• 한국공작기계학회:학술대회논문집
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• 한국공작기계학회 2005년도 춘계학술대회 논문집
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• pp.477-482
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• 2005

Recently, client computing trend has been changed from server oriented information application to network based P2P(Peer to Peer) services. The conventional client/server method has the merit of accessing abundant information, on the other side P2P has the merit of synchronized community support and information exchange. P2P has four meaning of point to point, peer to peer, person to person and path to profitability. In manufacturing system field, the second meaning is interested. P2P is classified to three type such as conventional client/server, hybrid P2P and pure P2P. The third is really peer to peer concept. The related technologies with P2P are P2P searching, XML, cooperation, IPv6, computing sharing and P2P communication. This paper describes the scheme of P2P and related contents. And through the P2P based technology, a P2P-based collaborative machine and a vertical portal machine are introduced in this paper. The scheme of the machines mentioned above is suggested for cooperation in manufacturing system and u-Manufacturing.

• 한국사회복지학
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• 제60권4호
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• pp.105-129
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• 2008

본 연구는 농촌지역사회에 대한 지역아웃리치를 실천하는 사례를 대상으로 지역실행연구를 수행하였다. 재구성한 실행계획 중 지역아웃리치의 성과는 첫째, 서비스 전달체계의 변화, 둘째, 자원동원, 셋째, 주민조직화 및 옹호활동 등으로 구성하였다. 이러한 실행계획에 의한 실천결과 지역아웃리치의 절차를 지역사회 들어가기, 지역사회 뿌리내리기, 사업의 이양과 종결하기로 도출하였다. 또한 재구성된 실천결과를 분석해서 발견한 지역아웃리치의 함의는 첫째, 지역아웃리치 접근법은 사회복지 서비스 전달체계로부터 단절 고립된 농촌지역을 발견하고 그 곳에 서비스를 제공하는데 효과적이다. 둘째, 지역아웃리치 접근법은 복지 소외지역사회와 일반지역사회를 연계하는 실천이다. 셋째, 지역아웃리치 접근법은 복지 소외지역을 위한 사회자본의 재구조화를 촉진하는 함의를 지닌다. 따라서 다음과 같은 정책제언을 한다. 첫째, 농어촌이동복지관 사업 법령 제정과 전달체계 마련, 둘째, 사업의 지속성 확보를 위한 지방자치단체의 지원, 셋째, 의료 전문직 전달체계와의 연계 시급, 넷째, 농어촌 형 사회복지전달체계 마련이 시급하다.

• 보건교육건강증진학회지
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• 제30권2호
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• pp.23-39
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• 2013

Objectives: This study was conducted to investigate practical experiences of telemedicine of community health practitioners(CHPs). Methods: Qualitative data were collected by in-depth interviews from 10 CHPs who have experiences in managing telemedicine system. All interviews were recorded and transcribed according to qualitative conventional content analysis processes. Results: As a result, 32 themes were deduced and 11 theme clusters and 3 categories were formed and each coding categories were derived directly from the text data. 11 theme clusters derived from the 32 meaningful themes were as follows: Human resources, equipments and systems, computer program (Input resources), human resource management, patient registration and management, medication, laboratory test (Progress), benefits in telemedicine system managing, difficulties in telemedicine system managing, complains in telemedicine system managing, client responses to telemedicine system (Outcome evaluation). 3 categories derived 11 theme clusters were 'input', 'progress', and 'outcome evaluation'. Conclusions: This study has contributed to the understanding of operation of telemedicine by CHPs in community health posts. For more systematic and comprehensive management, further study should be conducted to reflect experience and positions of public health center physicians, collaborative hospital physician and patients.

• 지역사회간호학회지
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• 제28권4호
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• pp.397-409
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• 2017

Purpose: Competency is a key foundation of the nursing education curriculum and a baseline element of nursing practice. The purpose of this study was to explore the competencies of community health nurses in a maternal early childhood sustained home-visiting program based on nurses' field experiences. Methods: The participants were 21 nurses who had more than 1 year of experience in this program. Reflective interviews were performed; lasting 1 hour per nurse, on August 18, 2016, and the collected data were analyzed using qualitative directed content analysis. Results: Twenty-four themes were extracted for 9 competencies. The major themes included implementing a long-term relationship-based approach, providing client-led service rather than expert-led service, helping mothers with psychosocial difficulties, and applying skills in a practical manner in the home environment. Conclusion: In order to develop a home-visiting program as part of maternal-early childhood nursing practice, nurses should develop competencies that help them make significant and positive interventions. Results indicate that the curriculum for community health nurses should be changed to improve competencies in building relationships with clients and to focus on the application of skills in specific cases and in clinical practice.

