• 제목/요약/키워드: Multi-aspect Model

검색결과 112건 처리시간 0.026초

병동형 호스피스 대상자를 위한 전인적 호스피스 간호중재 프로그램의 개발 (Development of Wholistic Hospice Nursing Intervention Program for In-patient of Hospice Palliative Care Unit)

  • 강은실;최성은;강성년
    • 호스피스학술지
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    • 제7권1호
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    • pp.29-45
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    • 2007
  • People in the end of life and their families suffer in their physical disease and other aspects as a whole person. They need hospice care to palliate their total suffering in physical, emotional, social and also spiritual aspect through professional hospice team. To care their whole personal needs, hospice team must be a multi-discipline team which consists of medical doctors, nurses, social workers, pastors and volunteers. Recently those who die in hospice palliative care unit have trend to increase more than in home year by year. So it is necessary to develop the nursing intervention program to be performed by multi-discipline team approach for in-patient of hospice palliative care unit. The purposes of this study were to develop of wholistic hospice nursing intervention program for inpatient of hospice palliative care unit. The subjects of study were collected from 30 patients those who were over 18 years old and admitted in hospice palliative care unit of S hospital in P city with agreement in hospice palliative care in their terminal disease. The period of data collection was from December 15, 2003 to March 15, 2004. The result were as follows : 1. The result of Wholistic Hospice Nursing Program's development was as follow : A Wholistic Hospice Nursing Program was developed by me in this study is one of the service program for hospice palliative care unit. It was named as ‘Rainbow Program’ to be approached easily by hospice patients. The purposes of it are to improve the quality of life of the terminal patients with their dignity, to help them live in abundant and meaningful in their lives, to care them in peaceful in dying process with understanding them in whole personal, and also to palliate the grief and suffering of the bereaved. It was provided by hospice professionals(nurses, medical doctors, social worker, pastors, art therapists) and volunteers those who were educated in hospice for multi-diciplinary team approach to collaborate with each role play I 20-30 minuters of each through visiting their rooms individually and a place of hospice palliative care unit of S hospital in P city. The subjects of it were the terminal patients those who admitted hospice palliative care unit and their familes. with agreement in hospice palliative care in their terminal disease. The characteristics of it were multi-disciplinary team approach, whole personal care, individual care and total care according to their needs in their condition. The contents of it were pain control, symptom control, counseling patient, counseling family, hair cutting, hair shampooing, bed bath, recreation, taking a walk, event of culture(screen, recital, festival of praises, exhibition and so on), pastoral counseling, ritual service in bed, praying, service in bed, sing a worship praise, listening to the music, sharing remembrance of life, individual visiting music service(sing and praying), meditation Bible, art therapies(dance and drawing), social worker's counselling, confessing and sharing love and thanksgiving. The experimental group subjects participated in Wholistic Hospice Nursing Program which takes 120 minutes per session, total 10 sessions(total 1,200 minutes) altogether. In conclusion, this Wholistic Hospice Nursing Intervention can be used actively for whole personal well-being of the patients in hospice palliative in hospice palliative care unit and also applied in hospice practice as an useful model of multi-disciplinary team approach by hospice professionals.

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특송소화물 배송완료시간 최소화를 위한 차량경로문제 연구 (Study on Vehicle Routing Problem with Minimum Delivery Completion Time)

