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공공도서관 의학정보서비스를 위한 지식관리시스템 설계에 관한 연구 (A Study on the Design of the Knowledge Management System for Medical Information Services in a Public Library)

  • 이란주
    • 정보관리학회지
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    • 제18권3호
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    • pp.63-86
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    • 2001
  • 지금 전 세계에서는 인간수명의 연장과 건강에 대한 관심이 고조되고 있다. 더욱이 인터넷의 발달로 의료정보 접근과 의료 상담에 관련된 사이트들이 증가하는 가운데 의학정보에 대한 오남용 가능성도 배제 할 수 없다. 이제 공공도서관에서도 이용자에게 건강·의학정보를 수집 정리하여 능동적인 지역정보봉사를 제공해야만 하는 시점에 와 있다. 본 연구에서는 공공도서관에서 지역정보봉사의 개선을 위한 한 방안으로 의자정보사이트의 구축과 관리를 지원하는 통합 지식관리시스템 모형을 제안하고자 한다. 따라서 이론적 배경으로 공공도서관의 의학 정보서비스에 관련된 이슈와 지식경영과 지식관리시스템에 관련된 이슈를 다룬다. 그 다음 국내외 12개 의학정보사이트를 분석한 후 공공도서관 의학정보사이트 구축에 대한 계획 및 구성을 제안한다. 끝으로 의학정보사이트를 지원하는 5개의 하부 시스템으로 구성된 통합 지식관리시스템의 모형을 다음과 같이 제안한다: 1)지식창출 시스템, 2)기술지원 시스템, 3)교육지원 시스템 4)커뮤니티 시스템, 5)지식공유 네트워크 시스템. 이 시스템은 지식경영에 기초를 둔 통합 지식관리시스템으로서 공공도서관이 보다 경쟁력을 갖고 지역정보봉사를 효율적으로 수행하도록 지원할 것이다.

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Delayed Presentation of Self-discovered Breast Cancer Symptoms in Iranian Women: A Qualitative Study

  • Khakbazan, Zohreh;Taghipour, Ali;Roudsari, Robab Latifnejad;Mohammadi, Eesa;Omranipour, Ramesh
    • Asian Pacific Journal of Cancer Prevention
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    • 제15권21호
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    • pp.9427-9432
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    • 2014
  • Background: Delayed presentation of symptomatic breast cancer is a public health issue in Iran, making a major contribution to low survival. Despite the importance of this problem, current knowledge is insufficient to inform interventions to shorten patient delay. The aim of this study was to explore factors influencing patient delay in Iranian women with self-discovered breast cancer symptom. Materials and Methods: This qualitative study was conducted during 2012-2013. Purposeful sampling was used to recruit 20 Iranian women with self-discovered symptoms of breast cancer who attended the Cancer Institute of Tehran University of Medical Sciences, Tehran, Iran. Data were collected through semi-structured in-depth audiotaped interviews, which were transcribed and analyzed using conventional content analysis with MAXqda software version 10. Findings: Content analysis of the data revealed four main themes related to the delay in seeking medical help including: 1) attributing symptoms to the benign conditions; 2) conditional health behavior; 3) inhibiting emotional expression; and 4) barriers to access to health care systems. Conclusions: These results suggest that patient delay is influenced by complex and multiple factors. Effective intervention to reduce patient delay for breast cancer should be developed by focusing on improvement of women's medical knowledge, managing patients' emotional expression and reform of the referral system.

노인성치매 발생요인과 돌보는 가족원의 스트레스에 관한 조사 연구 (A Study on risk factors for senile dementia)

