• 제목/요약/키워드: Management support

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영양집중지원에 따른 결과 비교 - 내과계 중환자실 대상으로 - (Effect of Nutrition Support Team Management - Focusing on Medical Intensive Care Unit Patients -)

  • 임완순;이윤미
    • 중환자간호학회지
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    • 제11권3호
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    • pp.108-119
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    • 2018
  • Purpose : This study evaluated the nutritional status and effect of nutritional support team (NST) management in critically ill patients. Methods : From January 2015 to August 2017, the study retrospectively investigated 128 patients aged above 19 years admitted to a medical intensive care unit (MICU). The patients were divided into two groups: NST (n=65) and non-NST (n=63) groups. Nutritional status, classification of bedsore risks, incidence rate of bedsore and clinical outcomes were compared. Results : The study found a higher rate of the use of enteral nutrition in the NST group (${\chi}^2=45.60$, p < .001). The prescription rate of parenteral nutrition (PN) was found to be lower in the NST group (4.6%) compared to the non-NST group (60.3%). There was a higher PN of total delivered/required caloric ratio in the NST, compared to the non-NST, group (${\chi}^2=3.33$, p=.025). There were significant differences for higher albumin levels (t=2.50, p=.014), higher total protein levels (t=2.94, p=.004), and higher proportion of discharge with survival rates (${\chi}^2=18.26$, p < .001) in the NST group. Conclusions : Providing NST management to critically ill patients showed an increase in the nutrition support. Further, to achieve effective clinical outcomes, measures such as nutrition education and continuous monitoring and management for the provision of nutritional support by the systemic administration of a nutritional support team should be considered.

의과대학 학생들의 생활실태 및 학생지원 방안 (Assessing Life Surveys of Medical Students and Need-Based Student Services)

  • 김선경;배재훈;이재호
    • 의학교육논단
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    • 제24권3호
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    • pp.205-214
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    • 2022
  • The purpose of this study was to analyze the results of a study on the psychological state, lifestyle, self-management ability, and academic adaptation of medical students, and to present examples of improvement of a student support center based on the results. A medical school in Daegu has been surveying the living conditions of students every year for 6 years since 2016. More than 60% of medical students experienced depression and more than 70% experienced stress, but these rates have significantly improved over the past 5 years. There were many cases of drinking or smoking to relieve stress, but the frequency of drinking recently decreased substantially. Some students had difficulties in emotional regulation (11.5%) and time management (16.6%), and challenges in planning and self-management increased significantly during the coronavirus disease 2019 (COVID-19) pandemic. The satisfaction and adaptability of medical students are high, but the number of students who are not satisfied with but negative response rate is 2%-3% in every year. However, satisfaction has significantly increased in tandem with curriculum changes and COVID-19. Based on these data, the counseling system was reorganized to support psychological stability, the medical humanities curriculum was improved, and changes in actual quality of life were induced by developing and operating non-curricular programs. Furthermore, standardized questionnaires will be developed and data from many medical schools will be shared, which is expected to support medical students more effectively.

동시대 미술작가들의 작품활동 기록화 현황과 지원 방안 (A Support Plan for the Documentation of Contemporary Artists' Work Activities Based on the Analysis of their Current Situation)

  • 김송이;설문원
    • 한국기록관리학회지
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    • 제24권1호
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    • pp.231-256
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    • 2024
  • 이 연구는 국내 동시대 미술작가들을 대상으로 개인기록의 생산 및 관리 현황을 조사하고 이를 토대로 교육 등 작가들의 작품활동 기록화에 필요한 지원 방안을 제안하는 것을 목적으로 한다. 이를 위해 첫째, 동시대 미술에서 작품활동 기록화의 중요성과 이를 위한 지원 동향을 문헌 연구를 통해 정리하였다. 둘째, 다양한 형식과 매체를 활용하는 동시대 미술작가 6명에 대한 인터뷰를 실시하였다. 인터뷰를 통해 작품활동 과정별로 기록 생산 현황을 조사하였고, 기록유형별로 관리실태를 조사하였다. 셋째, 조사 내용에 대한 분석을 토대로 작가, 미술관, 아키비스트 등이 작품 기록화를 위하여 협력, 지원해야 할 사항을 제안하였다. 지원 영역은 교육프로그램의 제공, 미술관의 작품활동 기록화, 기록화를 위한 도구 개발 및 지원으로 구분하였다.

