• 제목/요약/키워드: Standard Field Practice

검색결과 146건 처리시간 0.026초

Delphi방법을 이용한 일차의료 고혈압 진료지침 개발 및 적용 (Establishment and Application of the Guideline for Hypertension by Delphi Method in the Field of Primary Medical Care)

  • 양윤준;홍명호
    • 한국의료질향상학회지
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    • 제2권1호
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    • pp.68-84
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    • 1995
  • Background: Guideline for practice is useful because it can be the standard for assessment and way to improve quality. We need to take account of expert opinion and consensus as well as scientific evidences to develope practice guideline because it should be practical. Delphi method has been developed to gather opinions from experts fairly. This study was designed to develop practice guideline and apply it to practices as a method to improve quality in primary medical care. Methods: Hypertension(in adults over 18 years old) was selected as a target problem. Self questionnaires about management of hypertensive patients were developed by a researcher with advice of 11 experts. The questionnaires were designed to response as a 5 pont scale. The results of previous questionary were given to respondents in second and third questionnaires. If needed, the questionnaires were changed on the previous responses. The items with medium greater than or equal to 4 point in 1st and 2nd responses were accepted in guideline. The items with medium lesser than or equal to 3 point were questioned again about whether they can be excluded or not. The criteria for assessment was made with reference to guideline and applied to 85 hypertensive patients of 9 family practitioners. At 3 months after practice guideline had been given to family practitioners, performance of same practitioners was assessed with 36 new hypertensive patients. Results: 23 professors in family medicine, 22 family practitioners and 6 cardiologists, responded among 50, 50, 15 respectively. Practice guideline with 33 items was developed as a result of 3 times questionaires. The difference of responses between professors in family medicine, family practitioners and cardiologists was not significant. Performance of practice was improved in diagnosis, history taking about 6 fields, laboratory examination and decision making about time of pharmaceutical prescription. It was not improved in physical examination, life style modification, method of pharmaceutical prescription, choice of initial antihypertensives and history taking about duration of disease and diet habit. It was decreased in history taking about psychosocial factors. The assessment scores were low in history taking, physical examination and life style modification before and after use of practice guideline. Conclusion: Practice guideline for hypertension could be developed by Delphi method. Performance of practice improved partially after use of guideline.

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BIM 라이브러리 속성정보 통합관리 체계 개발에 관한 연구 (A Study on Development of Integrated Management System for BIM Property Information)

  • 신지혜;최중식;김인한;윤두영
    • 한국CDE학회논문집
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    • 제21권2호
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    • pp.130-142
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    • 2016
  • BIM library, as a systematic collection of BIM objects where the building information is stored, is a vital factor to construct the BIM based work environment. However, construction business is faced the problems relating BIM library such as the absence of the standard for establishing BIM library, the discontinuity of BIM library's compatibility and the lack of practice applicable BIM library. These problems cause the decreasing work efficiency and the recreating BIM model, by delivering inefficient information required in each stage and application field. The purpose of this study is to suggest the integrated management system for property information of BIM library in order to minimize the reworking and to manage information of each stage and application field when exchanging and sharing information. To achieve this, the BIM information classification, the criteria of property requirements for information exchange in BIM application field and the BIM library management system are developed. This study could contributes to ensuring the reliability and accuracy of results of BIM based analysis and to enhancing the speed of business process with sharing and exchanging building information utilizing a single BIM model.

