• 제목/요약/키워드: University-Graduate School Experience

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연하곤란 뇌졸중환자의 비위관으로 영양을 공급 받은 경험에 관한 현상학적 연구 (The Phenomenological Study on the Experiences of Nasogastric Tube Feeding among Cerebral Stoke Patients with Dysphagia)

  • 김주연;이영휘;조의영;강혜원
    • 성인간호학회지
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    • 제26권5호
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    • pp.592-602
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    • 2014
  • Purpose: This study was to provide understanding about the meaning of nasogastric tube feeding experiences by the cerebral stoke patients with dysphagia. Methods: Data were collected through a face to face interview from five cerebral stroke patients who had dysphagia along with a nasogastric tube insertion. The contents of the interviews were analyzed using the hermeneutics phenomenological method developed by van Manen. Results: The experience of having a nasogastric tube was not only limited to physical problems but also was linked to other psychological problems. Many patients reported that they tolerated the nasogastric tube in order to overcome the stroke along with the desire to eventually take food orally. The essential themes associated with the experience of nasogastric tube insertion were: "The loss of pleasure from food", "The loss of human relationship from surrounding table", "Cower and shrink from the different appearance to others" and "Acceptance for life in painful experiences". Conclusion: This study would highlights the importance of not only physical focused care but also psychological and social aspects. Therefore, nurses should consider all factors when providing nursing care to stroke patient with nasogastric tube feeding.

신경망을 이용한 냉간단조품의 금형형상 설계 (Die Shape Design for Cold Forged Products Using the Artificial Neural Network)

  • 김동진;김태형;김병민;최재찬
    • 대한기계학회논문집A
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    • 제21권5호
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    • pp.727-734
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    • 1997
  • In practice, the design of forging processes is performed based on an experience-oriented technology, that is designer's experience and expensive trial and errors. Using the finite element simulation and the artificial neural network, we propose an optimal die geometry satisfying the design conditions of final product. A three-layer neural network is used and the back propagation algorithm is employed to train the network. An optimal die geometry that satisfied the same between inner extruded rib and outer extruded one is determined by applying the ability of function approximation of neural network. The neural networks may reduce the number of finite element simulation for determine the optimal die geometry of forging products and further they are usefully applied to physical modelling for the forging design.

Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis

  • Jeong, Hyesun;Lee, Yesul;Park, Jin Sup;Lee, Yoonju
    • 대한간호학회지
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    • 제54권2호
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    • pp.162-177
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    • 2024
  • Purpose: This study aimed to investigate the influence of uncertainty-related factors on the health behavior of individuals with coronary artery disease (CAD) based on Mishel's uncertainty in illness theory (UIT). Methods: We conducted a cross-sectional study and path analysis to investigate uncertainty and factors related to health behavior. The study participants were 228 CAD patients who visited the outpatient cardiology department between September 2020 and June 2021. We used SPSS 25.0 and AMOS 25.0 software to analyze the data. Results: The final model demonstrated a good fit with the data. Eleven of the twelve paths were significant. Uncertainty positively affected danger and negatively affected self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity positively affected social support, self-efficacy, perceived benefit and intention, whereas it negatively affected perceived risk. Social support, self-efficacy, perceived benefit and intention had a positive effect on health behavior. We found that perceived benefit and intention had the most significant direct effects, whereas self-efficacy indirectly affected the relationship between uncertainty and health behavior. Conclusion: The path model is suitable for predicting the health behavior of CAD patients who experience uncertainty. When patients experience uncertainty, interventions to increase their self-efficacy are required first. Additionally, we need to develop programs that quickly shift to appraisal uncertainty as an opportunity, increase perceived benefits of health behavior, and improve intentions.

