• 말소리와 음성과학
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• 제11권2호
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• pp.65-76
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• 2019

본 연구에서는 직업상담사를 대상으로 한국고용노동부에 수록된 31개의 직업군들을 바탕으로 말더듬 성인을 위한 직업 추천 양상에 대한 실증적 연구를 진행하였다. 총 69명의 직업상담사(실험조건 당 23명)로 하여금 말더듬 성인을 통해 생성된 세 가지 발화샘플(유창한 발화, 덜 심한 말더듬, 심한 말더듬) 중 하나를 듣고 제공된 척도질문지(직업 관련 말하기 요구량 척도, 직업 관련 교육 수준 척도, 직업 조언 척도, 의사소통 평정 척도, 의미 차이 평정 척도)를 통해 평가하였다. 실험 결과, 두 말더듬 상황에서 직업 관련 말하기 요구량이 높은 직업군은 낮게 추천한 반면, 직업 관련 말하기 요구량과 교육 수준 정도가 모두 낮은 직업군은 높게 추천되었다. 또한 의사소통 평정에 있어 실험조건 간 유의한 차이가 나타났지만, 의미 차이 평정에 있어서는 차이가 나타나지 않았다. 직업 추천 정도와 관련해 직업 관련 말하기 요구량 인식 정도는 유의한 수준에서 부적 상관관계가, 의사소통 평정은 유의한 수준에서 정적 상관관계가 나타났다. 또한, 의미 차이 평정에 있어서도 유의한 수준에서의 정적 상관관계가 나타났다. 이는 의사소통장애인으로서 말더듬 성인이 직업과 관련해 상당한 역할 제한성을 가지고 있음을 보여주는 결과라 할 수 있다.

• 대한임상독성학회지
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• 제20권2호
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• pp.58-65
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• 2022

Purpose: Alcohol is one of the most commonly co-ingested agents in deliberate self-poisoning (DSP) cases presenting at the emergency department (ED). The increased impulsivity, aggressiveness, and disinhibition caused by alcohol ingestion may have different clinical features and outcomes in cases of DSP. This study investigates whether alcohol co-ingestion affects the clinical features and outcomes of DSP patients in the ED. Methods: This was a single-center retrospective study. We investigated DSP cases who visited our ED from January 2010 to December 2016. Patients were classified into two groups: with (ALC+) or without (ALC-) alcohol co-ingestion. The clinical features of DSP were compared by considering the co-ingestion of alcohol, and the factors related to discharge against medical advice (AMA) of DSP were analyzed. Results: A total of 689 patients were included in the study, with 272 (39.5%) in the ALC+ group. Majority of the ALC+ group patients were middle-aged males (45-54 years old) and arrived at the ED at night. The rate of discharge AMA from ED was significantly higher in the ALC+ group (130; 47.8%) compared to the ALC- group (p=0.001). No significant differences were obtained in the poisoning severity scores between the two groups (p=0.223). Multivariate analysis revealed that alcohol co-ingestion (odds ratio [OR]=1.42; 95% confidence interval [CI], 1.01-1.98), alert mental status (OR=1.65; 95% CI, 1.17-2.32), past psychiatric history (OR=0.04; 95% CI, 0.01-0.28), age >65 years (OR=0.42; 95% CI, 0.23-0.78), and time from event to ED arrival >6 hrs (OR=0.57; 95% CI, 0.37-0.88) were independent predictive factors of discharge AMA (p=0.043, p=0.004, p=0.001, p=0.006, and p=0.010, respectively). Conclusion: Our results determined a high association between alcohol co-ingestion and the outcome of discharge AMA in DSP patients. Emergency physicians should, therefore, be aware that DSP patients who have co-ingested alcohol may be uncooperative and at high risk of discharge AMA.