Computer-aided approach of parameters influencing concrete service life and field validation

  • Papadakis, V.G.;Efstathiou, M.P.;Apostolopoulos, C.A.
    • Computers and Concrete
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    • 제4권1호
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    • pp.1-18
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    • 2007
  • Over the past decades, an enormous amount of effort has been expended in laboratory and field studies on concrete durability estimation. The results of this research are still either widely scattered in the journal literature or mentioned briefly in the standard textbooks. Moreover, the theoretical approaches of deterioration mechanisms with a predictive character are limited to some complicated mathematical models not widespread in practice. A significant step forward could be the development of appropriate software for computer-based estimation of concrete service life, including reliable mathematical models and adequate experimental data. In the present work, the basis for the development of a computer estimation of the concrete service life is presented. After the definition of concrete mix design and structure characteristics, as well as the consideration regarding the environmental conditions where the structure will be found, the concrete service life can be reliably predicted using fundamental mathematical models that simulate the deterioration mechanisms. The prediction is focused on the basic deterioration phenomena of reinforced concrete, such as carbonation and chloride penetration, that initiate the reinforcing bars corrosion. Aspects on concrete strength and the production cost are also considered. Field observations and data collection from existing structures are compared with predictions of service life using the above model. A first attempt to develop a database of service lives of different types of reinforced concrete structure exposed to varying environments is finally included.

프로젝트 기반 지역사회치위생학 현장실습 수업적용 사례 (Application of a Project-Based Learning on Community Dental Hygiene)

  • 최문실
    • 융합정보논문지
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    • 제8권6호
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    • pp.31-41
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    • 2018
  • 본 연구는 G시 S대학교 치위생학과 학생을 대상으로 '지역사회치위생학 현장실습' 교과목의 수업방법으로 프로젝트 기반학습의 적용가능성을 알아보기위해 시행되었다. 연구대상은 2018년 4학년 30명이었다. 자료수집기간은 3월12일부터 6월27일까지이며, SPSS 20.0 program을 이용하여 평균과 표준편차를 비교하였다. 분석결과 조장의 팀 수행능력이 높은팀이 점수 결과도 높게 나타났으며($3.91{\pm}0.82$), 학생들은 실습은 꼭 필요하다($4.10{\pm}0.88$)하였고, 전공담당교수의 피드백($3.73{\pm}0.86$)이 가장 만족도가 높았다. '지역사회치위생학 현장실습' 교과목에서의 프로젝트기반 학습 수업적용에 의의가 있으며 수업에 적합하다고 판단되었다.

유아교육현장에서의 포트폴리오 평가에 대한 교사의 인식과 실제 (Teachers' Preception and Practice on Portfolio Assessment in the Field of Early Childhood Education)

  • 심성경;변길희;류경희
    • 한국콘텐츠학회논문지
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    • 제12권8호
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    • pp.449-460
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    • 2012
  • 본 연구는 포트폴리오 평가를 실시하고 있는 유치원과 어린이집 교사의 포트폴리오 평가에 대한 인식과 실제의 차이와 어려움을 알아보고 배경변인에 따른 차이를 분석해 보는 것을 목적으로 하였다. 본 연구의 대상은 전라북도 J I G시에 소재한 유치원 및 어린이집 교사 304명이며, 질문지를 통해 수집된 자료는 SPSS 18.0 프로그램을 이용하여 빈도, 백분율, 평균, 표준편차, 대응표본 T-Test, ANOVA, Scheff$\acute{e}$검증의 방법으로 분석하였다. 본 연구의 결과는 첫째, 포트폴리오 평가의 실시방법과 효과에 대한 모든 하위영역별 실제의 수준은 인식 수준에 비해 유의하게 낮았다. 또한 배경변인에 따라서는 학력에 따라서만 유의한 차이가 있었다. 즉, 4년대졸 이상 학력의 교사가 전문대졸 이하 학력의 교사에 비해 포트폴리오 평가의 실시 방법과 효과에 대한 인식과 실제의 차이가 더 컸다. 둘째, 포트폴리오 평가에 대한 어려움을 살펴본 결과 교사들은 모든 하위문항에 걸쳐 대체적으로 어려움을 느끼고 있는 것으로 나타났으며, 배경변인에 따라서는 하위내용별로 부분적 차이만 있었다. 즉, 국공립 유치원 교사와 학력이나 경력이 높은 교사의 경우 포트폴리오 평가에 대한 어려움을 상대적으로 더 많이 느끼고 있었다. 포트폴리오 평가 실시에 대해 교사들이 어려움을 느끼는 것은 포트폴리오 실시 여부나 질적 측면에 직접적인 영향을 미칠 것이므로 교사들이 생각하는 어려움을 해소해 줄 수 있는 수요자 중심의 포트폴리오 관련 연수의 실시와 행정적 지원이 이루어질 필요가 있다.