학교보건사업의 역사적 고찰을 통한 정책 방향에 관한 연구 (A Study on the Policy Improvement by Means of a Historical Review of School Health Programs)

  • 김상욱;김윤신;장창곡
    • 한국학교보건학회지
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    • 제17권2호
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    • pp.127-150
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    • 2004
  • Objectives: The purpose of this study is to provide a basic structure for the establishment of the direction of school health programs, an overview of the historical changes of school health programs and their results, and a conceptual framework on school health programs. Methods: The data analysis has been done using a statistical almanac, relevant laws and regulations, operation handbook of the program, theses, reports, records of public hearings, and other reports as a technical research primarily based on evidence. The methodology of this research classifies the development and growth transition of school health programs during a historical period through the investigation of regulations, organization, manpower, and its program via its development process and to provide a basic tool to design a solid school health policy. Results: A The growth and development of school health programs The development of school health programs was classified into three different periods including the forthcoming period (1945~1967), the completion period (1967~1993), and the actualization period based on the establishment of legislation for School Health Law, other relevant legislation, and the contents of school health programs (1993~present). B. Policy direction of school health programs School health programs have reestablished their goals and range based on basic direction, and developed the W1it model of information structure for school health program management and its basic structure. Finally, the stepwise support system through the building of the school health support center is recommended. (1) The basic direction of school health programs has proposed 7 basic goals to reestablish the policy direction of health improvement based on total health. (2) The W1it model of information system and the school health information system for school health program management has been developed to utilize positive management. (3) School health policy through the study of the health laws and systems has been developed. The necessity of school health support center for the policy support, functional support and operation support has also been proposed. Conclusions: It is necessary to build a school health support center that consists of health professionals in charge of policy support, functional support, and program support of school health programs in order to realize and develop new policy.

대학도서관의연구지원 시스템 연구 (A Study of University Libraries' Faculty Research Support System)

  • 장윤금
    • 정보관리학회지
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    • 제22권4호통권58호
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    • pp.197-220
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    • 2005
  • 본 연구는 대학도서관이연구지원을 위해 기여하는 서비스 현황을 파악함으로써 대학도서관이 대학의연구지원을 위해 그들의 정보요구에 부합되는 시스템을 운영하고 있는 가를 알아보며, 대학도서관 웹사이트를 이용한 학술연구정보 시스템 개발의 필요성과 로드맵을 제시하는데 그 목적이 있다. 이를 위해 현재 국내 대학도서관 평가기준에 따라 변화되어 온 대학도서관 발전의 문제점과 이로 인한 대학도서관의연구지원서비스의 한계점에 대하여 조사하였다. 또한 국내외의 12개 대학 도서관의연구지원서비스 활동을 개관하고 분석함으로써 국내 대학도서관의 보다 진취적인연구지원 서비스를 위한 벤치마킹을 모색하고자 하였으며, 서비스 전략의 방향을 제시하고자 하였다. 특히 본 연구에서는 연구지원을 위한 고객관계관리 (Customer Relationship Management : CRM) 서비스 전략이라고 할 수 있는 일대일, "mass-personalized services"를 제시함으로써 대학도서관의 "one-stop service execution wheel"을 토대로 한연구지원 서비스의 가능성을 탐색하였다.

한의전자차트에서 진단 지원 기능의 활용도에 대한 설문조사 (A Survey on Usages of Decision Support Functionalities in Korean Medicine Electronic Charts)

  • 김상균;장현철;송미영;김철;예상준;김안나;이승일
    • 한국한의학연구원논문집
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    • 제18권2호
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    • pp.117-122
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    • 2012
  • Objectives : A Survey was conducted to find out usages of Korean medicine electronic charts and requirements of clinical decision support functionalities in the charts. Methods : An e-mail was sent to about 12,000 Korean medicine doctors that was affiliated to the Association of Korea Oriental Medicine. 250 doctors answered the questionnaires during one week. Results : Most doctors of 83% answered in use the electronic charts and use it mainly to insurance claims. 46% of them felt that diagnosis functions need to be improved first in the electronic charts. Moreover, 66% of them answered that expert systems to support diagnosis is required if provided. Conclusions : The clinical decision support systems help doctors diagnosis patients in a desirable manner. Many researches have been proposed about them in modern medical science, while a few studies suggested in Korean medicine. In the future, more researches in the field of diagnosis of electronic charts should be proceeded.

