• 제목/요약/키워드: Consultation Standards

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해역이용협의서 중 퇴적물 환경기준 개선방안 연구 -항만 어항개발사업 사례를 중심으로- (A Study on Improvement Plan for Sediment Environmental Guidelines in the Sea Area Utilization Consultation System -Focused on Port and Fishery Harbor Development Case-)

  • 전은주;주현희;탁대호
    • 해양환경안전학회지
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    • 제27권5호
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    • pp.584-593
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    • 2021
  • 해양의 퇴적물은 해저면을 구성하여 생물 서식지로 중요한 역할을 하고 있다. 그러나, 육상으로부터의 오염물 유입, 자가 오염 등의 내외부적 요인에 의한 오염은 점차 심각해지고 있어 생태학적으로 중요한 역할을 하는 퇴적물 관리에 대한 필요성이 더욱 증대되고 있다. 특히, 매립과 준설이 포함된 개발 사업에서의 퇴적물 영향에 대한 검토와 평가는 주변 생태계에 대한 사전적 보호와 관리의 측면에서 큰 의미를 지닌다. 본 연구에서는 공유수면개발 행위에 대한 해역이용협의서 중의 해양 퇴적물 평가의 지표가 되는 퇴적물 관리 기준에 대한 개선 방안을 제시하고자 하였다. 이를 위해 국내외의 해양퇴적물 평가 및 관리기준을 비교검토 하였다. 국내의 경우, 해양환경관리법에 적시된 관련 기준을 대상으로 하였다. 동시에 비교적 다양한 요소로 구성된 평가기준을 보유한 캐나다와 NOAA사례를 분석하였다. 또한 실제 평가기준 적용 및 운영 사례 분석을 위해 해역이용협의서 중 해저 퇴적물에 가장 큰 영향을 미칠 것으로 판단되는 최근 5년간(2016-2020)의 항만 및 어항개발 사업 사례를 분석하였다. 특히, 일반해역이용협의서 중 퇴적물의 평가 단계에서의 기준과 평가 요소 등을 분석하였다. 고찰과 분석을 통해 해역이용협의서 중 현재의 퇴적물 환경기준에 생태 위해성과 잠재적 인체 위해성에 대한 평가 요소를 고려할 필요가 있음을 제안하였다.

치매 간호 표준 개발 (Development of Dementia Care Standards)

  • 하주영
    • 대한간호학회지
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    • 제40권5호
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    • pp.631-641
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    • 2010
  • Purpose: This study was done to develop standards for dementia care as a baseline for professional nurses to provide a framework for dementia care evaluation Methods: The dementia care standards were developed through a literature review and focus group discussions. According to the Delphi method, the data analysis was conducted using the Content Validity Index (CVI). Results: The final set of 18 standards on dementia care was developed through one round of CVI. The standards included four structural standards: 'Organization of nursing system', 'Operating system', 'Management of human resources', 'Management of material resources', 13 procedural standards: 'Advanced assessment', 'Nursing diagnosis', 'Nursing plam', 'Advanced nursing implementation', 'Evaluation', 'Education', 'Research', 'Consultation', 'Counseling and cooperation', 'Development of specialty', 'Utilizing resources', 'Nursing quality assurance', 'Ethics', and one standard concerning outcome ('Evaluation of nursing tasks in care of patients with dementia'). The final set of 55 criteria on care of patients with dementia was confirmed through two rounds of CVI. The final 171 indicators were confirmed through four rounds of CVI. Conclusion: These dementia care standards provides a framework that allows registered nurses to clarify their roles and tasks in the care of patients with dementia and provides evaluation criteria.

