• Clinical Endoscopy
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• 제56권5호
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• pp.623-632
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• 2023

Background/Aims: Endoscopic resection of all colorectal adenomatous lesions with a low complication rate, simplicity, and negative residuals is challenging. Hence, we developed a new method called "non-injection resection using bipolar soft coagulation mode (NIRBS)" method, adapted for colorectal lesions. In addition, we evaluated the effectiveness of this method. Methods: We performed NIRBS throughout a 12-month period for all colorectal lesions which snare resection was acceptable without cancerous lesions infiltrating deeper than the submucosal layer. Results: A total of 746 resected lesions were included in the study, with a 4.5 mm mean size (range, 1-35 mm). The major pathological breakdowns were as follows: 64.3% (480/746) were adenomas, and 5.0% (37/746) were intraepithelial adenocarcinomas (Tis lesions). No residuals were observed in any of the 37 Tis lesions (mean size, 15.3 mm). Adverse events included bleeding (0.4%) but no perforation. Conclusions: NIRBS allowed the resection of multiple lesions with simplicity because of the non-injection and without perforating due to the minimal burn effect of the bipolar snare set in the soft coagulation mode. Therefore, NIRBS can be used to resect adenomatous lesions easily, including Tis lesions, from small to large lesions without leaving residuals.

• 한국산학기술학회논문지
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• 제18권11호
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• pp.425-432
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• 2017

전국 사회복지관의 조직 사명문을 분석함으로써 조직의 정체성과 가치에 대해 실제적 이해를 도모하고자 하였다. 조직 사명문에 나타난 사회복지관의 표적성, 방향 및 전략, 이미지에 대해서 분석하기 위해서 전국 385곳의 사회복지관의 조직 사명문을 수집하였다. 분석은 NVivo 10 프로그램을 활용하였다. 전체 수집된 단어수는 1,401개였으며, 조직의 표적성에 해당되는 대상 448개(32.0%)의 단어, 문제 51개(3.6%)의 단어, 방향성에 해당되는 단어 118개(8.4%), 전략에 해당되는 단어 545개(38.9%), 이미지에 해당되는 단어 239개(17.1%)였다. 구체적으로 표적성에 해당되는 대상은 지역주민, 지역사회, 공동체가 높게 나타났고, 문제는 지역문제, 빈곤, 소외였다. 전략성에 해당되는 방향성은 복지공동체/마을, 사회복지, 역량강화가 높게 나타났고, 전략은 형성/구축, 나눔/섬김, 개선(발)/발전/향상이었다. 조직사명문에 나타난 이미지는 복지관, 우리, 전문기관, 이웃 순이었다. 이번 사회복지관의 조직 사명문을 분석함으로써 사회복지관은 '지역성'을 기반으로 설립된 기관으로서의 정체성을 명확히 보여주었다. 표적으로 삼은 문제와 대상, 방향성 모두 지역사회와 관련한 단어들의 분포가 단연 높게 나타났다. 본 연구에서 사회복지관의 조직사명문의 구성요소 및 특성만을 분석하였는데, 조직 사명문이 조직의 성과와 실제 어떠한 관련성을 가지고 있는지에 대한 분석은 실시하지 못한 한계를 가지고 있으며, 이에 대한 보완은 추후 연구에서 발전되기를 제안한다.

• 지역사회간호학회지
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• 제15권4호
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• pp.539-550
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• 2004

Purpose: The purpose of this study was to evaluate the achievements of the project, and also to find out its strengths and weaknesses. Method: This evaluative study employed system theory and analytic techniques by using criteria which were relevance, appropriateness, adequacy, progress, effectiveness and satisfaction for input, process, output, and outcome of program. Study subjects were participants in the home health care program implemented in G public health center in Inchon metropolitan city in 2003. Results: Input factors including recruitment personnel, and support organization development were not adequately met for the program. However. the goal and objectives of the project were really appropriate for the community needs as well as government's policy. For the Process evaluation, home health care record form and computer data base had not progressed as scheduled, but overall program activities were finished on time. However, cooperation between organizations in the health center during service activity were not supportive. Managerial ability of program charged personnel about coordination and integration of team members was not affirmative. Output and outcome evaluation showed that people improved self care ability were 221 (17.5%). and 71 (5.62%) of subjects were moved into category of possible self-care. Client's satisfaction for this project showed a high degree. Conclusions: Based on the above results support organization and staff personnel for this program should be developed. Also, a community network of resources should be established and case management services should be focused continuously in community based home health care.

