• 제목/요약/키워드: practice pattern

검색결과 588건 처리시간 0.023초

학교보건교육(學校保健敎育)에 대한 학생(學生)과 일반교사(一般敎師)의 태도(態度)와 실천변화(實踐變化)에 관(關)한 연구(硏究) (A Study on the Change of Attitude and Practice of Students and Teachers after Health Education)

  • 강경원;김지주
    • 한국학교보건학회지
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    • 제4권2호
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    • pp.61-77
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    • 1991
  • This study was carried out from April 11 to May 10 1990, in order to evaluate the effect of health education by school nurses on the regular schedule of 6 hours per week from 1987, and to compare with the result of the same study performed in 1987. The data were collected by questionnaire from 589 primary school students, 425 middle school students, and 888 high school students, total 1,902 students, and 208 primary school teachers, 169 middle school teachers, and 539 high school teachers, total 916 teachers in Seoul. Analysis of data was done utilizing SPSS-X program for percentage, frequency and Chi-square test. The major results obtained from this study were as follows: 1. The demand of health education was higher in high school students(p<0.01), but not in other students and teachers than in 1987(p>0.01). 2. The satisfaction to health education was higher in middle school and high school students, and high school teachers(p<0.01), but not in other students and teachers than in 1987(p>0.01). 3. The concern about school health events was higher in primary school and high school students than in 1987(p<0.01), but not in middle school students and every school teachers than in 1987(p>0.01). 4. The practice of knowledge obtained from health education was more in every school students than in 1987(p<0.01). 5. The delivery of knowledge obtained from health education to family was higher in primary school students, but lower in high school students than in 1987(p<0.01). 6. The concern about school nursing room was higher in primary school students(p<0.01), but not in other students(p>0.01). 7. The interest pattern of students about health was revealed to be changed compared with the data obtained in 1987 : the most interested part was family health and sex. The school level was statistically significant(p<0.01).

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Convention on International Interests in Mobile Equipment

  • 석광현
    • 무역상무연구
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    • 제13권
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    • pp.69-81
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    • 2000
  • Under the co-sponsorship of UNIDROIT and I.C.A.O., a preliminary draft Convention on International Interests in Mobile Equipment and a preliminary draft Protocol on Matters Specific to Aircraft Equipment has been prepared. The purpose of the Convention is to provide for the creation and effect of a new international interest in mobile equipment. The Convention's approach is quite novel in that it purports to create an international interest based upon the convention itself. The Convention is intended to be supplemented by Protocols, each of is intended to provide equipment-specific rules necessary to adapt the rules of the Convention to fit the special pattern of financing for different categories of equipment. To date, two sessions of governmental experts were held in Rome and Montreal. Korean delegations attended the two sessions. One of the members of the Korean delegation published a report on the first session. He expressed his objection to the so called self-help remedy contemplated by the current preliminary draft of the Convention which enables the holder of a security interest to repossess and dispose of the subject of the security interest by private sale rather than public auction on the occurrence of an event of default of the debtor. His view is based upon his understanding that under Korean law, the only remedy available to the holder of a security interest in mobile equipment, such as an airplane, is to apply to the competent court for a public auction. In my view, his understanding is not quite correct and is inconsistent with the current practice in Korea. Under Korean law, the parties' agreement for private sale is in principle valid unless there is an interested party who has acquired a security interest after the creation of the prior security interest or a creditor who has caused the subject of the security interest to be attached by a competent court. In this article, I discuss the current Korean law and practice relating to the enforcement of security interests by private sale in more detail.

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일부 K-DRG 환례의 의료기관 유형별 수술 및 처치 진료비의 변이 분석 모형 (Statistical Model for Analysing Variations in Inpatient Procedure and Operation Costs of Some Selected K-DRGs by Type of Hospitals)