철도인프라 BIM기반 공사 발주를 위한 평가기준 제안 연구 - 기존 발주사업 적용 사례를 통해 - (A Proposal Research of Assessment Standards for Ordering BIM-based Projects in Railway Infrastructure - Case Study on Application of Existing Projects -)

  • 손서연;이근일;정지현;문우형
    • 한국BIM학회 논문집
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    • 제11권4호
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    • pp.10-19
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    • 2021
  • In the evaluation for ordering BIM-based projects (Design Build) of Korean National Railway, criteria of BIM-based smart construction technology are assessed. Unlike the existing assessment criteria, performance resources and detailed assessment guidelines have been added by this research. The purpose of this study is to propose qualification assessment standards according to specific guidelines when evaluating on the phase of bidding for BIM-based projects. In the study, an improved evaluation standard (draft) was arranged based on two consultation meetings and surveys of related companies, applied to existing projects with the companies that won the bid, and validated. As more specific and added criteria compared to the existing standards, it could reduce the difficulty of evaluation for BIM capability and lay the foundation for railway BIM-based project management.

특수학교 시설기준 수립을 위한 기초연구 -사례조사 및 자문을 중심으로- (A Basic Study for Establishing Standards for Special School Facilities -Focusing on Case Studies and Advice-)

  • 맹준호;김성중;송병준;김재영
    • 교육녹색환경연구
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    • 제20권2호
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    • pp.11-21
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    • 2021
  • 본 연구에서는 기존 특수학교 교육공간이 지니고 있던 문제 및 한계를 벗어나 미래 사회의 변화와 새로운 교육의 방향을 반영하는 창의적이고 새로운 교육공간의 구체적인 실행 모델 구축을 위한 기초연구로써 사례조사와 전문가 자문 결과를 바탕으로 계획방향(Criteria)를 제안하고자 한다. 이를 위해 교육과정에 대한 고찰과 국내 사례시설의 조사, 특수학교 전문가협의회를 통해 특수학교 계획기준 수립을 위한 구체적인 시설 모델을 마련하여 장기적인 측면에서 교육정책에 따른 효과를 극대화하고자 한다.

과체중과 비만 여성의 HbA1c 지표에 따른 당뇨병 예방을 위한 영양상담의 효과 (Benefits of Nutrition Consultation for Preventing Diabetes According to HbA1c Levels in Overweight and Obese Women)

  • 권용진;선우섭;문황운;박유경
    • 대한영양사협회학술지
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    • 제19권2호
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    • pp.112-123
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    • 2013
  • HbA1c was recently adopted as a reliable indicator for screening diabetes. This study investigated the ability of nutrition consultation to prevent diabetes in overweight women (BMI 23 $kg/m^2$ or more) using HbA1c as an indicator. Twenty overweight and obese women (with $HbA1c{\geq}5.7$%) completed the 12-week nutritional study, with individual and personalized nutrition counseling performed every 2 weeks. The main study guidelines involved the following: 1) reducing the intake of high fat foods and alcohol, 2) consuming a large amount of vegetables, 3) reducing the intake of simple sugars and empty-calorie foods, and 4) increasing physical activity to ${\geq}30$ min/day. Anthropometric (height, weight, BMI, body muscle (kg), body fat (%), waist and hip circumference, blood pressure) and biochemical parameters (fasting blood sugar (FBS), HbA1c, lipid profiles, hs-CRP) were measured before and after the nutrition consultation. After 12 weeks, the HbA1c<5.7% group had significant decreases in BMI, WC, HC, WHR, HbA1c, hs-CRP and also dietary intake of energy (P<0.01), carbohydrates, lipids (P<0.01), proteins (P<0.01) and cholesterol was significantly decreased (P<0.05). In the HbA1c ${\geq}5.7$% group, HbA1c, TC, LDL, NON-HDL, hs-CRP and dietary intake of energy, carbohydrate, lipid, protein, and cholesterol significantly decreased (P<0.05). These results suggest that nutrition consultation effectively helps to prevent diabetes in overweight and obese women after applying HbA1c standards. Overall, the improvement in all markers measured suggest that HbA1c is a good indicator for blood glucose regulation, helping to prevent diabetes.

