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      • KCI등재

        재직자를 위한 4년제 대학 비즈니스컨설팅학과 교육과정 개발: 서울소재 H대학 사례를 중심으로

        황영아(Hwang, Young-Ah),임욱빈(Leem, Wook-Bin) 한국경영교육학회 2020 경영교육연구 Vol.35 No.4

        [연구목적] 본 연구는 재직자를 대상으로 하는 4년제 대학 비즈니스컨설팅학과의 교육과정 개발을 위해 수행되었다. [연구방법] 본 연구는 재직자 대상 직업교육과정 개발 모형에 관한 고찰을 통해 교육과정 개발 모형을 도출하고, 산업체 인사를 포함하는 교육과정개발위원회를 6차례 개최하여 환경 분석, 교육목표 선정 및 인재양성유형 설정, 직무모형 설정 및 직무 검증, 교과목 선정, 교육과정로드맵 도출 등의 절차에 따라 교육과정 개발을 실시하였다. [연구결과] 이상의 절차에 따라 학과의 주요 양성 인력 유형은 경영컨설턴트, 전략경영컨설턴트, 기술경영컨설턴트로 도출되었으며, 직무 설정 및 검증 절차를 통해 현장에서의 수행직무 20개와 과업 80개가 도출되었다. 이를 토대로 직무별 지식 · 기술 · 태도를 고려하여 30개의 교과목 선정을 완료하였으며, 컨설턴트로서 종합적 역량 배양을 위한 세미나 과목 2개를 포함하여 32개 교과목을 포함하는 비즈니스컨설팅학과의 교육과정 로드맵을 제시하였다. [연구의 시사점] 컨설턴트와 관련한 기존 연구들은 컨설턴트의 역량을 규명하거나 컨설턴트 역량이 성과에 미치는 영향력에 초점을 둔 연구가 주로 이루어졌으나 교육적 관점에서 이루어진 연구는 전무한 실정이다. 본 연구는 재직자 대상 직업교육과정 개발 모형에 기반하여 체계적인 절차에 따라 컨설턴트 양성을 위한 교육과정을 개발함으로써 컨설턴트 양성을 위한 교육훈련의 토대를 제공할 것으로 기대되어진다. [Purpose] This study was conducted to develop a curriculum of a four- year college business consulting department for employees. [Methodology] The curriculum development model of this study was derived through consideration of the vocational curriculum development model. And the curriculum development committee, which includes industry personnel, was held six times to develop curriculum according to procedure such as environmental analysis, setting educational goal, job model setting, job verification, subjects selection, drawn the curriculum roadmap. [Findings] Through the job setting and verification procedures, 20 job performances and 80 tasks in the field were drawn. Based on this, 30 subjects were selected considering the knowledge, skills, and attitudes of each job. Lastly, H University’s Business consulting department curriculums designed consists of a 32 subjects. Among subjects, two capstone design subjects were established to develop expert competencies. [Implications] This study provided the foundation for education and training for consultants by developing a curriculum according to a systematic procedure based on the vocational curriculum development model for incumbents.

      • KCI등재후보

        우리나라 지역 직업성질환 감시체계의 현황과 전망

        임종한,장성실,김성아,문재동,채창호,홍윤철,김수영,김진석,김영욱,한상환,이혜숙,원종욱,송동빈,하은희,강성규 대한산업의학회 2001 대한직업환경의학회지 Vol.13 No.2

