• 제목/요약/키워드: Positive Approach

검색결과 2,165건 처리시간 0.029초

관절염환자의 삶의 질에 영향을 미치는 요인탐색 (Investigation on Factors Influencing the Quality of Life of Arthritis Patients)

  • 오현자
    • 성인간호학회지
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    • 제12권3호
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    • pp.431-451
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    • 2000
  • In this paper, I will examine the variables influencing the Quality of Life of arthritis patients and present basic materials which help arthritis patients have positive thinking in life and ultimately lead a satisfactory life. The subjects for this study are 231 inpatients and outpatients with arthritis living in J and K city in Chonbug Province. For the analysis of collected data I employed the SAS program. The variables for characteristics and the quality of life were analysed by descriptive statistics, T-test and ANOVA, and the relations among variables were analysed through Pearson Correlation; the Regression method was employed to predict the factors affecting quality of life. For the validity of reliance on measuring equipment Cronbach Alpha was used. The results of the study are as follows : (1) The mean score of quality of life of arthritis patients is 3.09(5 in the maximum). The general characteristics which affect the quality of life are age(F=5.13, p=0.0006), standard of education(F=6.49, p=0.0003), marriage status(F=7.77, p=0.0005), monthly pay(F=4.37, p=0.0020), medical benefits (F=4.85, p=0.0087), and supports(F=4.39, p=0.0050). For the disease-related characteristics, there is a significant difference in the 6 items: pain control method(F=5.92, p= 0.0002), physical therapy(F=3.25, p=0.013), whethere or not patients exercise(F=4.62, p=0.0000), regularity of exercise(F=4.79, p=0.0000), frequency of exercise(F=6.29, p=0.0001), and amount of exercise(F=4.62, p=0.0043). Depending on the type of arthritis, there is also a significant difference in the degree of pain felt. The patients with infectious arthritis suffer from pain the most, followed by those with gout, rheumatism and degenerative arthritis, in that order. Although statistics don't show any convincing evidence, those with gout perceive that they are in best health condition, followed by those with rheumatism, degenerative arthritis, and infectious arthritis, in that order(F=2.23, p=0.0669). (2) The quality of life of arthritis patients is correlated positively with perceived health status(r=0.56, p=0.0001), health promoting behavior(r=0.53, p=0.0001), family support (r=0.46, p=0.0001), amount of exercise (r=0.36, p=0.0001), ADL(r=0.36, p=0.0001), HLOC(r=0.32, p=0.0001), frequency of exercise(r=0.32, p=0.0001)in that order, while correlated negatively with the degree of pain felt(r=-0.32, p=0.0001), the number of pain regions(r=-0.19, p= 0.0041), and the duration of pain(r=-0.14, p=0.0279). (3) Regression analysis reveals that the most powerful predictor of the quality of life is perceived health status, which account for 31.11%. The other predictors of the quality of life, which account for 60.22%, are health promoting behavior(16.51%), family support(3.81%), ADL(2.52%), gender(1.86%), the number of family members(1.36%), level of pain(1.24%), duration of pain (1.08%), and level of education(0.67%). The results of the study show that perceived health status and health promoting behavior are the two most important variables. However, considering that the perceived health condition is difficult to control by nursing intervention, it is suggested that the level of expectation for patients, must be decided first, and the health promoting behavior and the family support influencing the quality of life must be taken into account as targets for nursing intervention. As a way of controlling the quality of life, I think that a more comprehensive approach comprising the above important variables along with demographic and general characteristics is needed. I also suggest that we must continue to explore the variables affecting the quality of life and include those variables in nursing intervention.

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기공학(氣功學) 발달(發達)에 관한 문헌적(文獻的) 연구(硏究) (A Documentational Study on the Development of Chi-Kung-Hak)

