• 종양간호연구
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• 제4권2호
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• pp.135-142
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• 2004

Purpose: To examine informational needs of cancer patients receiving chemotherapy. Methods: A cross-sectional survey design was utilized. The sample was 198 cancer patients receiving chemotherapy for a diagnosis of stomach or lung cancer at a university hospital. A modified version of Toronto Informational Needs Questionnaire was applied. Results: Subjects reported highest informational needs in prognosis dimension, followed by the treatment dimension including side effects and alternative therapy. Information about medical tests and follow-up care after the treatment was also in great need. Dimensions of support for patients/family and sexuality were low in need. The degree of informational needs was negatively correlated with patient's age and number of children. Differences were found in informational needs according to the educational level employment status, and gender of the patients, while diagnosis and treatment options did not make differences in informational needs. Conclusion: Health care professionals need to perceive informational needs of cancer patients receiving chemotherapy, and to provide them with information especially in the area of prognosis and treatment. Informational intervention would be effective when it is given with consideration of patient's characteristics.

• 한국콘텐츠학회논문지
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• 제14권2호
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• pp.409-420
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• 2014

본 연구는 직업분류 및 고용분류별 스트레스, 스트레스 상담, 우울증상, 우울증상 상담 정도를 파악하기 위해 지역사회건강조사 자료를 이차 분석하였다. 직업분류별 및 고용분류별 확실한 비교를 위해 기준 직업군으로 '무직(직업분류 기준항목)'과 '무급가족종사자(고용분류 기준항목)'를 포함하여 한국표준직업분류(6차 개정)에 의한 총 13개의 직업군을 이용하였다. 직업분류 및 고용분류별 스트레스, 스트레스 상담, 우울증상, 우울증상 상담 여부의 교차비에서는 '무직'과 '무급가족종사자'의 스트레스 정도가 대체적으로 더 낮게 나타난 반면, 스트레스 상담, 우울증상, 우울증상 상담에서는 '무직'과 '무급가족종사자'가 오히려 더 높은 교차비를 보였다. '관리직'을 포함한 7개의 직업군은 '무직'보다 스트레스를 많이 받지만(OR > 1), 의료기관 이용률은 낮게 나타났다(OR < 1). '고용주 및 자영업자'와 '임금근로자'가 '무급가족종사자'에 비해 높은 교차비를, 스트레스 상담 및 우울상담에서는 낮은 교차비를 보였다. 본 연구는 정신건강문제 선별 및 관리를 위해 특정 인구집단에 대한 접근을 통해 직장 내 정신보건서비스 제공에 대한 필요성을 시사하고 있다.

• Journal of Biosystems Engineering
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• 제33권5호
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• pp.340-347
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• 2008

Dipstick urinalysis is used as a routine test for a screening test of UTI (urinary tract infection) in primary practice because urine dipstick test is simple. The result of dipstick urinalysis brings medical professionals to make a microscopic examination and urine culture for exact UTI diagnosis, therefore it is emphasized on a role of screening test. The objective of this study was to the classification between UTI patients and normal subjects using hybrid neural network classifier with enhanced clustering performance in urine dipstick screening test. In order to propose a classifier, we made a hybrid neural network which combines with RBF layer, summation & normalization layer and L VQ artificial neural network layer. For the demonstration of proposed hybrid neural network, we compared proposed classifier with various artificial neural networks such as back-propagation, RBFNN and PNN method. As a result, classification performance of proposed classifier was able to classify 95.81% of the normal subjects and 83.87% of the UTI patients, total average 90.72% according to validation dataset. The proposed classifier confirms better performance than other classifiers. Therefore the application of such a proposed classifier expect to utilize telemedicine to classify between UTI patients and normal subjects in the future.