  • 이상헌
    • 대한교통학회지
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    • 제22권7호
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    • pp.107-117
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    • 2004
  • 특송 소화물 수송은 상품의 생산과 소비에 직결되어 있으며 소비자에 대한 원활한 소화물 수송이 경제에 미치는 영향이 지대하므로 그 중요성은 날로 증대하고 있다. 특히, 소비자 중심의 다 빈도 소량 운송시대로의 전환과 택배 등 특송 소화물 운송 산업의 활성화에 대한 화물수송 증가추세에 비해 적절한 계획 및 정책이 결여되어 있는 실정이다. 본 논문에서는 물류센터(단지)에서 모든 고객에게 수 배송을 가장 빠른 시간 내에 완료하여 고객이 서비스를 받기 위해 대기하는 시간을 최소화하는 차량경로를 결정하는 배송완료시간 최소화를 위한 차량경로모형을 제시한다. 본 연구에서는 마지막으로 방문을 받는 수요자의 대기시간을 최소화하는 개념으로서 생산문제와 비교하면 단위시간당 동일한 비용이 지출된다고 가정 할 때 모든 제품의 생산 및 판매까지의 총 비용을 최소화하는 것이 고전적인 차량경로문제라고 본다면 모든 제품의 생산완료 시점을 최소화하여 납기일을 단축시키는 것이 특징으로 볼 수 있다. 본 수리모형이 고전적인 차량경로문제와 구별되는 개념 중 하나는 각 차량의 마지막 방문수요지에서 물류센터로 복귀하는 시간은 고려하지 않으며 이에 따라 동일한 수요자를 방문하더라도 방문순서에 따라서 이동시간이 상이한 것과 또한 차량들이 방문하는 총 이동시간이 동일하더라도 경로 변경에 따라 모든 수요자 중 가장 마지막에 방문을 받는 수요자의 대기시간을 단축할 수 있다. 일반적으로 이러한 모형은 배송을 완료하는 시점이 중요시 되는 특송 소화물, 신문배송 문제, 신선함을 요하는 상품 또는 퀵 서비스 등 다양한 서비스 문제에 확대 적용할 수 있다. 제시된 모형은 ILOG Cplex 및 Solver를 활용하여 기존 차량경로문제와 비교하여 다양한 고객 및 차량 수에 대하여 최적해에 근접한 해를 쉽게 구할 수 있다.

GPU Based Feature Profile Simulation for Deep Contact Hole Etching in Fluorocarbon Plasma

  • Im, Yeon-Ho;Chang, Won-Seok;Choi, Kwang-Sung;Yu, Dong-Hun;Cho, Deog-Gyun;Yook, Yeong-Geun;Chun, Poo-Reum;Lee, Se-A;Kim, Jin-Tae;Kwon, Deuk-Chul;Yoon, Jung-Sik;Kim3, Dae-Woong;You, Shin-Jae
    • 한국진공학회:학술대회논문집
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    • 한국진공학회 2012년도 제43회 하계 정기 학술대회 초록집
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    • pp.80-81
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    • 2012
  • Recently, one of the critical issues in the etching processes of the nanoscale devices is to achieve ultra-high aspect ratio contact (UHARC) profile without anomalous behaviors such as sidewall bowing, and twisting profile. To achieve this goal, the fluorocarbon plasmas with major advantage of the sidewall passivation have been used commonly with numerous additives to obtain the ideal etch profiles. However, they still suffer from formidable challenges such as tight limits of sidewall bowing and controlling the randomly distorted features in nanoscale etching profile. Furthermore, the absence of the available plasma simulation tools has made it difficult to develop revolutionary technologies to overcome these process limitations, including novel plasma chemistries, and plasma sources. As an effort to address these issues, we performed a fluorocarbon surface kinetic modeling based on the experimental plasma diagnostic data for silicon dioxide etching process under inductively coupled C4F6/Ar/O2 plasmas. For this work, the SiO2 etch rates were investigated with bulk plasma diagnostics tools such as Langmuir probe, cutoff probe and Quadruple Mass Spectrometer (QMS). The surface chemistries of the etched samples were measured by X-ray Photoelectron Spectrometer. To measure plasma parameters, the self-cleaned RF Langmuir probe was used for polymer deposition environment on the probe tip and double-checked by the cutoff probe which was known to be a precise plasma diagnostic tool for the electron density measurement. In addition, neutral and ion fluxes from bulk plasma were monitored with appearance methods using QMS signal. Based on these experimental data, we proposed a phenomenological, and realistic two-layer surface reaction model of SiO2 etch process under the overlying polymer passivation layer, considering material balance of deposition and etching through steady-state fluorocarbon layer. The predicted surface reaction modeling results showed good agreement with the experimental data. With the above studies of plasma surface reaction, we have developed a 3D topography simulator using the multi-layer level set algorithm and new memory saving technique, which is suitable in 3D UHARC etch simulation. Ballistic transports of neutral and ion species inside feature profile was considered by deterministic and Monte Carlo methods, respectively. In case of ultra-high aspect ratio contact hole etching, it is already well-known that the huge computational burden is required for realistic consideration of these ballistic transports. To address this issue, the related computational codes were efficiently parallelized for GPU (Graphic Processing Unit) computing, so that the total computation time could be improved more than few hundred times compared to the serial version. Finally, the 3D topography simulator was integrated with ballistic transport module and etch reaction model. Realistic etch-profile simulations with consideration of the sidewall polymer passivation layer were demonstrated.

