• 한국과학교육학회지
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• 제36권5호
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• pp.739-756
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• 2016

본 연구의 목적은 지방소재 교사양성대학에서 근무하는 교사교육자인 '나'와 비판적 동료 3인이 셀프스터디를 통해 '나'와 나의 강의에 대해 심도 있게 성찰하고, 비판적 동료와의 협력적 검토를 바탕으로 나의 강의 개선을 시도하는 데에 있다. 2015년 예비 실행을 거쳐 2016년 3월부터 4학년 17명이 참여하는 교과교육 강의를 중심으로 본 연구를 수행하였다. 11주간 약 40시간의 강의를 촬영하였으며 강의자인 나의 반성적 저널, 예비교사의 강의 평가 자료, 온라인 게시판 내용 등을 토대로 강의 전반에 대한 자료를 수집하였다. 또 학생들을 대상으로 2차례에 걸쳐 설문을 실시하였고 강의 참여 일지를 작성하도록 하였다. 4명을 포커스 그룹으로 선정하여 면담을 진행하였다. 비판적 동료 3인은 강의 시작 전부터 연구의 방향과 분석 방법에 대하여 협의하였으며, 학기 중에는 매주 1회 해당 강의 녹화 자료를 분석하고 학생들의 반응, 강의 개선 방향 등에 대하여 함께 논의하였다. 강의 실행의 과정은 실행의 목적에 따라 크게 탐색, 갈등, 도전, 변화의 4가지 국면으로 나타났다. 연구 결과를 구체적으로 보면 첫째, 교사교육자로서 '나'는 '연구자로서의 나', '강의자로서의 나', '대학 행정관리자로서의 나'라는 다중적인 역할을 수행하고 있었고 종종 이들 사이에 갈등이 나타났다. 둘째, 강의자와 학습자 사이에 교과교육 강의의 필요성과 가치 등에 대한 인식 차이가 있음을 발견하였으며, 이것이 강의를 진행하는 데 있어 큰 어려움이 될 수 있음을 확인하였다. 셋째, 자신의 실행을 의도적으로 비판적 시각에서 관찰하여 '나'의 인식의 확장을 유발하였고, 강의에서는 '나'와 예비교사들의 소통과 협력적 실행으로 연결되었다. 그리고 비판적 동료와 함께 한 셀프 스터디는 '나'의 실행과 관련된 신념, 개인적 고민이나 갈등을 공동의 성찰 대상으로 끌어올려 각자의 시각과 대안을 지속적으로 교환하면서 균형 잡힌 해석과 연구 방향을 탐색하도록 하였다. 이를 통해 교사 교육자인 '우리'를 이해하는 틀을 제공하였다.

• 벤처창업연구
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• 제13권3호
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• pp.99-112
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• 2018

본 연구는 트리플 힐릭스 (Triple Helix) 관점으로 대학의 창업보육을 살펴봄으로써 대학 창업보육과 관련된 연구의 보완과 발전방안을 제시하고자 한다. 이를 위해 국내 외 창업보육과 관련된 트리플 힐릭스 (Triple Helix) 논문을 분석하였으며 이를 통해 트리플 힐릭스(Triple Helix)와 대학 창업보육을 연계하여 살펴보았다. 첫째, 대학 창업보육의 혁신을 위해 운영인력에 대한 충분한 역량 확보가 우선되어야 한다. 이를 위해 다양한 관점에서의 연구와 정책적 함의가 우선 선행되어야 할 것이다. 둘째, 창업보육의 협력관계는 몇 번의 정태적인 협력관계가 아닌 유기적이며 동태적인 협력관계로 이어져야 한다. Top Down 방식이 아닌 Bottom Up으로 창업보육 프로그램을 함께 운영하는 내부에서의 혁신을 바탕으로 창업보육을 기획하고 창의적인 아이디어를 통해 변혁을 이끌어야 한다. 셋째, 창업보육의 동태적 협력을 위해 각 주체 간의 조직마다 상황에 맞는 경계관리활동(Boundary Spanning)을 파악하고, 흡수역량으로 이어질 수 있도록 조직에 대한 관리와 실천이 우선되어야 한다. 본 연구에서 제시한 각 주체 간 경계활동과 지식변환에 관해서는 추후 연구과제로 남기며 혁신적인 대학 창업보육의 발전을 기대해본다.