• 한국도서관정보학회지
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• 제38권2호
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• pp.125-146
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• 2007

본 연구에서는 2002년에 설치된 대전 한밭도서관의 디지털정보센터 이용자들을 대상으로 이용자 만족도에 영향을 주는 요인으로 선행연구에서 이미 규명된 시설, 컨텐츠, 직원, 운영에 대한 서비스 수준과 이용자의 만족도를 설문조사와 현장관찰을 통하여 파악하고 문제점을 도출하여 이에 대한 적용 가능한 개선안을 찾고자 하였다. 데이터 분석결과 디지털정보센터 서비스에 대한 전반적인 만족도는 7점 척도에서 4.68로 비교적 좋은 편이었다. 기기와 관련된 만족도는 3년 전보다 상승하였으나 직원과 운영에 대한 만족도는 감소하였다. 나타난 문제들의 대부분은 적극적인 이용교육과 컨텐츠제공, 서비스에 대한 안내와 홍보로 해소될 수 있는 유형이었다. 그러나 응답자의 69.7%가 컨텐츠 이용방법을 센터을 통하여 교육받을 의사가 없다고 답하였다. 직원능력에 대한 신뢰도가 높지 않는 것이 원인 중 하나였으며 전문직원의 확충과 지속적인 직원 재교육의 필요성이 매우 큰 것이 확인되었다.

• 성인간호학회지
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• 제15권3호
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• pp.383-392
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• 2003

Purpose: The purpose of this descriptive study was to gain basic data to develop a self-care protocol for the lymphedema patients. Method: The subjects of this study consisted of 115 patients with lymphedema from 8 hospitals and two community health and welfare centers in Busan and Seoul. The data was collected with questionnaire by self reporting of patients between March 2001 and December 2001. Data was analyzed by mean and percentage. Result: For self-care activities in daily life, compliance of 'use skin care preparations', 'use heat and cold', 'protect from local compression on affected limbs', 'protect from insect biting', 'use aids to protect affected limbs', 'take diuretics and take protein diet' did not reach to 50%. For self-care activities related to complex physical therapy, 28.7% of subjects complied with compression garment, 14.8% with manual lymph drainage, and 13.0% with exercise. 20.0% of subjects tried to treat with acupuncture and 13.9% with heat therapy. Conclusion: From this study, it is suggested that patients need to get a self-care education with correct information about self care activities and health care professionals need to develop more convenience self-care techniques of massage and exercise.

• Asian Pacific Journal of Cancer Prevention
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• 제14권12호
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• pp.7757-7759
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• 2013

Physicians, in order to study the causes of cancer, detect cancer earlier, prevent or determine the effectiveness of treatment, and specify the reasons for the treatment ineffectiveness, need to access accurate, comprehensive, and timely cancer data. The cancer care environment has become more complex because of the need for coordination and communication among health care professionals with different skills in a variety of roles and the existence of large amounts of data with various formats. The goals of health care systems in such a complex environment are correct health data management, providing appropriate information needs of users to enhance the integrity and quality of health care, timely access to accurate information and reducing medical errors. These roles in new systems with use of agents efficiently perform well. Because of the potential capability of agent systems to solve complex and dynamic health problems, health care system, in order to gain full advantage of E- health, steps must be taken to make use of this technology. Multi-agent systems have effective roles in health service quality improvement especially in telemedicine, emergency situations and management of chronic diseases such as cancer. In the design and implementation of agent based systems, planning items such as information confidentiality and privacy, architecture, communication standards, ethical and legal aspects, identification opportunities and barriers should be considered. It should be noted that usage of agent systems only with a technical view is associated with many problems such as lack of user acceptance. The aim of this commentary is to survey applications, opportunities and barriers of this new artificial intelligence tool for cancer care information as an approach to improve cancer care management.

• 대한물리치료과학회지
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• 제9권3호
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• pp.179-186
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• 2002

This study addresses the need to adopt teaching-learning approaches in physical therapy education that develop links between theory and clinical practice in a meaningful way. Problem-based learning (PBL) is presented as a useful way to educate physical therapy for the future. The essential characteristics of problem-based learning include: curricular organization around problems rather than disciplines; an integrated curriculum rather than one separated into clinical and theoretical components; and an inherent emphasis on cognitive skills as well as on knowledge. PBL as implemented in the health sciences, is an educational method in which the focus of learning is a small-group tutorial in which students work through health care scenarios. The goals of the health care scenarios are to provide a context for learning, to activate prior knowledge, to motivate students, and to stimulate discussion. Learning is student-centered rather than faculty-centered, and self-directed learning is emphasized. Whereas the former focuses on critical thinking and clinical judgement, the latter's emphasis is on clinical competency. The physical therapist (PT) program at Cheju Halla college is a partial integrated problem-based curriculum. The history and process of PBL in general and in the PT program are reviewed. Long-term advocates of PBL stress that it is the only known method for preparing future professionals to be able to adapt to change, learning how to reason critically, enabling a holistic approach to health.