• 한국임상수의학회지
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• 제39권6호
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• pp.326-333
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• 2022

The purpose of this study was to evaluate the radiographic positioning techniques used in local animal hospitals, identify the most common positioning problem, and determine whether there were changes after teleradiology consultations. From September 2016 to April 2021, 15 local animal hospitals that requested radiographic interpretation more than 10 times and for more than six cases of thoracic radiographs were selected. Six sets of two-views of (lateral and ventrodorsal [VD] or dorsoventral [DV] views) digital thoracic radiographs from six dogs per hospital were evaluated in four categories. For the lateral view, radiographic technique scores used in ten local animal hospitals improved, one remained the same, and four became worse. For the VD/DV view, the score for eleven hospitals improved and worsened for four. The most common problem was rotation (57/90) for the lateral view, followed by an inappropriate field of view (59/90), and incorrect beam center (71/90). For the VD/DV view, an inappropriate field of view (54/90) was the most common problem, followed by asymmetry (63/90), and incorrect beam center (73/90). Every factor, except rotation in the lateral view, improved after obtaining technical consultation; however, the degrees of improvement were not remarkable. There was no significant correlation between the number of requests and the degree of improvement. According to the results, the radiographic technique used in local animal hospitals was improved by technical advice on teleradiology. These changes make it possible to provide accurate diagnoses of the requested images. There are some limitations regarding the indicators of evaluation and the number of cases; therefore, further studies that use detailed indicators in large cohort group are needed. In addition, an effective method of teaching should be developed to improve radiographic techniques in local animal hospitals.

• 한국가스학회지
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• 제27권2호
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• pp.71-78
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• 2023

일반적으로 평균 수명이 1.0~1.5년인 전기식 액중형 펌프(electrical submersible pump, ESP)는 유·가스 및 저류층 특성, 운영 조건에 따라 성능 저하 및 수명 감소가 발생하며, 이에 따른 ESP의 고장은 회수 및 설치에 따른 높은 유정 개·보수(workover) 비용과 생산 중단에 따른 추가 비용이 발생한다. 이에 본 연구에서는 유·가스정에서 ESP 장기 운영에 따른 수명을 예측하고자 환형 유동 시스템(flow loop system)을 설계 및 구축하고, ESP 설치 초기 시점부터 고장 시점까지의 ESP 수명에 대한 전 주기 데이터를 취득 및 분석하였다. 구축한 시스템에서 산출되는 데이터 중 ESP의 유체유량, 흡입구 및 토출구의 온도, 압력 그리고 외측부에 설치된 진동 측정기의 데이터 분석을 통하여 ESP 장기 운영에 따른 성능 상태를 정상(normal), 권고 I (advise I), 권고 II (advise II), 유지관리(maintenance), 고장(failed)의 총 5단계로 분류하였다. 실험 결과를 통해 ESP 장기 운영시 단계별 데이터의 경향 차이를 확인하였으며, 이를 통해 운영 기간에 따른 ESP의 상태를 진단하고 펌프의 고장을 예측하였다. 본 연구를 통해 도출된 결과는 유·가스정에서 운영되는 ESP의 상태 모니터링(monitoring) 을 위한 고장 예측 프로그램 및 데이터 분석 알고리즘 개발에 활용될 수 있을 것으로 판단된다.

• 대순사상논총
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• 제22권
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• pp.345-385
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• 2014

The object of this thesis is to consider the meaning of sincerity(誠), reverence(敬) and faith(信) through Cha gyungseok's historical record. Cha gyungseok(車京石, 1880-1936) is a key disciple of Kang Jeungsan Sangjenim(姜甑山, 1871~1909) to whom Cha kyungseok has begun to follow since 1907, completing his wandering around Yeonghak-gye(英學契), Iljin-hoe(一進會) and Cheondo-gyo(天道敎) after the loss of his father[Cha Jikoo(車致九), 1851-1894] in Tonghak peasants revolution. To examine the meaning of sincerity, reverence and faith as cardinal points in Daesoonjinrihoe(大巡眞理會) creed, this research has taken note of Cha kyungseok's sincerity, reverence and faith who is said to be thought of himself as a head of Reconstruction Work for the Tonghak spitit's resolution of grievances, despite the Sangjenim's intention of using him for different usage due to his sincerity, reverence and faith. Especially, emphasis was given to the illumination of Cha gyungseok's change of sincerity, reverence and faith through closely reviewing his life prior to the encounter with Sangjenim, the process of following Sangjenim and his whereabouts after the ascension of Sangjenim. In addition, through Jeonkyeong(典經), this research also examines Cha kyeong seok's sincerity, reverence and faith along with his ambition contained in that sincerity, reverence and faith. Up to his ascension, Sangjenim has never saved his advice on Cha gyungseok's ambition. Leaving Sangjenim's advice behind, Cha gyungseok moves on to become a head of the Reconstruction Work for the Tonghak spitit's resolution of grievances without deserting the dream of being the Son of Heaven. Although, he showed his prowess as a religious sect leader called Bocheon-gyo boasting its 6 million believers and as a provisional emperor of the country named Sikuk, he ends his life as a head for the Resolution of grievances of kings, princes, generals and premiers due to the change of faith on Sangjenim and interruption of Japanese Imperial Government, without accomplishing his dream. The feature of past disciples suggests the direction of cultivation for our cultivators. Through Cha gyungseok's sincerity, reverence and faith, we could look back upon the meaning of sincerity, reverence and faith and conclude that a real sincerity, reverence and faith is the heart-mind trying to participate in Reconstruction Work of Heaven and Earth with a pure mind, contrary to the one coming out of greed.