멀티미디어 통신 환경에서 Push/Pull 버퍼 관리 기법 (A Scheme for Push/Pull Buffer Management in the Multimedia Communication Environments)

  • 정찬균;이승룡
    • 한국정보처리학회논문지
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    • 제7권2S호
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    • pp.721-732
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    • 2000
  • Multimedia communication systems require not only high-performance computer hardwares and high-speed networks, but also a buffer management mechanism to process many data efficiently. Two buffer handling methods, Push and Pull, are commonly used. In the Push method, a server controls the flow of dat to a client, while in the Pull method, a client controls the flow of data from a server. Those buffering schemes can be applied to the data transfer between the packet receiving buffer, which receives media data from a network server, and media playout devices, which play the recived media data. However, the buffer management mechanism in client-sides mainly support either one of the Push or the Pull method. Consequently, they have some limitations to support various media playout devices. Futhermore, even though some of them support both methods, it is difficult to use since they can't provide a unified structure. To resolved these problems, in this paper, we propose an efficient and flexible Push/Pull buffer management mechanism at client-side. The proposed buffer management scheme supports both Push and Pull method to provide various media playout devices and to support buffering function to absorb network jitter. The proposed scheme can support the various media playback devices using a single buffer space which in consequence, saves memory space compared to the case that a client keeps tow types of buffers. Moreover, it facilitates the single buffer as a mechanism for the absorbing network jitter effectively and efficiently. The proposed scheme has been implemented in an existing multimedia communication system, so called ISSA (Integrated Streaming Service Architecture), and it shows a good performance result compared to the conventional buffering methods in multimedia communication environments.

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충북 소외지역의 영재교육기관 운영에 있어 초등 교사들이 겪는 어려움 및 지원 요구에 관한 사례연구 (A Case Study of the Difficulties and Support Needs of Elementary Teachers in the Management of Gifted Institutions in the Rural Areas of Chungcheongbuk-do Province)

  • 최보미;정정인
    • 한국초등과학교육학회지:초등과학교육
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    • 제38권1호
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    • pp.55-72
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    • 2019
  • The purpose of this study is to find out what kind of difficulties teachers face in the management of the elementary gifted institutions in the rural area of Chungbuk province. In this study, rural area was defined that the area where gifted education is difficult to access due to geographical accessibility or where gifted education service is restricted. The participants of the this study were three elementary gifted teachers who manage elementary gifted education institutions and is teaching science to disadvantaged gifted students. We collected data about the difficulties and support needs for the management of the gifted institutions in the rural area through the questionnaire and the interview. The results of this study are as follows. First, the common difficulty that teachers expressed was the lack of parental attention and awareness of gifted education. Second, the teachers who participated in this study perceived different difficulties according to their area, experience, and environment. Teacher A is the lack of awareness of the managers, teacher B is the difficulty of student selection, teacher C is the most difficult factor in teacher quality management. This difference in perceptions also led to differences in the support improvements required by gifted class teachers in the rural area. Third, the three teachers commonly referred to difficulties to access due to geographical accessibility, and demanded the integrated management of the gifted class in the rural area and the support for the expansion of the class.

부모-자녀 유대관계와 우울성향에 관한 연구 (A Study on the Parent-Child Bonding Relationship and the Adolescents` Depression)

  • 신효직
    • 가정과삶의질연구
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    • 제15권4호
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    • pp.27-40
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    • 1997
  • The purpose of this study was to investigate adolescents' maladjustment in terms of type and source of social support. The main results of this study were as follows; 1. In social support source the mean score of peer support was higher than family support. In social support type the mean score of expressive support was higher than other support type. 2. Social support source was found significantly different according to sex of the children educational level of the father and mother. Malajustment were found significantly different according to sex of the children educational level of the father and mother income and marital satisfaction of the mother. 3. In social support source it was significantly different according to all maladjustment subscale in family support and to over-anxiousness social withdrawal and hyperactivity in peer support. In social support type it was significantly different according to over-anxiousness and social withdrawal in expressive support to socia withdrawal over-anxiousness hyperactivity and delinquency in esteem support and to over-anxiounsness in informational support.

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댐상류 하수도시설의 통합운영관리방안에 관한 연구(I) - 통합관리전문기술지원단의 운영방안에 대하여 - (Integrated Management of Sewerage Facilities in Upstream Watersheds of Multi-purpose Dams - Focusing on Management of a Technical Support Team)

  • 박규홍;김형준;안충희;최주행
    • 상하수도학회지
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    • 제25권1호
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    • pp.23-29
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    • 2011
  • Integrated management system (IMS) for sewerage facilities has been installed at 7 dams and 9 watersheds since 2006. However, there has been no decisive plan on how and who to manage efficiently IMS after finishing the construction. Therefore, in this study, it was suggested that a new organization, so to speak, a technical support team for integrated management that may operate and manage IMS efficiently, could need to be set up. Three scenarios were evaluated depending on the type of allocating human resources to new organization considering each levels of sewerage facilities. Economic analyses on each scenarios of human resources allocation were also carried out. As a result, establishing the technical support team for integrated management was estimated to give the net benefit from 1.3 billion to 20.6 billion won for 15 years.