• 농촌지도와개발
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• 제20권3호
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• pp.603-642
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• 2013

이 연구에서는 커뮤니티 비즈니스의 개념 정의, 커뮤니티 비즈니스 현장에서 지역사회 주민과 조력자들 사이에 이루어지는 상호작용이 근거해야 할 실천 윤리, 커뮤니티 비즈니스 활동의 과정적 요소에 관한 사례 분석, 관련 정책 사업의 문제점 등을 논의하였다. 커뮤니티 비즈니스는 지역사회가 직면한 문제를 해결하려고 주민들 스스로 실천하는 비즈니스 형식의 활동으로, 주민의 자발성에 기초한 '문제 제기-집합적 학습-조직화'의 과정적 요소로 이뤄진다. 현재의 커뮤니티 비즈니스 관련 중간지원조직은 유연한 조력 활동이 아니라 정책 사업 관리의 역할을 부여받고 있다. 정부의 관련 정책 사업은 주민들 스스로의 문제 제기와 학습이라는 선행 과정을 건너뛰어 충분한 준비 없는 커뮤니티 비즈니스 실천을 조장하는 측면도 있다. 관련된 정부 보조금 정책 사업의 틀이나 중간지원조직의 역할은 지역사회 주민들이 주도하는 과정에 유연하게 조력할 수 있도록 재편되어야 한다.

• 가정간호학회지
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• 제13권1호
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• pp.46-53
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• 2006

Chunchoen Community Home Nursing Program (CCHNP) sponsored by Chuncheon City and Gangwondo Nurses Association was the first trial of community based home health nursing in Korea. The services have started since 1996. The purpose of the study was the evaluation CCHNP to establish standard of community based nursing program in Korea. The methods of evaluation were quantitative and Qualitative approaches. Evaluation for organization and management were conducted by the American Community Health Accreditation Program Standards With the result. several recommendations were suggested : It is necessary to expand the program to all the Gangwondo cities. And the liaison system is necessary between medical care facilities and community nursing home agency to establish the continuity of health care delivery system in home nursing program. Also it is necessary to set up the supporting system between community home nursing care agency and hospital home nursing department. Finally, the National Health Insurance should cover the cost of community home nursing care.

• 한국지역사회생활과학회지
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• 제25권1호
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• pp.39-49
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• 2014

This study identifies the necessity and importance of innovation in rural communities and highlights the role of rural revitalization support centers in facilitating the diffusion of community innovation. The study provides a literature review and employs the survey method to verify the arguments. There is an urgent need for rural communities to be distinct, attractive, and competitive in the wake of globalization. It is clear that they must recognize the need to facilitate innovation under growing trends toward trade liberalization, environment-oriented life styles, diversified consumer needs, and a knowledge-based society. The results provide support for the legitimacy of establishing rural revitalization support centers to help community leaders and local stakeholders develop their communities. More specifically, rural communities should employ R&D outcomes from diverse fields and capacity building by community members, leaders, and local governments to foster sustainable growth by overcoming limitations in spatial access and resources. The results suggest that rural revitalization support centers can be established as intermediary organizations that can be operated to facilitate community innovation in rural development. In addition, these centers should play key roles such as empowering communities, facilitating region-specific rural development policies, motivating R&D applications for rural development, encouraging rural development networks. Further, close attention should be paid to facilitate mutual learning by expanding networks and interactions between these centers.

• 한국컴퓨터정보학회:학술대회논문집
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• 한국컴퓨터정보학회 2015년도 제51차 동계학술대회논문집 23권1호
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• pp.293-294
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• 2015

본 논문에서는 컴퓨터 프로그래밍 수업에 피어 튜터링을 적용할 때 팀 구성 방법을 다르게 하여 참여 학습자들의 성적 변화를 비교해보았다. 그 결과 팀 구성시 친분보다는 수준을 고려할수록 성적 상승에 긍정적으로 작용했으며 특히 친분에 의한 팀 구성시 학습자들의 학습 수준 차이가 크면 상위 학습자 성적 하력이 더 큰 것으로 분석되었다.

• 농촌계획
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• 제19권2호
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• pp.129-138
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• 2013

The aim of the research was to analyze programs, outcomes, promotion process, and operation methods of neighbourhood making to provide basic information for progressive improvement directions in the future. Buk-gu in Gwanju city, samdeok-dong in Daegu city and dongpirang in Tongyeong city were selected for a comparative analysis. The main bodies of neighbourhood making for promoting a local amenity were analysed for this research. The results indicated that a voluntary and continuous participation of residents was expected in the case of neighbourhood making led by the residents. However, a steady budget support from the outside was necessary for the continuous management and improvement of neighbourhood organization. For this, a voluntary agreement was required through the consultative group and committee formation. The member of civil organization has a limitation in the ability to develop and maintain continuos activities in the case of neighbourhood making led by a civil organization. This research found that operation methods including the constant checking, the search for new ideas through assessment of the resident's participation, local festivals for a community formation and real satisfactions of residents' desires were needed in the neighbourhood making led by a civil organization. A participation rate in neighbourhood making was low in the case of neighbourhood making led by administrative bodies. This result indicated that the long-term strategics for space renewal and community revitalization were important. Various easy ways of residents' participation to reflect their interests and operation systems were also needed. Finally, current local issues, active residents' participation and residents' opinions would be included in the process of neighbour making in the future.

