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Relation amang Stress, Ego-Resilience, Self-Efficacy, Clinical performance in graduate medical student (의학전문대학원생의 스트레스, 자아탄력성, 자기효능감과 임상수행능력과의 관계)

  • Hong, Sun-Yeun
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.12 no.12
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    • pp.5797-5804
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    • 2011
  • Recently, the medical education is undergoing system transition from a medical college to a medical graduate school and introduction of performance test in the doctor license state examination. Therefore, To deal with these challenges, it is needed that medical faculty prepare the education programs for considering student's personal characteristics and improving Clinical performance. So, The purpose of this study was to understand relation among Stress, ego-resilience, self-efficacy and Clinical performance in graduate medical student, and for this study, We conducted a survey of 97 medical graduate school students in D city during the period from August 19st to 20st. 2011. The study found a negative correlation between Stress and Ego-Resilience, a positive correlation of stress with confidence at low region in Self-Efficacy. Ego-Resilience correlates positively with CPX at low region in Clinical performance, Preference for difficulty level of the task at low region in Self-Efficacy correlates negatively with OSCE. OSCE and CPX at low region in Clinical performance are positively correlated. Therefore, Stress reduction of students can improve Self-Efficacy, Furthermore, improve ultimately Clinical performance. According to this study, To improve Clinical performance competence, student's personal characteristics should be considered and education programs for self-efficacy and ego-resilience advancement be reflected in curriculum.

The Development and Implementation of Problem-Based Learning Package in Physical Therapy (물리치료학에서의 PBL 학습교재 개발 및 적용)

  • Hwang, Hyun-Sook;Chung, Jin-Woo;Lim, Jong-Soo
    • Journal of Korean Physical Therapy Science
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    • v.9 no.4
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    • pp.83-94
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    • 2002
  • Within physical therapy education, there has been increased attention to curricula and course that emphasize problem solving, clinical reasoning, and synthesis of information across traditional discipline-specific boundaries. This article describes the development implementation, and outcomes of a problem-based learning course in Physical therapy. The course was designed to help students to integrate the various elements of a physical therapy curriculum and to enhance their abilities to respond to an ever-changing health care environment. An evaluation of the course by the first 50 students who completed it revealed both strengths and weaknesses. Students responded that the course enhanced their professional behavior, including interpersonal communication skills, team work, and follow-through with professional responsibilities. The learning package was developed by the authors and implemented to a college students during three weeks of the first semester of 2001. Most studies which conducted PBL module development were short period or temporary PBL package application and evaluation rather than a whole semester's. While, this study carried on partial integrated PBL curriculum development and application with recomposing content of the two subjects to one subject Physical therapy which includes four PBL packages. This package was developed from a simple concept to complex and partial integrated PBL curriculum application systematically variable learning methods such as discussion, practice, lecture, video. There are 2 classes, each class has 25 students, in the college. Each class has 5 small groups consisting 5 students. Two tutors proceeded discussion charging each class also, they used multiple methods and materials like tutorials, self-directed learning, lecture, and video. The package is 5 grades and 5 hours per week and the rate of discussion, lecture is 4, 1 respectively. One of the most change is the increase of interaction between students and tutors. Whenever students need information and suggestion, they can visit tutors who provide reading materials and guide for the direction of self learning. Therefore, this study describes the PBL package development process and application during one semester recomposing contents of two subjects to Physical therapy concepts. Besides, it will contribute to active application of existing each subject to tutors who intend to convert as PBL methods. The study has significant meaning to show potentiality of partially integrated PBL application, using systematic PBL package development from two subjects contents. However, when students' need of yearning is over the extent of Introduction of Physical therapy and Rehabilitation medicine, tutors should set learning extent. So, there is limitation to attain completely integrated PBL education within one subject, therefore, it is high lighted to proceed development of integrated curriculum to maximize learning effects of PBL. It is exected that partial integrated PBL package development and application will distribute to prosper excellent physiotherapist in practice.

