• 제목/요약/키워드: behavioral approach

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폐쇄성 수면 무호흡증에 대한 포괄적 치료 - 수면 클리닉에서 치과의 역할 (COMPREHENSIVE TREATMENT OF OBSTRUCTIVE SLEEP APNEA - THE ROLE OF DEPARTMENT OF DENTISTRY IN SLEEP CLINIC)

  • 권대근;조용원;안병훈;황상희;남기영
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • 제30권2호
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    • pp.150-156
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    • 2004
  • The etiology of the obstructive sleep apnea includes the various factors such as anatomical abnormality in upper airway, craniofacial structure, obesity and personal habit. To establish reasonable treatment plan, multi-department approach is should be emphasized because the treatment modality is depend on the result of analysis for degree & site of obstruction and various behavioral factors. In Sleep Clinic in Keimyung University Medical Center, the standard of care for sleep apnea patient was established according to the Standard of practice committee of Americal Sleep Disorders Association. After one year experience of comprehensive approach for sleep apnea we could achieve following recommendation for the treatment. 1) The multi-department examination and diagnosis could prevent unnessesary treatment because the treatment plan could be established under comprehensive discussion. 2) Determination of the site of obstruction is important for treatment planning. However, no single determinant could be found. We expect multi-department approach can reduce the mistake in detection of obstruction. 3) Further evaluation of treatmet outcome should be succeeded to establish Korean standard of care for sleep apnea treatment.

복합부위통증증후군의 작업치료적 접근에 관한 고찰 (A Review of Occupational Therapy Approach for Complex Regional Pain Syndrome)

  • 최유임;박수현
    • 한국콘텐츠학회논문지
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    • 제10권1호
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    • pp.286-294
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    • 2010
  • 복합부위통증증후군은 외상, 신경 손상, 골절, 뇌졸중, 척수 손상과 수술 등에 의해 부적합하게 발생하는 만성 신경병성 통증증후군으로, 질환의 경과, 치료법 등 모든 면에서 생물심리사회적 요인의 영향을 받는다. 작업치료에서는 생물학적, 심리적, 사회적 요소를 고려한 다학제적인 치료적 접근이 유용할 것이다. 생물학적 치료는 모든 영역에서의 독립성을 향상시키기 위해 사지의 기능적 사용을 증가시키는 것이다. 심리적 치료는 이완/바이오피드백 훈련과 인지행동치료를 제공하고, 사회적 치료는 레크리에이션 치료와 직업 재활을 실시할 수 있다. 복합부위통증증후군에 대한 작업치료는 다양한 전문 분야의 협조적인 치료과정을 통해 기능 회복과 통증 관리, 심리적 요인들의 회복을 이끌어 내야 할 것이다.

차원 감소 기법을 이용한 전자 상거래 추천 시스템 (Development of a Recommender System for E-Commerce Sites Using a Dimensionality Reduction Technique)

  • 김용수;염봉진
    • 대한산업공학회지
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    • 제36권3호
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    • pp.193-202
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    • 2010
  • The recommender system is a typical software solution for personalized services which are now popular in e-commerce sites. Most of the existing recommender systems are based on customers' explicit rating data on items (e.g., ratings on movies), and it is only recently that recommender systems based on implicit ratings have been proposed as a better alternative. Implicit ratings of a customer on those items that are clicked but not purchased can be inferred from the customer's navigational and behavioral patterns. In this article, a dimensionality reduction (DR) technique is newly applied to the implicit rating-based recommender system, and its effectiveness is assessed using an experimental e-commerce site. The experimental results indicate that the performance of the proposed approach is superior or at least similar to the conventional collaborative filtering (CF)-based approach unless the number of recommended products is 'large.' In addition, the proposed approach requires less memory space and is computationally more efficient.