  • 김우호;홍원식
    • 대한한의학원전학회지
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    • 제4권
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    • pp.19-73
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    • 1990
  • Today, many people are more interested in preventing the disease than curing it. Chi-Kung (氣功) is the way of Life-Cultivation (養生法) peculiar to the orient, it is reported in china that Chi-Kung has an excellent curative value not only in curing the disease but also in preventing it. But the full-scale study of Chi-Kung is not be made up to now in Korea, so I studied the developmental history of chinese Chi-Kung through the oriental medical books. From this study, I reached the following conclusions ; 1. Chi-Kung is naturally derived from the self-preservation instinct to adapt oneself to circumstances of the nature, but in the investigation from the documentational records, it is originated in the treatment method of the Sam-Huang-O-Jae (三皇五帝 )period to cure the abnormal circulation of the vital force and blood caused by damp (濕). 2. As the principle and the method of the Life-Cultivation of the Chun-chu-Jeon-Kook (春秋戰國) periods were recorded in Huang-Jae-Nai-Gyung (黃帝內徑) detailly and the remedy examples by ancient Chi-Kung such as Tao-Yin (導引), Haeng-Chi (行氣) were presented, we considered that theoretical basis of the development of Life-cultivation and Chi-Kung study was furnished in that period. 3. A famous doctor, Hwa-Ta (華陀) lived in Han dynasty, researched the theory and practice of Tao-Yin transmitted from the former generations, as that result, he formed a kind of medical gymnastics what is called O-Keum-Hi (五禽戱). It is considered that 'O-Keum-Hi' is a Tao-Yin method developed more practically and systemetically than the Tao-Yin appeared in the 'Jang-Ja' (莊子) or 'Hoy-Nam-Ja' (淮南子). 4. In Wui-Jin-Nambook Jo (魏晋南北朝) periods, the contents of Chi-Kung were more abundant under the influence of Buddhism (佛敎) and Taoism (道敎). Galhong (葛洪), the author of 'Po-Bak-Ja' (抱朴子) arranged the ancient Chi-Kung method systematically first of all, Tao-Goeng-Gyung (陶宏景), the author of 'Yang-Seong-Yeun-Myung-Rok' (養性延命錄) recorded the 'Yook-Ja-Geul' (六字訣) first time. 5. There is a new development of Chi-Kung therapy in Soo-Tang-Odae (隋唐五代) pefiods, especially So-Won-Bang (巢元方), the author of 'Jey-Byung-Won-Hwu-Ron' (諸病源候論) collected aimost all of the Chi-Kung method, for curing the disease formed before soo (隋) period. From that fact, we supposed that Chi-Kung was utilized more widely in curing the disease. 6. 'So-Ju-Cheon-Hwa-Hu-Peob' (小周天火候法) was adopted as the best orthodox approach under the influence of Nae-Tan-Taoist (道敎內丹學派) in Song-Keum-Won (宋金元) periods, especially in the song dynasty, 'Pal-Dan-Geum' (八段錦) was appeared and assignment of six-Chi (六氣) for bowel and viscera in the 'Yook-Ja-Geul' (六字訣) was decided firmly, that is to say Lung-Si (肺-呬), Heart-Kha (心-呵), Spleen-Hoa (脾-呼), Liver-Hoe (肝-噓), Kidneychui (賢-吹), Three-Burner-shi (三焦-嘻). 7. In Myung-Cheong (明淸) periods, The general practitioner applied the principle of 'Byun-Jeng-Ron-Chi' (辨證論治) to the Chi-Kung field, and after Myeong dynasty the style of doing 'Yook-Ja-Gyel' (六字訣) was developed to the moving style. 8. Today, in china, the study on the Chi-Kung is being progressed constantly under the positive assistance of government, Chi-Kung-Hak (氣功學) has taking its place as a branch of study step by step. It is considered that the establishment of Chi-Kung-Hak Classroom (氣功學教室) and Medical Chi-Kung Center (氣功療法室) for special and systematic research are needed, at the same time the settlement of institutional system for training the Chi-Kung technician (氣功師) is also needed.

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신도시 물순환체계 구축을 위한 습지조성 입지선정에 관한 연구 (Site Selection Model for Wetland Restoration and Creation for the Circulation of Water in a Newly-built Community)