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고등학생의 건강 및 삶의 질에 대한 진단적 연구 - PRECEDE 모형을 근간으로 - (A Diagnostic Study on High School Students' Health and Quality of Life - Based on the PRECEDE model -)

  • 유재순;홍여신
    • 한국간호교육학회지
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    • 제3권
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    • pp.78-98
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    • 1997
  • Health education, as the most fundamental concept for national health promotion, alms for developing the self-care ability of the general public. High school days are regarded as the period when most important physical, mental and social developments occur, and most health-related behaviors are formed. School health education is one of the major learning resources influencing health potential in the home and community as well as for the individual student. High school health education in Korea has a fundamental systemic flaw in that health-related subjects are divided and taught under various subjects areas at school. In order to achieve the goal of school health education, it is essential to make a systematic assessment of the learner's concerns connected with his health and life, and the factors affecting them. So far, most of the research projects that had been carried out for improving high school health education were limited in their concerns to a particular aspect of health. Even though some had been done in view of comprehensive school health education, they failed to Include a health assessment of the learner. Therefore, in this study the high school students' concerns related to health and life were investigated in the first place on the basis of the PRECEDE model, developed by Green and others for the purpose of a comprehensive diagnostic research on high school health education. This study was done in two steps : one was the basic study for developing research instrument and the other was the main one. The former was conducted at five high schools in Seoul and Cheongju for 2 months-beginning in March, 1996. The students were asked to respond to questions related to their health and lives in unstructured open-ended question forms. On the basis of analysis of the basic study, the diagnostic instruments for the quality of life, health problems, health behavior and educational factors were constructed to be used for the collection of data for main study. An expert panel and the pilot study were used to improve content validity and reliability of the instruments. The reliability of the instruments was measured at between .7697 and .9611 by the Cronbach $\alpha$. The data for this study were collected from the sample consisted of the junior and senior classes of twenty general and vocational high schools in Seoul and Cheongju for two months period beginning in July, 1996. In analyzing the data, both t-test and $X^2$-test were done by using SAS-$PC^+$ Program to compare data between the sexes of the high school students and the types of high school. A canonical correlation analysis was carried out to determine the relationships among the diagnostic variables, and a multivariate multiple regression analysis was conducted by using LISREL 8.03 to ascertain the influences of variables on the high school students' health and quality of life. The results were as follows : 1) The findings of the hypothesis tests (1) The canonical correlation between the educational diagnosis variables and behavioral, epidemiological, social diagnosis variables was .7221, which was significant at the level of p<.001. (2) The canonical correlation between the educational diagnosis variables and the behavior variables was .6851, which also was significant (p<.001). (3) The canonical correlation between the behavioral diagnosis variables and the epidemiological variables was 4295, which was significant (p<.001). (4) The canonical correlation between the epidemiological diagnosis variables and the social variables was .6005, which was also significant (p<.001). Therefore, the relationship between each diagnosis variable suggested by the PRECEDE model had been experimentally proven to be valid, supporting the conceptual framework of the study as appropriate for assessing the multi-dimensional factors affecting high school students' health and quality of life. Health behavior self-efficacy, the level of parents' interest and knowledge of health, and the level of the perception of school health education, all of which are the educational diagnostic variables, are the most influential variables in students' health and quality of life. In particular, health behavior self-efficacy, a causative factor, was one of the main influential variables in their health and quality of life. Other diagnostic variables suggested in the steps of the PRECEDE model were found to have reciprocal relations rather than a unidirectional causative relationship. The significance of this research is that it has diagnosed the needs of high school health education by the learner-centered assessment of variety of factors related to the health and the life of the students. This research findings suggest an integrated system of school health education to be contrived to enhance the effectiveness of the education by strengthening the influential factors such as self-efficacy to improve the health and quality of the lives of high school students.

