• 한국병원경영학회지
• /
• 제28권3호
• /
• pp.58-67
• /
• 2023

Purpose: The purpose of this study was to analyze the factors associated with long-term hospitalized patients in long-term care hospitals using the quality assessment data for long-term care hospitals by the Health Insurance Review. Methods: Among 1,376 long-term care hospitals, frequency analysis and descriptive statistics were used to analyze the characteristics of these hospitals. Multiple linear regression was conducted to examine the associations between infrastructure characteristics, medical personnel characteristics, health outcomes and the proportion of long-term hospitalized patients. Results: The research findings indicate that the number of patients per doctor, the number of patients per nurse, and the number of patients per nursing staff were positively associated with the proportion of long-term hospitalized patients. Among health outcomes, a higher proportion of patients with more than a 5% weight loss compared to the previous month and the proportion of patients showing improvement in ADL, were more likely to have a lower proportion of long-term hospitalized patients. However the proportion of diabetic patients with HbA1c test results within the appropriate range was positively associated with the proportion of long-term hospitalized patients. Conclusion: The present study results provide fundamental data for the establishment of policies for long-term care hospitals. Based on this study, it is important to suggest screening methods for unnecessary long-term hospitalizations, such as sufficient medical personnel to improve the quality of care in long-term care hospitals. It is also necessary to clearly separate the roles of medical institutions and long-term care facilities and implement policies to support patients' social reintegration.

• 한국의사학회지
• /
• 제36권1호
• /
• pp.113-127
• /
• 2023

The Gyeongseong Women's Medical Training Center was created as the result of the efforts of our internal visionaries with meaningful foreign missionaries to cultivate female doctors, yet the systematic structure of the institution developed primarily out of Korean efforts. Koreans have tried hard to cultivate their descendants and the skills of the Korean people within this framework, challenging the oppression of the ruling class in a given environment, and the results have continued to this day. First, during the Early period (1890-1909), Korea began to establish women's education and the first female doctors were trained with the help of foreign missionaries. Second, during the Growth period (1910-1919), while it was difficult for women's education to be easily expressed during Japanese colonial era, the need for women's education was growing as part of the patriotic enlightenment movement, and female students who wanted to become doctors began to go abroad. In addition, during this period, the means to train female doctors in Korea was available, but this system was not recognized by the Japanese colonial government. Third, during the Preparatory period (1920-1928), the Gyeongseong Women's Medical Class, which gave practical training to female doctors, was established and centered on Rosetta Hall and female doctors who studied abroad. Fourth, a women's medical school was established during the Establishment period (1929-1938), which created a foundation for stable supply of professional women's medical personnel. In this article, we studied the process of women who were marginalized in education until they were trained as professional intellectuals, and we hope that it will help them understand the current women's education in Korea and draw directions in the future.

• 대한한의학회지
• /
• 제44권3호
• /
• pp.59-73
• /
• 2023

Objectives: The role of physician-scientists who bridge the gap between basic science and clinical medicine is crucial in advancing medical innovation. This study aims to examine the educational and research environment and career satisfaction of graduate students in Korean Medicine among those who are Korean medicine doctor (KMD). Methods: This study analyzed the results of a survey consisting of respondents' composition, job status, graduate education and job satisfaction, economic conditions, career determinants, and obstacles to the career path of KMD-scientists from 65 participants including both full-time and part-time graduate students. Results: The results revealed significant differences between full-time and part-time graduate students in terms of weekly hours spent and job priorities, motivation for entering graduate school, career preferences, and desired career paths. The study highlights the need for tailored support for full-time and part-time graduate students and the importance of economic assistance in fostering KM scientists. Economic difficulties were identified as a major obstacle for full-time graduate students pursuing research careers. Tuition fees were found to be a significant burden for all graduate students. Furthermore, it emphasizes the importance of enhancing the research capabilities of part-time graduate students and improving the quality of education to foster KMD-scientists. Conclusion: This research provides essential insights for Korean Medicine colleges and graduate schools to develop targeted improvement plans and effectively train KMD-scientist.