  • 최희선;김귀곤
    • 한국조경학회지
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    • 제36권6호
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    • pp.43-54
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    • 2009
  • 본 연구는 새롭게 조성되는 도시의 물순환체계를 구축하고, 도시화로 말미암아 증가하는 유출량을 분산 저류함은 물론, 생물다양성을 증진시킬 수 있는 습지의 조성입지와 면적을 확보하는 것에 중점을 두었다. 습지조성 입지선정을 위하여 유역분석에서부터 평가항목 선정, 가중치 산출, 주제도 작성, 종합 등 일련의 과정을 모형으로 정립하였다. 개발된 모형은 수도권에 입지해 있는 위례 신도시 개발예정지역에 적용함으로써 모형의 실행가능성과 한계를 검토하였다. 적용 결과, 유역분석단계 에서는 대상지가 13개의 소유역으로 구분되며, 개발대상지가 포함되는 유역들의 유입량은 $3,020,765m^3$인 것으로 나타났다. 개발 전 후의 유출량을 비교하면 각각 $1,901,969m^3$, $1,970,735{\sim}2,039,502m^3$로써 개발지역에서 확보해야 할 총 저류량은 $68,766{\sim}137,533m^3$로 산출되었다. 습지조성 입지선정단계에서는 각각의 주제도를 중첩한 결과, 13개 소유역별로 습지조성 우선지역이 차등적으로 분류되었다. 유출량을 저류할 수 있는 습지의 입지와 면적을 도출한 결과, 저류형 습지와 하천형 습지, 연못형 습지 등 다양한 유형의 습지조성은 물론 이들의 유기적 연계가 가능한 것으로 판단되었다. 이는 도시 전체의 물순환체계 계획의 기본골격을 제공함으로써 녹지공간과의 통합을 통해 도시생태 네트워크 계획 수립과 같은 공간계획단계에 유용하게 활용될 수 있을 것으로 판단되었다. 그러나 본 연구는 토지이용계획 이전 단계에서 도시화로 인해 예상되는 잠재적인 유출량을 기준으로 습지의 입지와 면적을 산정함에 따라 정확한 저류량의 산정을 위해서는 토지이용계획 이후 환류(feedback)과정이 요구되었으며, 습지의 유형이나 입지적 특성에 따라서 저류량 등 저류능력이 달라질 수 있음에도 불구하고 문헌에서 고찰되는 일반적인 습지 저류량을 모든 습지에 동일하게 적용했다는 점은 본 연구의 한계라 할 수 있다.

승학산 참억새군락의 생육환경 특성 및 쇠퇴에 관한 연구 (Growth Environment Characteristics and Decline in Mt. Seunghak's Miscanthus sinensis Community)

  • 박슬기;최송현;홍석환;이상철;유찬열
    • 한국조경학회지
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    • 제45권5호
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    • pp.14-28
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    • 2017
  • 억새군락은 생태계 서비스 중 문화서비스 측면에서 하나의 경관자원으로 가을이면 전국적으로 많은 탐방객들이 찾는다. 하지만 참억새군락은 우리나라 산림 천이의 특성상 빠른 쇠퇴가 진행되는 공간이라 경관자원으로 이용하기 위해서는 지속적이며, 인위적 관리가 필요하다. 참억새군락은 척박한 토양에서 일시적으로 나타나는 대표적인 건조지 천이초기식생으로써, 우리나라 산림에서 지속성을 가지는 군락은 아니며, 산림천이과정 중 2차 천이 초기에 발생하는 식물군락으로 기존 산림식생의 훼손이후 일시적으로 발생하는 군락으로 볼 수 있다. 본 연구는 도시 숲의 경관다양성을 위해 대도시의 대규모 참억새군락으로 접근성이 뛰어난 승학산 억새군락의 생육환경 특성을 조사하고, 억새군락의 급격한 쇠퇴 원인을 파악하고자 하였다. 승학산 참억새군락의 토양은 승학산 정상부 일대 참억새군락의 경우, 일부지역을 제외하고 일반적 산림토양의 특성을 가지고 있지만, 전 질소함량과 유기물함량이 상대적으로 높은 토양으로 일반적 산림토양에 비해 비옥한 토양으로 볼 수 있다. 현존식생 현황은 화재 등 교란이후 숲의 천이가 진행되는 과정으로 복잡하고 다양하게 나타나고 있었고, 주요 식물 군락별 면적비율에 있어 리기다소나무가 대부분을 차지하고 있었고, 일부 곰솔군락 및 벚나무군락이 소규모로 분포하고 있었다. 참억새우점군락은 전체면적의 8.7%로 대부분 지역에서 참억새군락의 쇠퇴가 나타나는 것을 확인할 수 있었으며, 특히 칡과 비목나무의 이입으로 인한 참억새군락의 쇠퇴가 눈에 띄게 나타나고 있어, 참억새군락의 쇠퇴는 보다 가속화될 것으로 예상되어졌다. 식물군집구조 현황에서 당분간은 참억새군락으로 유지될 것이나, 목본식물이 이입되는 과정으로 비목나무의 생장에 따라 참억새 생육에 부정적 영향이 작용할 것이고, 억새-계요등군락은 경관개선을 위해 상부에 식재한 왕벚나무군락의 그늘로 참억새군락은 향후 급격히 쇠퇴할 것이다. 참억새-비목나무군락은 비목의 생육에 따라 참억새의 본격적인 쇠퇴가 일어날 가능성이 높고, 칡-참억새 군락은 탐방객에게 부정적 영향이 큰 지역이다. 칡 우점군락들은 참억새의 피도는 낮고, 교목과 관목의 유입은 거의 없으나, 칡이 우점 하는 군락으로 향후 지속적으로 참억새군락은 쇠퇴할 것이다. 경관관리 측면에서 참억새군락을 유지하기 위해서는 비용효율적인 관리를 위해 여러 가지 대안을 모색해야 할 것이다. 승학산 곳곳에 조성된 묘지와 참억새군락 내부 샛길은 억새 생육에 어려움을 주고 있는 반면, 참억새군락의 보호를 위해 조성된 목책 및 로프 울타리는 사람들의 출입을 억제하여 많은 샛길들이 자연스럽게 복원되고 있다. 참억새 경관을 즐기기 위해 상대적으로 관찰이 용이한 지점과 참억새군락을 설정하여 이들 지역을 중점적으로 관리한다면 관리예산을 줄이면서 보다 효과적인 억새군락 관리가 될 것이다.