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지하철 이용 활성화를 위한 환승체계의 정책대안 평가 (Evaluating the Policy of Transfer System to Promote a Use of the Busan Subway)

  • 정헌영;최치국
    • 대한교통학회지
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    • 제22권2호
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    • pp.27-39
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    • 2004
  • 본 논문은 부산 지하철의 당면 문제점인 이용 승객의 감소추세와 이용효율의 저하를 개선하고자 지하철 중심의 환승체계 정책대안으로 환승할인 요금과 차내 외시간의 단축을 설정하고, 대안별 이용승객 및 요금수입의 변화를 계량적으로 제시하여 향후 정책추진의 근거자료로 활용하는데 목적이 있다. 선행연구의 정책대안은 지하철간의 환승저항 해소방안과 지하철과 연계교통수단의 환승할인 요금제의 도입방안 등을 제시하고 있다. 하지만 정책대안으로서 효과가 적고 재정적인 부담으로 시행이 어려운 실정에 있다. 따라서 본 연구는 지하철의 이용실태조사에서 지하철 이용승객에 가장 큰 영향을 미치는 것으로 나타난 버스와 지하철의 환승할인 요금체계 및 환승에 따른 서비스 개선(차내 외시간의 단축)방안을 정책대안으로 설정하였다. 그리고 제시된 정책대안이 시책으로서 타당한지를 판단하기 위해 명신선호(SP)조사를 토대로 구축한 네스티드 로짓모형을 이용하여 정책대안별로 요금수입과 이용승객의 변화에 미치는 영향을 평가하였다. 정책대안의 평가결과, 최적대안은 차내 외시간을 단축하지 않고 환승할인 요금제를 우선 시행할 경우 연간 67억의 재정지원을 전제로 환승요금을 50% 할인하는 방안이고. 환승할인요금과 차내 외시간 단축을 동시에 적용할 경우 예상수입금의 손실금액 56억을 재정지원 하는 것을 전제로 무료 환승방안이 타당한 것으로 나타났다.

정부지원 컨설팅사업 수행시 컨설턴트간 협업특성이 컨설팅 성과에 미치는 영향에 관한 연구 (When carrying out a government-supported consulting project A Study on the Effect of Collaborative Characteristics among Consultants on the Consulting Performance)

  • 김훈;유연우
    • 한국융합학회논문지
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    • 제10권12호
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    • pp.327-335
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    • 2019
  • 본 연구는 정부지원 컨설팅사업 수행시 컨설턴트간 상호 협업적 특성이 컨설팅 성과에 중요하게 영향을 미치는 요인으로 인식하며 컨설턴트간 협업특성을 통해 컨설팅 성과에 미치는 영향에 대해 살펴보고자 하였다. 먼저, 이론적 배경을 기반으로 연구모형을 제시하였고 가설을 설정해 설문조사를 실시하였으며 다중회기분석으로 가설을 검증하였다. 컨설턴트간 협업특성 중 컨설팅 성과에 가장 많이 영향을 미치는 것은 상호적 신뢰관계로 나타났고, 그 다음은 원활한 의사소통, 전문적 업무역량, 명확한 역할분담 순으로 나타났다. 정보공유는 기각되었고 다른 변수들에 비해 상대적으로 영향이 적은 것으로 나타났다. 이는 공동의 목표를 향해 협력해야 하는 컨설턴트간 협업특성상 정보공유의 정량적 측면보다 상호간 신뢰를 바탕으로 하는 상호 보완적 관계의 정성적 측면이 더 중요하게 작용한다고 볼 수 있다. 정부지원 컨설팅사업 수행시 컨설턴트간 협업은 긍정적으로 작용하고 있고, 상호 신뢰를 바탕으로 정성적 측면의 특성을 중심으로 정량적인 특성까지 고려해야 함을 시사해 주고 있다. 향후, 컨설팅사업 수행시 컨설턴트간 협업적 특성을 파악하는데 유용하게 활용할 자료가 되길 기대 한다.

