현대사회는 평균수명의 증가로 인해 지적장애인의 성인기도 점차 길어지고 있는 추세다. 그러나 그에 상응하는 교육이나 재활은 턱없이 부족한 실정이다. 특히, 성인이 된 지적장애인이 사회구성원으로 살아가 는 데 필수적인 의사소통 및 사회화 능력을 향상시키는 훈련은 좀처럼 찾아보기 어려운 실정이다. 본 연구 는 지적장애를 가진 성인의 의사소통 능력 및 사회화 능력에 재활승마가 미치는 영향을 분석하는 데 그 목적이 있다. 본 연구를 수행하기 위해 통제집단 사전사후 실험설계를 사용하였고, 실험집단과 통제집단은 각각 20명의 지적장애 성인으로 구성하였다. 먼저 두 집단에 의사소통과 사회화 능력에 대한 검사를 실시한 후, 실험집단을 8주 동안 16번의 재활승마 프로그램에 참여시켰다. 본 실험설계의 분석을 위해 실험군과 대조군의 동질성을 검증하였다. 그런 다음 재활승마가 지적장애 성인의 의사소통 능력과 사회화 능력에 미 치는 영향을 측정하기 위해 실험집단과 통제집단에 대한 사전사후 검사를 분석하였다. 분석 결과, 설계한 실험집단과 통제집단의 동질성이 나타났고, 재활승마에 참여한 실험집단은 참여하지 않은 통제집단과 비교 했을 때 의사소통과 사회화 능력에서 유의미한 향상을 보였다. 본 연구는 지적장애 성인의 의사소통 및 사회화 능력의 증진을 위해 체계적인 재활승마 프로그램을 기획·공급·확대할 필요가 있다고 제언한다.

There are still debated about surveillance interval, duration, diagnostic modality and treatment for intraductal papillary mucinous neoplasm (IPMN) of the pancreas. In recent guidelines, ‘high risk stigmata (HRS)’ and ‘worrisome feature (WF)’ are defined as predictive factors for malignancy in IPMN. IPMNs with HRS and main duct- IPMN are more likely to accompany malignancies, thus require surgery. However, in the case of only WF, since the risk of malignancy is different for each factor, the management decision can be variable according to the number of overlapping WFs. In addition, for segmental main pancreatic duct dilatation without enhancing mural nodules, careful surveillance might be considered rather than immediate surgery. In IPMN patients with elderly or severe comorbidities, treatment strategy should be determined based on surgical and malignant risk assessment. To date, the natural course of IPMN patients with HRS and WF is not well understood, thus further studies with a large number of patients are needed.

Agrophotovoltaic (APV) system is an integrated system producing crops as well as solar energy. Because crop production underneath Photovoltaic (PV) modules requires delicate management of crops, smart farming equipment such as real-time remote monitoring sensors (e.g., soil moisture sensors) and micro-climate monitoring sensors (e.g., thermometers and irradiance sensors) is installed in the APV system. This study aims at introducing a decision support system (DSS) for smart farming in an APV system. The proposed DSS is devised to provide a mobile application service, satellite image processing, real-time data monitoring, and performance estimation. Particularly, the real-time monitoring data is used as an input of the DSS system for performance estimation of an APV system in terms of production yields of crops and monetary benefit so that a data-driven function is implemented in the proposed system. The proposed DSS is validated with field data collected from an actual APV system at the Jeollanamdo Agricultural Research and Extension Services in South Korea. As a result, farmers and engineers enable to efficiently produce solar energy without causing harmful impact on regular crop production underneath PV modules. In addition, the proposed system will contribute to enhancement of the smart farming technology in the field of agriculture.

Most of real-world decision-making processes are used to optimize problems with many objectives of conflicting. Since the betterment of some objectives requires the sacrifice of other objectives, different objectives may not be optimized simultaneously. Consequently, Pareto solution can be considered as candidates of a solution with respect to a multi-objective optimization (MOP). Such problem involves two main procedures: finding Pareto solutions and choosing one solution among them. So-called multi-objective genetic algorithms have been proved to be effective for finding many Pareto solutions. In this study, we suggest a fitness evaluation method based on the achievement level up to the target value to improve the solution search performance by the multi-objective genetic algorithm. Using numerical examples and benchmark problems, we compare the proposed method, which considers the achievement level, with conventional Pareto ranking methods. Based on the comparison, it is verified that the proposed method can generate a highly convergent and diverse solution set. Most of the existing multi-objective genetic algorithms mainly focus on finding solutions, however the ultimate aim of MOP is not to find the entire set of Pareto solutions, but to choose one solution among many obtained solutions. We further propose an interactive decision-making process based on a visualized trade-off analysis that incorporates the satisfaction of the decision maker. The findings of the study will serve as a reference to build a multi-objective decision-making support system.