• 한국자연치유학회지
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• 제8권1호
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• pp.11-20
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• 2019

목적: 본 연구의 목적은 고등학교 학생 568명을 대상으로 학교 진로교육 상담 후에 '진로결정에 미치는 영향', '학교 진로교육 참여현황', '학교 진로교육 만족도'와 '진로교육에 대한 진로결정 자기효능감'을 조사하는 것이었다. 방법: 대상자에게 진로교육 상담 후에 설문지로 조사를 하였다. 결과: 학교 진로교육 상담 후에 대상자에 대한 설문내용 중 '진로결정 정보사항'에서는 '결정했으나 고려중이다'가 49.3%로 높게 나타났다. '자신의 진로'를 선택할 때 가장 도움이 된 것은 '부모님의 조언'이 28.0%, '학교에서 진행되는 진로교육이 진로결정의 효과'는 52.2%로 높게 나타났다. '학교 진로교육활동 참여'에는 13개 항목이 있으며, '학교 진로교육 참여현황'에서는 '창의적 체험활동'(94.7%) 및 '진로와 직업'(94%)이 높았고, '기업가 정신 및 창업 체험'(10.6%)이 가장 낮았다. 진로교육 활동에 대한 만족도 평균치는 3.49점이었다. 가장 높은 항목은 '대학 혹은 전공체험'이 3.66점이었고, '교과 연계 진로교육'은 3.27점으로 가장 낮게 나타났다. 결론: 고등학교 학생들의 진로선택에 영향을 미치는 것은 '부모의 조언'과 '학교에서 진행되는 진로교육'이 진로결정에 효과가 있었다. 진로교육 활동 중 '대학 혹은 전공체험', '진로캠프', '진로 및 직업체험' 등과 같은 진로체험형의 교육이 학생들에게 교육 만족도가 높았다. 진로교육에 대한 만족도가 높은 집단이 진로결정 자기효능감도 높게 나타났다.

• 벤처창업연구
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• 제17권5호
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• pp.187-203
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• 2022

지역사회의 경제, 사회, 환경 문제가 심각한 수준에 이르자, 우리 사회는 기업가정신 교육을 통해 지역문제에서 기회를 발견하고 창의적 도전을 통해 사회적 가치를 창출하는 청년 인재 육성의 필요성을 절감하고 있다. 그러나 기업가정신 교육 프로그램은 대체로 상업성에 방점을 두고 있어 지역문제 해결 맞춤형 교육 프로그램이 미비한 상황이다. 이에 본 연구에서는 지역사회 문제 해결형 기업가정신 교육과정을 개발하는데 연구의 목적을 두었다. 본 연구는 교육과정 개발을 위해 역량 중심 교육과정 모형(Competency based Curriculum)을 적용하였으며, 총 10인의 전문가 자문을 거쳐 지역문제 해결형 기업가정신 역량을 도출하였다. 그 과정에서 역량 모형의 오류 발생 가능성을 낮추고자 델파이 방법론을 추가로 활용하였다. 연구 결과, 총 23개의 지역문제 해결형 기업가정신 역량이 확정되었으며, 역량별 지식(K)-기술(S)-태도(A)는 각각 5개, 9개, 9개로 구성되었다. 이를 Dunham의 문제해결 6단계 모형에 적용하여 Phase 1 문제 발굴, Phase 2 문제 분석, Phase 3 계획, Phase 4 조치, Phase 5 평가 순으로 모듈식 학습지원책을 개발하였다. 본 연구는 사회복지학에서 자안된 이론적 모형을 기반으로 구체적인 기업가정신 교육과정 및 학습지원책을 개발함으로써 이론과 실천을 통합하였다는 점에서 의미가 있다. 또한 전문가 자문을 토대로 지역문제 해결형 기업가정신 역량 모형을 개발하고 이를 근거로 구체적인 교육과정을 제안하였다는 점에서 시사점이 있다.