• 동의신경정신과학회지
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• 제29권2호
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• pp.111-119
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• 2018

Objectives: To investigate the characteristics of patients diagnosed with dementia or mild cognitive impairment who are treated by means of a blend between Western and Korean medicine. Methods: We searched for outpatients with dementia or mild cognitive impairment by means of a collaboration between Western and Korean medicine from August 1, 2015, to July 31, 2017, through electronic medical records in Wonkwang Hospital. The records were retrospectively analyzed according to the patients' demographic and clinical characteristics, pathway of medical care, diagnostic tests, treatment, and medical expenses. Results: Thirteen patients were included in the analysis. Among them, six patients were diagnosed with mild cognitive impairment, five with dementia, Alzheimer's type, one patient with frontotemporal dementia, and one patient with unspecified dementia. Twelve of the thirteen patients were over 60 years of age. The number of pathways from the Dept. of Neurology to the Dept. of Neuropsychiatry of Korean Medicine was almost the same as the opposite pathway. The most used diagnostic test in Korean medicine was a neuropsychological test such as SNSB, MMSE and GDS. In Western medicine, hematology and neuroimaging were frequently used for patients. Acupuncture in Korean medicine and medication in Western medicine were the most frequently used. In Korean medicine, uncovered service costs were much higher than covered service costs,. whereas, in Western medicine, covered service costs were higher than uncovered service costs. Conclusions: This study describes the basic characteristics of dementia and mild cognitive impairment patients treated by a collaboration between Western and Korean medicine. Based on these results, a clinical pathway of the collaborative practice system between Western and Korean medicine for dementia patients needs to be developed.

• 한국한의학연구원논문집
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• 제18권2호
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• pp.101-116
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• 2012

Objectives : This study aims to analyze the papers of the east-west medical combined treatment and suggest the research direction. Methods : 183 research papers were collected by using 25 keywords including combination(in korean words, 병용), collaborative practice(in korean words, 협진) in Korean Medical Database(KMbase) and Oriental Medicine Advanced Searching Integrated System(OASIS). We analysed the type of studies, the kind of diseases, the treatment method, the kind of herbs and drugs in frequent use, and the result of research. Results : Among the analysed 183 papers, clinical studies are 89 cases and experimental studies are 94. 5 cases of clinical studies are Randomized Controlled Trial(RCT). The cancer(50 papers) and diseases of the circulatory system(25 papers) occupied mostly in treatment studies. Because Combined treatment was actively progressed in oriental medicine, treatment was mainly applied the combined oriental medical treatment with herbs and western drugs. In herbal medicine, Mahwangyounpae-tang(麻黃潤肺湯) and Eunkyo-San(銀翹散) were frequently used in the papers. In western drugs, Cyclophosphamide, Cisplatin, and Mitomycin C were frequently used in the papers. 154 papers introduced the treatment effect, 14 papers announced the safety, and 4 papers mentioned the side effect. Conclusions : We suggested several future research direction as follows. Clinical studies based on experiment studies must be more activated and many RCT shoud be shown. Experimental group in clinical studies should be clearly separated to confirm the treatment method is effective or isn't effective. Studies about the side effect must be expanded, and every study should be confirmed both the treatment effect and safety.

• 간호행정학회지
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• 제5권1호
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• pp.63-76
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• 1999

The main objective of this study was to develop a concept of service marketing promotion in nursing that is derived from the concepts of service marketing theory. This research was a descriptive study, at the factor isolation level. The principle of concept derivation suggested by Walker and Avant (1988) and the Hybrid model suggested by Schwarz-Barcott and Kim (1993) were employed as the research method. The data were collected from December, 1997 to April. 1998 at a large general hospital located in Seoul. The procedures of this study were as follows: First. at the theoretical phase: the meaning, attributes, and definition of service marketing promotion were identified through an extensive review of the literature. Second, at the empirical phase: fieldwork was done to identify the promotional activities and events in nursing. Top nurse managers from 4 units (Director of Nursing, Head nurses of inpatient nursing unit, outpatient nursing unit. and home care nursing unit) were interviewed and the content of the interview was analyzed to identify the meaning and attributes of promotion in nursing. Other methods such as brochures and other audio-visual materials which were relevant to nursing promotion were used to supplement the interviews. Finally, the results of the theoretical and empirical analyses were intergrated to develop a concept of service marketing in nursing practice. A final definition of service marketing promotion in nursing was identified as follows. 1. Promotion as a marketing function in nursing service is concerned with communication to target markets on all information related to nursing service in order to satisfy the objectives of both a nursing service organization and the target markets. 2. The goals of nursing service promotion include: 1) increasing visibility of nursing services and delivering the information on nursing services, 2) affirming the value of nursing services, so it can contribute to formulation of reimbursement policy for nursing services. 3) advancing the general image of the nursing profession and nursing services. 4) achieving and attaining a desirable positioning for nurses among health care professionals. and 5) creating and stimulating the demand for nursing services. 3. In order to obtain these goals it is necessary to provide information on nursing services, to persuade target markets. to remind them about nursing services. and to establish a collaborative relationship with related departments. 4. The tools used to carry out the above functions of promotion in nursing are the providing nursing services, public relations and publicity. QA of nursing, advertising, and sales promotion. 5. The target markets of nursing service include the nursing customer markets. the internal markets, the influence markets. the recruitment markets. the supplier markets. and the nursing referral markets. In conclusion, the concept of promotion in other service marketing areas can be applied to the promotion of nursing service marketing. The promotion of nursing service is more than just effective communication in nursing service. it is the effective use of the concepts of service marketing promotion. Promotion of nursing service will contribute to create and expand nursing services.