The paint removal of fighter jets is just as important as the painting, because perfect paint removal ensures the quality of the exterior painting on the aircraft. However, the current conditions for paint removal work of the ROKAF’s are poor. It is identified that the painting process currently implemented by the ROKAF is not only exposed to harmful compounds such as harmful dust and hexavalent chromium, but also consumes a lot of water. Thus, the introduction of advanced facility is considered. This study compares the fighter jets painting removal process currently applied by the Korean Air Force with the improved laser coating removal process of the US Air Force, and conducts an incremental analysis to perform economic analysis for the introduction of advanced facility. Four scenarios were envisioned on the premise of an increase in the number of fighters in the future, incremental analysis shows that laser coating removal method is advantageous in all scenarios. In addition, it is recommended that paint removal cycle keeps the current 12-year and the outsourcing amount to civilian depot is reduced.

Agrophotovoltaic (APV) system is an integrated system producing crops as well as solar energy. Because crop production underneath Photovoltaic (PV) modules requires delicate management of crops, smart farming equipment such as real-time remote monitoring sensors (e.g., thermometers, irradiance sensors, and soil moisture sensors) is installed in the APV system. This study aims at introducing a simulation-based decision support system (DSS) for smart farming in an APV system. The proposed DSS is devised to provide a mobile application service, satellite image processing, real-time data monitoring, and simulation-based performance estimation. Particularly, an agent-based simulation (ABS) is used to mimic functions of an APV system so that a data-driven function and digital twin environment are implemented in the proposed system. The ABS model is validated with field data collected from an actual APV system at the Jeollanamdo Agricultural Research and Extension Services in South Korea. As a result, farmers and engineers enable to efficiently produce solar energy without causing harmful impact on regular crop production underneath PV modules. In addition, the proposed system will contribute to enhancement of the digital twin technology in the field of agriculture.

This study attempts to examine the distributions and characteristics of language forms and learning activities necessary for communication used in the middle school textbooks based on the 2015 revised national curriculum. To this end, 12 textbooks were analyzed and compared by grades and 4 textbooks by different publishers. The results are as follows: 1) Of the 38 language forms required for communication in middle school textbooks, 23 forms were commonly addressed in all the textbooks, while 12 forms were optional or missing, which may cause problems in articulated learning. 2) Even in the same language form, the level of difficulty increases as the grade goes up, which follows spiral curriculum. 3) Some language forms were omitted in the list presented in the 2015 revised curriculum, where only examples were presented without explanation. Explicit explanations need adding with elaborately classified examples. 4) Although the activities in the textbooks focus more on language acquisition than language use, they are well-organized to practice core language forms focusing on meaning in a controlled manner and gradually apply them to real life situations.

본 연구는 소비자가 경험재인 웹소설을 선택하는 상황에서 사실적 메시지와 평가적 메시지를 담은 온라인 리뷰를 보았을 때 더 유용하다고 판단하는 리뷰가 무엇인지 탐색하고, 이러한 유용성 평가의 차이에 대한 개인의 분석적 의사결정 성향 수준의 조절효과를 검증하기 위하여 실시되었다. 경험재를 구매하기 전 객관적 정보를 수집하는 소비 자의 성향에 근거하여 웹소설의 소비자는 사실적인 온라인 리뷰의 유용성을 더 높이 평가할 것으로 예상하였다. 또 한 인지적 성향에 따라 구분되는 의사결정 유형 중 분석적 의사결정자는 정확한 정보를 수집하여 논리적인 판단을 내린다. 따라서 분석적 의사결정 성향 수준이 높아짐에 따라 사실적인 온라인 리뷰의 유용성 평가가 높아질 것으로 예상하였다. 실험 1의 결과 사실적인 리뷰를 제시받은 집단이 평가적인 리뷰를 제시받은 집단보다 리뷰의 유용성을 높이 평가하였으며, 실제 웹소설 선택 상황과 유사하게 두 유형의 리뷰를 동시에 제시한 실험 2에서도 리뷰의 유용 성 평가에 대한 리뷰 메시지 유형의 주효과가 확인되었다. 또한 실험 2에서는 분석적 의사결정 성향 수준이 높아짐 에 따라 사실적인 리뷰의 유용성을 높이 평가하는 경향이 드러나 분석적 의사결정 성향 수준의 조절적 역할이 확인 되었다. 본 연구는 경험재인 웹소설을 선택하는 상황에서 리뷰 메시지 유형 및 소비자의 분석적 의사결정 성향 수준 이 소비자의 리뷰 유용성 평가에 영향을 끼친다는 사실을 확인함으로써 웹소설 소비자의 행동 양식을 밝혔다는 이론 적, 실무적 의의를 갖는다.