E-learning system to improve the endoscopic diagnosis of early gastric cancer

  • Kenshi Yao;Takashi Yao;Noriya Uedo;Hisashi Doyama;Hideki Ishikawa;Satoshi Nimura;Yuichi Takahashi
    • Clinical Endoscopy
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    • 제57권3호
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    • pp.283-292
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    • 2024
  • We developed three e-learning systems for endoscopists to acquire the necessary skills to improve the diagnosis of early gastric cancer (EGC) and demonstrated their usefulness using randomized controlled trials. The subjects of the three e-learning systems were "detection", "characterization", and "preoperative assessment". The contents of each e-learning system included "technique", "knowledge", and "obtaining experience". All e-learning systems proved useful for endoscopists to learn how to diagnose EGC. Lecture videos describing "the technique" and "the knowledge" can be beneficial. In addition, repeating 100 self-study cases allows learners to gain "experience" and improve their diagnostic skills further. Web-based e-learning systems have more advantages than other teaching methods because the number of participants is unlimited. Histopathological diagnosis is the gold standard for the diagnosis of gastric cancer. Therefore, we developed a comprehensive diagnostic algorithm to standardize the histopathological diagnosis of gastric cancer. Once we have successfully shown that this algorithm is helpful for the accurate histopathological diagnosis of cancer, we will complete a series of e-learning systems designed to assess EGC accurately.

아침밥 클럽 참여 고등학생이 경험한 개인적·환경적 변화에 대한 질적 연구 (Qualitative Exploration of the Changes at the Individual and Environmental Levels among High School Participants of the Breakfast Club)

  • 오수현;김기랑;황지윤
    • 한국식생활문화학회지
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    • 제33권3호
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    • pp.229-235
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    • 2018
  • The Breakfast Club of the Seoul Metropolitan Government aims to provide breakfast and nutrition education to students who require need breakfast. This study was conducted to explore the experience of changes at the individual and environmental levels among high-school participants of the Breakfast Club. The qualitative data were collected from 20 high school students (10 boys and 10 girls) via a focus group interview at each school. Experienced improvement and suggested future tasks from the experience of the Breakfast Club were categorized at three levels (themes): personal factors, school environmental factors, and home environmental factors. The health belief, knowledege, awareness, and perception of effects of the participants showed improvement but the personal barriers need to be improved. At the school level, peer influence and school food policies were improved but some aspects of availability and accessibility for breakfast, and social norms need to be improved. The factors related to the home environment, such as family influence, and availability and accessibility for breakfast were better after the program. The Breakfast Club changed not only personal behaviors but also the family and school environments.

기후변화에 따른 체험활동 중심의 환경교육이 청소년 환경의식에 미치는 영향에 관한 연구 (A Study on the Influence of Experience Environmental Education Program on Youth's Environmental Consciousness due to Climate Change)

  • 송미혜
    • 산업융합연구
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    • 제13권1호
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    • pp.63-73
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    • 2015
  • The significance of this study is to see the influence of experience environmental education program on youth's environmental consciousness due to climate change. An experience environmental education can provide an opportunity to make cooperative interaction with friends and can give interest in surrounding environment. Also in this study, it reveals that experience education played an important role in changing of attitude and awareness to environment and nature. As climate change is very important through all countries, these positive effects suggest that experienced environmental education lessons are important for the future generation's awareness on climate change and environmental consciousness.

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청소년들의 자살차원에 미치는 영향요인 (The Influence Factors of Adolescents' Suicide Dimension)

  • 박재우;황병덕
    • 보건의료산업학회지
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    • 제8권3호
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    • pp.193-205
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    • 2014
  • The purpose of this study is to find out the effects of the socio-demographic characteristics, self-recognition factors, and health behavior factors of Korean adolescents on suicide dimension, and grasp the effects of suicide thinking of adolescents on attempting suicide. This study used the eighth primitive data of the "Web-based Survey on Adolescents Health Behavior(2012)", and targeted 72,228 actual test respondent(93.8%). In conclusion, risk factors that greatly influence the suicide dimension of adolescents can be summarized into level of happiness, level of stress, depression, experience drinking, experience smoking, experience with drugs, suicide thinking, etc. and considering these risk factors, a preparation for preventing adolescents' suicide should be established, and along with a regular education, developing and expanding a treatment program for preventing recurrence afterwards of adolescents who have experience attempting suicide are necessary.