  • 홍여신;이선자;박현애;조남옥;오진주
    • 대한간호학회지
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    • 제24권3호
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    • pp.448-460
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    • 1994
  • This study was conducted to investigate risk factors for senile dementia as well as care givers' stresses and thier needs for nursing care. It was done using a retrospective survey. A convenience sample or In senile dementia patients and l20 nor-mal elders in a rural area was used. The tools used in the study were the MMSE-K(Mini-Mental State Examination-Korea) for dementia screening test and a questionaire developed by the research team. Data were collected through home visits by Com-munity Health Practitioners. Data were analyzed using descriptive statistics, T-test, and Chi-square test. The findings are as follows : 1. There were significant differences in age, marital status, and religions between the two groups. 2. There was a significant difference in smoling behavior between the two groups. 3. There was a significant difference in past his-tory of cancer between groups. 4. There was a significant difference in past and present elderftmily relationship between the two groups. 5. There were significant differences in intellectual activities, assuming major role in family and seeking other's help in daily life troubles between the two groups. 6. There were significant differences in stress factors such as child problem, family conflict, health problem and illegal behavior between the two groups. 7. The major problems out by families in caring for dementia patient were catastrophic reactions, dirtiness, mood change, devouring and tremor. The most serious problems faced by families was dirtiness. with catastrophic reactions, sleep distrubance, changeableness, and a suspcio-usness following. The care givers expressed chronic fatigue, anxiety, tension, depression, disorder in daily life, shamefulness, blame from neighbours and guiltiness. 8. There is need for geriatric hospitals, nursing homes, burden sharing, and counselling or education for family care givers. A replicate study in the urban area is recommended to validate the findings of this study. To explore the impact of stress in life and ‘han’ on senile dementia, a qualitative study is recommended.

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운동부하검사로 유발된 여성의 협심통증에 대한 예비연구 (A preliminary study on women's anginal pain induced by exercise stress test)

  • 최명애;안경애;추진아;최윤식
    • Journal of Korean Biological Nursing Science
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    • 제4권2호
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    • pp.5-18
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    • 2002
  • Purpose: Women have been often underdiagnosed and undertreated when they have as high mortality as men of ischemic heart disease, such as angina. One of the reasons of women's under treatment is associated with either vague, non-traditional symptoms or longer delay in seeking professional help when they experience ischemic heart disease. This study was conducted to investigate the characteristics of women's anginal pain induced by the treadmill test and to explore the potential relationship(s) between anginal pain and other psycho-physiologic factors. Methods: Of 22 female patients referred to treadmill test, 7 with positive finding participated in this study. Anginal pain in the past was analyzed by Rose questionnaire, whereas anginal pain induced by the treadmill test was identified by McGill pain scale, visual analogue scale and present pain index. Results: Women expressed more heaviness than sharp pain, and complained splitting more often than subjects in previous study that included both men and women. Pain intensity by VAS $3.64{\pm}3.94$, Pain rating index was $5.14{\pm}7.29$, present pain index was $1.57{\pm}1.81$, duration of pain was $5.14{\pm}4.8$ min. Exercise intensity was $6.0{\pm}4.63$ METs, exercise duration was $364.29{\pm}141.39$ sec, ST change was -2.0mm and rate of perceived exertion was $16.29{\pm}2.06$. The relationships between pain intensity and pain duration, ST segment changes were significant. Correlation among pain measures was significant. Conclusion: Generalization of these pilot findings may be inappropriate, and therefore, further larger study is needed.

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Factors Related to Success in Relactation

  • Cho, Su-Jin;Cho, Hye-Kyoung;Lee, Hee-Sook;Lee, Keun
    • Neonatal Medicine
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    • 제17권2호
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    • pp.232-238
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    • 2010
  • 목적: 모유수유율이 증가하면서 재수유에 관한 수요가 증가하고 있다. 이에 성공적인 재수유에 기여하는 인자를 조사하기 위해서 약물, 모유수유 보충기, 상담, 가족의 지지 등의 기여도를 조사하였다. 방법: 후향적인 의무기록 조사와 2004년 1월부터 2007년 4월까지 본원 재수유 클리닉을 방문한 아기 엄마들에게 전화설문을 실시하였다. 결과: 총 84명의 자료를 분석하여 재수유의 성공에 도움이 되는 인자를 조사하였다. 75%에서 완전 모유수유로 성공적으로 이행할 수 있었다. 재수유 클리닉을 다니면서 재수유에 성공한 경우 의료진에 의해서 재수유 클리닉으로 의뢰된 경우, 약물을 사용한 경우와 가족의 지지가 있는 경우가 통계적으로 유의하게 높았다. 결론: 재수유에 성공하기 위해서는 산모들에게 재수유에 관한 정보를 미리 제공하고, 필요 시 유즙분비를 촉진하는 약물을 처방하고 상담 기간 동안 가족과 함께 상담을 받게 해서 정신적인 지지를 제공하는 것이 중요하다.