• Perspectives in Nursing Science
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• 제11권2호
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• pp.132-143
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• 2014

Purpose: This study was designed to explore adolescents' experience with yoga class in South Korea. Methods: Qualitative data were collected by focus group interviews from February to March 2014. Eleven adolescents who experienced yoga class were recruited from two different schools. The interview questions investigated adolescents' experience with yoga regarding expectations before yoga class, positive changes after yoga, and advice for future yoga classes. Results: Three primary themes from the qualitative content analysis include 1) motivation to join a yoga class, 2) perceived benefits after class and 3) suggestions for school-based yoga. We found that high school students had intrinsic and extrinsic motivations to join yoga classes, and the perceived benefits included physical, psychological, cognitive and social aspects. The students also indicated the need for support by person, yoga with fun and information, yoga tailored by individual goal, simple and easy class. Conclusion: These results suggest that yoga could be an appropriate intervention for holistic health care, and school-based yoga should be applied by focusing on the various situational needs of adolescents'. Furthermore, when yoga leads to healthy habits compared to just simple exercise, a balanced development of adolescents can be achieved.

• 보험의학회지
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• 제28권1_2호
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• pp.31-35
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• 2009

Background : Many of internists have been working for insurance industry. Insurance medicine is use of medical knowledge for insurance industry. There is social role of insurance medicine in terms of soundness of insurance administration. Recently social role of internists also have been being watched. Although theme of insurance medicine is medical risk selection, insurance claims administration also needs medical experts'opinion. There are not any corroborative study of medical consulting for insurance claims. Among insurance industry, someone called this medical review of insurance claims as 'medical claims review'. Aim : To investigate usefulness of medical review of insurance claims. Design : Questionnaire survey with claim staffs in one of insurance claim adjustment company in Korea. Methods : 265 claim staffs were divided into 4 groups and conducted survey using a questionnaire of 20 questions. Utility score, job satisfaction score, and difficult factors of claims administration were measured. Results : Utility score and job satisfaction score are highest in medical claims review group. The most difficult in claim administration to claim staffs was demonstrated to medical knowledge. Conclusion : Medical review of insurance claims is proved to be worthy. Document-based consulting method, namely medical claims review, is more useful than telephone-based simple query among claim staffs...Subjects of the medical claims review are medical record and it's principle is independent medical examination with evidence-based approach, it also has role of protecting fraud of insurance claims. Two main question types of medical claims review are verification and advice.

• International Journal of Aeronautical and Space Sciences
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• 제14권1호
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• pp.91-98
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• 2013

The rigorous requirements of modern spacecraft missions necessitate a precise attitude determination strategy. This paper mainly researches that, based on three space-borne attitude sensors: 3-axis rate gyros, 3-antenna GPS receiver and star-sensor. To obtain global attitude estimation after an information fusion process, a feedback-involved Federated Kalman Filter (FKF), consisting of two subsystem Kalman filters (Gyros/GPS and Gyros/Star-sensor), is established. In these filters, the state equation is implemented according to the spacecraft's kinematic attitude model, while the residual error models of GPS and star-sensor observed attitude are utilized, to establish two observation equations, respectively. Taking the sensors' different update rates into account, these two subsystem filters are conducted under a variable step size state prediction method. To improve the fault tolerant capacity of the attitude determination system, this paper designs malfunction warning factors, based on the principle of ${\chi}^2$ residual verification. Mathematical simulation indicates that the information fusion strategy overwhelms the disadvantages of each sensor, acquiring global attitude estimation with precision at a 2-arcsecs level. Although a subsystem encounters malfunction, FKF still reaches precise and stable accuracy. In this process, malfunction warning factors advice malfunctions correctly and effectively.