자살사고를 보이는 암환자에 대한 실제적 접근 및 간호 중재 (Practical Approach and Nursing Intervention for Cancer Patients with Suicidal Idea)

  • 권신영;조성진
    • Journal of Hospice and Palliative Care
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    • 제6권1호
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    • pp.58-64
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    • 2003
  • Cancer is a life crisis which inflicts major psychological and physical trauma upon the victim. Most of the cancer patients suffer from major depression, profound frustration, and impaired social adjustment. Therefore suicidal ideation and suicidal attempt are also becoming a serious threat to cancer patients and their families. Hospice is patient-centered, and accepts the inevitability of 'death' while simultaneously being life-affirming. Even though there is no chance of physical cure, there is much scope for psychosocial and spiritual healing. Most of cancer patients who commit suicide suffer hem many mental problems. Hospice specialists must play an important role in evaluating and managing emotional or behavioral problems associated with suicidal ideatior and are also are expected to serve as informed commentators regarding suicide. It is crucial that hospice specialists define their role and develop clinical skills to intervene in suicidal event effectively. A systematic approach to suicidal cancer patients is a essential, and there is need for specific training for all hospice professionals. In this case report, the author introduced knowledge and clinical guidelines for a desirable approach to suicidal cancer patient.

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A tutorial on generalizing the default Bayesian t-test via posterior sampling and encompassing priors

  • Faulkenberry, Thomas J.
    • Communications for Statistical Applications and Methods
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    • 제26권2호
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    • pp.217-238
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    • 2019
  • With the advent of so-called "default" Bayesian hypothesis tests, scientists in applied fields have gained access to a powerful and principled method for testing hypotheses. However, such default tests usually come with a compromise, requiring the analyst to accept a one-size-fits-all approach to hypothesis testing. Further, such tests may not have the flexibility to test problems the scientist really cares about. In this tutorial, I demonstrate a flexible approach to generalizing one specific default test (the JZS t-test) (Rouder et al., Psychonomic Bulletin & Review, 16, 225-237, 2009) that is becoming increasingly popular in the social and behavioral sciences. The approach uses two results, the Savage-Dickey density ratio (Dickey and Lientz, 1980) and the technique of encompassing priors (Klugkist et al., Statistica Neerlandica, 59, 57-69, 2005) in combination with MCMC sampling via an easy-to-use probabilistic modeling package for R called Greta. Through a comprehensive mathematical description of the techniques as well as illustrative examples, the reader is presented with a general, flexible workflow that can be extended to solve problems relevant to his or her own work.

지역사회기반 참여연구 방법에 입각한 단기집중 방문재활프로그램 질적 평가: 치료사와 대상자 심층면담을 중심으로 (A Qualitative Evaluation of Short-Term Intensive Home-Based Rehabilitation Program for Disabilities Through In-Depth Interview: Community-Based Participatory Research Approach)

  • 이민영;김은성;윤범철
    • 한국전문물리치료학회지
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    • 제23권2호
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    • pp.44-56
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    • 2016
  • Background: The Community-Based Participatory Research (CBPR) approach is recognized in the field of health promotion as a way to optimize intervention for promoting health by taking into account specific social, economical, and institutional situations of the community. However, the CBPR approach has not been applied in the field of community-based rehabilitation. Objects: This study was conducted to explore the self-perceived satisfaction of therapists and disabilities on the Short-term Intensive Home-based Rehabilitation (SIHR) program developed using the CBPR approach as well as determine the points that need improvement. Methods: This research was conducted through in-depth interviews. The SIHR program was developed, applied, and evaluated by both the researchers and four therapists on the basis of the CBPR approach. The SIHR program was administered to four disability for 1 hour a day, 2 or 3 times a week, for 8 weeks, and their self-rehabilitation was monitored once a week for 4 weeks. After all intervention periods, in-depth interviews were conducted by using a semi-structured questionnaire for the therapists and disability. Results: The therapists were satisfied with the contents of the SIHR program, such as behavioral change technique and goal-directed training. They were also satisfied with the process of developing the program through a community network. Disabilities were satisfied with the therapists' persuasive and emotionally interactive way of delivering the SIHR program as well as the individually customized rehabilitation training and physical improvement. The short period (8 weeks) of the SIHR program was noted by both therapists and disabilities as the part that needs improvement. Conclusion: The SIHR program developed using the CBPR approach was feasible and satisfying to therapists and disabilities. However, a longer SIHR program should be developed. Community networks could help therapists effectively utilize community resources and thereby provide more rehabilitation program for persons with disability.