Artificial intelligence, machine learning, and deep learning in women's health nursing

  • Jeong, Geum Hee
    • 여성건강간호학회지
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    • 제26권1호
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    • pp.5-9
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    • 2020
  • Artificial intelligence (AI), which includes machine learning and deep learning has been introduced to nursing care in recent years. The present study reviews the following topics: the concepts of AI, machine learning, and deep learning; examples of AI-based nursing research; the necessity of education on AI in nursing schools; and the areas of nursing care where AI is useful. AI refers to an intelligent system consisting not of a human, but a machine. Machine learning refers to computers' ability to learn without being explicitly programmed. Deep learning is a subset of machine learning that uses artificial neural networks consisting of multiple hidden layers. It is suggested that the educational curriculum should include big data, the concept of AI, algorithms and models of machine learning, the model of deep learning, and coding practice. The standard curriculum should be organized by the nursing society. An example of an area of nursing care where AI is useful is prenatal nursing interventions based on pregnant women's nursing records and AI-based prediction of the risk of delivery according to pregnant women's age. Nurses should be able to cope with the rapidly developing environment of nursing care influenced by AI and should understand how to apply AI in their field. It is time for Korean nurses to take steps to become familiar with AI in their research, education, and practice.

건설 분야 도면정보 교환 표준을 위한 3차원 와이어프레임 기반의 확장 모델 개발에 관한 연구 (Development of an Extension Model based on Three Dimensional Wireframe Model for KOSDIC Format in the Construction Field)

  • 김인한;서종철;원지선
    • 한국CDE학회논문집
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    • 제10권3호
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    • pp.179-187
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    • 2005
  • The usage of mixed 2D and 3D CAD data of commercial CAD systems is required in the construction practice. Sometimes 3D wireframe model is required by end-users when 2D CAD data is delivered. However, current KOSDIC can not represent 3D CAD data, because it has been developed as a 2D drawing delivery standard. Therefore, this study is to provide exchange and sharing of mixed 2D and 3D CAD data that add 3D wireframe model in the KOSDIC. To achieve this purpose, the authors have investigated the 3D CAD entities of commercial CAD systems, and have analyzed STEP standards providing 3D wireframe model. The result, the authors have extracted 3D CAD common entities based wireframe model which shall be added in the KOSDIC. This study can be beneficial by using the developed data model for heterogeneous CAD systems, and by providing the representation of mixed 2D and 3D CAD data in construction practice such as GIS, piping system, and so forth.

GEANT4-based Monte Carlo Simulation of Beam Quality Correction Factors for the Leksell Gamma Knife® PerfexionTM

  • Schaarschmidt, Thomas;Kim, Tae Hoon;Kim, Yong Kyun;Yang, Hye Jeong;Chung, Hyun-Tai
    • Journal of the Korean Physical Society
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    • 제73권12호
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    • pp.1814-1820
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    • 2018
  • With the publication of TRS-483 in late 2017 the IAEA has established an international code of practice for reference dosimetry in small and non-standard fields based on a formalism first suggested by Alfonso et al. in 2008. However, data on beam quality correction factors ($k^{f_{msr},f_{ref}}_{Q_{msr},Q_0}$) for the Leksell Gamma $Knife^{(R)}$ $Perfexion^{TM}$ is scarce and what little data is available was obtained under conditions not necessarily in accordance with the IAEA's recommendations. This study constitutes the first systematic attempt to calculate those correction factors by applying the new code of practice to Monte Carlo simulation using the GEANT4 toolkit. $k^{f_{msr},f_{ref}}_{Q_{msr},Q_0}$ values were determined for three common ionization chamber detectors and five different phantom materials, with results indicating that in most phantom materials, all chambers were well suited for reference dosimetry with the Gamma $Knife^{(R)}$. Similarities and differences between the results of this study and previous ones were also analyzed and it was found that the results obtained herein were generally in good agreement with earlier PENELOPE and EGSnrc studies.