        기존의 특수건강진단과 작업환경측정을 통한 직업병 관리가 진폐증, 소음성난청 등의 소수 특정질환에 국한되고 실제 직업병 발생 규모 파악이나 신종 직업병의 발견에 한계를 보인다는 사실은 산업의학전문가들 사이에서도 공감을 이루고 있다. 미국과 영국 등에서의 직업성질환 감시체계에 대한 경험은 우리 나라의 직업성질환 감시체계 구축에도 새로운 자극제가 되면서, 1998년이후 인천, 대전, 여천, 구미, 부울경 지역에서 지역 직업성질환감시체계를 산업보건관리의 중요한 시스템으로 구축하려는 노력이 확산되고 있다. 새로이 구축되어지는 이들 지역 직업성질환 감시체계는 감시하고자 하는 대상질환, 활용 가능한 인적자원 및 자료원, 지역 의료체계의 특수성 등에 따라서 목적과 방법을 달리하면서 독특한 형태로 발전을 하고 있다. 각 지역단위 감시체계들이 그 상황에 맞게 독특한 목적과 전략들을 발전 시키면서도, 향후 발전할 국가적인 차원의 직업성질환 감시체계 구축을 위하여 직업성질환 감시의 기본 전략 등을 공유하는 등의 노력이 필요하다. 환례 정의 및 기본적인 등록 서식의 공유, 직업성질환 감시 자료원의 발굴, 공동의 정보 네트워크 및 직업성질환 감시 데이터베이스 구축 등 직업성질환 감시활동을 지원하기 위한 여러 기초 인프라 구축에 힘을 모아야 할 것이다. 우리 나라에서 직업성질환 감시체계를 성공적으로 구축하기 위해서는 수집된 자료의 질 관리를 위한 직업성질환 감시의 원칙 제정과 감시 전략의 공유 등이 필요하며, 전국적인 직업성질환 감시체계의 하부구조라고 할 수 있는 지역감시체계의 기초 토대 마련과 강화작업이 절실하게 필요하다.

      • Clinical and microbiological features of nontuberculous mycobacteria infection in young adult : experience at a tertiary hospital

        ( Eun Hye Lee ),( Ah Young Leem ),( Sang Hoon Lee ),( Joo Han Song ),( Song Yee Kim ),( Kyung Soo Chung ),( Ji Ye Jung ),( Moo Suk Park ),( Young Sam Kim ),( Joon Chang ),( Young Ae Kang ) 대한결핵 및 호흡기학회 2018 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.126 No.-

        Background: The prevalence of nontuberculous mycobacteria lung disease (NTM-LD) is increasing worldwide. However, there is limited information about the NTM-LD of young age people. Methods: Patients diagnosed with NTM-LD at severance hospital between January 2006 and December 2016 were retrospectively reviewed. Clinical characteristics and microbiologic features of patients under 40 years were compared with patients over 40 years. Results: Total 906 patients were identified NTM-LD. Of these, 29 patients (3.2%) were under 40 years of age (young age group) and the remaining 877 were over 40 years of age (old age group). Mean age of the two groups were 32 (IQR 24-33) and 64 (IQR 56-72), respectively. Female was predominant in both groups and about half of the patients had a history of tuberculosis (51.7% vs.51.5%, p=0.984). 7 patients (24.1%) of the young age group had malignancy history and among them, 6 patients were hematologic cancer who subsequently received bone marrow transplantation. The proportion of the nodular bronchiectatic form of NTM-LD is significantly higher in old age group (67.5%) compared to young age group (31.0%) (p=<0.001). M.avium complex (MAC) was the most common etiologic organism in both groups, however, it was less common in the young age group (44.8% vs. 65.3%, p=0.023). Identification of M.abscessus complex (MABC) was higher in young age group although statistically insignificant (24.1% vs. 17.0%, p=0.318). Conclusion: This study could help to better understand the characteristics and microbial features of NTM-LD of young age people.

      • Free Paper Presentation : OS-53 ; Factors Associated with Smokers` will for Smoking Cessation in Korea

        ( Ah Young Leem ),( Chang Hoon Han ),( Chul Min Ahn ),( Tae Hoon Jung ),( Yu Il Kim ),( Jae Yeol Kim ),( Sang Haak Lee ),( Eun Mi Chun ),( Kwang Ha Yoo ),( Ji Ye Jung ) 대한결핵 및 호흡기학회 2014 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.118 No.-