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Evaluation of the Development and Reduction Scheme under Implementation Plan of Total Maximum Daily Loads in the Jinwi Watershed (진위천 수계의 수질오염총량제 시행에 따른 지역개발과 삭감계획 평가)

  • Han, Mideok;Ahn, Ki Hong;Ryu, Jichul;Son, Jeeyong;Park, Bae Kyung;Kim, Young Seok
    • Journal of Korean Society of Environmental Engineers
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    • v.36 no.6
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    • pp.451-459
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    • 2014
  • The development and reduction scheme under implementation plan of TMDLs were performed in the Jinwi watershed including 8 cities (Gunpo, Yongin, Suwon, Anseong, Osan, Uiwang, Pyeongtaek and Hwaseong) since 2012. Progress of the annual development schemes was faster than the reduction schemes in most of the cities during the planning period. Main load reduction methods included establishment and enlargement of sewage treatment plants, resources of livestock excretions, and introduction of best management practices of non-point source pollution. Especially, reduction load using recycling and composting of livestock excretions comprised 34.1% of all reduction load. It is necessary to implement methodical development and reduction scheme for making of successful performance of TMDLs and water quality improvement in the Jinwi watershed.

A Case Study on the Management for Mid-to Senior Age Human Resources of Enterprises following the Extension of Retiring Age Law (정년연장 법제화에 대응하는 기업의 장년인력관리 사례연구)

  • Oh, Ji-hyun;Lee, Young-min
    • Journal of Practical Engineering Education
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    • v.6 no.2
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    • pp.119-126
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    • 2014
  • The purpose of this study is to take a look at the cases on managing the senior human resources of business enterprises following the significant number of retirement of baby-boom generation and obligatory retirement age of 60 years of age and present the implication points in policies. With respect to the implication of the company, it would urgently require the introduction of programs with long-term point of view for career management strategy from the time of employment to the resignation, settlement of company leave system called chulhyang, expansion of wage peak system, full-time job transfer support center within the enterprise for retirement management, expansion of various consulting, conversion of paradigm on senior human resource management of top management in the enterprise level. In the government level, it is considered as required for systematic supplementation of the chulhyang system, improvement of support system for employment encouragement fund, expansion of national work capability standard-based senior employment field as well as task development, support for innovation of personnel management system, supply of management manual and implementation of job transfer education for life-time conversion period in the government level.

The Effects of a Life-Respect Education Program on Middle School Students' Values on Life-Respect (생명존중교육프로그램이 중학생의 생명존중의식과 생명존중태도에 미치는 영향)

  • Song, Mi-Kyeong;Kim, Kyung-Ran;Park, Chun-Man
    • The Journal of Korean Society for School & Community Health Education
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    • v.15 no.1
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    • pp.105-119
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    • 2014
  • Objectives: This study investigates the factors influencing values on life-respect among middle school students. Methods: The participants in this study were 126 students from S middle school and Y middle school, both located in Gyeongnam province. The experimental group consisted of 40 students from S middle school, Control group-Iconsisted of 39 students from S middle school, and Control group-II consisted of 47 students from Y middle school. The experimental group was provided with 12 incidences of the life-respect education program from April 1st to June 29th. One period took 45 minutes and proceeded according to a structure of introduction, development, and consolidation. The experimental group received a life-respect education program, Control group-I received health teaching, but Control group-II didn't receive any special education except what was regularly part of their curriculum. The content of the life-respect education program included the following topics: value of life-respect, respect for human life and ethics, life-respect campaign, having a healthy mind, suicide prevention, dealing with crisis, prevention of school violence, abortion and life-respect, social weak minority consideration, death, brain death, euthanasia, life cycle and task, and forest activities. Questionnaires were administered as pre and post-tests which consisted of questions regarding death anxiety, suicide risk, and values on life-respect. The pre and post-tests were analyzed with t-tests, paired t-tests, ANOVAs, and factor analyses using SPSS 18.0. Results: 1. There was a statistically significant increase in the experimental group(p<.0001) and control group-I(p<0.05) in value and attitude about life-respect. On the other hand, it was shown that there was no difference between pre and post-test in control group-II. 2. The result of examining the differences between pre and post-tests after education on values and attitudes toward life-respect using ANCOVA showed, there was a statistically significant difference (p<0.001) among the three groups. Conclusion: the life-respect education program which was conducted over 12 meeting with middle school students had an positive effect, which can be used as basic data for fostering values on life-respect. These findings indicate that the life-respect education program this study used is effective for fostering value of life-respect and decreasing suicide risk.

