• 제목/요약/키워드: Methodological design

검색결과 337건 처리시간 0.03초

지역사회기반 호스피스완화케어에서의 의료지원서비스 요구분석 (A Need Analysis for Medical Supporting Service as a Part of Community-based Hospice Palliative Care)

  • 권소희;김숙남;최순옥;김정림;류지선;백정원
    • 보건의료산업학회지
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    • 제10권4호
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    • pp.109-121
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    • 2016
  • Objectives : This study was conducted to investigate the need of medical supporting service (MSS) as a part of community-based hospice palliative care from the view point of beneficiaries and providers. Methods : This study adopted a methodological triangulation design. A questionnaire regarding intention to use MSS was completed by 175 patients under home-based cancer patient management program. And three focus groups consisted of hospice nurses, public health physicians, and public officials were interviewed to obtain the perceived needs, obstacles, and solutions of MSS. Results : Mean age of home-based cancer patient was 70.18 year old, 48.0% of them were living alone. Only 53.7% of them were treated pain and 93.7% intend to take pain medication prescribed by public health physician. All participants of focus group interviews agreed necessity and importance of MSS. Physicians' lack of confidence and unwillingness to prescribe opioid to terminal patients was the biggest obstacle to provide MSS in the public health center. Conclusions : The necessity and demand of MSS for community-dwelling cancer patients were verified. MSS is urgent issue to meet their needs.

수변공원과 체육공원의 중요 속성 (Salient Attributes of Waterfront Parks and Athletic Parks)

  • 홍성권;이상우;이민우;이상민
    • 한국환경복원기술학회지
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    • 제10권6호
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    • pp.33-43
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    • 2007
  • The revised Urban Park regulations newly adopt Theme Parks in order to enhance richness and diversities of urban services to communities. However, the regulations ambiguously define the main facilities and service programs of the theme parks. And there have been increasing concerns about confusions in terms of the main facilities and service programs of the theme parks among landscape designers/planners, local governments and relevant field of areas. Misunderstanding on the facilities and service programs of the theme parks may lead to ruin the purposes of the new urban park regulations. In the lights of these, this paper tries to reach a consensus for main facilities and service programs of two theme parks including athletic park and waterfront park, based on measured potential users' preferences with a conjoint choice model. For waterfront parks, potential users show low preferences or negative responses to facilities which are perceived as un-environment friendly. They also show high preferences on ecological areas sitting near to streams. For athletic parks, potential users show demand to introduce something different facilities and atmosphere from existing athletic parks. The demands are particularly high for children's play ground facilities and service facilities. This study also show some methodological examples to compute the carrying capacity with two hypothetical alternatives. This approach might be beneficial for local governments which are wish to alternate the park size on the basis of local conditions such as their financial conditions and land availability.

모바일 장치기반의 바이오 객체 이미지 매칭 시스템 설계 및 구현 (The design and implementation of Object-based bioimage matching on a Mobile Device)

  • 박찬일;문승진
    • 인터넷정보학회논문지
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    • 제20권6호
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    • pp.1-10
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    • 2019
  • 객체기반 이미지 매칭 알고리즘 기술은 이미지 프로세싱 및 컴퓨터 비전 분야에서 광범위하게 사용되어 왔다. 이러한 이미지 매칭 알고리즘 기반의 수 많은 응용 프로그램은 객체인식, 3D 모델링, 비디오 추적 및 바이오 정보학 분야에서 개발되어 왔다. 이미지 매칭 알고리즘의 좋은 예는 Scale invariant Feature Transform(SIFT) 이다. 하지만 SIFT 알고리즘 기술을 이용한 많은 응용 프로그램은 클라이언트-서버 구조가 아닌 하나의 시스템으로 운영되어 왔다. 본 논문은 모바일 플랫폼 기반에서 SIFT 알고리즘 기술을 이용하여 클라이언트-서버 구조로 이미지 매칭 시스템을 구현하였다. 제안된 시스템은 바이오 이미지 객체를 매칭하고 식별하여 사용자에게 유용한 정보를 제공한다. 또한 본 논문의 주요 방법론적 기여는 모바일 장치에 유비쿼터스 인터넷 연결을 활용하여 편리한 사용자 인터페이스와 객체간의 상호작용적인 묘사, 분할, 표현, 매칭 및 바이오 이미지를 검색한다. 본 논문은 이러한 기술과 함께 바이오 정보학에 대한 의미론적 이미지 검색을 수행하며 응용 프로그램에서 객체 이미지의 다른 점을 추출하여 신뢰할 수 있는 이미지 매칭을 수행하는 예를 제시해주었다.