        Background: Smoking is known to increase the risk of chronic disease. Understanding of factors that contribute to smoking cessation may help to develop strategies for smoking behavior change. Methods: Pooled cross-sectional data of 11,924 subjects from the Korea National Health and Nutrition Examination Survey II-V were analyzed. The stages of change in smoking cessation were categorized into pre-contemplation, contemplation, and preparation. Baseline characteristics, socioeconomic factors, quality of life, psychological characteristics, and tobacco-related factors were compared between the groups. Results: The study population consisted of 32.4% in pre-contemplation, 54.4% in contemplation, and 13.1% in preparation group. While the proportion for pre-contemplation group (37.4% to 28.4%) tended to decrease from 2001 to 2012, that of preparation group (6.4% to 18.1%) tended to increase. The mean age of pre-contemplation group (48.4±16.2) is higher than comtemplation and preparation group (42.2±13.9 and 44.4±15.3; P=0.02). As levels of education and income status increased, the proportion of pre-contemplation tended to decrease, and that of preparation tended to increase. Proportion of blue collar job in pre-contemplation group was higher than in preparation group (67.9% vs 58.1%; P<0.001). In pre-contemplation group, percentage of suicidal ideation within 1 year was higher than contemplation and preparation group (19.3% vs 16.0% and 16.1%). Upon adjusting analysis, the proportion of pre-contemplation group increased with increasing age (OR=1.01; 95%CI 1.01-1.02), and smoking amount (OR=1.04; 95%CI 1.03-1.05). People of pre-contemplation group (vs. preparation) are be less educated (OR=1.99; 95% CI 1.51-2.62), are in single marital status (OR=1.25; 95%CI 1.04-1.50), have lower prevalence of cardiovascular disease (OR=0.48; 95%CI 0.31-0.76), and do less exercise walking (OR=1.36; 95%CI 1.09-1.69) and weight training (OR=1.59; 95%CI 1.35-1.85). Conclusions: We demonstrated a significant association between the stages of change in smoking cessation and age, education, marital status, cardiovascular disease, and amount of exercise.

      • KCI등재

        Hemophagocytic Lymphohistiocytosis after Lung Transplantation

        Ah Young Leem, M.D.,Sung Woo Moon,김송이,박무석,김영삼,김세규,장준,백효채,정준원,정경수 대한중환자의학회 2015 Acute and Critical Care Vol.30 No.1

        Hemophagocytic lymphohistiocytosis (HLH) is a rare but fatal complication after solid organ transplantation. Acquired forms of HLH are described in association with severe sepsis, autoimmune disorders, malignancy, immune-compromised states, infections, and solid organ transplantation. We experienced a case of hemophagocytic lymphohistiocytosis after bilateral lung transplantation. Leukopenia,thrombocytopenia, and hyperbilirubinemia were noted and became aggravated 50 days after transplantation. Diagnosis of HLH was based on clinical and laboratory findings of splenomegaly, cytopenia, elevated ferritin, elevated interleukin-2 receptor, and hemophagocytosis in bone marrow. Other features such as elevated bilirubin, lactate dehydrogenase, and D-dimer which can be present in HLH were also noted. The patient was immediately treated with etoposide and dexamethasone. Despite aggressive therapy, the patient deteriorated and died. Awareness of the diagnostic criteria of HLH after lung transplantation is important for clinicians.

      • Association of serum bilirubin level with lung function decline: a Korean community-based cohort study

        Leem, Ah Young,Kim, Ha Yan,Kim, Young Sam,Park, Moo Suk,Chang, Joon,Jung, Ji Ye BioMed Central 2018 Respiratory research Vol.19 No.-