응급통신관리자 양성을 위한 교재개발 방안연구 (A Study on Textbook for Training of the Emergency Medical Dispatchers in Korea)

  • 엄태환
    • 한국응급구조학회지
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    • 제5권1호
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    • pp.7-14
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    • 2001
  • The purposes of this study which was conducted by inquiring into some curricula for Emergency Medical Dispatchers(EMDs) are to introduce a curriculum into Korea and develop a textbook for training of the EMDs in Korea. The conclusions from this study were summarized as follows; (1) There are some professional demands in our Emergency Medical Dispatch field therefore, now it is necessary to set up an education system for the EMDs in Korea and give them a suitable name to this change. (2) Some historical turning points which are condensed from the developmental process in the USA. including "Medical Self Help" with no formal dispatch protocols, Medical Priority Dispatch System, Practice Standard, Dispatch Protocols will serve as a good reference for establishing and education system for the EMDs. (3) To effectively train the EMDs in Korea, we needed to be introduced to Emergency Medical Dispatch : National Standard of Curriculum from the U.S. Department of Transportation & the National Highway Traffic Safety Administration which is made up Basic Emergency Medical Concepts, Information Gatherin & Dispatch, Introduction to the Emergency Medical Dispatch Protocol Reference System(EMDPRS) & 32 Chief Complaint Types. (4) The introduced curriculum closely related to the medical director, the direct indirect medical control, the scope of practice in the USA, should be revised for the Emergency Medical Service System of Korea. But to reduce the developmental process & time, it is necessary to postpone the consideration on these factors until publishing a new textbook. (5) This study which gives the cornerstone about some developmental methods on textbook for EMDs will be helpful to build up an education system for EMDs such as Curriculum, EMD Certification, National Academy of Emergency Medical Dispatch to fit the Emergency Medical Service System of Korea in the future.

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금속문화재 복원의 부적절한 사례 연구 - 비전문가에 의한 금속문화재 복원 및 비가역성 재료를 이용한 잘못된 복원사례 - (Case Studies of Destructive Restoration of the Metal Relics and Their Problems - Derelict restorations by non-conservators and their ignorant use of irreversible materials -)

  • 황진주;한민수
    • 보존과학연구
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    • 통권30호
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    • pp.63-77
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    • 2009
  • Scientific studies of conservation techniques and materials in Korea have experienced fast development since international practice and academic knowledge have been introduced to Korea from Japan, France, Germany, and etc from the late 1960s. In recent years, it has been observed that the academic standard of research and the level knowledge of the field in Korea at present are far advanced to compete with many countries. However, many Korean cases still have displayed that the standard and the quality of conservation practice need to be improved. This research examined several cases of derelict restoration of metal relics executed by non-conservators and the effects of their ignorant use of irreversible materials on the valuable objects. The purpose of the study is to display the problem of such treatments and to suggest a need of framework to prevent the loss of original form from them. Metal Buddha statue (Cosmic Buddha) in Borim Temple (National Treasure No. 117), which was conserved by an unexperienced non-conservator, has suffered from a serious problem of corrosion because of the use of destructive material, iron chloride. Another case for metal Buddha statue in Dopian Temple (National Treasure No. 63) displays a representative example of using irreversible materials, Cashew and such ignorant application made a later conservation treatment so difficult in removing the material from the surface of the statue. In conclusion, the research argued that the understanding of materials used in the objects, and the value of relics is important, and pre-experiments before applying conservation materials to a valuable heritage are essential in the conservation treatment.

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