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Ischial Pressure Sore Reconstruction Using Inferior Gluteal Artery Perforator Flap (아래볼기동맥 관통가지피판을 이용한 궁둥 욕창의 치료)

  • Kim, Young Seok;Kang, Jong Wha;Lee, Won Jai;Tark, Kwan Chul
    • Archives of Plastic Surgery
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    • v.34 no.2
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    • pp.209-216
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    • 2007
  • Purpose: The ischial area is by far the most common site of pressure sores found in wheel chair bound paraplegic patients, because greatest pressure is exerted from the body on this area in a sitting position. Even after a series of successful pressure sore treatments, the site is very prone to relapse by the simplest ordinary tasks of everyday life. Therefore, it is crucial to preserve the main pedicle during primary surgery. Various surgical procedures employed to treat pressure sores such as myocutaneous flap and perforator flap have been introduced. After introduction of ischial sore treatment using the inferior gluteal artery perforator (IGAP) has been made, the authors experienced favorable clinical results of patients who have undergone IGAP flap procedure in a three year time period. Methods: A total of 17 patients received IGAP flap surgery in our hospital from January 2003 to May 2006, among which 14 of them being males and 3 females. Surgery was performed on the same site again in 6(35%) patients who had originally relapsed after receiving the conventional method of pressure sore surgery. Patients' average age was 49.4(27-71) years old. Most of the patients were paraplegic(11 cases, 65%) and others were either quadriplegic(4 cases, 23%) or ambulatory(2 cases, 12%). Based on hospital records and clinical photographs, we have attempted to assess the feasibility and practicability of the IGAP flap procedure through comparative analysis of several parameters: size of defective area, treatment modalities, occurrence of relapses, complications, and postoperative treatments. Results: The average follow-up duration of 17 subjects was 25.4 months(5-42 months). All flaps survived without any necrosis. Six cases were relapsed cases from conventional surgical procedures. All of them healed well during our follow-up study. Postoperative complications such as wound dehiscence and fistula developed in some subjects, but all were well healed through secondary treatment. A total of 2 cases relapsed after surgery. Conclusion: The inferior gluteal artery perforator flap is an effective method that can be primarily applied in replacement to the conventional ischial pressure sore reconstructive surgery owing to its many advantages: ability to preserve peripheral muscle tissue, numerous possible flap designs, relatively good durability, and the low donor site morbidity rate.

An Experience of Korean Consumer's Monitoring on Nanoproducts (국내 나노제품에 대한 시민 모니터링 결과 고찰)

  • Kim, Hoon-Gi
    • Journal of the Korean Vacuum Society
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    • v.19 no.6
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    • pp.442-452
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    • 2010
  • Our team carried out a new program for public engagement on nanotechnology in Korea. We chose 22 monitors, who majored in science or technology and graduated from universities long time ago. Most of them were married and housewives. This 'focus group' had not only general knowledge about science or technology but also much interest in social activities. The 167 nanoproducts to be monitored were for daily life, e.g. home appliances (washing machine, refrigerator, water purifier, etc), clothing, cosmetics, food, toy, and others. And the period of it was one month. The monitors had a sheet with 10 questions, and filled them out in essay form. All of them submitted 2~3 sheets every weekend to our team. Before monitoring, our team had a meeting for introduction and explanation about the potential risk of nanotechnology as well as benefits from it. Another meeting was held after finishing monitoring to share their experience one another. The main results of the monitoring were as follows: the number of nanoproducts describing both the definition of 'nano' and the size of nanomaterials was just 2 (1.2%) the number of them explaining the technical methods enough was 15 (9/0%) the number of them accounting for the reason of functional improvement enough was 14(8.4%); the number of them doubtful as if there would be exaggeration or false knowledge was 27 (16.2%); the number of them commenting potential hazards to human health or environment was almost zero; the number of them describing about safety certification acceptable was 9 (5.4%). The monitors made a proposal containing recommendation to Government and industry. The contents were as follows: industry should make the manual in detail and correctly, Describe Certificate detailed and correctly, Do research on risk and toxicity continually, Educate employee about nanoproducts at consumer's center; Government should make indication of nanoproducts compulsory, Appoint Certificate Authority and make Certificate Mark guaranteeing the safety on nanoproducts, Make detailed explanation about nanoproducts compulsory.