  • 이영조;노맹석;김윤;이무송;이상일
    • 보건행정학회지
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    • 제8권1호
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    • pp.1-14
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    • 1998
  • Analysis of practice variations has been one of important issues in trying to contain costs as well as to manage quality in health care. This study was conducted to provide statistical model for analysing variations in inpatient costs by type of hospitals. Four K-DRGs including Cesarean section, appendectomy, cataract extraction, and pediatric pneumonia with CC class 0 were selected, and means and dispersions of inpatient procedure and operation costs were simultaneously compared between type of hospitals. The results indicated that joint modelling of means and dispersions by gamma distribution was a very useful analytic tool for identifying factors which might have relationship with variations in inpatient costs. This model can be expanded to test the significance of several independent variables in analysing cost variations. In surgical conditions, means and unit variations of procedure and operation costs showed consistent pattern which was tertiarty hospital, general hospital, and hospital in descending order. Different findings were identified in pediatric pneumonia, from which mean and unit variation of procedure and operation cost was the highest in general hospital. The practical implication of this difference could not be drawn from this study. It will be done by further sophisticated researches. In order to develop health policy for cost containment and quality management in Korea, it is essential to find out manageable factors affecting variations in practice patterns which include characteristics of population, providers, regions, and so on. The statistical model presented in this study will give health services researchers useful insights for future investigations in analysing cost variations.

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무릎 관절염의 맞춤형 침구 임상시험 프로토콜 개발을 위한 전자우편 설문 조사 (E-mail Survey for Developing Clinical Trial Protocol on Individualized Acupuncture Treatment for Knee Osteoarthritis)

  • 이승덕;김선웅;최선미;서정철;이상훈;김용석
    • Journal of Acupuncture Research
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    • 제22권4호
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    • pp.197-204
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    • 2005
  • Objectives : This survey was accomplished to find out how Korean medical doctors take acupuncture prescriptions for knee osteoarthritis in real clinical practice. Methods : The survey questions were developed by the consensus from 4 professors and 10 residents who major in acupuncture & moxibustion for developing clinical trial protocol on individualized acupuncture treatment for knee osteoarthritis. The questionnaires were distributed via e-mail to 3,306 members of Korea Oriental Medical Association from March 15th to March 23rd in 2005.84 members completed answers, and the computerized data were analyzed by ISP statistical program. Results : 1. 68 out of 84 Korean medical doctors used pattern diagnosis. 2. 61 out of 84 Korean medical doctors used both local and remote points, 20 doctors remote points only, and 3 doctors local acupuncture points only. 3. In case of doctors who use remote acupuncture points only, the acupuncture prescription principle was Saam or five element acupuncture (66%), along the meridian pathway (14%), Eight constitutional acupuncture (11%), Taegeuk acupuncture (2%), and miscellaneous (18%). Conclusion : In our e-mail survey, Korean medical doctors who experienced more than 10 year practice answered that they use five element acupuncture or Saam acupuncture according to meridian pathway theory as the most common principle of their acupuncture treatment prescription.

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지방자치단체에서의 GIS 활용에 대한 제언 - 한국과 호주에서의 사례연구를 중심으로 - (Lessons from the Application of GIS for Local Government - Some Examples from Korea and Australia -)

  • 짐 피터슨;김창환;유재용
    • 한국지리정보학회지
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    • 제5권3호
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    • pp.107-117
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    • 2002
  • 디지털/정보 혁명과 지역경제개혁(micro-economic reforms)을 바탕으로 한 공공정책의 성과는 자산, 환경, 시설물, 주소관리 및 도시계획 등과 관련된 공간정보의 수치공간자료처리(digital spatial data handling, DSDH)에 대한 지방자치단체에서의 적용 가능성 타진을 위한 노력을 촉진시켰다. 이러한 노력의 결과는 지방정부가 DSDH와 관련된 공공정책을 수행할 수 있는 충분한 근거 및 가치를 부여한다. 그러나 실험연구에 의해 나타난 접근방식과 확산율은 지역의 제도적 문화적 여건 즉, 지리적 다양성에 따라 다르게 나타날 수 있다. 따라서 지역의 지리적 다양성은 지방자치단체가 수치공간자료처리의 채택 유무를 결정할 수 있는 중요한 요소가 될 수 있다. 이들의 중요성은 부분적으로 사례연구의 평가를 통해서 예견할 수 있다. 이러한 결론은 한국과 호주 지방자치단체의 DSDH 적용에 관한 연구 사례를 참조함으로써 도출되었다.