학습동기가 시험 스트레스와 스트레스 대처 양식에 미치는 영향 (Effects of Learning Motivation on the Stress Coping Style and Stress of Test)

  • 장철;이은혜;천지수
    • 대한통합의학회지
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    • 제2권2호
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    • pp.89-96
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    • 2014
  • Purpose : In this study, we selected three research subjects to attempt to clear learning motivation of college students is what impact the stress coping style and stress test. First, age, gender, the future career after graduation, the presence or absence of part-time job is, its impact on learning motivation. Second, learning motivation is what effect the stress of the test. Third, based on the motivation of learning, how deal pursuing efforts form the social support, the center of the problem-solving approach, seeking to avoid the reaction to stress how different form. Methods : K University occupational therapy and one, two, three grade 100 students (male 22 people, female 78) to target age, sex, and after graduation, part-time status, motivation, stress, stress coping style questionnaire for distribution and was written. Results : First of all, women's social support form graduation course, more robust than pursue blank after the synchronization uncertainty and stress, and graduated from the trading center and avoid the use of career, more form. Second, motivation and stress test, a difference between the notice could not see. Third, the higher the motivation of learning, problem-solving, Action form to the center to use as many as you, but avoid using too much in the center form is addressed. Conclusion : As a result of the study that came out of the course after graduating from ensure that learning motivation is high, the more the uncertainty, the more to cope with stress in the center of the form to avoid form address was used. Because of this, the student careers after graduation, to make sure that can help you to compare efforts over is believed to be necessary.

Participatory Web Users’ Information Activities and Credibility Assessment

  • Rieh, Soo-Young
    • 한국문헌정보학회지
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    • 제44권4호
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    • pp.155-178
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    • 2010
  • Assessment of information credibility is a ubiquitous human activity given that people constantly make decisions and selections based on the value of information in a variety of information seeking and use contexts. Today, people are increasingly engaging in diverse online activities beyond searching for and reading information, including activities such as creating, tagging and rating content, shopping, and listening to and watching multimedia content. The Web 2.0 environment presents new challenges for people because the burden of information evaluation is shifted from professional gatekeepers to individual information consumers. At the same time, however, it also provides unprecedented opportunities for people to use tools and features that help them to make informed credibility judgments by relying on other people's ratings and recommendations. This paper introduces fundamental notions and dimensions of credibility, and contends that credibility assessment can be best understood with respect to human information behavior because it encompasses both the level of effort people exert as well as the heuristics they employ to evaluate information. The paper reports on a survey study investigating people's credibility judgments with respect to online information, focusing on the constructs, heuristics, and interactions involved in people's credibility assessment processes within the context of their everyday life information activities. Using an online activity diary method, empirical data about people's online activities and their associated credibility assessments were collected at multiple points throughout the day for three days. The results indicate that distinct credibility assessment heuristics are emerging as people engage in diverse online activities involving more user-generated and multimedia content. A heuristic approach suggests that people apply mental shortcuts or rules of thumb in order to minimize the amount of cognitive effort and time required to make credibility judgments. The paper discusses why a heuristic approach is key to reaching a more comprehensive understanding of people's credibility assessments within the information-abundant online environment.