저출산의 요인분석과 사회복지적 함의 (A Study on the Factors Affecting Low Fertility and the Implication of Socal Welfare)

  • 이인숙
    • 한국사회복지학
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    • 제57권4호
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    • pp.67-90
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    • 2005
  • 본 연구는 저출산과 관련된 요인을 고찰하기 위해 인구학적 요인, 사회경제적 요인, 그리고 가치관적 요인으로 나누어 이들의 영향력을 분석하고 사회복지적 함의를 찾고자 하였다. 분석 결과 첫째, 현재 자녀수에 영향을 미치는 요인은 인구학적 변수 중에서는 결혼기간이, 사회경제적 변수 중에서는 소득수준이, 가치관 변수 중에서는 자녀의 필요성이 결정요인이었다. 둘째, 향후 출산 여부를 결정하는 요인은 인구학적 변수 중 결혼기간과 현재 자녀수, 그리고 첫 자녀의 성별이었고, 사회경제적 변수 중에서는 소득수준, 가치관 변수 중에서는 결혼의 필요성과 남아선호, 자녀에 대한 대리성취욕구 등이었다. 셋째, 자녀 출산을 연기하는 주요 요인은 자녀보육비 및 교육비 부담, 자녀를 안심하고 맡길 곳이 없음 등이었다. 이러한 결과를 통해 본 연구는 저출산 극복을 위한 사회복지적 측면에서 출산환경 조성의 중요성을 제기하며, 또한 인구정책을 비롯한 여성정책, 가족정책, 보육정책, 교육정책, 고용정책 등이 통합된 형태로 이루어지는 인구복지정책 개발의 필요성을 제기한다.

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ICT 인프라 이상탐지를 위한 조건부 멀티모달 오토인코더에 관한 연구 (A Study of Anomaly Detection for ICT Infrastructure using Conditional Multimodal Autoencoder)

  • 신병진;이종훈;한상진;박충식
    • 지능정보연구
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    • 제27권3호
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    • pp.57-73
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    • 2021
  • ICT 인프라의 이상탐지를 통한 유지보수와 장애 예방이 중요해지고 있다. 장애 예방을 위해서 이상탐지에 대한 관심이 높아지고 있으며, 지금까지의 다양한 이상탐지 기법 중 최근 연구들에서는 딥러닝을 활용하고 있으며 오토인코더를 활용한 모델을 제안하고 있다. 이는 오토인코더가 다차원 다변량에 대해서도 효과적으로 처리가 가능하다는 것이다. 한편 학습 시에는 많은 컴퓨터 자원이 소모되지만 추론과정에서는 연산을 빠르게 수행할 수 있어 실시간 스트리밍 서비스가 가능하다. 본 연구에서는 기존 연구들과 달리 오토인코더에 2가지 요소를 가미하여 이상탐지의 성능을 높이고자 하였다. 먼저 다차원 데이터가 가지고 있는 속성별 특징을 최대한 부각하여 활용하기 위해 멀티모달 개념을 적용한 멀티모달 오토인코더를 적용하였다. CPU, Memory, network 등 서로 연관이 있는 지표들을 묶어 5개의 모달로 구성하여 학습 성능을 높이고자 하였다. 또한, 시계열 데이터의 특징을 데이터의 차원을 늘리지 않고 효과적으로 학습하기 위하여 조건부 오토인코더(conditional autoencoder) 구조를 활용하는 조건부 멀티모달 오토인코더(Conditional Multimodal Autoencoder, CMAE)를 제안하였다. 제안한 CAME 모델은 비교 실험을 통해 검증했으며, 기존 연구들에서 많이 활용된 오토인코더와 비교하여 AUC, Accuracy, Precision, Recall, F1-score의 성능 평가를 진행한 결과 유니모달 오토인코더(UAE)와 멀티모달 오토인코더(Multimodal Autoencoder, MAE)의 성능을 상회하는 결과를 얻어 이상탐지에 있어 효과적이라는 것을 확인하였다.