공익광고에서 은유표현 형태에 따른 효과연구 (The Effect of Metaphor in Public Service Advertising)

  • 임현빈
    • 한국콘텐츠학회논문지
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    • 제6권11호
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    • pp.190-201
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    • 2006
  • 공익광고의 효과적인 커뮤니케이션 수행에 어려움이 많고, 고도의 독창성이 요구되고, 대다수의 공익광고에서 은유적 표현이 빈번히 사용되어짐에도 불구하고, 이와 관련된 연구가 미비한 실정이다. 이에 본 연구는 공익광고의 은유적 표현의 효과에 대한 실증연구를 통해 은유적 광고전략에 도움을 주고자 하였다. 그 결과 첫째, 긍정적 접근과 간접카피를 사용한 은유광고가 높은 감정적 태도에 효과를 가지는 것으로 나타났다. 둘째, 긍정적 접근과 간접카피를 동시에 사용하였을 때 정보원의 공신력과 디자인선호도는 높게 증가하였다. 셋째, 긍정적 접근과 부정적 접근, 직접카피와 간접카피에 따라 정보신뢰도에 유의한 차이가 없었고, 접근유형과 카피유형에 따라 상호작용효과도 발생하지 않는 것으로 나타났다. 넷째, 간접카피를 사용한 광고가 행동의도에 효과를 가지는 것으로 나타났다. 따라서 공익광고의 효과를 높이기 위해서는 은유광고를 긍정적 접근으로 만드는 전략을 사용하여야 함을 본 연구결과는 시사하고 있다.

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문화관광축제 방문객의 평가속성 만족과 행동의도에 관한 연구 - 2006 광주김치대축제를 중심으로 - (The Effects of Evaluation Attributes of Cultural Tourism Festivals on Satisfaction and Behavioral Intention)

  • 김정훈
    • 마케팅과학연구
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    • 제17권2호
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    • pp.55-73
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    • 2007
  • 문화관광축제는 전국의 지역축제 가운데 광역시 도에서 추천한 축제 가운데 관광상품성이 크고, 경쟁력 있는 우수한 축제를 선정하여 지원하는 사업이다. 문화관광축제 종합평가계획(문화관광부, 2006)에 의하면 방문객의 만족도 평가, 전문위원 평가, 그리고 축제 개선실적 등을 감안하여 최우수축제, 우수축제, 유망축제, 예비축제로 선정되고 있다. 특히 예비축제를 제외한 문화관광축제는 공공부문의 사업비 지원을 받기 때문에 1,000여 개가 넘는 지역축제의 방문객 만족도 평가는 상호비교가 가능한 평가척도를 이용하여 종합평가분석이 이루어진고 있다. 이러한 견지에서 본 연구에서는 문화관광축제 공통평가속성이 방문객 만족과 사후행동의도에 미치는 영향관계를 파악하여, 향후 축제기획 시 방문객 만족도 제고와 지속가능한 문화관광축제로 선정되기 위한 시사점을 제시하였다. 본 연구에서는 이론연구를 통하여 문화관광축제 평가속성, 만족, 그리고 행위의도에 관한 변수를 도출하였으며, 2006 광주김치대축제 방문객을 대상으로 실증분석을 수행하였다. 문화관광축제 평가속성에 대한 요인분석을 통하여 홍보안내, 행사내용, 기념품 음식, 편의시설 요인을 도출하였으며, 축제방문객 만족과 행동의도와의 관계를 분석하였다. 연구모형을 통해 수립한 연구가설은 차이분석, 회귀분석, 공분산 구조분석 등을 통해 검증하였으며, 연구결과 모든 가설은 채택되었다. 향후 본 연구결과를 바탕으로 본 축제와 성격이 유사한 축제방문객 분석을 통한 비교연구를 기대한다.

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뇌졸중환자의 신체적, 정신적, 사회적 요인이 건강증진행위에 미치는 효과 (The Effect of Physical and Psychological, and Social factors on Health Promotion Behavior among the stroke patients)