Multiple Stakeholder Perspectives on Cancer Stigma in North India

  • Gupta, Adyya;Dhillon, Preet K;Govil, Jyotsna;Bumb, Dipika;Dey, Subhojit;Krishnan, Suneeta
    • Asian Pacific Journal of Cancer Prevention
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    • 제16권14호
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    • pp.6141-6147
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    • 2015
  • Background: Cancer is a leading cause of death worldwide. A large proportion of cancer deaths are preventable through early detection but there are a range of social, emotional, cultural and financial dimensions that hinder the effectiveness of cancer prevention and treatment efforts. Cancer stigma is one such barrier and is increasingly recognized as an important factor influencing health awareness and promotion, and hence, disease prevention and control. The impact and extent of stigma on the cancer early detection and care continuum is poorly understood in India. Objectives: To evaluate cancer awareness and stigma from multiple stakeholder perspectives in North India, including men and women from the general population, health care professionals and educators, and cancer survivors. Materials and Methods: A qualitative study was conducted with in-depth interviews (IDIs) and focus group discussions (FGDs) among 39 individuals over a period of 3 months in 2014. Three groups of participants were chosen purposively - 1) men and women who attended cancer screening camps held by the Indian Cancer Society, Delhi; 2) health care providers and 3) cancer survivors. Results: Most participants were unaware of what cancers are in general, their causes and ways of prevention. Attitudes of families towards cancer patients were observed to be positive and caring. Nevertheless, stigma and its impact emerged as a cross cutting theme across all groups. Cost of treatment, lack of awarenes and beliefs in alternate medicines were identified as some of the major barriers to seeking care. Conclusions: This study suggests a need for spreading awareness, knowledge about cancers and assessing associated impact among the people. Also Future research is recommended to help eradicate stigma from the society and reduce cancer-related stigma in the Indian context.

수학저널 쓰기학습에서 자기조절학습전략의 양상 (Aspects of Self-Regulated Learning Strategy in mathematical journal writing)

  • 이지은;황우형
    • 한국학교수학회논문집
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    • 제17권4호
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    • pp.565-587
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    • 2014
  • 자기조절학습전략은 메타인지적, 인지적, 동기적, 행동적인 전략들을 자율적으로 선택하고 적용하여 학습자가 적극적이고 능동적으로 학습에 참여할 수 있도록 돕는 학습전략이다. 본 연구의 목적은 수학저널 쓰기학습에서 자기조절학습전략의 양상은 어떠한가를 살펴보기 위함에 있다. 수학저널은 총 13문항으로 자기조절학습전략의 하위요소별로 1~2문항씩 구성하였다. 연구의 결과 수학저널에서 메타인지전략은 학습 목표 설정, 문제해결전략탐구, 반성적 사고, 예를 들어 설명하기 등으로 표현되었다. 인지전략은 아이디어간의 구조 파악하기, 위계화하기, 핵심 내용 파악하기 등으로 표현되었다. 동기전략은 학습에 대한 만족감과 불안감, 차후 학습에 대한 자신감과 좌절감 등으로 표현되었다. 이는 수학저널 쓰기학습을 통하여 자기조절학습전략이 활용되고 있으며 효율적이고 성공적인 학습을 돕는다는 점에서 수학 교육학적인 시사점이 있다.

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아이젱크 성격검사와 기질 및 성격검사를 통한 사상체질 특성 연구 (Study on Personality Traits of Sasang Constitution with TCI and EPQ)

  • 성원영;김우경;송정모;김락형
    • 동의신경정신과학회지
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    • 제23권4호
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    • pp.95-106
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    • 2012
  • Objectives : The purpose of this study is to study the personality traits of Sasang constitutions by comparing the profiles of Temperament and Character Inventory (TCI) and Eysenck Personality Questionnaire (EPQ). Methods : A total of 110 healthy people (20 to 40 years old), except for 2 Taeyangin (TY type), were analyzed; 45 Taeeumin (TE type), 32 Soyangin (SY type), and 31 Soeumin (SE type). A Sasang constitutional medicine specialist diagnosed the Sasang constitution after analyzing the result of a Two Step Questionnaire for Sasang Constitution Diagnosis (TS-QSCD), the external appearance, temperament and symptoms. The dimensions of TCI and EPQ were compared among the different Sasang constitutions, using an analysis of variance, and correlations between TCI and EPQ were analyzed by a Pearson correlation method. Results : Among the four temperament dimensions of TCI, SY type showed a significantly higher score than the SE type in Novelty Seeking. SE type showed significantly higher score than TE and SY type in Harm Avoidance. SY type showed significantly higher score than SE type in Reward Dependence. TE and SY type showed significantly higher score than SE type in Persistence. There were no significant differences in the character dimensions of Self-directness, Cooperativeness and Self-Transcendence. Among the seven dimensions of EPQ, TE and SY type showed significantly higher score than SE type in Extraversion. SE type showed significantly higher score than SY type in Lie. SY type showed significantly higher score than TE and SE type in Impulsiveness. Conclusions : The results demonstrated that there are some significant differences of personality traits among Sasang constitutions. This could help diagnose and understand each Sasang constitution.