진료협력간호사의 운영현황에 관한 연구 (A Study on the Present Status of Clinical Nurses with Expanded Role)

  • 권영대;성영희;권인각;황문숙
    • 임상간호연구
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    • 제14권3호
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    • pp.99-115
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    • 2008
  • Purpose: The purpose for this study was to identify the present state of Clinical Nurses with Expanded Role (CNERs) and provide basic data to refine the roles of CNERs. In this study, CNREs refers to nurses who perform techniques traditionally done by doctors and use titles such as clinical nursing specialist, educator with consultation, research assistant, coordinator, physician assistant and special examiner. Method: This study was conducted from September 1 to November 12, 2007. Data from 684 nurses from 38 hospitals who responded to the questionnaire were analyzed with descriptive statistics using the SPSS 14.0 program. Results: The mean percentage of time spent was, for direct practice, 41.1%, for education and counseling, 22.8%, for consultation and coordination, 10.4%, for research, 6.8%, for administration, 8.9% and for other activities, 10.0%. The most frequently implemented CNERs, activities included consultation and education for patients and their families, counseling by telephone, history taking, physical examination, reading examination results, psychosocial assessment, managing treatment, input of prescriptions, and writing up patient records, Although not frequently performed, nurses in some fields carried out invasive procedures and prescribed medication and laboratory tests. Conclusion: Although the number of hospital CNERs are rapidly increasing, there is still confusion about the title and framework as well as standards. Furthermore, because some nurses are prescribing medication and laboratory tests as well as performing techniques not traditionally done by nurses, there is an absolute need for a legalized system and systematic education system for the safety of patients who are being cared by all CNERs.

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병원건축의 BIM적용을 위한 공간프로그램유효성평가의 전제조건에 관한 연구 (A study on the Preconditions of Space Program Validation of Healthcare Architecture for Application of BIM Technology)

  • 성준호;김길채
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제19권2호
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    • pp.19-30
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    • 2013
  • Purpose: The planning and design of hospital generally requires the participation and consultation of skilled experts since it has more complex space program than any other buildings. Therefore, the BIM systems for the planning of hospital have been tried continuously. The purpose of this study is to identify the precondition for space Program validation of healthcare architecture based on BIM, which is recently receiving wide attention. Method: For this study, United States, Australia and Finland's guidelines were analyzed among the description space program validation system in 14 overseas BIM Guidelines. And the propose precondition that can be applied to healthcare architecture from among these description of space program validation items, target, process etc for General building. Result: 1) spatial program validation is the following four evaluation phase. Step 1: Standard setting phase Step 2: BIM model accuracy assessment phase Step 3: space validation phase Step 4: Performance evaluation phase 2) The standards for the building elements at Standards Setting stage is considered to the standards for the architectural elements of General building. 3) Healthcare Architecture Area calculation method is considered to be reasonable that borrowing the area calculation standard of general architecture according to the UIA of international standards. However, Be proposed of measuring method that reflect the efficiency of the design process step-by-step area calculation method. The performance assessment indicators of reflect the Hospital uniqueness have to developed. And the research needs to be carried out continuously according to the purpose for healthcare architecture of feature-oriented. Implications: In this paper like to understanding that precondition of space program validation considering the BIM. As a result, understanding to condition about step of the evaluation, the evaluation standards. Is expected to keep the focus on the development of performance indicators that reflect the uniqueness of the hospital for the efficient evaluation of the Hospital building.