• 대한한의학회지
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• 제37권3호
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• pp.97-111
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• 2016

Objectives: This study aims to investigate the policy status of traditional medicine standardization between Korea and China as well as to derive a strategic development plan for Korean medicine standardization. Methods: The existing national plans and preceding studies on traditional medicine standardization in Korea and China were reviewed, and scope of the study was categorized as having three main aspects: infrastructure; standard development and standardization activities; and application and diffusion. Results: Nine development plans for Korean medicine standardization derived under the study were as follows: With regard to infrastructure of standardization, 1) standardization plan of Korean medicine shall be established based on involvement of multi-government ministries. 2) It shall be set with a consistent cooperation process among standardization-related organizations, as well as 3) encourage the industry to participate in standardization activities. To activate standards development, 4) launching the R&D-standardization-industrialization linked project, 5) supporting Korean medicine society and the mirror committee for motivation, and 6) planning the international joint research for development of standard and expanding standardization activities are recommended. In the aspect of application, there is a need for 7) expanding certification systems for the industry and 8) evaluation and feedback on the life-cycle of standardization. Lastly, 9) educational programs for training experts of standardization shall be developed and implemented. Conclusions: In order to invigorate standardization activities for Korean medicine, enhancement of planning and evaluation capacity, ensuring the strategic development of standards, broadening boundaries of international standardization activities, and training professionals are required.

• 한국콘텐츠학회논문지
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• 제14권7호
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• pp.161-168
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• 2014

지방분권은 국가와 지방자치단체의 권한과 책임을 합리적으로 배분하는 것으로 본 논문은 한국형 분권국가 추진을 위해 우선, 분권화와 관련된 선행연구를 고찰하였다. 다음으로 학자나 전문가를 대상으로 지방분권 정도의 평가와 분권방향 등을 살펴보았다. 마지막으로 지방분권을 위한 과제를 도출하였다. 지방분권 과제는, 첫째, 조직구성의 자율성 확대이다. 지방자치단체의 조직구성은 지방의 직무의 내용에 따라 정해지는 것이 바람직하다. 둘째, 인사운영(정원운영)의 자율권 확보이다. 지방자치단체의 정원과 인력관리는 중앙이 획일적으로 통제하기보다는 지방이 주체적으로 처리하는 것이다. 또한 이에 대한 견제와 감독은 당해 지방의회와 시민단체, 지역 주민에게 맡기는 것이 필요하다. 셋째, 재정분권 확대이다. 재정분권 확대는 우선, 자치재정권의 확충으로 법률이 정하는 범위 내에서 조례에 의해 자율적으로 세율을 결정할 수 있어야 한다. 다음으로 국세의 지방세 전환을 통한 재정분권 확대 등이 필요하다. 또한 재정분권의 확대를 위해 지방소득세와 지방소비세의 확대가 필요하다. 지방분권은 어느 한 분야의 분권으로 이루어지는 것이 아니고 조직, 인사, 재정 등 다양한 분야의 기능을 이양하는 등 많은 노력이 필요하다.

• 한국콘텐츠학회:학술대회논문집
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• 한국콘텐츠학회 2007년도 추계 종합학술대회 논문집
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• pp.889-893
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• 2007

현재 다양한 연구에서는 유체인 안개의 자연스런 표현을 위해 프랙탈과 카오스 이론을 적용한다. 이러한 연구로 적용할 수 있는 전문 툴들을 사용하는 것은 자연스러운 표현이 가능하기 때문이다. 그러나, 일반인은 이러한 것을 아직 쉽게 표현하기는 매우 어려운데 그것은 고비용과 전문가들을 필요로 하기 때문이다. 따라서 누구나 어렵고 복잡한 고가의 전문툴들과 전문적으로 프로그래밍 제작을 최소로 한 안개의 표현을 쉽게 할수 있도록 하는 것이 일반적인 과제들이다. 본 연구는 이러한 2D 이미지에 대한 유체의 표현연구를 구체화하는 것으로 다양한 이미지 표현이 전문방송에서 개인에 이르는 UCC까지 가능하도록 쉽게 구현하였다. 특히, 이 연구는 3D 공간에서 안개의 유체적인 표현이 가능하기 때문에 한국화를 3D와 같이 표현할 때 배경에 안개의 표현을 쉽게 할 수 있도록 하였다.