• 지역사회간호학회지
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• 제7권2호
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• pp.183-202
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• 1996

This study was designed out to develop a home health care service for nurses working in community care services. This study investigates actual conditions at welfare institutions related to health needs the demands of clients, and the state of home health care services we hope that this study will improve upon the current service system. In Korea home health care services are still developing and only new becoming a part of the health care supply system. The data was collected by recording the client home nursing assessments modified to the situation of UTMB home health agency. In this study 107 clients were selected for home care who needed care for physical and mental deficits. The study lasted from March to November of 1995 at one of the welfare service institutions in Chunchon city. The results show that those who most frequently needed care services were over 50 years old with a health deficit of 80.3%, followed by sex as women who needed care at 59.8%. 50.5% of the clients had very little education. 99.1% of the clients live with their family, and a medical diagnostic analysis reveals that 73.9% of the 5 year period of illnesses were the following : 38.8% - muscular -skeleton system disorder, 24.4% - hypertension and stroke, 25.7% sole disease of arthritis. For behavioral conditions 43.3% of the patients were without care services, 56.6% of the patients were taking treatment that 73.5% of those were taking medication. The most main complaint of patients were 22.4% of pain in the extremities, next were 16.8% of a limitation of body activities, 15.0% was lumbo-sacralgia. According to the investigator who was a senior student nurse, the following suggestions were made: 32.7% for curative medical services, 29.9% for physical exercise, 19.6% for emotional support. Consultation nursing services consisted of 67.2% for physical therapy, 11.2% for the maintaining healing, 9.4% for counseling. The patients at home, required assistance most frequently for muscular-skeleton problems under the category of physical systems (33.3%). But, on the other hand, 49.5% of the patients required care givers at home, 28.2% had a knowledge deficit, 21.0% had malnutrition, 18.4% had bad impaired communication. The character of health problems were devided into chronic disease(67.0%), accidents(I3.1%), and general disease(15.9%). 86% of the disabled client had an impairment of the physical system. Eating (86.9%) , Toileting(77.6%), and personal care showed much the same of ADL condition, the level and range of achievement of mobility, the most frequently self performed was 81.3% only in a room size area, and 40.2% were completely dependent when going out. Although there were a large number of home care services in th community at these welfare institutions, many clients needed a variety of curative services. As policy changes have gathered momentum, responsibility for the development of a more suitable program was demanded by the clients from the community.

• 한국사회복지학
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• 제35권
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• pp.399-426
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• 1998

본 연구는 과제중심 모델을 재가노인을 위한 사례관리의 방법으로서 적용해보고 그 결과와 적용과정을 분석하며 효과성과 한계점을 조사한 것이다. 과제중심 모델은 3군데의 지역사회복지관에서 12명의 재가노인을 대상으로 실시하였으며 면접회수는 6회에서 10회까지였다. 12 사례에서 제시된 표적문제는 57개이며 표적문제를 해결하기 위하여 제시된 과제는 83개였다. 표적문제의 82.5%를 클라이언트들이 제시하였으며 과제제시는 약80%를 사회복지사들이 제시하였다. 그러나 과제수행에서는 37%를 클라이언트가 수행하도록 하였다. 문제의 변화는 평균 8.1로서 대부분의 문제들이 많이 좋아졌다고 평가되었다. 표적문제의 인식 자에 따른 문제 해결 정도는 내담자가 표적문제라고 인식하였을 때 가 사회복지사가 문제라고 인식한 경우보다 문제 해결이 더 많이 되었다. 이와 같은 결과를 보아 클라이언트가 인식한 문제를 표적문제로 하였을 때 문제해결이 훨씬 더 가능함을 알 수 있다. 과제 중심모델을 적용 과정을 분석한 결과에 의하면 모델의 적용을 통하며 재가 노인들의 요구를 파악하고 문제 해결에 대한 노인들의 적극적인 참여를 유도 할 수 있었으며 잠재된 능력을 발견하는 기회가 되기도 하였다. 재가노인을 위한 사례관리의 방법으로서 과제 중심 모델을 적용할 때 다음과 같은 것을 제안 할 수 있다. 첫째 처음 접수를 받는 클라이언트를 대상으로 적용하는 것이 효과적이며 둘째는 정기적인 슈퍼비젼을 통하며 진행을 점검하는 것이 중요하고 문제 해결을 위한 다양한 과제나 가능한 사회 자원에 대한 목록을 만드는 것이 필요하다.