• 대한치과보존학회:학술대회논문집
• /
• 대한치과보존학회 2008년도 Spring Scientific Meeting(the 129th) of Korean Academy if Conservative Dentistry
• /
• pp.246-257
• /
• 2008

이 연구의 목적은 3차원 유한요소분석법을 사용하여 교합력의 위치와 방향이 상악 제2소구치의 치경부 복합레진 수복물의 응력분포에 미치는 영향에 대해 평가해 보고자 하였다. 발치된 상악 제2소구치를 이용하여 micro-CT (SkyScan1072; SkyScan, Aartselaar, Belgium)로 스캔한 후 HyperMesh Ver 6.0 (Altair Engineering, Inc., Troy, USA)와 3D-DOCTOR (Able Software Co., Lexington, MA, USA)로 3차원 유한요소 모형을 제작하였다. 제작된 소구치 모형에 쐐기형 와동을 형성하고 탄성계수가 서로 다른 혼합형 복합레진과 흐름성 복합레진으로 각각 수복하였다. 수복 후 설측교두의 협측사면 세 위치에 각각 수직, 20도, 40도의 각도로 하중을 가한 후 응력분포를 ANSYS Ver 9.0 (Swanson Analysis Systems. Inc., Houston, USA) 프로그램을 이용하여 인장 응력의 분포를 분석한 바 하중 위치와 관계없이 하중방향의 각도가 증가할수록, 또한 수복재료의 탄성 계수가 높을수록 인장응력도 증가하는 것으로 보아 교합력의 방향과 수복재료의 탄성계수가 치경부 수복물의 응력분포에 중요한 영향을 미치는 요소로 사료된다.

• Restorative Dentistry and Endodontics
• /
• 제33권3호
• /
• pp.246-257
• /
• 2008

이 연구의 목적은 3차원 유한요소분석법을 사용하여 교합력의 위치와 방향이 상악 제2소구치의 치경부 복합레진 수복물의 응력분포에 미치는 영향에 대해 평가해 보고자 하였다. 발치된 상악 제2소구치를 이용하여 micro-CT (SkyScan1072; SkyScan, Aartselaar, Belgium)로 스캔한 후 HyperMesh Ver 6.0 (Altair Engineering, Inc., Troy, USA)와 3D-DOCTOR (Able Software Co., Lexington, MA, USA)로 3차원 유한요소 모형을 제작하였다. 제작된 소구치 모형에 쐐기형 와동을 형성하고 탄성계수가 서로 다른 혼합형 복합레진과 흐름성 복합레진으로 각각 수복하였다. 수복 후 설측교두의 협측사면 세 위치에 각각 수직, 20도, 40도의 각도로 하중을 가한 후 응력분포를 ANSYS Ver. 9.0 (Swanson Analysis Systems. Inc., Houston, USA) 프로그램을 이용하여 인장 응력의 분포를 분석한 바 하중 위치와 관계없이 하중방향의 각도가 증가할수록, 또한 수복재료의 탄성계수가 높을수록 인장응력도 증가하는 것으로 보아 교합력의 방향과 수복재료의 탄성계수가 치경부 수복물의 응력분포에 중요한 영향을 미치는 요소로 사료된다.

• 대한예방한의학회지
• /
• 제4권1호
• /
• pp.1-16
• /
• 2000

From 1998, Oriental Medical Physicians(OMP) is distributed in Public Health Sector. but long term plan for Oriental Medicine in Public Health is not existed. So, this study is designed for the activation of OMP Subjects in this study were comprised 3 groups of oriental medicine related persons, the group of which are Students of 11 Oriental Medical Schools, Oriental Medical Physicians in Public Health Sector, Specialist Croup of Oriental medicine Policy(total 1,458 persons). Data were collected from July 1st to November 30, 1999. Direct interview with key persons, systematic interview by using of interview protocol, e-mail and facsimile have been conducted. The results of survey were coded by Excel 5.0, and analysed with SAS 6.12 statistical package. Inter-group difference determined by T-test, and descriptive statistics have been examined. Major findings can be epitomized as follows. 1) OMP disposition to multifarious organizations and institutes such as Public Health Centers, Public Health Sub-centers, Public Hospitals, Private Hospitals in Remote-Vulnerable Area, Community Social Welfare Centers, Institutes for Heath Policy Research, etc, will promise an effective use of Oriental Medical Physician. 2) Average number of patients treated by OMP was 22.8, average budget for oriental medical department, in which OMP were affiliated, was 39.6 million Won per year. Direct cost per every patient visit was 7,210.9 Won, which is considered expensive for public health service. Therefore, development and transformation for Oriental Medical Service in Public Health Sector is desirable in economic and political aspects. 3) It is recommended that ${\ulcorner}Advisory\;Committee{\lrcorner},{\ulcorner}Planning\;Commission\;for\; Public\;Health\;in\;Oriental\;Medicine{\lrcorner}$ should be established for the activation and for the support of Oriental Medical Physician in Public Health Sector, 4) Most effective programmes for oriental public health doctor are health service programmes for the elderly, Home health visit, chronic degenerative disease control services(p<0.001). 5) Standard guideline for facilities and equipments of Oriental Medicine Department in Public Health Center is needed for optimal supply of resources and activation of public health activity.