흡연시뮬레이션 게임에서 몰입 결정요인에 대한 연구 (A study on determinants of flow status in smoking simulation game)

  • 장한진;노기영
    • 한국게임학회 논문지
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    • 제17권2호
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    • pp.165-174
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    • 2017
  • 본 연구는 건강 기능성 게임인 흡연시뮬레이션 게임의 몰입을 결정하는 요인에 대해 파악하고 이들 요인들이 몰입에 어떠한 영향을 미치는지 분석하였다. 특히 게임 중에 발생하는 뇌 활동 패턴이 게임몰입과 어떠한 상관관계를 가지는지 뇌파측정과 몰입과의 관계를 규명하고자 하였다. 이를 위해 게임몰입의 정도를 종속변인으로 설정하고 몰입에 영향을 미칠 수 있는 감정이입, 건강관심도, 생리적 지표인 뇌파(${\alpha},{\beta}$)를 독립변인으로 설정하여 회귀분석을 실시하였다. 연구결과 흡연시뮬레이션 게임에서 몰입에 감정이입, 건강관심도, ${\beta}$파는 정적으로 영향을 미치고 있었으며, ${\alpha}$파의 경우 부적으로 영향을 미치고 있음이 확인되었다. 본 연구는 기능성 게임몰입에 영향을 미칠 수 있는 사용자 경험과 신경생리학적 변화에 대하여 자기 보고와 더불어 뇌파측정을 통해 실증적으로 분석하고 게임몰입의 결정요인을 규명하고 있다는 점에서 이론적 의미가 있다.

한국 청소년을 대상으로 한 의사결정역량 도구의 신뢰도와 타당도 검정 (Reliability and Validity of the Decision-Making-Competency Inventory (DMCI) in Korean Adolescents)

  • 박미정;오두남;함영림;임승주;임영미
    • Child Health Nursing Research
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    • 제18권2호
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    • pp.53-59
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    • 2012
  • Purpose: This study was done to verify the reliability and validity of the Korean version of DMCI in Korean adolescents. Methods: A methodological study design was used with Cronbach's ${\alpha}$ for reliability, and an exploratory factor analysis and contrasted groups approach for construct validity. DMCI was translated into Korean and tested with a sample of 406 adolescents in Korea. The data were analyzed using Cronbach's ${\alpha}$, item correlation with total, principal component factor analysis, and t-test. Results: The translated content of the DMCI was validated by nursing faculty members and translation equivalency was obtained. The Cronbach's ${\alpha}$ of the DMCI simplified with 18 items was .78. The factor analysis revealed three factors explaining 41.5% of total variance and the corresponding factors were self-observation (21.6%), self-judgement (11.4%), and self-confidence (8.6%). The mean score for the DMCI in the aggression group was significantly lower than the non-aggression group. Conclusion: Results of this study suggest that the Korean version of DMCI can used as a reliable and valid measure to assess decision making competency in Korean adolescents.

정상류 침투를 가정한 강우시 사면안정해석기법 (A methodological approach for slope stability analysis in Steady state infiltration)

  • 송평현;유병옥;안광국
    • 한국지반공학회:학술대회논문집
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    • 한국지반공학회 2009년도 세계 도시지반공학 심포지엄
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    • pp.736-744
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    • 2009
  • The abrupt failure of slope caused by a concentrated rainfall would be a disaster in this country. Specially, the soil slope may be collapsed by the rainfall seepage, however, there is not much information for the mechanism of slope failure during rainfall. As analyzing the stability of slope by rainfall, the conventional method is to put the ground-water level on the surface of slope. However, it may provide the over-reinforcement for the slope stability. Futhermore, although over-reinforcement for the slope was fulfilled, the possibility of potential slope failure still exists. In this study, the slope stability by the conventional design method and the causes of unstable slope during rainfall were investigated. To analyze the slope stability by rainfall, the computer program SEEP/W for the analysis of seepage was used. As changing the intensity and duration of rainfall in SEEP/W, the analysis were performed. After completion of analysis, the porewater pressure data from SEEP/W was applied to SLOPE/W. As a results of this analysis, it is not reasonable that the groundwater level is going up to the surface of slope during rainfall. Therefore, the conventional reinforcement for the slope stability is not obvious to satisfy the criterion safety factor during rainfall. The reasonable counterplan is to install drainage hole on the surface of slope in order to prevent erosion and debris flow.

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척추마취 후 두통완화를 위한 침상안정 효과에 대한 융복합적 문헌고찰 (Review for Effectiveness of Bedrest on Post-Dural Puncture Headache)

  • 송영신;김지혜;김경옥
    • 디지털융복합연구
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    • 제15권3호
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    • pp.229-236
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    • 2017
  • 척추마취 후 두통완화를 위한 침상안정에 대한 연구에 대한 체계적 문헌고찰을 통해 이들 연구에서 사용된 연구설계, 대상자 및 주요 중재방법과 그 효과에 대해 분석하였다. 연구추출을 위해 1980년부터 2016년까지 총 4234의 문헌중 15편의 연구논문을 분석하였다. 그 결과 5239명의 척추마취를 시행한 대상자가 연구에 참여하였으며, 실험연구가 10편, 비실험연구 5편이 포함되었다. 실험연구 대부분 24시간 침상안정군을 대조군으로 선정하여 다양한 시간의 침상안정에 따른 두통 발현율을 비교하였는데 2편의 논문을 제외한 연구에서 조기이상군의 두통발현율이 낮았다. 개별연구의 연구 질 평가결과를 감안하여 척추마취 후 두통을 완화시키기 위한 적절한 침상안정시간을 산정하기 위해 다양한 연구시도와 기존연구를 이용한 메타분석연구가 필요한 것으로 사료된다.