현대회화에서 드러난 해체의 형식론에 관한 연구 -타의적 해체와 자의적 해체의 성격규정을 중심으로- (A study of the destructive styles from Contemporary Paintings - Focused on distinguishing enmity-destruction and self-destruction -)

  • 박기웅
    • 조형예술학연구
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    • 제7권
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    • pp.5-63
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    • 2005
  • Generally, the meanings of destruction are related in the meaning of demolition, breakdown, into fragments ... and so on, and the similar meanings are twist, crush, demolish, split, cut, into pieces , break up ... etc. Further, it has related in the cruelty and destructive heart which are linked with orgy, Sadism, Necrophilia and so on. The meanings are also expressed by the initial , which are deprivation, deface, defame, deform, degrade, delegitimize, denounce , deride, destroy, devalue, as well as debase, debunk, declaim, declassify, decry, delete, denigrate, deprecate, despise or detract ...and so on. Dario Gamboni has discussed the meaning in his book as two categories Iconoclasm and Vandalism. And the similar meanings could be found in the words which has the initial of , like abase, abate, abhor, abjure, abolish, abridge, abuse ...and so on. Even though the distinct meanings of Iconoclasm and Vandalism, it is not easy to distinguish clearly between the differences when the results are accomplished in contemporary paintings because of the similarity of the results. In korean vocabulary there are no similar words to distinguish between the meanings of destruction and deconstruction, and the deconstruction is not recorded in the general dictionaries. However the meaning of is diminishing, separation, contrast and so on. So the unification of the word as do-construction is not construct, minus construction, reverse construction. And Vincent Ditch explained that there are the meaning of destroy the text. From Jacques Derrida, the deconstruction strategy is to criticise the world of traditional metaphysics and logocentrism, and not to reconstruire the philosophical meaning of texts but $d\'{e}construire$ them. And Saussure emphasized that the signifers could have more meaning that there can be more signified in traditional texts in the art. as a result, deconstruction is explained that there are many signified meanings in a signifer. In this thesis , from using the meanings of destruction and deconstruction, to distinguish the expressive skills in contemporary art works are arising. Therefore, special methods which are linked in the destruction styles are selected. As a result, the two different purposes of destruction is arising, one is enmity destruction and the other is self destruction another word, auto destruction or destruction to create The enmity destruction can be distinguished by the two category Iconoclasm and Vandalism. They come from the moment of different historical aspect is arising and want to attack the Icon or masterpiece this concept is from the study of John Philips and especially iconoclasm is linked with religious and artistic heart, but Vandalism is come from the political attack. Sometime, this distinguish is not clearly arising, because the two aspects are co-related in the attack. As a result, firstly, the Iconoclastic controversy had arisen in the methods of Dadaism which has developed by Man Ray, Francis Picabia and Marcel Duchamp. They want to attack the pre-established master-pieces and painting spaces, and they had 'non-artistic attitude' not to be art. Since 1980, the German artist Anselm Kiefer adapted the methods and made them his special skills so he had tried to paint tough brush strokes and draw with hugh pallette image line and fire and water images , they can be the image attack as the Iconoclasm. secondly, the model of vandalism is to be done by hammer, drill, canon and so on. the method is to attack the content of painting. Further, the object of destruction is bound by cords and iron lings to demolish or to declare the authority of pre-statues; it symbolize the pre-authority is gone already. Self-destruction based paintings are clearly different in the purpose of approaching the art work. First of all, they can be auto-destruction, creative destruction and metamorphosis destruction, which is linked with the skill the material aspect and basic stature, and sign destruction or signifier destruction, which is link with the inner meaning destruction that is considered as the Semiotical destruction in post-modern paintings. Since 1960, the auto destruction is based on the method of firing, melting, grinding and similar skills, which is linked with Neo-Dada and reverse-assemblage. Metamorphosis destruction is strongly linked with the basic inner heart price and quality, so it can be resulted in the changedness of expectation and recognition. Tony Cragg has developed the skills to metamorphose the wood as stone or iron as cloth and stone as sponge and rubber and so on. The researcher has developed the same style in the series of since 2003. The other self-destructive methods are found in the skill of sign destruction. In the methods the meaning of the art is not fixed as one or two, but is developed multi-meaning and differ from original starting situation, so Jacques Derrida called the difference meaning in deconstruction. It is the destruction of textes. These methods are accomplished by David Salle, Francesco Clemente, and recently Tracy Emin, who has developed the attacking heart in the spectators' emotion. Sometime in the method of self-destruction, it is based on horror and shock, the method is explored by Demian Hirst and Jakes and Dinos Chapman. Their destructive styles stimulate ambivalent heart and destroy original sign of girl and animals.

