 관리 프로그램 수행 시 방문 차수에 따른 치면세균막 감소효과를 확인한 결과 2회 방문자(p=0.001), 3회, 4회, 5회, 6회 방문자(p<0.001)는 각각 방문 횟수가 많을수록 치면세균막 지수가 유의하게 감소하였다. 하지만 7회 방문한 대상자의 경우에는 감소된 정도가 통계적으로 유의하지 않았다(p=0.142). 2. 치면세균막 관리 프로그램의 최종방문 시 치아 부위별 치면세균막 지수 평균을 비교하기 위하여 치아 부위를 순/협면, 설/구개면, 인접면으로 분류했을 때에는 설면/구개면의 치면세균막 지수가 26.5%로 가장 높았다. 3. 상/하악의 치면세균막 지수를 측정한 결과 상악과 하악의 치면세균막 지수 간 유의한 차이가 나타났다(t=-2.501, p=0.014). 순/협면, 설/구개면, 인접면의 치면세균막 지수에 대한 분석 결과 순/협면, 설/구개면, 인접면의 치면세균막 지수는 유의한 차이를 보였다(Wilks의 람다=0.686, F=26.329, p<0.001). 육분악의 치면세균막 지수를 확인한 결과 각 부위별로 유의한 차이가 있는 것으로 나타났다(Pillai의 트레이스=0.166, F=4.443, p=0.001).

비만 치료 한약 무작위 대조 임상시험에서의 음식 섭취량과 운동량 실태분석 (Analysis of Food Intake and Physical Activity in Randomized Controlled Trials on Herbal Medicine for Treatment of Human Obesity)

  • 김두희;신우석;박원형;차윤엽;송윤경;안민윤;고성규
    • 한방비만학회지
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    • 제13권2호
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    • pp.58-65
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    • 2013
  • Objectives: The objective of this study was to analyse the methods being used to control food intake and physical activity in RCTs of human obesity. Methods: A total of 21 randomized controlled trials (RCTs) were investigated. Nine of which were domestic studies from "http://oasis.kiom.re.kr" and the other of which were foreign studies from systematic reviews of RCTs on herbal medicine for treatment of human obesity. Results: According to domestic studies, "low calorie diet" were recommended in five cases of the domestic studies, "maintain current dietary habit" were recommended in two and no information on diet was two. Considering the seven cases where the information on diet was available, patients' food intake were checked at every visit in six cases. Only two cases among the six had been dropped owing to the violation of dietary habit by patients. Exercises were prohibited in two cases, "maintain current level of phisical activity" were recommended in three cases and, from the rest, no information was available. The level of physical activity were not strictly controlled by any means hence no drop out. According to foreign studies, "low calorie diet" were recommended in two cases, "very low calorie diet (less than 700 kcal/day)" in one case, "maintain current dietary habit" in two cases, "do not eat fat" in two cases and no information was available in the rest five cases. Exercises which concerns spending about 300 kcal/day was recommended in one case, "moderate exercise" were recommended in three cases, "maintain current level of physical activity" were recommended in three cases and no information available in the rest five cases. Conclusions: In order to improve the accuracy of RCT, for the dietary side, researchers should record patient food intake at every visit by means of 24-hour dietary recall methods. This can be supplemented by multiple choice survey that are designed to help patients to diagnose themselves more accurately leading to less bias. For the exercise side, it is highly recommended to confine the exercises to walking only so as to quantify the amount of physical activity more easily by using pedometer.