신규간호사의 조직사회화 측정도구 개발 (Development of an Instrument to Measure Organizational Socialization of New Clinical Nurses)

  • 손인순;김효심;권정순;박달이;한용희;한상숙
    • 임상간호연구
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    • 제14권1호
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    • pp.85-97
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    • 2008
  • Purpose: This study was conducted to develop an organizational instrument on socialization for new graduate nurses in the workplace, and to test its reliability and validity. Method: A methodological design was used to develop the instrument. Data were collected from new clinical nurses in 188 hospitals nationwide in Korea. In the first stage, 159 items were developed through a literature review. In the second stage, seven experts conducted a content validity test and the number of items was reduced to 155. In the third stage, factor analysis was performed to analyze the data collected from 198 nurses in 8 hospitals using the modified instrument. A total of 65 items were included and a five-point Likert scale was used. In the fourth stage, the final evaluation instrument was finalized as comprising 11 factors in 7 domains, using 39 items developed from analysis of the data collected from 1,410 nurses using the 40 items. It was comprised of 11 factors in 7 domains. The SPSS 11.0 windows program was used. Results: Accumulated variation for the 11 factor-39 items nurse organizational instrument on socialization was 67.22%. The results of the reliability test indicated that Cronbach's coefficient for the total 39 items was over 0.97. Conclusion: The instrument developed in this study has a high degree of reliability and validity.

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다층모형을 적용한 청소년의 외현적 공격성 변화 추정 : 변화에 있어서의 개인차에 대한 생태학적 요인 검증 (Estimating Adolescent's Changes in Overt Aggression : Tests of Effects of Ecological Factors on Individual Differences in the Changes)

  • 김동기;홍세희
    • 한국조사연구학회지:조사연구
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    • 제8권2호
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    • pp.21-42
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    • 2007
  • 본 연구의 목적은 다층모형을 적용하여 우리나라 청소년들의 외현적 공격성의 종단적 변화추이를 밝히고, 이 변화에 영향을 미치는 생태학적 요인들의 영향력을 검증하는 것이다. 연구목적을 달성하기 위의 한국청소년패널자료의 중학교 2학년, 3학년 및 고등학교 1학년 총 3년 간의 종단자료를 사용하였다. 분석결과, 첫째, 청소년의 외현적 공격성이 시간의 흐름에 따라 유의미하게 감소하였다. 둘째, 초기 값(중학교 2학년)에 개인체계의 성별과 자기통제가 부적(-)으로, 또래체계의 비행친구 수가 정적(+)으로 영향을 미치는 것으로 나타났다. 따라서 여자인 경우에, 자기통제가 낮을수록, 비행친구 수가 많을수록 외현적 공격성의 초기 값이 높음을 알 수 있다. 마지막으로, 변화율에 개인체계의 성별과 자기통제가 정적(+)으로 영향을 미치는 것으로 나타나, 남자인 경우에 자기통제가 높을수록 공격성이 덜 감소함을 알 수 있다. 본 연구는 기존의 횡단적 접근에서 벗어나 종단적 접근법을 적용하여 시간의 흐름에 따른 청소년의 외현적 공격성의 변화양상을 살펴보았을 뿐만 아니라, 청소년의 공격성 변화에 영향을 미치는 다양한 생태학적 요인들을 종합적으로 살펴보았다는 데 그 의의가 있다.

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응급실 내원 발열 소아환자의 열관리를 위한 근거중심 간호실무 가이드라인 개발 (Development of Evidence-based Nursing Practice Guidelines for Febrile Children in Emergency Room)

  • 정민진;신현아;김윤희;이지향;이승자;송미라
    • Child Health Nursing Research
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    • 제18권4호
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    • pp.214-221
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    • 2012
  • Purpose: The purpose of this study was to develop evidence-based nursing practice guidelines for the care of febrile children in the emergency room and to evaluate the guidelines by applying them to practice. Methods: This study was conducted using a methodological design. referring to the Scottish intercollegiate guideline network, draft of guidelines were developed based on the recommendations found from the critical literature analysis. Then, the draft was modified by an expert group and a pilot application. The final draft was evaluated by the expert group using appraisal of guidelines for research and evaluation. Finally, the final guideline and algorithm were completed. Results: The guideline includes 39 recommendations for the care of febrile children in the emergency room. Conclusion: The clinical guidelines developed through this research can be utilized as systematic and scientific guidelines for the care of febrile children in the emergency room. In addition, the research results will contribute to improving care services.