대학생의 무형식학습이 구직능력 및 창업의도에 미치는 영향: 팀 학습 만족도의 조절효과를 중심으로 (The Effect of Informal Learning of University Students on Employment Competency and Entrepreneurial Intention: Focusing on the Satisfaction Level of Team-based Learning)

  • 가혜영;전혜진
    • 벤처창업연구
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    • 제15권3호
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    • pp.121-132
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    • 2020
  • 대학생은 학교 내에서 배운 이론적인 지식을 바탕으로 한 가지 분야에서 전문성을 키우는 과정을 거치게 된다. 이러한 학교생활을 토대로 경력 개발의 방향은 과거의 취업 중심의 형태에서 벗어나 전 생애에 걸쳐 취업과 창업을 선택하기 위한 업의 전환을 고려하는 형태로 바뀌어가고 있다. 교육의 방향 또한 기존의 지식을 전달받고 암기하는 형식 학습에서 보다 자율적이면서 학습자의 적극적인 참여를 중심으로 하는 무형식학습과 팀 기반 학습의 필요성이 더욱 강조되고 있다. 이 연구에서는 대학생의 무형식학습 활동이 구직능력과 창업의도에 영향을 미치는지 확인하고자 한다. 이를 통하여 기존의 취업역량에만 연결시켜왔던 연구에 창업을 더함으로써 새로운 시사점을 제시하고자 한다. 또한, 기업 및 교육 현장의 팀워크가 중요해짐에 따라 팀 기반학습 만족도에 따라 무형식학습 활동이 구직능력과 창업의도에 어떠한 영향력을 보이는지도 함께 살펴보았다. 연구결과의 요약은 다음과 같다. 첫째, 대학생의 무형식학습은 구직능력에 유의한 영향을 미치지만 창업의도에는 직접적인 영향을 미치지 않는 것으로 확인되었다. 둘째, 구직능력은 대학생의 무형식학습과 창업의도를 완전매개하였다. 셋째, 팀 기반 학습의 만족도는 대학생의 무형식학습에 따른 구직능력에 유의한 영향을 미치지 못했으나 구직능력과 창업의도 사이에는 정의 영향을 미치는 것으로 확인되었다. 이 연구는 대학 내 구직능력과 창업의도를 높이기 위해 무형식학습이 필요하며, 이 과정에서 만족도 높은 팀 기반 학습을 진행하는 것이 중요함을 시사하고 있다.

서비스 혁신의 선행요인에 관한 연구: 서비스 지배적 논리와 자원 우위 이론을 중심으로 (Identifying Antecedents of Service Innovation: Based on Service-Dominant Logic and Resource-Advantage Theory)