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영동지방 의약분업 예외지역 약국들에서의 감기 증상 모의 환자에 대한 약물 처방 현황 (Prescription Pattern for a Simulated Patient With the Common Cold at Pharmacies in a Region in Korea Without Separation of Dispensary From Medical Practice)

  • 이형철;박우주;오미경
    • 보건의료산업학회지
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    • 제13권3호
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    • pp.115-125
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    • 2019
  • Objectives: Korea has been practicing the separation of dispensary from medical practice since 2000 as a national policy to prevent misuse or overuse of medicines. This study aimed to investigate prescription patterns from except pharmacies in order to determine the appropriateness of drug usage among those patients. Methods: Thirty-two pharmacies in the Yeongdong area of Gangwon Province were examined in this study. The same simulated patient complaining of cold symptoms for 3 days visited each pharmacy to obtain a prescription for medication. Results: At pharmacies prescribing medicine, steroids (53.1%) and antibiotics (50.0%) were used to treat the common cold. Duplicate prescriptions of drugs, such as antihistamines (47.0%) and decongestants (31.3%) were common. The average number of drug prescriptions was 6.59, and 53.2% of pharmacies had prescribed more than seven drugs. The average total cost of the prescriptions was 6,093 won, and the daily cost was 2,544 won. Conclusions: Steroids and antibiotics were frequently abused among patients whose medications had been prescribed by pharmacies. Also, there were a considerable number of drugs and duplicate prescriptions. The prices of the drugs were somewhat high.

최근 8년간(2001-2008) 서울대학교치과병원 소아치과의 진료현황 및 수익분포 변화에 대한 조사 (THE CHANGES IN PRACTICE PATTERNS FOR THE LAST 8 YEARS (2001-2008) IN THE DEPARTMENT OF PEDIATRIC DENTISTRY, SEOUL NATIONAL UNIVERSITY DENTAL HOSPITAL)

  • 손유진;현홍근;김영재;김정욱;이상훈;김종철;한세현;장기택
    • 대한소아치과학회지
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    • 제37권1호
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    • pp.97-101
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    • 2010
  • 소아치과 전문 지역 의원의 증가, 소아치과에 대한 보호자의 인식 변화, 치의학의 발전, 소아치과 진료 범주의 확대 등에 의해 최근 소아치과의 진료 양상이 크게 변화하고 있다. 이러한 변화 양상을 파악하고 앞으로의 대학병원 소아치과 및 소아치과 전문 지역 의원의 진료분담에 대한 방향성을 제시하고자 본 연구를 시행하였다.2001년 1월 1일부터 2008년 12월 31일까지 서울대학교치과병원 소아치과에 내원한 모든 초진 및 재진 환자를 대상으로, 서울대학교치과병원 종합의료정보시스템(OCS)을 통하여 1년간의 외래환자집계 및 수가코드별 진료 행위 건수 및 수익 분포를 조사하여 다음과 같은 결과를 얻었다. 1. 내원환자의 수는 2001년부터 2005년까지 대체로 증가하다 2006년에 감소하였으며 그 이후에는 2006년도와 별다른 변화가 없었다. 2. 2001년에는 예방치료가 6.84%, 수복치료가 49.96%, 치수치료가 9.64%, 외과치료가 10.78%, 교정치료가 22.78%를 차지하였으나, 2008년에는 예방치료가 15.40%, 수복치료가 28.97%, 치수치료가 3.28%, 외과치료가 14.83%, 교정치료가 37.52%를 차지하여 수복치료와 치수치료의 비율은 감소하고 예방치료와 교정치료는 증가하였다. 3. 수복치료의 비율에 있어서 아말감과 글라스 아이오노머 수복 및 기성금관수복의 비율은 감소하였고, 레진의 비율은 증가하였다. 4. 진정요법하 치과치료는 2005년까지 증가하다 2006년, 2007년에는 감소하였고, 2008년에 다시 증가하였다. 5. 전신마취하 치과치료는 2001년부터 2008년까지 꾸준히 증가하였다.