  • 김은주
    • 한국산학기술학회논문지
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    • 제16권12호
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    • pp.8525-8534
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    • 2015
  • 본 연구는 신체적, 정신적, 사회적 요인이 뇌졸중환자의 건강증진행위에 미치는 효과를 파악하고자 실시하였다. 연구 대상자는 뇌졸중으로 진단받고 병원에 입원중인 환자 223명이었다. 자료분석은 기술적 통계, t-tset, ANOVA, pearson correlation과 Structural Equation Analysis을 사용하였다. 그 결과 건강증진행위와 상관관계에서는 주관적 건강(r=.56, p=.000), 가족지지(r=.68, p=.000), 의료적 지지(r=.65, p=.000), 피로(r=.27, p=.004), 행위의도(r=.75, p=.000)와 상관관계가 있었다. 뇌졸중환자의 건강증진행위에 영향을 미치는 요인으로는 신체적 요인인 수면(${\beta}$=-.156, p=.014), 정신적 요인인 주관적 건강(${\beta}$ =.283, p=.001), 행위의도(${\beta}$=.362, p=.000), 사회적 요인인 가족지지(${\beta}$=.219, p=.010), 의료적지지(${\beta}$=.246, p=.004)가 유의한 영향요인임을 알 수 있었다. 결론적으로, 뇌졸중환자의 건강증진행위는 수면이 좋을수록, 주관적 건강, 행위의도, 가족지지 의료적 지지가 높을수록 건강증진행위 점수가 높게 나타나 정신적, 사회적 요인이 건강증진행위에 중요한 요인임을 알 수 있었다. 그러므로, 사회심리적인 맞춤형 접근이 뇌졸중환자 건강을 유지, 증진, 재발예방을 위한 건강증진행위 프로그램 기초자료로 활용할 수 있다는데 의의가 있다.

서비스 회복이 고객의 행동 의도에 미치는 영향에 관한 연구 : 서비스 회복의 공정성과 진정성을 중심으로 (Justice and Authenticity of Service Recovery : Effects on Customer Behavioral Intention)

  • 박은지;김창곤;김명수;한장희
    • 유통과학연구
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    • 제13권2호
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    • pp.63-73
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    • 2015
  • Purpose - Satisfaction with service is evaluated according to customers' subjective judgment. The expected value of customer service and its evaluations depend on the customers' position. The customer recognizes two different forms of service levels. One is satisfaction and the other is dissatisfaction. Customers who are satisfied want to receive the service in future. However, those dissatisfied try to change the service. The service provider tries to improve the service. There are two different service cycles. One is the successful cycle and the other is the failure cycle. This study aimed to empirically determine the effects of the justice and authenticity of service recovery on customer behavioral intention through an integrated approach to cognitive justice and psychological authenticity. Research design, data, and methodology - Based on a literature review, justice of service recovery was categorized into three types: distributive, procedural, and interactive. Then, authenticity was added to obtain four independent variables, along with recovery satisfaction as a parameter. Behavioral intention, as an outcome variable, was divided into the repurchase intention and positive word-of-mouth. The model and hypotheses were created and measurement items were developed. A questionnaire survey of items concerning the service recovery experience at family restaurants was conducted on college students and residents in Gwangju from September 30 to October 31, 2013. A total of 400 copies of the questionnaire were sent out and 385 were returned. Respondents answered questions about the importance of, and satisfaction with service recovery on a 5-point Likert scale. Excluding 174 copies without service failure experiences and 7 inappropriate copies, 204 copies were analyzed using SPSS 21.0 for Windows and AMOS 20.0 to determine the reliability and validity of measurements. The hypotheses were tested through a goodness-of-fit analysis. Results - First, distributive justice positively affected recovery satisfaction. Second, procedural and interactive justice had no impact. Third, authenticity positively affected recovery satisfaction. Fourth, distributive justice had relatively stronger effects on recovery satisfaction than authenticity. Fifth, recovery satisfaction significantly affected repurchase intention and positive word-of-mouth and it proved effective in mediation. Finally, additional analysis was performed for descriptive statistics of the principal variables by various demographic characteristics and significant differences were found in gender, occupation, and so on. Conclusions - This study has academic significance as the fairness and authenticity of service recovery were investigated to reveal the effects on behavior. The findings could be applied to a wide range of service recovery strategies. However, there are some limitations. First, data was collected only from the residents of Gwangju and most respondents were aged 20-30. Future studies should target a wide range of areas and age groups. Second, because the questionnaire used in this study targets only convenience family restaurants, the results of this study cannot be generalized to all services companies. Future research should be done on a wide range of industries such as hotels, airlines, and hospitals, and perform a comparison between sectors.