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      • KCI등재후보

        표준 진료 지침서(Critical Paths) 개발에 관한 연구 - 충수절제술(Appendectomy) 환자용 -

        김용순,박지원,박연옥,조은숙,김명욱,Kim, Yong-Soon,Park, Jee-Won,Park, Yon-Ok,Cho, Eun-Sook,Kim, Myung-Wook 한국의료질향상학회 1996 한국의료질향상학회지 Vol.2 No.2

        Background : A critical path defines an optimal sequencing and timing of interventions by physicians, nurses, and other staff for a particular diagnosis or procedure, designed to better utilize resources, maximize quality of care, and minimize delays. It can be thought of as a visualization of the patient care process. In this study, a review of appendectomy patient records was undertaken to identify a critical path for the management of this treatment. Methods: For this study, records of patients under 15 or over 65 years of age were excluded ; cases where the patient was pregnant, or where complications developed were also excluded. The remaining 21 cases were divided into two categories according to the indication for appendectomy : for acute appendicitis, and for perforated appendix or drainage of periappendical abscess. The time frame for the review was from patient examination immediately prior to operation, through discharge. The study team was composed of a surgeon, research head nurse, education head nurse, surgical part head nurse, and medical recorder. Following their review of the 21 charts, the team determined an appropriate progression and schedule for an appendectomy. Result : Through the chart and literature review, the following aspects of the care process were identified as typical and tracked : monitoring/assessment, treatment, lines/drains, medication, activity, diet, tests and patient education. Conclusion : From this study, the design team determined two separate critical paths : one for appendectomy only, and one for appendectomy plus drainage. Next, these paths must be validated and fine-tuned through clinical implementation. In addition, a comparison of our design with the critical paths determined at other hospitals would be extremely valuable for advancing research in this area. Lastly, the critical path approach to improving patient care and maximizing hospital resources should be applied to other procedures.

      • KCI등재후보

        2008년 금융위기 이후 부동산가격 결정요인 변화 분석

        김용순,권치흥,이경애,이현림,Kim, Yong-Soon,Kwon, Chi-Hung,Lee, Kyung-Ae,Lee, Hyun-Rim 한국토지주택공사 토지주택연구원 2011 LHI journal of land, housing, and urban affairs Vol.2 No.4

        본 연구는 지난 2008년 리먼사태로 인한 글로벌 금융위기 이후 부동산가격의 결정요인이 어떻게 변화하는지를 VAR모형을 통해 분석하고자 하였다. 이를 위해 2000년 1분기부터 2011년 2분기까지의 전국 토지, 주택매매, 주택전세 등 부동산가격에 대해 실질GDP, 국고채수익률, 소비자물가, KOSPI, 주택건설실적, 토지가격 등을 이용하여 VAR모형을 구축하고 충격반응 및 분산분해 분석을 실시하였다. 금융위기 이후의 변화행태를 분석하기 위해 글로벌 금융위기가 발생한 2008년 3분기를 기준으로 이전과 현재까지로 분석기간을 나누어 가격결정요인 변화를 비교 분석하였다. 분석결과, 토지가격은 금융위기 이전과 비교할 때 실질GDP와 금리의 영향력은 더 커진 것으로 나타났다. 이는 토지가격이 과거에 비해 거시경제여건에 더욱 민감하게 반응하게 되었다는 사실을 보여준다. 주택매매가격도 금리나 GDP와 같이 시장기본가치에 대해 거의 영향을 받지 않고, 주택가격 자체의 변화나 전세가격의 변화에 크게 영향을 받는 것으로 나타났다. 최근의 전세가격 급등세가 지속되고 있음을 감안할 때 매매가격도 조만간 상승할 가능성이 크다고 예상할 수 있는 부분이다. 주택전세가격은 금융위기 이전이나 이후 모두 거시경제지표의 영향력이 약화되고, 소비자물가나 전세가격 자체의 변화에 민감하게 반응하는 것으로 나타났다. 이와 같이 부동산가격이 과거와 달리 금리, GDP 등 시장기본가치요인의 중요성이 약화된 것을 알 수 있는데, 이는 부동산시장이 금융위기 이후 인구 가구구조 변화나 가격상승 기대심리 약화, 월세전환 등 경제 외적 요인에 크게 영향을 받는 쪽으로 변화했음을 보여주는 것이라 할 수 있다. 따라서 정책당국이나 소비자, 건설업체 등 경제주체들은 경제 환경 뿐 아니라 수급상황 등 시장내부요인을 감안하여 보다 신중하게 시장에 접근할 필요가 있을 것이다. This paper investigates the determination factors' variation of real estate price after sub-prime financial crisis, in korea, using a VAR model. The model includes land price, housing price, housing rent (Jensei) price, which time period is from 2000:1Q to 2011:2Q and uses interest rate, real GDP, consumer price index, KOSPI, the number of housing construction, the amount of land sales and practices to impulse response and variance decomposition analysis. Data cover two sub-periods and divided by 2008:3Q that occurred the sub-prime crisis; one is a period of 2000:1Q to 2008:3Q, the other is based a period of 2000:1Q to 2011:2Q. As a result, Comparing sub-prime crisis before and after, land price come out that the influence of real GDP is expanding, but current interest rate's variation is weaken due to the stagnation of current economic status and housing construction market. Housing price is few influenced to interest rate and real GDP, but it is influenced its own variation or Jensei price's variation. According to the Jensei price's rapidly increasing in nowadays, housing price might be increasing a rising possibility. Jensei price is also weaken the influence of all economic index, housing price, comparing before sub-prime financial crisis and it is influenced its own variation the same housing price. As you know, real estate price is weakened market basic value factors such as, interest rate, real GDP, because it is influenced exogenous economic factors such as population structural changes. Economic participators, economic officials, consumer, construction supplyers need to access an accurate observation about current real estate market and economic status.

