• 한국융합학회논문지
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• 제12권9호
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• pp.21-30
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• 2021

일반적으로 알려져 있는 행동에 비해 일반적으로 알려져 있지 않은 불특정 행동들에 대한 자료들은 부족한 실정이다. 특수학생들의 불특정 행동들에 대한 교육이나 지도를 위한 데이터 수집 및 관리가 필요하다. 본 논문에서는 기계 학습을 이용한 웹 기반의 특수학생 상담관리 모델을 제안한다. 실시간으로 특수학생들의 행동을 촬영하여 데이터를 수집하고, 행동패턴을 분석하여 데이터 셋을 구성하고 제안 시스템에 학습시킨다. 추후에 촬영되는 특수학생들의 행동을 제안시스템에 입력 및 분석을 통하여 기존 데이터와 비교하여 나온 결과를 다시 학습하여 정확도를 향상 시킬 수 있다. 데이터베이스에 저장되어 있지 않은 불특정 행동들을 임의로 행하여 테스트를 진행하였으며 예측 모델은 입력 데이터를 통해 정확하게 분류 및 그룹화 하였다. 또한 진입 과정에서 약간의 오차가 있더라도 행동의 특징 데이터를 통해 행동을 정확하게 구분 및 분류하는 것이 가능하다는 것을 확인 할 수 있었다.

• 환경영향평가
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• 제28권3호
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• pp.287-298
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• 2019

본 연구는 "환경영향평가 협의 시 생물이동성 제고를 위한 법 제도적 고찰에 관한 연구"의 후속연구로 환경영향평가 협의를 통하여 조성된 대부분의 생태통로가 원목적과 부합하지 않게 조성되어 야생동물 교통사고를 저감하지 못하는 문제점을 개선하고자 수행하였다. 단절된 생태계의 연결성을 회복하기 위한 대안으로 환경영향평가 시 제시한 생태통로가 실질적인 역할을 할 수 있도록 각 단계별 고려사항을 제시하였다. 따라서 본 연구에서는 환경영향평가 협의 단계를 계획, 설계, 시공, 모니터링, 유지 관리 등 5단계로 구분하여 실무담당자가 각 단계별로 검토해야하는 구체적인 항목을 제시하였다. 이로 인하여 원목적과 부합하지 않게 조성되어 야생동물에게 외면당하는 생태통로 조성을 막아 개발 사업으로 인한 서식지 단절을 최소화하고 생물다양성을 향상시킬 수 있도록 하고자 하였다.

• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제24권4호
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• pp.384-391
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• 2021

Purpose: The Cow's Milk-related Symptom Score (CoMiSS^TM) was developed as an awareness tool for evaluating cow's milk-related symptoms in otherwise healthy children. Using a convenience sample of participants, this cross-sectional study aimed to determine CoMiSS^TM values of symptomatic infants based on retrospectively or prospectively obtained information. Methods: CoMiSS^TM values were determined in infants aged <12 months with symptoms suggestive of cow's milk protein allergy or functional gastrointestinal disorders. The exclusion criteria were previous diagnosis with acute or chronic disease, treatment with a therapeutic formula, and in case of breastfeeding, an elimination diet followed by the mother. Two CoMiSS^TM values were assessed. A retrospective collection was defined as the collection of data after initial contact with the medical center but before the first medical consultation. A prospective collection was defined as the collection of data within 24 hours from the time of medical consultation but before starting any therapeutic intervention. The CoMiSS^TM total and individual component scores obtained retrospectively or prospectively were compared between groups using the Wilcoxon signed-rank test. Results: This study was performed between August and November 2019. Data of 110 children (62 males and 48 females), with a mean±standard deviation age of 18.2±11.7 weeks, were obtained. The total CoMiSS^TM value (p<0.001) and some individual component scores (crying, regurgitation, and stool) were significantly lower when collected prospectively than when collected retrospectively. Conclusion: CoMiSS^TM values were retrospectively and prospectively determined. Lower CoMiSS^TM values were obtained during prospective evaluation. Possible differences should be considered when using CoMiSS^TM in clinical practice.

• 의학교육논단
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• 제24권2호
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• pp.156-171
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• 2022

The purpose of this study was to establish a model for constructing longitudinal data for medical school, and to structure cohort and longitudinal data using data from Yonsei University College of Medicine (YUCM) according to the established input-environment-output (I-E-O) model. The study was conducted according to the following procedure. First, the data that YUCM has collected was reviewed through data analysis and interviews with the person in charge of each questionnaire. Second, the opinions of experts on the validity of the I-E-O model were collected through the first expert consultation, and as a result, a model was established for each stage of medical education based on the I-E-O model. Finally, in order to further materialize and refine the previously established model for each stage of medical education, secondary expert consultation was conducted. As a result, the survey areas and time period for collecting longitudinal data were organized according to the model for each stage of medical education, and an example of the YUCM cohort constructed according to the established model for each stage of medical education was presented. The results derived from this study constitute a basic step toward building data from universities in longitudinal form, and if longitudinal data are actually constructed through this method, they could be used as an important basis for determining major policies or reorganizing the curricula of universities. These research results have implications in terms of the management and utilization of existing survey data, the composition of cohorts, and longitudinal studies for many medical schools that are conducting surveys in various areas targeting students, such as lecture evaluation and satisfaction surveys.