        <P><B>Background</B></P><P>Bilirubin has been reported to be associated with respiratory diseases due to its antioxidant action. We aimed to evaluate the relationship between serum bilirubin concentration and annual lung function decline in the Korean general population.</P><P><B>Methods</B></P><P>The study included 7986 subjects aged 40–69 years from the Ansung-Ansan cohort database I (2001–2002)–III (2005–2006). We analyzed the relationships between serum bilirubin level and forced expiratory volume in 1 s (FEV<SUB>1</SUB>), forced vital capacity (FVC), FEV<SUB>1</SUB>/FVC, and mean forced expiratory flow between 25 and 75% of FVC (FEF<SUB>25–75%</SUB>) at baseline, as well as the annual average changes in these lung parameters.</P><P><B>Results</B></P><P>The FEV<SUB>1</SUB>, FVC, and FEF<SUB>25–75%</SUB> were significantly associated with serum bilirubin levels after adjustment for age, sex, body mass index (BMI), and smoking status (all <I>P</I> < 0.001). When stratified according to smoking status, these relationships were significant in never-smokers. Additionally, serum bilirubin level was negatively associated with the annual decline in FEV<SUB>1</SUB> and FVC, and positively associated with the annual decline in FEV<SUB>1</SUB>/FVC after adjustment for age, sex, BMI, baseline lung function, and smoking status (all <I>P</I> < 0.001).</P><P><B>Conclusions</B></P><P>We found significant associations of serum bilirubin levels with FEV<SUB>1</SUB>, FVC, and FEF<SUB>25–75%</SUB> in the general population, especially in never-smokers. Moreover, serum bilirubin levels were related with the annual decline in FEV<SUB>1</SUB>, FVC, and FEV<SUB>1</SUB>/FVC ratio.</P>

      • Prevalence and incidence of COPD in Korean Community-Based Cohort

        ( Ah Young Leem ),( Boram Park ),( Sungho Won ),( Young Sam Kim ) 대한결핵 및 호흡기학회 2015 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.120 No.0

        Background: COPD is a leading cause of chronic morbidity and mortality. We analyzed prevalence and incidence rate of COPD using community based cohort database. Methods: Ansung-Ansan cohort is a community-based cohort of 10,038 participants aged 40-69yr. Initial enrollment was carried out in 2001 and follow-up examinations are conducted biennially. The data from a baseline survey and two subsequent surveys were analyzed. COPD was defined as a forced expiratory volume in 1s(FEV1)/forced vital capacity(FVC) ratio<0.7. We calculated the prevalence and incidence rate of COPD from 2001 to 2005. And we analyzed the factors associated with prevalence and incidence of COPD. Results: The prevalence of COPD was increased from 8.8%(2001) to 13.3%(2005). In terms of severity of airway obstruction, the prevalence of mild COPD has increased most among COPD group. The changes of prevalence were prominent in men, older age group(>70 years), smokers, and low income earners. The overall crude incidence rate of COPD per 100,000 person-year was 1447.8 and standardized incidence rate corrected by standard Korean population was 1513.1. The incidence rate of COPD was higher in men than in women and increased with increasing age. Smoking more than 20 pack-years and low income were also associated with the incidence rate of COPD. Conclusions: We demonstrated the prevalence and incidence rate of COPD in Korean adult population with community based cohort database. The incidence rate was increased with increasing age, smoking amount and higher in men. But it was low in low income population.

      • Inhibition of EphA2-EphrinA1 signal attenuates pulmonary fibrosis

        ( Ah Young Leem ),( Mi Hwa Shin ),( Kyung Soo Chung ),( Song Yee Kim ),( Ji Ye Jung ),( Young Ae Kang ),( Young Sam Kim ),( Joon Chang ),( Moo Suk Park ) 대한결핵 및 호흡기학회 2019 대한결핵 및 호흡기학회 추계학술대회 초록집 Vol.127 No.-