• Child Health Nursing Research
• /
• 제7권4호
• /
• pp.434-450
• /
• 2001

This study is designed to understand the meaning and nature of raising children with cerebral palsy. It researches the experience of mothers of schoolchildren with cerebral palsy by the research method of hermeneutic phenomenology. The study was conducted from November 10, 1999 to December 20, 2000. When children with cerebral palsy usually show symptoms in the early stage of cerebral palsy, mothers do not take children to a doctor for diagnosis. And, most of mothers have a difficult time to accept the reality; they usually respond to the initial diagnosis with shock, reproach, and deny. When mothers start recognizing the reality, they consider that their children have cerebral palsy due to the their mismanagement during pregnancy, delivery, nursing, and initial treatment. They shelter their children from view and feel guilty that they cannot afford to try folk remedies for their children. As time passes, mothers face conflicts between families in diverse ways. Families put the blame on genetic effects. Mothers-in-law give their daughters-in-law a hard time, husbands shift the responsibility of raising children onto their wives, and trouble arises between families-in-law and mothers native families. When children grow up, it is physically difficult for mothers to take care their children. In addition, they suffer from all the troubles in family due to childrens handicap. Mothers try the diverse methods of bringing up children. However, they start getting tired of raising children as they experience failures and financial difficulties. Mothers feel collapsed recalling the ways of raising children. They feel anxiety, miserable, lonely, and worrying when they think how children would attend school, make friends, and live in the future. In this stage, mothers do their best to raise their children with hope. They tend to compare their children with others without handicap and spend money and time in attempting all the treatments. When mothers and children join the society at school, they find that the society does not understand disabled people, teachers show inconsiderate attitude, friends avoid them, and children hardly follow classes. Such experiences make mothers feel angry and frustrated. However, when children adapt to school, mothers see the possibility that children could accomplish schoolwork. They appreciate teachers help and others consideration. Mothers place appropriate expectations on their children and help them to prepare for the future. I would make following suggestions based on the results. 1. As a primary basic course of rehabilitation nursing intervention, solution-centered nursing intervention system should be developed. The intervention needs to be based on the understanding of mothers, who raise children with cerebral palsy, through in-depth interview. 2. Advance researches on the development of individual nursing intervention should be conducted. Individual nursing intervention needs to prevent and release actual pain focusing on mothers raising children with cerebral palsy. 3. Integrated curriculum that help children with cerebral palsy lead a normal school life with ordinary children should be developed. 4. Basic research on using of facilities and effective application of service volunteer to help children with cerebral palsy in school needs to be conducted.

• 대한공업교육학회지
• /
• 제34권1호
• /
• pp.171-195
• /
• 2009

본 연구의 목적은 진로교육과 직업에 대한 고등학생들의 인식 조사를 통해 효율적인 진로교육 방안을 모색하는데 도움이 되는 것이다. 연구결과 첫째, 대부분의 학생들이 자신의 진로에 대해 생각하고 있었다. 미래에 대한 대화상대로는 친구가 가장 선택했고, 학교 선생님과 상담을 하지 않는다고 응답한 학생이 39.84%로 높게 나타났다. 진로 선택 시 장애가 되는 요인으로는 학업성적을 가장 크게 보고 있었다. 둘째, 많은 학생들이 진로교육의 시작 시기는 '중학교'가 적절하다고 응답했고, 학교가 제공하는 진로교육 자료가 부족하다고 응답한 학생이 76.56%로 높게 나타났다. 학교에서 진로에 대해 많이 배우는 과목은 사회, 영어, 국어, 과학, 수학 순으로 나타났다. 셋째, 학생들은 직업을 선택할 때에는 적성과 능력이 가장 중요하게 고려되어야 한다고 인식하고 있었다. 학생들이 직업에 대한 정보를 습득하는 주요 경로는 매스컴이 52.34%로 가장 높았고, 교사는 20.31%로 나타났다. '좋지 않은' 가정환경의 학생들의 경우 '교사로부터 직업에 대한 정보를 받는다'에서 상대적으로 높은 비율을 보였다. 넷째, 고등학교 진학에 가장 영향을 많이 준 사람으로는 부모님이 46.09%로 높게 나타났다. 진학하고 싶은 상급학교 수준으로는 대학교까지가 65.63%로 가장 높게 나타났으며, 생활형편과 성적이 좋을수록 대학원이상의 진학을 희망하고 있었다. 일반계 고등학교에 진학하는 이유는 '희망하는 직업을 갖기 위해서'라고 응답한 학생이 70.31%로 가장 많았다.