• 정보관리연구
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• 제29권2호
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• pp.1-17
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• 1998

분산되고 복잡한 정부 및 공공기관의 현행 기업지원체제의 어려움을 해소하기 위하여 창업, 자금, 기술, 입지, 판로, 무역투자 등 기업의 모든 경영활동에 관련된 정보를 체계적이고 종합적으로 구축, 제공하고 기업의 애로 및 민원을 신속히 발굴, 해소하기 위하여 정부 및 관련기관을 인터넷을 통해 상호 연계하는 종합기업서비스정보망의 구축과 이를 효율적으로 운영하기 위한 추진체계에 대하여 기술하였다.

• 보건의료산업학회지
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• 제14권1호
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• pp.15-30
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• 2020

Objectives: This study investigated outpatient health care satisfaction and influential factors using data from the "2018 Health Care Experience Survey". Methods: Data on 6,705 participants in the Health Care Experience Survey were statistically examined using a t-test, ANOVA, and multiple regression analysis. Results: First, the level of satisfaction among outpatients was generally positive, and satisfaction among older people was high. Second, the significant factors of outpatient overall satisfaction were gender, consultation time, waiting time, reason for choosing institution, satisfaction with doctors, nurses, institutions, and the therapeutic result. Third, influential factors of intention to recommend were education, institution type, reason for choosing institution, satisfaction with doctors, nurses, institutions, and the therapeutic result. Conclusions: In order to improve the overall satisfaction of outpatients, the treatment method should be improved. For example, the doctor should devote more time for and engage in sufficient conversation with the patient, the nurse should be polite, and patients should be given easy-to-understand explanations.

• 성인간호학회지
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• 제12권4호
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• pp.517-532
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• 2000

The purpose of this study was to develop a critical pathway for case management of patients who have received Lumbar Laminectomy because of low back pain, arm and leg numbness, and radiating pain in the leg. For this study, a preliminary critical pathway was developed through a review of the literature including five critical pathways which are currently being used in the USA. In order to identify the overall service contents required by these patients, 30 cases were analyzed. These cases were taken from medical records of those with Lumbar Laminectomy between January, 1998 and December, 1998 in the department of neurosurgery at the Pusan National University Hospital in Pusan. An expert validity test was done for the preliminary critical pathway, a clinical validity test was also done using 12 patients with Lumbar Laminectomy between October 1, 1999 and January 31, 2000. After these processes, the final critical pathway was developed. The results are summarized as follows. 1. The vertical axis of the critical pathway includes the following eight items: assessment, consultation, diet, test, medication, treatment, activity, education/ discharge planning. The horizontal axis includes the time from the start of hospitalization to discharge. Analysis of the 30 medical records was done. analysis of the service contents showed the horizontal axis of the preliminary critical pathway was set from hospitalization to the 12th post operation day and the vertical axis was set to include eight items, the contents which should have occurred, according to the time frames of the horizontal axis. 2. As a result of the expert validity test, it was found that among the 233 items, 203 showed over 88% agreement and 30 of them showed less than 88% agreement, which were then revised or deleted from the critical pathway. At the preliminary meeting for the clinical validity test, the time of hospitalization on the horizontal axis was shortened to the 10th post operation day. A clinical validity test was done with 12 patients with Lumbar Laminectomy. All the cases progressed according to the critical pathway although some variances were noted in assessment, consultation, test, medication, and treatment. 3. Based on these results, a final critical pathway was determined. In conclusion, this critical pathway is partially applicable to the care of patients with Lumbar Laminectomy and needs further investigation.

• 한국중재학회지:중재연구
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• 제30권1호
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• pp.185-198
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• 2020

In the event of a medical conflict in South Korea, civil lawsuits can be very complicated, time-consuming, and costly. Under the Medical Conflict Conciliation Act, the mediation system has expanded its function to coordinate disputes between individuals and medical institutions in a more efficient manner prior to litigation. Currently, conflict mediation organizations and legal systems are established in each sector, and the Healthcare Dispute Settlement Commission will also play an important role in the public sector. In this study, the characteristics of the evaluation system of the Korea Institute of Medical Conflict Arbitration are examined; and, by looking at the case of medical examinations, it is proposed to show the mediation system and the manner and role of the examinations. Medical expertise is a very important area of the qualitative standards and expertise of participants because the participants must play a role in medical consultation and appraisal in connection with medical experts.

• 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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• 제17권3호
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• pp.27-33
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• 2011

The purpose of this study is to propose reasonable standards related to securing the number of parking lots of university hospital in Korea. High proportion of visitors use their cars in order to receive consultation and treatment from doctors and feel the shortage of parking capacity of hospital, resulting to the low satisfaction level in using hospital. Of course, every hospital meets the parking regulation of the government. Therefore it is necessary to consider another parking demand factors besides the parking regulation of the government in order to secure proper number of parking lots in hospital. This study proposes number of hospital beds, vicinity of public transportation, number of doctors and staffs of hospital, and peak time parking demand as the parking demand factors.

• 성인간호학회지
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• 제28권4호
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• pp.470-481
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• 2016

Purpose: The purpose of this study was to explore self-management support experiences among breast cancer survivors. Methods: Individual in-depth interviews were performed for survivors who had treated breast cancer after completion of chemotherapy and radiation therapy. Data were collected from April 2014 to July 2014 and analyzed using phenomenological method by Colaizzi. Results: Five essential themes were found as follows: 1) Need for continuous help and support to maintain self-management, 2) Need for professional resources to carry out regular exercise, 3) Overcoming psychological difficulties through others rather than health care professionals, 4) Disappointment with time with and circumstances of health care consultation, 5) Dependence on means of media for health related information. Conclusion: The results might contribute to an understanding of self-management support experienced by breast cancer survivors in Korea. It is suggested that evidence-based program for self-management support should be developed and applied to nursing intervention for breast cancer survivors.