  • 유현선;한진영
    • 경영정보학연구
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    • 제18권2호
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    • pp.79-106
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    • 2016
  • 지난 30년간 서비스 혁신을 어떻게 바라볼 것인가에 대한 관점의 논의가 지속적으로 이루어져왔지만, 아직까지 학계에서 전반적으로 통용되는 서비스 혁신에 대한 관점 및 측정방법은 부재한 실정이다. 많은 서비스 혁신 연구들은 기존의 전통적인 기술 개발 및 제품 혁신 이론에 기반을 두고 서비스 혁신을 이해하려 했다. 기존의 제품 중심의 분석방법론은 서비스 혁신의 비기술적 특성을 간과하는 오류를 범할 수 있어 이를 대체할 수 있는 새로운 접근법이 요구되고 있으며, 대표적인 접근법으로 서비스 지배적 논리가 있다. 서비스 지배적 논리는 새로운 관점에서 혁신과 혁신의 선행요인들을 분석할 수 있는 개념적인 프레임워크이다. 또한 서비스 혁신이 기업 경쟁력과 기업성과를 향상 시킨다는 인식은 서비스 기업들을 중심으로 점차 증가하고 있음에도 불구하고, 서비스 혁신에 대한 이론 및 활용에 대한 연구와 이해 부족으로 인해 소수의 기업만이 서비스 혁신을 수행하고 있는 실정이다. 따라서 기업에서 성공적으로 서비스 혁신을 수행하기 위해서는 무엇보다도 서비스 혁신에 영향을 미치는 선행요인에 대한 연구가 먼저 선행되어야 한다. 이러한 필요에 따라 본 연구에서는 서비스 지배적 논리관점에서 서비스 혁신의 선행요인을 이론적이고 실증적으로 분석하고자 한다. 따라서, 본 연구의 목적은 다음 질문에 대한 답을 구하는 것이다: 1) 서비스 혁신 선행요인은 서비스 혁신에 어떠한 영향을 미치는가? ; 2) 서비스 혁신은 기업의 비재무적 그리고 재무적 성과에 어떠한 영향을 미치는가? 이를 위해 본 연구에서는 서비스 혁신의 선행요인(인적자원 관리 역량, 내부 협업 역량, 마케팅 역량, 정보기술 역량), 서비스 혁신 차원(서비스 창출 혁신, 서비스 전달 혁신, 고객 상호작용 혁신)과 기업성과(비재무적, 재무적)를 가지고 이들 간의 인과 관계를 분석하였다. 본 연구는 국내 189개의 서비스 기업을 대상으로 수집된 데이터를 기반으로 수행되었다. 연구결과 인적자원 관리 역량, 마케팅 역량은 모든 서비스 혁신 차원에 긍정적인 영향을 미치는 것으로 나타난 반면, 내부 협업 역량과 정보기술 역량은 서비스 창출 혁신과 서비스 전달 혁신에만 제한적으로 긍정적인 영향을 미치는 것으로 나타났다. 고객 상호작용 혁신에는 인력자원 관리 역량이 가장 큰 영향을 미치는 것으로 나타났다. 모든 서비스 혁신 활동은 비재무적 성과에 긍정적인 영향을 미친 반면, 재무적 성과에는 서비스 전달 혁신과 고객 상호작용 혁신만 유의한 영향을 미치는 것으로 나타났다.

소규모 기업에 있어서 지식소싱 전략이 기업성과에 미치는 영향 고찰 (An Examination of Knowledge Sourcing Strategies Effects on Corporate Performance in Small Enterprises)