영화 <1917>의 게임적 체험 연구 - 디지털 무빙 롱테이크 쇼트를 중심으로 (A Study on the Gaming Experience of the Movie <1917> - Focused on the Digital Moving Long Take Shot)

  • 유우현;정원식
    • 한국멀티미디어학회논문지
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    • 제25권2호
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    • pp.411-420
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    • 2022
  • Entering the digital cinema era, movies and games are remediating each other. The shots of digital movies are being transformed into realistic content through digital Moving long-take shots that transcend time and space and move smoothly. At this time, the digital Moving long take shot that continuously captures the space in all directions without an external screen induces a game experience. In addition, the camera that constantly accompanies the person enhances the sense of immersion in the game in a way similar to the point of view of the game. While various immersive device contents represented by VR, AR and XR are emerging, the advent of <1917> suggests significant implications for post-cinema in that it creates a game experience while maintaining the traditional screen environment and cinematic paradigm.

금융사고에 대한 금융기관 종사원의 인지 및 경험에 관한 연구 (A Study on the Recognition & Experience of Institution Employee to the Monetary Circumstances)

  • 홍효석;이춘화;조국연
    • 벤처창업연구
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    • 제2권2호
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    • pp.23-47
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    • 2007
  • 본 연구는 금융기관을 중심으로 사원부정에 관한 자료를 수집하였다. 경남지역의 제1금융권 68건 및 제2금융권 87건과 서울 등 그 밖의 지역 46건 등 모두 201건을 표본을 확보하고 설문을 조사 분석하였다. 그 결과 금융기관에서 종사자들이 느끼는 금융사고의 인지 및 경험은 다양한 형태의 사원부정 형태 또는 사원부정 욕구들 가운데 편취, 부정대출, 금품수수의 형태로 조사되었으며, 이러한 금융사고의 인지 및 경험은 성별과 담당업무에 따라서 부정의 욕구를 느끼는 정도가 유의한 차이를 보였다. 주로 남성이 여성에 비해 금품수수의 욕구가 높은 것으로 조사되었으며, 경제사업 관련 업무 종사자들이 타 업무종사자에 비해 금품수수의 욕구를 보다 더 빈번하게 느끼는 것으로 조사되었다.

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턱관절 장애 치료 시 매선침 활용 현황에 대한 설문 연구 (Clinical Use of Thread Embedding Acupuncture for Temporomandibular Joint Disorder: A Web-Based Survey)

  • 유승호;강준혁;서상우;서준원;김세윤;임정현;지수환;전현준;남상수;구본혁;김고운;조재흥;송미연
    • 한방재활의학과학회지
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    • 제33권3호
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    • pp.149-160
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    • 2023
  • Objectives This study is for reporting current status and strategies of thread embedding acupuncture (TEA) in temporomandibular joint disorder (TMD) using web-based survey. Methods Survey was conducted online via E-mail among Korean medicine doctors registered with the Association of Korean Medicine. The questionnaire is developed by Korean medicine doctor in Kyung Hee University Hospital at Gangdong. The survey consisted mainly of multiple-choice questions on the current status and strategies of TEA for TMD. Results Total of 427 doctors responded. TEA was mostly used for 'Cosmetic purpose and others' with 287 respondents (67.2%), and 102 respondents (23.9%) having experience with TEA for TMD. The most common purpose for TEA for TMD was 'Improving muscle contraction and tension' with 290 respondents (67.9%). The average interval was reported 2.12 weeks, and the most common response for the number of treatments was five sessions with 127 respondents (29.7%). The most common criterion for determining the treatment site was based on anatomical structure, accounting for 92.7%. The most effective anatomical structure was the 'Masseter muscle' with 83.1%, followed by the 'Temporal muscle' with 51.8%. TEA direction for TMD was dominant in 'affected side' for all muscles. Conclusions Through a survey, we can investigate clinical usage of TEA for TMD. This study can be helpful in creating standardized criteria for TEA on TMD in the future.