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전인적 호스피스간호중재 프로그램이 입원한 호스피스환자의 통증과 불안에 미치는 효과 (Effects of Wholistic Hospice Nursing Intervention Program on Pain and Anxiety for In-patient of Hospice Palliative Care Unit)

  • 최성은;강은실;최화숙
    • 호스피스학술지
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    • 제8권1호
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    • pp.55-67
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    • 2008
  • 목적: 말기환자와 그 가족들은 신체적인 고통뿐 아니라 심리·사회적, 영적 측면에서 전인적인 고통을 겪고 있으므로 이러한 고통을 완화시켜주기 위해서는 간호사, 의사, 성직자, 사회복지사 등의 다학제(multi- discipline) 전문가들과 자원봉사자로 구성된 호스피스 팀에 의해 제공되는 호스피스 간호중재 프로그램의 개발이 필요한 현실이다. 본 연구는 단일군 전․후 유사실험 연구설계로 전인적 호스피스 간호중재 프로그램이 호스피스 병동에 입원한 호스피스 환자의 통증과 상태불안에 미치는 효과를 알아보고자 하였다. 방법: 자료수집은 P시 소재 S병원의 호스피스 병동에 입원한 18세 이상의 환자 27명을 대상으로 2004년 4월 6일부터 2005년 4월 20일까지 구조화된 설문지를 통해 수집하였다. 제공된 전인적 호스피스간호중재 프로그램은 전인적, 다학제적, 개별 및 집단적인 중재형태로 구성되어 있고, 상호협동적인 다학제 전문가팀(간호사, 의사, 성직자, 사회복지사, 무용치료사, 미술치료사, 자원봉사자)이 호스피스 대상자 병실이나 병동에서 매회 120분씩, 총 10회(총1,200분)에 걸쳐 실시한 프로그램이었다. 프로그램 효과를 측정하기 위한 도구로서 통증 척도는 윤영호(1998) 등이 한국형 간이통증 조사지(Korean Version of Brief Pain Inventory, BPI-K)로 개발한 도구 중 일부를 윤매옥(2000)이 사용한 도구, 상태불안 척도로는 Spielberger (1975)의 상태불안 측정도구(State-Anxiety Inventory)를 김정택과 신동균(1978)이 번역하여 사용한 도구를 사용하였다. 자료분석은 수집된 자료를 SPSS/WIN 12.0 프로그램을 이용하여 실수, 백분율, 최대값, 최소값, 평균, 표준편차, Paired t-test로 분석하였다. 결과: 본 연구의 결과는 다음과 같다. (1) 가설 1 ‘전인적 호스피스 간호중재 프로그램을 제공받은 입원 호스피스 환자(이하 실험군)는 실험 전보다 실험 후의 통증 정도가 낮을 것이다’ 를 검증한 결과 실험군은 실험 후의 통증 점수가 유의하게 낮아 가설이 지지되었다(t=-10.585, P= .000). (2) 가설 2 ‘전인적 호스피스 간호중재 프로그램을 제공받은 실험군은 실험 전보다 실험 후의 상태불안 정도가 낮을 것이다’ 를 검증한 결과 실험군은 실험 후의 상태불안 정도가 유의하게 낮아 가설이 지지되었다(t=-8.234, P= .000). 결론: 본 연구의 결과, 전인적 호스피스 간호중재 프로그램은 호스피스 대상자의 통증 및 상태불안을 완화시키고 향상시켜 신체 및 정서적 차원에서 그 효과가 확인되었으므로 호스피스 임상 실무에 적극적으로 활용할 수 있을 것이며, 그로 인해 호스피스 대상자의 통증을 조절하고 불안을 감소시켜 삶의 질을 총체적으로 높일 수 있는 데 기여하리라 사료된다.

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