      • 요양보호 교육생의 노인에 대한 지식과 태도

        김용순,박지원,박형란,Kim, Yong-Soon,Park, Jee-Won,Park, Hyung-Ran 한국가정간호학회 2009 가정간호학회지 Vol.16 No.1

        Purpose: This study examined caregiver trainees' knowledge and attitude toward the elderly. Method: This descriptive study was conducted with a convenient sample of 119 trainees in a long-term caregiver education program at one university. Following completion of a self-reported questionnaire, knowledge and attitude were measured using FAQ1(Palmore, 1998) and a 20-item semantic differential scale(Sanders et al., 1984). The data were analyzed using descriptive analysis, t-test, ANOVA, and Pearson correlation analysis by SPSS version 12.0. Results: The mean score of respondents' knowledge and attitude toward the elderly was $13.51{\pm}2.77$ out of 25 and $81.71{\pm}20.10$ out of 100, respectively. Caregiver trainees' education level and age influenced their knowledge and attitude, respectively, toward the elderly. Conclusion: Caregiver training for the elderly should involve a well-designed education program and continuous teaching that takes into account trainee education and age.

      • 한국형 주 보호자용 노인우울 간이척도(KGDSI-15)의 신뢰도와 타당도 분석

        김용순,박지원,Kim, Yong-Soon,Park, Jee-Won 한국가정간호학회 2010 가정간호학회지 Vol.17 No.1

        Purpose: The study examined the psychometric properties of the Korean Geriatric Depression Scale Informant-15 (KGDSI-15), an instrument measuring geriatric depression through their primary caregivers. Methods: The participants were 370 Korean older adults $\geqq$65-years-of-age registered in a visiting health center in S city. The Korean version of Geriatric Depression Scale-Short Form (GDSSF-K) was used for comparison. Internal consistency measured tool reliability and Pearson correlation coefficient measured validity. One-way ANOVA was used to determine the clinical usability of the instrument: depression levels were classified as normal, mild depression, and severe using GDSSF-K, and the depression scores of these three groups were comparatively measured by KGDSI-15. Results: The Cronbach's alpha coefficient was .831. The correlation coefficient with GDSSF-K was r=.616 (p<.001). KGDSI-15 results showed the depression level of older adults with severe depression was highest followed by those with mild depression and normal. The group differences were also statistically significant, which indicated the clinical usability of the instrument. Conclusion: KGDSI-15 is suggested to be reliable and valid to measure the geriatric depression through the primary caregivers of older adult.

      • KCI등재후보

        민간부문을 활용한 행복주택 사업활성화 방안에 대한 연구

        김용순(Kim, Yong Soon),이석제(Lee, Seok Je),남영우(Nam, Young Woo) 대한부동산학회 2015 大韓不動産學會誌 Vol.33 No.1

        행복주택은 대학생 및 신혼부부의 주거문제를 해결하기 위한 대안으로 사회적으로 많은 관심을 받고 도입되었다. 그러나 현재 행복주택의 공급은 원활하게 진행되지 못하고 있다. 사업을 도입한 초기단계에서는 인근주민의 반대로 적정한 입지확보가 쉽지 않았으며 실행단계에서는 재원마련이 걸림돌이 되고 있다. 특히 그동안 임대주택공급을 주도하던 LH공사의 재무구조악화로 행복주택의 공급에도 민간자본의 참여가 필요하게 되었다. 따라서 민간자본의 참여가 원활하게 이루어질 수 있도록 제도적 기반이 마련되어야 할 것으로 판단된다. 본 연구에서는 행복주택공급에 민간부문이 참여하기 위한 방안으로 노후임대아파트의 재건축 및 민간소유토지를 활용한 행복주택의 공급을 제시하였다. 특히 수익성확보를 위해서 분양아파트의 개발과 병행하거나 상업용 시설을 설치하는 등 복합개발의 방식으로 사업이 필요하다는 점을 제안하였다. 행복주택사업의 수익구조 개선방안으로는 행복 주택의 운영기간이 30년으로 민간투자자들이 참여하기가 어려우므로 투자기간을 10년 단위로 구분하고 리파이낸싱을 하는 방안도 고려할 필요가 있다. 민간부문의 투자유치를 위한 손실보전방안으로는 최소비용보전방식의 도입이나 갭펀드의 도입 등을 제시하였다. Happy House has been introduced as an alternative for solving social housing problems of college students and newlyweds. However, the current supply of Happy house has not been going smoothly. Because of opposition from nearby residents in the initial stage of the project it was not easy to find a suitable location. In the execution phase funding it has been a stumbling block. The participation of private capital was needed to supply the happy house in worse financial structure of LH rental housing construction. Therefore, the institutional framework must be established for the participation of private capital. In this study, the proposed supply of a happy home and utilizing reconstruction of old apartments for rent privately owned land. In particular, this study proposes to perform with the development of a condominium for profitability. The development of condominiums and commercial facilities for the profitability of a proposed mixed-use development to install along the way. Happiness House of the operating period is difficult to private investors participated in 30 years. Thus separate investment period decade and it is necessary to the refinancing. In order to reduce the losses of the private sector suggested the Gap Fund and MCC.

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