        Background: Although previous studies have demonstrated that stimulation of the EphA receptor induces increased vascular permeability and inflammatory response in lung injury, the relationship between pulmonary fibrosis and EphA2 signaling remains unclear. The aim of this study was to evaluate the role of Eph-Ephrin signaling pathway in pulmonary fibrosis. Method: We studied Wild-type(WT) and EphA2 knockout(KO) mice in a model of bleomycin-induced pulmonary fibrosis. We evaluated four groups of mice: PBS instillation in EphA2 WT mice, PBS instillation in EphA2 KO mice, Bleomycin instillation in EphA2 WT mice, and Bleomycin instillation in EphA2 KO mice. The cell counts and protein concentration in the bronchoalveolar lavage fluid(BALF), changes in histopathology, Ashcroft score, expression of several signal pathway proteins including PI3K-Akt, Wnt, and cytokine levels were compared among the groups. We also studied whether the level of serum EphA2 in human blood and BALF is up-regulated in patients with idiopathic pulmonary fibrosis (IPF). Serum EphA2 protein level was measured in blood and BALF of three groups of human adults; control, IPF with or without lung transplantation group. Results: In EphA2 WT mice, bleomycin significantly increased the cell counts and protein concentration in the BALF, and increased Ashcroft scores and hydroxyproline contents in lung lysates. Furthermore, bleomycin upregulated PI3K 110γ, Akt, Wnt, MIP-2, IL-6 and TNF-α. In EphA2 KO mice, EphA2 deficiency attenuated the upregulation of PI3K 110γ, Akt, Wnt, MIP-2, IL-6 and TNF-α. after bleomycin instillation, and decreased pulmonary fibrosis. In addition, the EphA2 levels measured in blood of patients with IPF(with and without lung transplantation) were significantly higher than those of control group. Furthermore, EphA2 levels in human BALF were significantly elevated in patients with IPF compared with control subjects. Conclusion: Collectively, these data suggest that EphA2 deficiency attenuates pulmonary fibrosis. EphA2 may function as novel therapeutic agents for idiopathic pulmonary fibrosis.

      • The Korean Academy of Tuberculosis and Respiratory Diseases : Slide Session ; OS-053 : COPD ; Factors Associated with Smokers` will for Smoking Cessation in Korea

        ( Ah Young Leem ),( Chang Hoon Han ),( Chul Min Ahn ),( Tae Hoon Jung ),( Yu Il Kim ),( Jae Yeol Kim ),( Sang Haak Lee ),( Eun Mi Chun ),( Kwang Ha Yoo ),( Ji Ye Jung ),( Korean Smoking Cessation Stud 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1

        Background: Smoking is known to increase the risk of chronic disease. Understanding of factors that contribute to smoking cessation may help to develop strategies for smoking behavior change. Methods: Pooled cross-sectional data of 11,924 subjects from the Korea National Health and Nutrition Examination Survey II-V were analyzed. The stages of change in smoking cessation were categorized into pre-contemplation, contemplation, and preparation. Baseline characteristics, socioeconomic factors, quality of life, psychological characteristics, and tobacco-related factors were compared between the groups. Results: The study population consisted of 32.4% in pre-contemplation, 54.4% incontemplation, and 13.1% in preparation group. While the proportion for pre-contemplation group (37.4% to 28.4%) tended to decrease from 2001 to 2012, that of preparation group (6.4% to 18.1%) tended to increase. The mean age of pre-contemplation group (48.4±16.2) is higher than comtemplation and preparation group (42.2±13.9 and 44.4±15.3; P=0.02). As levels of education and income status increased, the proportion of pre-contemplation tended to decrease, and that of preparation tended to increase. Proportion of blue collar job in pre-contemplation group was higher than in preparation group (67.9% vs 58.1%; P<0.001). In pre-contemplation group, percentage of suicidal ideation within 1 year was higher than contemplation and preparation group19.3% vs 16.0% and 16.1%). Upon adjusting analysis, the proportion of pre-contemplation group increased with increasing age (OR=1.01; 95%CI 1.01-1.02), and smoking amount (OR=1.04; 95%CI 1.03-1.05). People of pre-contemplation group (vs. preparation) are be less educated (OR=1.99; 95% CI 1.51-2.62), are in single marital status (OR=1.25; 95%CI 1.04-1.50), have lower prevalence of cardiovascular disease OR=0.48; 95%CI 0.31-0.76), and do less exercise walking (OR=1.36; 95%CI 1.09-1.69)and weight training (OR=1.59; 95%CI 1.35-1.85). Conclusions: We demonstrated a signifi cant association between the stages of changesmoking cessation and age, education, marital status, cardiovascular disease, and amount of exercise.

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