With the enforcement of the “Act on decisions on life-sustaining treatment for patients at the end of life” in February 2018, discussion on advanced care planning (ACP) has increased. However, as decisions on life-sustaining treatments are still made in the intensive care unit, deaths related to the suspension of life-sustaining treatment account for a large proportion of deaths in the intensive care unit. The nurses encounter challenges in supporting the patient's dignified death; they experience an ethical dilemma in the ambiguity due to a lack of guidance on legal responsibilities regarding decisions on life-sustaining treatment. In order for the nurses to perform as a supporter providing care to the patients and as a advocate during the process of decision-making on life-sustaining treatment, there should be a systemic change to ensure the nurses' participation. In addition, an open and continuous discussion should be proposed to cultivate nurses’ ethical sensitivity and moral courage. This paper reports two ethical examples related to the decisions on life-sustaining treatment occurred in intensive care units of a tertiary hospital.

Purpose: This study verified the effects of simulation-based communication education on the problem-solving process, communication self-efficacy, and communication ability of nursing college students. Methods: As an experimental study of single-group pre- and post-design, data were collected from April 12 to June 18, 2021, using a self-report questionnaire from 55 Year 4 nursing college students in city D. The collected data were analyzed in terms of frequency, paired t-test, and Pearson's correlation coefficients using the SPSS/WIN 23.0 program. Results: Our findings indicated that there were significant differences between the problem-solving process (t=-20.54, p<.001), communication self-efficacy (t=-15.31, p<.001), and communication ability (t=-3.62, p=.001) in communication before and after simulation-based communication education. Following simulation-based communication education, the communication ability of nursing students was evaluated through the problem-solving process (r=.46, p<.01), self-efficacy in communication (r=.37, p<.01), and problem-solving process by a doctor. Furthermore, it was found that there was a significant positive correlation with communication self-efficacy (r=.16, p<.01). Conclusion: It can be expected that the simulation -based communication education will improve nursing students’ problem-solving process, communication self-efficacy, and communication ability and thus contribute to high-quality nursing in related clinical situations. In addition, for a more effective communication education, research that could develop various scenarios in the clinical field and verify the effectiveness is required.

수의사 보조원은 동물병원에서 동물에 대한 처치, 접수, 보호자 안내, 수납 업무 등을 통해 수의사를 지원하고 보조한다. 이러한 역할을 수행하기 위해서는 적극적 경청과 원활 한 의사소통 능력을 갖춰야 한다. 이것과 관련하여 조사와 분석을 통해 도출된 결과로 인 식의 함양이 필요하지만 현재 이와 관련된 선행연구가 부족한 실정이다. 본 연구는 동물 병원 서비스 이용 경험이 있는 전라북도 반려인의 이용 만족도 현황과 정도를 파악하고 이에 수의사 보조원의 언어적, 비언어적 의사소통 능력이 미치는 영향의 유무를 규명하고 자 한다. 또한, 전반적인 의사소통 능력의 중요성과 영향력을 인식하는 데 목적을 둔다. 2022년 4월 30일부터 2022년 5월 29일까지 온라인 설문조사를 실시하였다. 응답 결과 의 데이터는 빈도 분석, 신뢰도 분석, 상관 분석을 사용하여 인구통계학적 기준으로 분석 하였다. 첫째, 수의사 보조원의 언어적, 비언어적 의사소통 능력의 개념을 정리하기 위한 신뢰도 분석 결과 Cronbach’s alpha 계수는 모두 0.8 이상으로 나타나 신뢰도가 검증되 었다. 둘째, 수의사 보조원의 언어적, 비언어적 의사소통 능력이 동물병원 이용자의 만족 도에 미치는 영향의 여부와 정도를 파악하기 위해 상관분석을 실시하였다. 그 결과 모두 정(+)의 상관관계로 나타났다. 하여, 본 연구는 수의사 보조원의 언어적, 비언어적 의사 소통 능력의 영향력 인식을 통해 중요성 함양하고자 하는 데 의의가 있다.