  • 최병구
    • Asia pacific journal of information systems
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    • 제18권4호
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    • pp.57-81
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    • 2008
  • Knowledge is an essential strategic weapon for sustaining competitive advantage and is the key determinant for organizational growth. When knowledge is shared and disseminated throughout the organization, it increases an organization's value by providing the ability to respond to new and unusual situations. The growing importance of knowledge as a critical resource has forced executives to pay attention to their organizational knowledge. Organizations are increasingly undertaking knowledge management initiatives and making significant investments. Knowledge sourcing is considered as the first important step in effective knowledge management. Most firms continue to make an effort to realize the benefits of knowledge management by using various knowledge sources effectively. Appropriate knowledge sourcing strategies enable organizations to create, acquire, and access knowledge in a timely manner by reducing search and transfer costs, which result in better firm performance. In response, the knowledge management literature has devoted substantial attention to the analysis of knowledge sourcing strategies. Many studies have categorized knowledge sourcing strategies into intemal- and external-oriented. Internal-oriented sourcing strategy attempts to increase firm performance by integrating knowledge within the boundary of the firm. On the contrary, external-oriented strategy attempts to bring knowledge in from outside sources via either acquisition or imitation, and then to transfer that knowledge across to the organization. However, the extant literature on knowledge sourcing strategies focuses primarily on large organizations. Although many studies have clearly highlighted major differences between large and small firms and the need to adopt different strategies for different firm sizes, scant attention has been given to analyzing how knowledge sourcing strategies affect firm performance in small firms and what are the differences between small and large firms in the patterns of knowledge sourcing strategies adoption. This study attempts to advance the current literature by examining the impact of knowledge sourcing strategies on small firm performance from a holistic perspective. By drawing on knowledge based theory from organization science and complementarity theory from the economics literature, this paper is motivated by the following questions: (1) what are the adoption patterns of different knowledge sourcing strategies in small firms (i,e., what sourcing strategies should be adopted and which sourcing strategies work well together in small firms)?; and (2) what are the performance implications of these adoption patterns? In order to answer the questions, this study developed three hypotheses. First hypothesis based on knowledge based theory is that internal-oriented knowledge sourcing is positively associated with small firm performance. Second hypothesis developed on the basis of knowledge based theory is that external-oriented knowledge sourcing is positively associated with small firm performance. The third one based on complementarity theory is that pursuing both internal- and external-oriented knowledge sourcing simultaneously is negatively or less positively associated with small firm performance. As a sampling frame, 700 firms were identified from the Annual Corporation Report in Korea. Survey questionnaires were mailed to owners or executives who were most erudite about the firm s knowledge sourcing strategies and performance. A total of 188 companies replied, yielding a response rate of 26.8%. Due to incomplete data, 12 responses were eliminated, leaving 176 responses for the final analysis. Since all independent variables were measured using continuous variables, supermodularity function was used to test the hypotheses based on the cross partial derivative of payoff function. The results indicated no significant impact of internal-oriented sourcing strategies while positive impact of external-oriented sourcing strategy on small firm performance. This intriguing result could be explained on the basis of various resource and capital constraints of small firms. Small firms typically have restricted financial and human resources. They do not have enough assets to always develop knowledge internally. Another possible explanation is competency traps or core rigidities. Building up a knowledge base based on internal knowledge creates core competences, but at the same time, excessive internal focused knowledge exploration leads to behaviors blind to other knowledge. Interestingly, this study found that Internal- and external-oriented knowledge sourcing strategies had a substitutive relationship, which was inconsistent with previous studies that suggested complementary relationship between them. This result might be explained using organizational identification theory. Internal organizational members may perceive external knowledge as a threat, and tend to ignore knowledge from external sources because they prefer to maintain their own knowledge, legitimacy, and homogeneous attitudes. Therefore, integrating knowledge from internal and external sources might not be effective, resulting in failure of improvements of firm performance. Another possible explanation is small firms resource and capital constraints and lack of management expertise and absorptive capacity. Although the integration of different knowledge sources is critical, high levels of knowledge sourcing in many areas are quite expensive and so are often unrealistic for small enterprises. This study provides several implications for research as well as practice. First this study extends the existing knowledge by examining the substitutability (and complementarity) of knowledge sourcing strategies. Most prior studies have tended to investigate the independent effects of these strategies on performance without considering their combined impacts. Furthermore, this study tests complementarity based on the productivity approach that has been considered as a definitive test method for complementarity. Second, this study sheds new light on knowledge management research by identifying the relationship between knowledge sourcing strategies and small firm performance. Most current literature has insisted complementary relationship between knowledge sourcing strategies on the basis of data from large firms. Contrary to the conventional wisdom, this study identifies substitutive relationship between knowledge sourcing strategies using data from small firms. Third, implications for practice highlight that managers of small firms should focus on knowledge sourcing from external-oriented strategies. Moreover, adoption of both sourcing strategies simultaneousiy impedes small firm performance.

FDG-PET 검사시 우연히 발견한 양성 이하선 병변: 유병율과 임상 및 병리 소견 (Incidental Benign Parotid Lesions on FDG-PET: Prevalence and Clinico-pathologic Findings)