Priority of Modularization in Weapon System by using Grey Relational Analysis (GRA를 활용한 무기체계 모듈화 우선순위선정)

  • Lee, Kang-Taek;Lee, Jung-Hoon;Cho, Il-Hoon;Jung, Joo-Hyun;Kim, Geun-Hyung
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.9
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    • pp.647-654
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    • 2016
  • In the defense industry, national security takes priority over economic sense and this has translated into high cost and long-term research and development. However, the exponential growth of technology and rapid changes in the security situation in recent years have resulted in a call for the development of systems at a low cost within a short period of time. In order to implement a modularization strategy in the field of defense, the introduction of line replaceable units in OO systems needs to be prioritized. This study selects six criteria following a literature review and prioritizes 11 modules for OO systems using the project evaluation method, Grey Relational Analysis (GRA). Based on the GRA results, the grey relational grades were derived as 0.83, 0.81 and 0.80 for the M11 (Main board), M8 (EMI module), M3 (Single board computer) modules, respectively. The cost and time of development is expected to be reduced in accordance with the grey relational grade. The results of this research could be utilized for decision making on adopting modularization in similar system development or product improvement programs (PIPs).

A Study on the Longitudinal Trend Changes in Media Service Addiction Variables - Focusing on Adolescents from 2000 to 2021 (미디어서비스 중독 변인의 종단적 추세변화 연구 - 2000~2021년 청소년 대상 연구를 중심으로)

  • Bae, SeungJu;Lee, SangHo
    • Journal of Korea Society of Industrial Information Systems
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    • v.26 no.5
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    • pp.95-111
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    • 2021
  • This paper is a study to check the flow of how addiction to media services has been studied from a long-term perspective, and to identify variables that can be the basis for future addiction research. Researchers noted the addiction of media services in adolescents in particular, and identified a combination of factors depending on the background of the times. Addiction variables were largely aggregated into four properties: adolescent properties, personal properties, media properties, and media-dependent properties. Addiction variables belonging to the attribute were influenced by major media and divided into four periods. During the study period, the frequency of variables was most related to personal attributes, followed by media attributes, adolescent attributes, and media-dependent attributes. Also Individual attribute variables gradually shifted from object-relationship to individual psychological factors. Variants in media attributes were influenced by the introduction and spread of new media. Variations in adolescent and media-dependent attributes have been weak in studies that observe teenagers' motivations for media use or are related to addiction, and no papers have been published since 2020. Although addiction research on media services is important in terms of industry, there has been an emphasis on social aspects, based on the results of this study, we hope to continue to study the variables of service users who can be used in terms of industry.

A Study on the Legal Nature of the Duty to Arrange Spill Clean-up Equipment and the Issue on the Justification of Its Privatization (방제선 등 배치의무의 법적 성질 및 민간개방의 정당성에 관한 연구)

  • Lee, Jung Won
    • Ocean policy research
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    • v.33 no.2
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    • pp.83-119
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    • 2018
  • Under the Korean Marine Environment Management Act (hereunder, the KMEMA), the duty to arrange spill clean-up equipments, including spill clean-up vessels, required by the article 67 of the KMEMA is in essence the provision of public goods since it is a precautionary or preventive measure for the efficient performance of oil spill cleaning up. Also the obligation to control marine pollution and the duty to arrange of anti-pollution measures imposed on polluters is the obligation imposed by the public law in accordance with "the Polluter-Pays Principle". Therefore, the execution of such obligations shall be accompanied by the minimum legal and institutional arrangements. On the other hand, judging whether to form the roles of the public and private sectors in providing public goods is basically a matter of policy decision. However, even if the private sector is allowed to participate in the provision of public goods, it is imperative that a minimum requirement be provided to secure the public interest. Although major countries allows polluters to conclude a preliminary contract with a civil anti-pollution management company, these civilian institutions are in principle constituted by the owners of oil storage facilities. Additionally it is worth noting that it operates as a non-profit organization. In particular, if the practitioner performs pollution control for commercial purposes, their profitability may depend on the size of the pollution, the period spent on pollution control, the size of the equipment and manpower mobilized in the pollution control, and so on. Considering the above problems, caution should be taken to allow marine environmental management companies to be un-limitedly entrusted with the responsibility of arranging measures such as pollution control. In order to allow the marine environmental management contractor to be entrusted for the assignment of duty to protect the marine environment, the marine environment management business should be expanded so that the marine pollutant management capacity satisfies the statutory control capacity. For this purpose, it is necessary to manage and supervise the maintenance and improvement of the control capability of the marine environment management business. It is also necessary to discuss the introduction of the grading system for the control ability of the civil control companies alike in major countries.