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      • KCI등재

        OpenAI의 GPT 아키텍처를 활용한 NCS기반 진로교육과정 설계 시스템 개발 연구

        조재림,이보람,정진수,이정훈 한국인적자원관리학회 2024 인적자원관리연구 Vol.31 No.1

        이 연구는 OpenAI의 GPT 아키텍처를 활용하여 진로교육에 맞춤형 교육과정 설계 시스템을 개발하는 것을 목적으로 하였다. 현대 교육 환경에서 AI의 통합은 학습자 중심의 교육 방법론 개발에 필수적이며, 이 연구는 그러한 필요성에 응답하고자 하였다. GPT 아키텍처의 언어 처리 및 생성 능력과 국가직무능력표준(NCS) 기반 교육과정의 통합 가능성을 탐색하여 시스템의 바탕을 마련하였으며, 다양한 분야의 전문가 검토를 통해 연구가 진행되었다. 검토에 참여한 전문가들은 컴퓨터공학, 교육공학, 진로교육, 대학 학사지원팀 분야에서 활동하는 박사 및 석사 학위 소지자들로 구성되었으며, 이들의 피드백을 바탕으로 시스템 설계와 개선이 이루어졌다. 연구의 산출물로는 AI 기술과 진로교육의 융합을 통한 교육 분야의 혁신적 접근법이 적용된 시스템 개발을 위한 스토리보드가 제시되었다. GPT 아키텍처를 활용한 이 시스템은 학생들에게 개인화된 진로 교육과정을 제공하는 데 있어 중요한 역할을 할 수 있음을 보여주었다. 이 연구는 교육 기술의 발전과 학습자 중심의 맞춤형 교육 방법론 개발을 시도하는데 의미가 있으며, 미래 교육 기술 발전 방향에 대한 중요한 통찰을 제공한다. 또한, AI 기술을 활용한 교육과정 설계의 가능성을 탐색하고, 교육 현장에서의 AI 적용을 위한 실질적인 기반을 마련하는 데 중점을 두었다. 이러한 접근은 학습자 개별의 요구를 충족시키는 동시에 교육의 효과성을 높이는 방향으로 교육 기술을 발전시킬 수 있는 기회를 제공한다​​. This study aimed to develop a customized curriculum design system for career education by utilizing OpenAI's GPT architecture. The integration of AI in modern educational environments is essential for the development of learner-centered educational methodologies, and this study aims to respond to this need. The GPT architecture's language processing and generation capabilities and the possibility of integrating the curriculum based on the National Occupational Competency Standards (NCS) were explored to lay the foundation for the system, and the research was conducted through a multi-disciplinary expert review. The experts who participated in the review consisted of doctoral and master's degree holders working in the fields of computer science, educational engineering, career education, and university academic support teams, and their feedback was used to design and improve the system. The outcome of the research was a storyboard for the development of a system with an innovative approach to education through the convergence of AI technology and career education. The system, using GPT architecture, showed that it can play an important role in providing students with personalized career education. This study is meaningful for the advancement of educational technology and the development of learner-centered personalized education methodologies, and provides important insights into the future direction of educational technology development. The study focused on exploring the possibilities of curriculum design using AI technology and laying a practical foundation for the application of AI in education. This approach provides an opportunity to develop educational technology to meet the needs of individual learners while increasing the effectiveness of education.

      • KCI등재

        Medical Care Utilization During 1 Year Prior to Death in Suicides Motivated by Physical Illnesses

        조재림,이원준,문기태,서미나,손정우,하경화,김창수,신동천,정상혁 대한예방의학회 2013 Journal of Preventive Medicine and Public Health Vol.46 No.3

        Objectives: Many epidemiological studies have suggested that a variety of medical illnesses are associated with suicide. Investigating the time-varying pattern of medical care utilization prior to death in suicides motivated by physical illnesses would be helpful for developing suicide prevention programs for patients with physical illnesses. Methods: Suicides motivated by physical illnesses were identified by the investigator’s note from the National Police Agency, which was linked to the data from the Health Insurance Review and Assessment. We investigated the time-varying patterns of medical care utilization during 1 year prior to suicide using repeated-measures data analysis after adjustment for age, gender, area of residence,and socioeconomic status. Results: Among 1994 suicides for physical illness, 1893 (94.9%) suicides contacted any medical care services and 445 (22.3%) suicides contacted mental health care during 1 year prior to suicide. The number of medical care visits and individual medical expenditures increased as the date of suicide approached (p<0.001). The number of medical care visits for psychiatric disorders prior to suicide significantly increased only in 40- to 64-year-old men (p=0.002), women <40 years old (p=0.011) and women 40 to 64 years old (p= 0.021)after adjustment for residence, socioeconomic status, and morbidity. Conclusions: Most of the suicides motivated by physical illnesses contacted medical care during 1 year prior to suicide, but many of them did not undergo psychiatric evaluation. This underscores the need for programs to provide psychosocial support to patients with physical illnesses.