  • 임일한;이원우;정진행;박소연;김상희;김유경;김상은
    • Nuclear Medicine and Molecular Imaging
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    • 제41권5호
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    • pp.359-363
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    • 2007
  • 목적 : FDG-PET을 시행하였을 때 이하선에서 우연히 발견되는 FDG 섭취병변은 원발암의 원격 전이로 오인될 수 있다. 이러한 이하선의 우연한 FDG 섭취병변에 대한 유병률과 임상-병리학적 소견에 관한 연구는 아직 시행되지 않았다. 본 연구에서는 FDG-PET검사시 우연히 발견된 이하선 FDG 섭취병변의 유병률과 악성위험도를 평가하였다. 대상 및 방법 : 본 병원에서 2003년 5월부터 2006년 12월까지 FDG-PET을 시행한 3,344명의 환자가 대상이었다. 이중 3,212명은 암이 알려져 있거나 암이 의심되어 FDG-PET을 시행하였으며, 132명은 암 조기 검진 목적으로 FDG-PET을 시행하였다. 이하선의 우연한 FDG 섭취병변은 이하선이 현재 FDG-PET을 실시한 관심병소가 아니면서 육안적으로 평가하였을 때 반대편 이하선보다 FDG 섭취가 국소적으로 증가되어 있는 경우로 정의하였다. FDG 섭취 정도는 최대 SUV값 (maxSUV)으로 제시하였다. 최종 진단은 병리학적 검사소견이나 임상적인 추적관찰결과를 토대로 하였다. 결과 : 15명 (0.45% = 15/3,344)의 환자에서 이하선의 우연한 FDG 섭취병변이 관찰되었으며, 이들은 모두 양성병변을 시사하는 소견을 나타내었다. MaxSUV의 범위는 1.7 에서 8.6(평균${\pm}$표준편차=$3.7{\pm}1.9$) 이었다. 최종 진단은 2명이 Warthin 종양, 1명이 pleomorphic adenoma, 다른 1명은 비특이적 양성 병변, 3명의 환자는 영상검사 추적결과 유의한 변화가 관찰되지 않았고, 8명의 환자는 임상적 추적관찰에서 유의한 변화가 관찰되지 않았다. 결론 : 본 연구에서 FDG-PET 검사시 우연히 이하선에 FDG 섭취를 보이는 병변이 0.45%의 유병률로 나타났으며 모두 양성병변을 시사하는 소견을 나타냈다. 우연히 이하선에 FDG 섭취를 보이는 병변이 발견될 경우 PET이나 CT를 이용한 면밀한 영상검사로 추적관찰을 하는 것이 병변의 진단을 위한 합리적인 접근방법이라고 생각된다.

용용과 모델 구성을 중시하는 수학과 교육 과정 개발 방안 탐색

  • 정은실
    • 한국수학교육학회지시리즈A:수학교육
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    • 제30권1호
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    • pp.1-19
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    • 1991
  • This study intends to provide some desirable suggestions for the development of application oriented mathematics curriculum. More specific objects of this study is: 1. To identify the meaning of application and modelling in mathematics curriculm. 2. To illuminate the historical background of and trends in application and modelling in the mathematics curricula. 3. To consider the reasons for including application and modelling in the mathematics curriculum. 4. To find out some implication for developing application oriented mathematics curriculum. The meaning of application and modelling is clarified as follows: If an arbitrary area of extra-mathematical reality is submitted to any kind of treatment which invovles mathematical concepts, methods, results, topics, we shall speak of the process of applying mathemtaics to that area. For the result of the process we shall use the term an application of mathematics. Certain objects, relations between them, and structures belonging to the area under consideration are selected and translated into mathemtaical objects, relation and structures, which are said to represent the original ones. Now, the concept of mathematical model is defined as the collection of mathematical objcets, . relations, structures, and so on, irrespective of what area is being represented by the model and how. And the full process of constructing a mathematical model of a given area is called as modelling, or model-building. During the last few decades an enormous extension of the use of mathemtaics in other disciplines has occurred. Nowadays the concept of a mathematical model is often used and interest has turned to the dynamic interaction between the real world and mathematics, to the process translating a real situation into a mathematical model and vice versa. The continued growing importance of mathematics in everyday practice has not been reflected to the same extent in the teaching and learning of mathematics in school. In particular the world-wide 'New Maths Movement' of the 19608 actually caused a reduction of the importance of application and modelling in mathematics teaching. Eventually, in the 1970s, there was a reaction to the excessive formallism of 'New Maths', and a return in many countries to the importance of application and connections to the reality in mathematics teaching. However, the main emphasis was put on mathematical models. Applicaton and modelling should be part of the mathematics curriculum in order to: 1. Convince students, who lacks visible relevance to their present and future lives, that mathematical activities are worthwhile, and motivate their studies. 2. Assist the acqusition and understanding of mathematical ideas, concepts, methods, theories and provide illustrations and interpretations of them. 3. Prepare students for being able to practice application and modelling as private individuals or as citizens, at present or in the future. 4. Foster in students the ability to utilise mathematics in complex situations. Of these four reasons the first is rather defensive, serving to protect or strengthen the position of mathematics, whereas the last three imply a positive interest in application and modelling for their own sake or for their capacity to improve mathematics teaching. Suggestions, recomendations and implications for developing application oriented mathematics curriculum were made as follows: 1. Many applications and modelling case studies suitable for various levels should be investigated and published for the teacher. 2. Mathematics education both for general and vocational students should encompass application and modelling activities, of a constructive as well as analytical and critical nature. 3. Application and modelling activities should. be introduced in mathematics curriculum through the interdisciplinary integrated approach. 4. What are the central ideas of, and what are less-important topics of application-oriented curriculum should be studied and selected. 5. For any mathematics teacher, application and modelling should form part of pre- and in-service education.