• 한국병원경영학회지
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• 제3권1호
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• pp.34-61
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• 1998

A study on cooperative medical treatment system between oriental and western medical practitioners was conducted from March through August 1997 in order to determine a productive model of cooperation of two medical parts for treatment of patients. Questionnaires were distributed to 195 medical doctors(M.D.) and 195 doctors of oriental medicine(O.M.D.) working in clinics and hospitals in six major cities. Statistical analysis tools used for this study were frequency, t-test and multiple regression by using SPSS/P.C package. The results are summarized as follows: 1. The respondents were composed of male docotors(78%) and female doctors(22%) and 68.2% of M.D. and 97% of O.M.D. were interested in the other medical part. The doctors of both disciplines had some limitation on treatment of patients but they were reluctant to refer their patients to other doctors in different discipline. 2. M.D assumed that oriental medicine was more effective for chronic diseases, and O.M.D. thought that western medicine was more effective for acute diseases. 92.3% of O.M.D.s responded that even though they do not utilize western medical technology for diagnosis, they believed the results of diagnoses by western medical technology. 3. 60.5% of O.M. and 93.3% of O.M.D. said that cooperative medical treatment system could be necessary for patients and it would be effective for control of diseases and 69% of western medical doctors and 99% of oriental medical doctors agreed that oriental medical practice would be more effective for cerebellar vascular accidents than other diseases. 77.4% of western medical doctors and 92.3% of oriental medical doctors responded that the students of two different disciplines have to be taught on the other disciplines. 82.6% of western medical doctors and 83.3% oriental medical doctors agreed that it would be necessary to have collaborative research between scientists in two disciplines. 81.5% of M.D.s and 93.3% of O.M.D.s believed that they had prejudice and distrust on other discipline 4.90% of the doctors were not satisfied with the government medical policies on health insurance, legal matters, and health delivery system. 5. 75.4% of M.D.s and 50.2% of O.M.D.s said that two medical disciplines should be integrated, but they were skeptical on that. 75.3% of M.D.s thought that western hospitals should employ O.M.D.s Finally this study recommended that western medical students study oriental medicine and the vice versa, and M.D.s and O.M.D.s should have seminars and workshops to exchange knowledge, and experiences. It is also recommended that medical laws be revised to allow medical doctors refer the patients whom they can not handle to oriental medical doctors and the vice versa.

• Journal of Trauma and Injury
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• 제25권4호
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• pp.254-260
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• 2012

Purpose: Ongoing treatment and care, as well as initial stabilization, are required for trauma patients. With increasing number of sickest trauma patients and shortage of surgeons, the need for advanced practice nurse to provide and coordinate trauma care has been greater. The purpose of this study is to analyze the effect of hiring a trauma clinical nurse specialist and its influence on the treatment of trauma patients. Methods: Based on the employment of the clinical nurse specialist in December 2010, the patients were divided into two groups: patients admitted from January 1, 2010 to November 30, 2010 and patients admitted from December 1, 2010 to December 31, 2011. Retrospectively, data were collected using electronic medical records. The general characteristics, clinical courses, and ICU re-admission rates, collaboration (transfers to other departments and collaborative surgery) were compared. Results: To have a clinical nurse specialist on the trauma team resulted in a statistically significant reductions in the length of general ward hospital stay (p<0.05), the ICU re-admission rate, (p<0.03), the lead-time before transfer to other departments (p<0.05). Conclusion: The clinical nurse specialist, as a professional practitioner, improved the quality of treatment through early detection and management of problems. In addition, as a coordinator, the clinical nurse specialist maintained a cooperative relationship with multi-disciplinary medical personnel. The trauma clinical nurse specialist contributed to the treatment of trauma patients positively through a decrease in ICU re-admission rate and length of hospital stay.