• KSII Transactions on Internet and Information Systems (TIIS)
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• 제4권5호
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• pp.836-858
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• 2010

Web Services allow a user to integrate applications from different platforms and languages. Since mobile applications often run on heterogeneous platforms and conditions, Web Service becomes a popular solution for integrating with server applications. However, because of its verbosity, XML based SOAP messaging gives the possible overhead to the less powerful mobile devices. Based on the mobile client's behavior that it usually exchanges messages with Web Service continuously in a session, we design the Handheld Flexible Representation architecture. Our proposed architecture consists of three main components: optimizing message representation by using a data format language (Simple_DFDL), streaming communication channel to reduce latency and the Context-store to store context information of a session as well as redundant parts of the messages. In this paper, we focus on the Context-store and describe the architecture with the Context-store for improving the performance of mobile Web Service messaging. We verify our approach by conducting various evaluations and investigate the performance and scalability of the proposed architecture. The empirical results show that we save 40% of transit time between a client and a service by reducing the message size. In contrast to solutions for a single problem such as the compression or binarization, our architecture addresses the problem at a system level. Thus, by using the Context-store, we expect reliable recovery from the fault condition and enhancing interoperability as well as improving the messaging performance.

• 보건교육건강증진학회지
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• 제15권1호
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• pp.49-66
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• 1998

The general objectives of this study were to develop a health education management information system to effectively deal with community health problems. This study aimed at 1) to development an health education management information system, and 2) to offer computer-based communication channels among the District Health System components such as health center, health subcenters, and community hospital, 3) lastly, to identify the key issues and effectiveness of health education. Major findings of the study were as follows: The major benefits and significances of this information system included: improvement of quality of health education statistics by reducing manual data processing, improvement of productivity of health educators by reducing paper works, improvement of decision-making capability of managers by providing more information for planning, organizing, and evaluating health education programes, and improvement of communication flow among health institutions. Based on the findings of the study, the following are recommended: (1) The health education information system will connect with computerized information systems of various health-related institutions in a district and computer-based communication channels among them, and of the superior agencies in the future. (2) The major functions of the computerized health education program are: to keep client medical records, to inquire about information on the client and his family's history. (3) The program will provide outputs in various forms, such as files for patient records, data on some chronic diseases, information on the patient and his family members, and various kinds of statistics.

• 한국농촌간호학회지
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• 제2권1호
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• pp.24-32
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• 2007

Purpose: This study was done to provide statistical data for developing client-needs based welfare services in community welfare facilities. Method: The participants were 270 senior citizens, who visited a community welfare center in Gyunggi province, during the month of October 2005. They were asked to answer a structured questionnaire. Descriptive statistics, $X^2$ test and Fisher's exact test were used to analyze the data from 221 of the elders. Results: 1. More than 50% of the respondents were women aged between 60 and 75, who had education levels above high school and who lived in apartments. Among the respondents, 54.3% lived separately from their children. 2. 70.0% of the respondents considered their health status as "good", even though they had more than one disease. Also 41% of the respondents were supported by their children, and 76.8% wanted jobs. 3. The respondents pointed out several programs such as languages, computer, singing class, physical activities (dances, billiards, Tai-chi and table tennis), needed to be included in the welfare center programs. Conclusions: Elders aged 60-75, educated above high school, living in an apartments, live alone or with spouse, and having frequent contact with children, were the most frequent utilizers of the welfare center. They want the welfare center programs in variety, including languages, computer, singing class, and physical activities.

• 대한통합의학회지
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• 제10권3호
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• pp.141-150
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• 2022

Purpose : Community care occupational therapy is an integrated mediation method such as evaluating and mediating daily life activities, evaluating and modifying the environment, and providing information by visiting the home where the client resides. In this study, we examine the effect of implementing a community-care occupational therapy program on the levels of depression, quality of sleep, and quality of life of elderly individuals living alone. Methods : Among the users of organizations C and D located in City B, province A, South Korea, a total of 32 elderly citizens aged above 65 were chosen as the study subjects and randomly divided into an experimental group and a control group. For the experimental group, a total of 24 sessions, each lasting 60 minutes, comprising a community-care occupational therapy program and each organization's own program, were conducted, with each session conducted twice a week for a total of 12 weeks. On the other hand, those in the control group participated in the existing programs of their organizations. Changes in the levels of depression, quality of sleep, and quality of life before and after the intervention were compared using the GDSSF-K, GQOL, and GQOL. Results : Overall, the levels of depression, quality of sleep, and quality of life were found to improve among the experimental group after the intervention. In a between-group comparison of the changes before and after the intervention, the experimental group was found to exhibit a more statistically significant difference than that of the control group. Conclusion : The results obtained in this study confirm that community-care occupational therapy programs have a positive effect on the levels of depression, quality of sleep, and quality of life of elderly individuals living alone. This implies that such programs may represent an effective solution for the problems of these individuals.