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Performance of Drip Irrigation System in Banana Cultuivation - Data Envelopment Analysis Approach

  • Kumar, K. Nirmal Ravi;Kumar, M. Suresh
    • Agribusiness and Information Management
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    • 제8권1호
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    • pp.17-26
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    • 2016
  • India is largest producer of banana in the world producing 29.72 million tonnes from an area of 0.803 million ha with a productivity of 35.7 MT ha-1 and accounted for 15.48 and 27.01 per cent of the world's area and production respectively (www.nhb.gov.in). In India, Tamil Nadu leads other states both in terms of area and production followed by Maharashtra, Gujarat and Andhra Pradesh. In Rayalaseema region of Andhra Pradesh, Kurnool district had special reputation in the cultivation of banana in an area of 5765 hectares with an annual production of 2.01 lakh tonnes in the year 2012-13 and hence, it was purposively chosen for the study. On $23^{rd}$ November 2003, the Government of Andhra Pradesh has commenced a comprehensive project called 'Andhra Pradesh Micro Irrigation Project (APMIP)', first of its kind in the world so as to promote water use efficiency. APMIP is offering 100 per cent of subsidy in case of SC, ST and 90 per cent in case of other categories of farmers up to 5.0 acres of land. In case of acreage between 5-10 acres, 70 per cent subsidy and acreage above 10, 50 per cent of subsidy is given to the farmer beneficiaries. The sampling frame consists of Kurnool district, two mandals, four villages and 180 sample farmers comprising of 60 farmers each from Marginal (<1ha), Small (1-2ha) and Other (>2ha) categories. A well structured pre-tested schedule was employed to collect the requisite information pertaining to the performance of drip irrigation among the sample farmers and Data Envelopment Analysis (DEA) model was employed to analyze the performance of drip irrigation in banana farms. The performance of drip irrigation was assessed based on the parameters like: Land Development Works (LDW), Fertigation costs (FC), Volume of water supplied (VWS), Annual maintenance costs of drip irrigation (AMC), Economic Status of the farmer (ES), Crop Productivity (CP) etc. The first four parameters are considered as inputs and last two as outputs for DEA modelling purposes. The findings revealed that, the number of farms operating at CRS are more in number in other farms (46.66%) followed by marginal (45%) and small farms (28.33%). Similarly, regarding the number of farmers operating at VRS, the other farms are again more in number with 61.66 per cent followed by marginal (53.33%) and small farms (35%). With reference to scale efficiency, marginal farms dominate the scenario with 57 per cent followed by others (55%) and small farms (50%). At pooled level, 26.11 per cent of the farms are being operated at CRS with an average technical efficiency score of 0.6138 i.e., 47 out of 180 farms. Nearly 40 per cent of the farmers at pooled level are being operated at VRS with an average technical efficiency score of 0.7241. As regards to scale efficiency, nearly 52 per cent of the farmers (94 out of 180 farmers) at pooled level, either performed at the optimum scale or were close to the optimum scale (farms having scale efficiency values equal to or more than 0.90). Majority of the farms (39.44%) are operating at IRS and only 29 per cent of the farmers are operating at DRS. This signifies that, more resources should be provided to these farms operating at IRS and the same should be decreased towards the farms operating at DRS. Nearly 32 per cent of the farms are operating at CRS indicating efficient utilization of resources. Log linear regression model was used to analyze the major determinants of input use efficiency in banana farms. The input variables considered under DEA model were again considered as influential factors for the CRS obtained for the three categories of farmers. Volume of water supplied ($X_1$) and fertigation cost ($X_2$) are the major determinants of banana farms across all the farmer categories and even at pooled level. In view of their positive influence on the CRS, it is essential to strengthen modern irrigation infrastructure like drip irrigation and offer more fertilizer subsidies to the farmer to enhance the crop production on cost-effective basis in Kurnool district of Andhra Pradesh, India. This study further suggests that, the present era of Information Technology will help the irrigation management in the context of generating new techniques, extension, adoption and information. It will also guide the farmers in irrigation scheduling and quantifying the irrigation water requirements in accordance with the water availability in a particular season. So, it is high time for the Government of India to pay adequate attention towards the applications of 'Information and Communication Technology (ICT) and its applications in irrigation water management' for facilitating the deployment of Decision Supports Systems (DSSs) at various levels of planning and management of water resources in the country.