• 대한지역사회영양학회지
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• 제23권4호
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• pp.352-365
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• 2018

Objectives: The Korean Food Composition Table (KFCT) was first published in 1970, and has since been updated every five years by the Rural Development Administration (RDA). This study was conducted to introduce the development strategies, features, and challenges of the $9^{th}$ revision of the KFCT. Methods: Due to the increasing demands of nutrient database users and generators, the RDA started a new research project in 2013 to improve the quantity and quality of data for the $9^{th}$ revision of the KFCT. Over 1,000 food items frequently consumed in Korea were selected as key foods using the results of the Korean National Health and Nutrition Examination Survey. About 200 raw materials and processed food items were collected and analyzed every year. Target nutrients that were analyzed by collaborative labs, such as, sugars, selenium, iodine, and biotin, were increased from 22 to 43. Analytical sample handling procedures and data quality evaluation systems were also established in collaboration with 10 contracted labs. Data were evaluated for data quality according to the FAO/INFOODS, CODEX, and AOAC guidelines. Results: The $9^{th}$ revision contains data on 3,000 food items and up to 43 and 140 food nutrients for the printed table and the excel database file, respectively. Overall, 1,485 data items were newly added, 973 of which were provided by the RDA and 512 were cited from foreign nutrient databases. The remaining 1,515 food items were maintained as in the $8^{th}$ revision. Conclusions: The KFCT provides the basic infrastructure for food and nutrition policy, research, and dietary practice in South Korea. The use of the KFCT has increased exponentially in the past few years in both public and private sectors; accordingly, increased efforts should be paid to the preparation, improvement, and maintenance of KFCT.

• 한국과학교육학회지
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• 제38권5호
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• pp.649-665
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• 2018

이 연구에서는 메이커 교육의 본질 및 속성을 탐색하기 위하여 중요사건기법 분석과 행동사건면접 분석을 통해 메이커들이 지니고 있는 핵심 역량을 추출하였고, 이를 바탕으로 메이커 역량 모델을 개발하였다. 연구 결과, 6개의 역량군과 23개의 하위 역량을 추출할 수 있었다. 즉, '분석적 사고', '직관적 사고', '시각적 사고', '경험적 사고'의 4개 역량으로 구성된 통합적 사고 역량군, '공유', '의사소통', '갈등관리', '주도성'의 4개 역량으로 구성된 협업 역량군을 확인할 수 있었다. 또한 '다양한 영역에 대한 관심', '도전 의식', '실패 관리', '메이킹 과정의 즐거움'의 4개 역량으로 구성된 메이킹 마인드 역량군, '인류애', '사용자 지향'의 2개 역량으로 구성된 인간중심 역량군, '관찰', '일상 속 불편함의 인식'의 2개 역량으로 구성된 문제 발견 역량군을 확인할 수 있었다. 마지막으로, '제작 도구에 대한 이해', '전기에 대한 이해', '프로그래밍에 대한 이해', '계획수립', '손 지식', '정보 탐색', '직접적인 실행'의 7개 역량으로 구성된 메이킹 수행 역량군을 확인할 수 있었다. 이에 대한 교육적 시사점에 대해 논의하였다.

• 영재교육연구
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• 제25권6호
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• pp.771-797
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• 2015

본 연구는 음악영재교육과정 개발을 위하여 음악영재들의 요구를 조사하는 것을 목적으로 하였다. 이를 위해 음악영재교육기관에서 음악영재교육을 수혜하고 있는 음악영재 103명을 대상으로 음악영재교육과정의 요소 즉, 교육 목표, 교육내용, 교육방법, 교육평가, 그리고 음악영재교육과정에 영향을 미치는 교육환경에 대한 요구도를 조사했다. 요구조사 결과에 의하면, 음악영재 교육목표 중 '자기의 느낌을 표현함으로써 관객과 소통할 수 있는 능력'에 대한 요구도가 가장 높았으며, 고등학생의 경우에는 상당히 많은 항목에서 필요수준과 현재수준 간의 차이가 컸다. 교육내용에서 '클래스 피아노'와 '부전공실기', '음악 현장체험'에 대한 요구도가 높았고, 고등학생은 중학생에 비해 '부전공 실기'에 대한 요구도가 높았다. 교육방법에서 음악영재들은 '학습자의 자율적 선택과 흥미를 추구하는 수업'과 '현장 수업'에 대한 요구도가 높았으며, 교육평가에서는'학생들 서로에 대한 상호평가'와 '그룹별로 협동해서 공동의 작품이나 연주에 대한 평가'에 대한 요구도가 높았다. 그리고 음악영재들은 '실기실/실습실(연습실)'에 대한 요구도가 높았으며, 특히 고등학생들은 실기실뿐 아니라 '공연장'이 필요하다고 응답했다. 따라서 음악영재교육과정을 개발할 때에는 이러한 점들을 충분히 반영해야 할 것이다.