식생형을 고려한 소나무 임분의 조림적 고찰 (Consideration of Silvicultural Practice by Taking Community Type of Pinus densiflora Stand)

  • 이광수;이중효;김석권;배상원;정문호
    • 한국환경생태학회지
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    • 제23권1호
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    • pp.56-65
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    • 2009
  • 한국에서 소나무는 문화적, 역사적, 정서적으로 중요한 위치에 있으며, 목재자원 생산이 가능한 수종이다. 소나무의 점유면적은 점차 줄어드는 반면, 참나무류를 비롯한 활엽수림이 증가하는 추세이므로 소나무림 유지를 위한 갱신과 시업법에 관한 연구가 요구된다. 본 연구는 중부지역을 대상으로 소나무에 대한 임분유형 및 구조분석을 통하여 생육환경과 천이과정을 파악함으로서, 안정적이며 지속적인 경영림으로서의 발달과 천연갱신 유도에 그 목적이 있다. 중부지역 소나무림은 당단풍나무군락, 상수리나무군락, 비목군락, 전형군락으로 분류되었으며, 지역에 따라 유형별 다른 특성을 보이고 있었다. 상층에는 소나무가 높게 나타나고 있으나, 중층에서는 참나무류 등 활엽 교목성 수종의 중요치가 높았으며, 하층에서 소나무 출현은 빈약하였다. 따라서 상관적으로 소나무가 생태적 영향력이 높은 것처럼 나타나고 있지만, 차후 자연 상태에서 교목층의 소나무가 고사하면 아교목층 이하 신갈나무, 굴참나무, 졸참나무 등 참나무류가 우점할 것으로 사료되었다. 소나무림의 형질과 생장패턴은 임분유형에 따라 지역별 차이를 보이고 있어 소나무림에 대한 시업도 차별 적용되어야 할 것으로 사료되었다.

뜸의 대중화 및 유용성 방안에 대한 연구 (The study of standardization plan and usefulness of Moxa Combustion)

  • 이건목;이길숭;이승훈;장종덕;서은미;최정선;김양중
    • Journal of Acupuncture Research
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    • 제20권6호
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    • pp.63-79
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    • 2003
  • Objective: It makes a through study on the popularization and usefulness paln of Moxa Combustion, therefore popularizing practical use of that. Methods: It was based on the established treatises and books, in order to studying about the literature of Moxa Combustion Results & Conclusions: It makes a through study on the whole of Moxa Combustion, the results as follows. 1. We explained(illustrated) the origin, history, classification and mechanism(effect) of Moxa Combustion 2. The study of standardization plan of Moxa Combustion for popularization - The thermal stimulation of Moxa Combustion was decided the characteristic pattern of combustion temperature by moxa burning and that makes a measure to grasp the effective action of Moxa Combustion upon human body. Thereupon it is necessary to continue further studies by analysing the characteristic pattern of combustion temperature by moxa burning and there clinical effects in practice. 3. The usefulness of Moxa Combustion - The therapeutic effect of Moxa Combustion are hematopoiesis(increase the blood), analgesic function, increase the immunity, antioxidant activity, diuretic action, control of hormone(endocrine gland), supression of carcinogenesis, increase the self involution(natural healing), decrease of GOT/GPT, Glucose, Cholesterol level.

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PNF의 안정적 반전과 율동적 안정화 기법이 뇌졸중 환자의 보행 및 균형에 미치는 영향 (The Effect of Stabilizing Reversal and Rhythmic Stabilization in PNF on Walking and Balance in Patients with Stroke)

  • 김진인;강혜원;지민;황상수;맹관철
    • PNF and Movement
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    • 제16권2호
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    • pp.195-205
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    • 2018
  • Purpose: The purpose of this study was to demonstrate the effects of proprioceptive neuromuscular facilitation (PNF) stability techniques on walking speed, trunk stability, and balance in stroke patients. Methods: Ten stroke patients volunteered to participate in the study, and each of subjects was randomly assigned to either the stability technique (ST) group (n=5) or to the treadmill (TM) group (n=5). Each therapeutic exercise program was provided for 30 minutes a day, 5 days per week for 4 weeks. The ST group performed a PNF pattern combined with stabilizing reversal and rhythmic stabilization of the PNF stability technique. Walking speed (measured using a 10-meter walking test), trunk stability (TIS), and balance (BBS, FRT) were evaluated before and after training. All data were analyzed using SPSS version 18.0. The significance level for statistical inspection was set at 0.05. Results: Both groups showed improvements on the 10-meter walking test, the trunk impairment scale, the Berg balance scale, and the functional reaching test. Conclusion: PNF stability techniques are effective for improving trunk stability, balance, and walking speed in stroke patients. For stroke patients, PNF stability techniques are very useful and effective, including in clinical practice.