Electronic Risk Assessment System as an Appropriate Tool for the Prevention of Cancer: a Qualitative Study

  • Amoli, Amir hossein Javan;Maserat, Elham;Safdari, Reza;Zali, Mohammad Reza
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권18호
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    • pp.8595-8598
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    • 2016
  • Background: Decision making modalities for screening for many cancer conditions and different stages have become increasingly complex. Computer-based risk assessment systems facilitate scheduling and decision making and support the delivery of cancer screening services. The aim of this article was to survey electronic risk assessment system as an appropriate tool for the prevention of cancer. Materials and Methods: A qualitative design was used involving 21 face-to-face interviews. Interviewing involved asking questions and getting answers from exclusive managers of cancer screening. Of the participants 6 were female and 15 were male, and ages ranged from 32 to 78 years. The study was based on a grounded theory approach and the tool was a semi-structured interview. Results: Researchers studied 5 dimensions, comprising electronic guideline standards of colorectal cancer screening, work flow of clinical and genetic activities, pathways of colorectal cancer screening and functionality of computer based guidelines and barriers. Electronic guideline standards of colorectal cancer screening were described in the s3 categories of content standard, telecommunications and technical standards and nomenclature and classification standards. According to the participations' views, workflow and genetic pathways of colorectal cancer screening were identified. Conclusions: The study demonstrated an effective role of computer-guided consultation for screening management. Electronic based systems facilitate real-time decision making during a clinical interaction. Electronic pathways have been applied for clinical and genetic decision support, workflow management, update recommendation and resource estimates. A suitable technical and clinical infrastructure is an integral part of clinical practice guidline of screening. As a conclusion, it is recommended to consider the necessity of architecture assessment and also integration standards.

사용자 중심의 단설 유치원 계획 및 설계기준을 위한 기초연구 -사례조사와 자문의견을 중심으로- (Basic Study for User-centered Kindergarten Planning and Design Standards -Focusing on Case Studies and Advice-)

  • 맹준호;김성중;송병준;김재영
    • 교육녹색환경연구
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    • 제20권4호
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    • pp.1-12
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    • 2021
  • 본 연구에서는 기존 유치원 교육공간의 문제점 및 시설적 한계를 탈피하여 미래 사회 및 미래 교육의 변화에 대응하여 유치원 교육공간의 구체적인 실행 모델구축을 위한 기초연구로써 국내 사례조사와 전문가 자문 결과를 바탕으로 계획방향(Criteria)을 제안하고자 한다. 이를 위해 누리과정에 대한 고찰과 국내 사례분석, 유치원 전문가 협의회를 통해 유치원 시설계획에 대한 구체적인 기준 개정을 통해 구체적인 실행 모델 구축을 위한 기초자료로 사용됨으로써 추후 교육정책에 따른 긍정적인 효과를 주는데 기여하고자 한다. 주요 연구결과로는 사례분석과 자문협의를 통해 배치계획, 일반교실과 지원시설, 공용공간, 외부공간으로 구분된 시설기준 및 계획방향을 도출하였으며, 향후 본 기초연구에서 도출된 시설기준을 바탕으로 공간에 미치는 영향요인을 파악하고, 체계화를 위한 과정이 필요하다.

The Concept and Historical Background of Custody Evaluation

  • Lee, Myung Hoon;Chung, Dong Sun;Moon, Duk Soo;Kwack, Young Sook
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • 제31권2호
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    • pp.53-57
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    • 2020
  • This article reviews a wide range of literature on the standards and process of child custody evaluation in the US, and proposes custody evaluation standards appropriate to Korea. Custody evaluation refers to the process of making psychiatric and psychological evaluations of each parent and the child during a custody dispute and presenting to the family court a report of custody evaluation with the aim of safeguarding the best interests of the child. In the past, it was thought that children arethe fathers' possessions or that younger children should be raised by the mother; however, currently, custody rights are evaluated in accordance with the principle of the best interests of the child. The principle is all-encompassing and vague and hence, the court makes increasingly more requests to mental health professionals for custody evaluation. Since the Seoul Family Court introduced the expert consultation system in 2017, the involvement of mental health professionals in child custody decisions has increased in Korea. Custody evaluators should try to be neutral and find the objective facts, keeping in mind that their role is to aid the court in making a custody decision.