• 지역사회간호학회지
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• 제15권2호
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• pp.187-196
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• 2004

Purpose: The purposes of this study are: to evaluate the effectiveness of organizations engaged in MCH programs; and to suggest the executive organizational system of maternal and child health (MCH) services linked to HP services at public health centers. Method: This study analyzes data on the present conditions and evaluates the organizational effectiveness of MCH workers at public health centers nationwide. The organizational effectiveness of MCH organization is assessed by MCH workers. Finally, this study seeks to obtain consensus among experts in the field of MCH. Result: The results are as follows. Of public health centers, 61.9% have a MCH organization for their MCH programs. For the other 38.2%, MCH services are undertaken by HP organization. Executive organizational systems for MCH services at leading MCH health centers are classified into three types: Type I (provides MCH and HP services through MCH organizations); Type II (provides MCH and HP Services through HP organizations) ; and Type III (provides MCH services through MCH organizations and HP services through HP organizations). The evaluation of the organizational effectiveness of MCH organizations shows that Type II is the most effective in terms of teamwork, autonomy, service quality and resource utilization. Conclusion: This study suggests that executive organizations for MCH and HP services for women and children should be established in accordance with lifetime health programs in order for public health centers to utilize the limited MCH and HP resources efficiently.

• 농촌지도와개발
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• 제20권3호
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• pp.777-822
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• 2013

이 연구의 목적은 한국 농업 농촌의 쇠퇴와 공동화 위기에 대응하기 위한 새로운 농업경영 주체로서 마을단위 농업경영체의 조직전략 및 운영요소를 도출하는데 있다. 연구의 목적을 달성하기 위해 지역농업조직화 이론의 틀 속에서 마을 단위 공동경영에 대한 한국과 일본의 최신 논의 동향을 검토하였으며, 마을단위 공동경영 사례에 대한 조직관리 및 경영관리 실태를 조사였다. 이를 통해 한국 농업 농촌의 현실 여건에 적합한 조직전략 및 운영요소를 도출하고자 하였다. 이 연구의 주요 결과는 다음과 같다. 첫째, 마을단위 농업경영체는 농업생산의 효율화만을 추구하는 단순한 협업조직이 아니며 '농업생산력 유지, 농업소득 증진, 농촌사회 유지'라는 복합적 목적을 달성하기 위한 공동 경영체이다. 이러한 관점을 반영하여 본 논문에서는 마을단위 농업경영체를 '농업생산력 유지, 농업소득 증진, 농촌사회 유지 등을 달성하기 위해 다수의 농업인과 주민이 협조적, 집단적, 조직적 의사결정을 통해 개별적으로 보유한 농업자원을 마을 단위로 공동으로 이용하거나 공동 자본을 조성하여 운영하는 법인'으로 정의하였다. 둘째, 마을단위 공동경영을 실천하는 국내 사례에 대한 조사 결과 공동경영의 영역은 '생산'보다는 '가공, 유통. 체험' 등 2~3차 영역에 집중되어 있었다. 소규모 전업농이 다수를 차지하는 국내 농업구조에서는 일본 수도작 지역의 집락영농 유형과 같이 '1마을 1농장' 방식의 경영통합은 쉽지 않은 상황이다. 또한 마을단위 농업경영체는 '생활공동체' 성격과 '농업경영체' 성격을 동시에 갖고 있기 때문에 조직운영 방식과 의사결정 체계도 두 가지 틀 속에서 구성되어야 한다. 이러한 관점을 반영하여 본 논문에서는 마을단위 농업경영체의 추진체계, 최고의사결정기구의 조직관리 요소, 사업조직 관리 요소, 단계별 운영요소, 공동 농작업 관리 요소, 조직전략 수립요소 등을 제시하였다. 셋째, 마을단위 농업경영체를 활성화하기 위한 정책지원 방향에 대해서는 한국 농업 농촌의 사회문화적 특성, 각각의 마을 여건 등을 고려하여 획일화된 지원보다는 마을단위 농업경영체를 설립하고 운영해나가는 일련의 과정을 지원하고 활동을 촉진할 수 있는 퍼실리테이션(facilitation) 방식의 지원 시스템을 제안하였다.