• 한국정보통신학회논문지
• /
• 제26권11호
• /
• pp.1577-1585
• /
• 2022

최근 4차산업혁명과 함께 메타버스에 대한 관심이 증가하는 가운데, 메타버스를 구축하는 멀티 에지 기반의 구조가 제시된다. 메타버스는 멀티 에지 시스템에서 많은 양의 영상처리와 데이터 전송을 통해 디지털 의사와 같은 시스템을 만들어 낼 수 있는 구조이다. 하지만 에지는 부족한 연산능력이라는 제약이 있으므로, 런타임 스트리밍이 가능한 서비스제공을 위해서는, 에지에서만 이루어졌던 영상처리와 데이터 전송을 에지-클라우드 협동을 통해 처리하여 저전력 시스템을 구축해야한다. 많은 에지들이 연결되는 시스템에서는, 그 무엇보다도 에지 경량화를 통해 효율적인 전체 시스템의 경량화 및 소모전력의 감소를 이루어낼 수 있다. 본 논문에서는 원격영상 처리방법과 Region of Interest (RoI) 기법을 사용하여, AI 소프트웨어의 저전력 런타임 스트리밍이 가능해지는, 에지-클라우드 협동 메타버스 애플리케이션을 제안한다. 에지-클라우드 협동 메타버스의 구조는 PC와 임베디드 보드를 사용하여 구현하였으며, 본 논문의 후반부에서는 에지의 시간 감소와 그에따른 전력 소모, 네트워크 통신량 감소를 검증하였다.

• 의료법학
• /
• 제16권1호
• /
• pp.3-82
• /
• 2015

이 논문에서는 미용성형의료관계에서 설명의무의 위반과 시술상 오류로 인한 민사책임에 관한 판결(대법원 2013. 6. 13. 선고 2012다94865 판결, 서울중앙지방법원 2014. 12. 5. 선고 2013가소865646 판결)의 평석적 분석을 통해 설명의무만를 강화하여 책임귀속을 판단한 논지의 법리적 문제점을 지적하고, 다음과 같은 논점을 전개한다. 미용성형도 현행 의료법상 의료행위에 해당한다는 판례(대법원 1974. 11. 26. 선고 74도1114 전원합의체 판결)와 학계의 통용되는 견해는 공법적 관점에서만 타당하며, 적응증이 없는, 즉 질병 치료를 목적으로 하지 않는 순수한 미용성형시술은 의술적으로 신체, 건강 등에 위해를 가할 수 있는 의료법상 의료행위에 해당하지만, 민사책임법에서는 질병치료를 목적으로 하는 진료행위와 구별되어야 한다. 그리고 오늘날 의료생활에서 의료보험의 불가결성에 비추어, - 방법적으로 사회법상 개념 및 규준을 곧바로 민사책임법에 적용되는 것은 아니라는 점을 견지하면서 -, 성형시술에 대한 보험급여에 관한 독일 연방사회법원 판결(BSGE 63, 83, BSGE 72, 96, BSGE, 82, 158, BSGE 93, 252 etc.)을 소개하여 비교한다. 또한 진료계약의 법적 성질에 관한 교조적 논점과 관련하여 독일 연방법원의 판결(BGHZ 63, 306)도 비교적으로 검토한다. 소결적으로 성형의료를 (1) 신체의 물리적 기능의 침해의 교정, (2) 기형(騎形)의 교정, (3) 심인적 침해의 교정, (3) 정상적 체형(體型)의 미화(美化)로 유형적으로 분류하는 관점에서, 적응증 있는 진료계약(수단채무)에 적용하는 책임귀속법리와 달리, (4)의 유형에 해당하는 미용성형시술에는 예외적으로 도급계약의 법리 적용을 긍정적으로 재검토할 것을 제안한다.