      • KCI등재

        요추부 질환에서 시행한 단분절 유합과 장분절 유합간의 임상 결과에 대한 비교

        조재림,윤원구,권오재 대한척추외과학회 1995 대한척추외과학회지 Vol.2 No.1

        In some of the lumbar sinal disorders, fusion is the method of choice for relieving spinal pain and usually one or two segments fusion is sufficient but somtimes as in degenerative spinal stenosis it is necessary to carry out three or more segments fusion. The purpose of this study is to compare the clinical results between these short and long segment fusion groups. From August 1987 to December 1992, 138 lumbar spinal disorders were operated on and followed for more than one year, the average follow up period was 2 years and 5 months. One or two segments fusion was carried out in 111 patients and three or more segments fusion in 27 patients. 49 patients were male and 89 patients were female. Most prevalent age was from 41 to 60 in both groups. Degenerative spinal stenosis was the most common etiology for operation in both groups. In all cases, pedicle screws were female. Most prevalent age was from 41 to 60 in both groups. Average operation time was 4.75 hours in short segment fusion group and 6.25 hours in long segment fusion group. Under the hypotensive anesthesia, the amount of blood loss during operation was 1520 ㎕ and 2000㎕ respectively, and the amount of postoperative suction drainage was 450㎕ and 730㎕ respectively. On clinical results, 96.4% of good to excellent results were obtained in short segment fusion group while in long segment fusion group is was 85.2% but overall clinical results had no statistical significance between these two groups. In complications, hematoma was the most frequent complication in both groups but it was more frequent in long segment fusion group. Dural tear occured in 5 patients and it was more frequent in long segment fusion group and this was the only statistically significant complication. In this series, we had no deep would infection, no nonunion and no permanant neurologic deficit.

      • KCI등재

        요추부에서의 재수술

        조재림,박예수,임광민 대한척추외과학회 1996 대한척추외과학회지 Vol.3 No.2

        The failed back syndrome refers to unsuccessful back surgery, which means back surgery without improvement. Thus it naturally implies the incorrect or inadequate operation. But in many instances, as in the newly developed herniated nucleus pulposus in a adjacent disk, reoperation is necessary after a long period of complete recovery from the initial symptom by successful initial operation. In this case it ti unfair to call it the failed back syndrome. Thus the term 'repeat surgery' is being used by many authors and we also used this terminology in this report. We analyzed 20 cases of repeat surgery, 15 cases of which were operated initially at the other hospital and the results are as follow : 1. The main cause of repeat surgery was a incomplete decompression(47.6%) of the neural tissue in the initial operation and the next one was degenerative changes in the adjacent disks which occured several years after initial operation with fusion. 2. By precise diagnosis and complete removal of offering reasons as well as by solid fusion with firm internal fixation in a repenat surgery overall 80% or more of good to excellent results could be obtained.

      • KCI등재

        척추 후외방 유합술후의 인접분절의 변화 : 3년 이상 추시 결과 Follow-up more than Three Years after Spinal Fusion

        조재림,박예수,한주희,이창훈,노원일 대한척추외과학회 1998 대한척추외과학회지 Vol.5 No.2

        Study design : A retrospective analysis of 166 patients was undertaken to observe radiologically the changes of adjacent segments at follow-up more than three years after lumbar fusion. Objectives : The purpose of this study is to analyze the changes of adjacent segments and to correlate these changes to the length of using level and to the degree of deviation from physiologic lumbar lordosis. The authors also correlate these radiologic changes to the clinical symptoms. Materials and Methods : In simple x-ray, authors observed traction spur, disc space narrowing, endplate sclerosis and vacuum phenomenon of adjacent segments. Authors used Gelb's criteria in segmental lordosis angle(SLA) and Katz's classification in clinical results. Results : The average age was 49.6 years old and the average follow-up period was 57.2 months(4 years and 9.2 months). We observed radiologically the traction spurs in 35 cases(21.1%), end-plate sclerosis in 32 cases(19.3%), disc space narrowing in 33 cases(19.9%) and the vacuum phenomenon in 10 cases(6.0%). The numbers of fusion segments and the degree of unphysiologic segmental lordosis angle in fusion segments were related with the frequency and degree of changes of adjacent segments (P<0.05). The clinical results showed satisfaction in 142 cases(85.5%), unsatisfaction in 24 cases(14.5%) and low back pain in 24 cases(14.5%), leg pain in 11 cases(6.6%) and extension of fusion level in 4 cases(2.4%). In low back pain patients more than two kinds of radiological changes were frequently observed than the patients without low back pain(P<0.05 ). Conclusions : The radiological changes of adjacent segments were more frequently observed in long fusion and in fusion with unphysiologic lumbar lordosis angle. And these changes are frequently associated with low back pain. Thus long fusion and fusion with unphysiologic lumbar lordosis angle should be avoided if possible.

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